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10170 SW Nimbus Avco H-3
ELECTRICAL PERMIT-
CITYOF T I G A R D — RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR2001-00215
13125 SW Hall Blvd..Tiqard, OR 97223 (503) 639-4171 DATE ISSUPARCED:
8S134AA 01800
SITE ADDRESS: 10170 SW NIMBUS AVE H-3
SUBDIVISION: SCHOLLS BUSINESS PARK ZONING: I-P
BLOCK: LOT: 002 JURISDICTION: "FIG
Proiect Description: Installation of burglar alarm Job#083-13874-01
A. RESIDENTIAL — _ B.COMMERCIAL ---
AUDIO &ST- AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA[TEL.E COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: BURG.ALARM u
TOTAL# OF SYSTEMS:_
Contractor:
i ROBINSON, CONSI'ANCE A + AUT SECURITY SERVICES, INC
DR
ROBINSON, LYNN + BEI-L, KAY ET BEA SWVERTORDN, OR 97006
BY INSIGNIA COMMERCIAL, GROUP EA9
BEAVERTON, OR 97008
Phone: Phone: 503-469-7244
Reg#: LIC 59944
EL.E 26-209CLE
_ FEES �— Required Inspections
Type By Date — -_ Amount_ keceipt Low Voltage Inspection
PRMT CTR 8/30/01 $75.00 2720010000
Elect'I Final
5PCT CTR 8/30/01 $600 2720010000
Total $81.00
This Permit is issued subjuct to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if wort; is
not started within 180 days of issuance, or if work is suspended for more than 180 days. AT-f ENTION Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 thrp�gh OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503)
246-1987.
Issued by _ Permittee Signature
_ _OWNER INSTALLATION ONLY _
The installation is being made on property I own which Is not Intended for sale. lease, or runt.
OWNER'S SIGNATURE: — DATE:____ _—
CONTRACTOR INSTALLATION ONLY --
SIGNATURE OF SUPR. ELEC'N _ DATE:-----
LICENSE
ATE:__ —LICENSE NO: __ .Z— --- ------ —_—_-- —
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
i
oh 29/2001 16.07 FAX 5034097110 ADT SECURITY 1 001
Electrical Permit Application
-- Date received: >- Permit no.:
City of TigardProject/appi.no.: Expire date;
City of71gard Address; 13125 SW Hall Blvd, T ,OR 97223 Date issued: BYER6 Recei t no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval; _
e
U I Xt 2 lurntly dwelling or accessory *<"(lrllrncrci4d/indu�trial U Multi-frrnily U Tenant impro.ement
U New construction U Addition/alterdnort/rcplacerncnt U Other:_ __- __ U Partial
JOB S111 INFohiviAlrioN
d.
Job address: l3ldg. no.: _ Suite no.: 1'ax map/tax lot/account nc
Lot: Block: Subdivision:
Project name; Descripdon and location of work on premises Itl n Aya-R nn
Estimated date of curnpledon/ins ecdon: r CONTRA(IOR
Job no: / -- -- Description
Fee Max
Business name: � Descri tion Qty. nu,htsp
Address: 2815 7WA 53rD Dr -- New residential-al We or multi-family per
.J Ll _ _ _ dwcWncanit.lnchrdesattachrdgfnrge.
City: Be1t) I---- 6IP: Seniceincluded:
Phone; Fax: 1&mail: I000 ag,ft or Iem. 4
CCB no. BICC.bus.I IC,no: �t Each additional 500 aq.ft.or portion thereof
__ ����`� Limitedenergy,residential 2
City/metro lic,no.: _ - _ Limited energy,non•reeidenual 2
flz I[& Bach manufacwred home or modular dwelling
9i n of su sing electrician roqufred) D Service antUur feeder 2
�__- �- Services or(eedan-installation,
Sup elect "timekniul) fit({ I.irensruu
alteration or relocation-
PROPERTVOWNIER relocation-200 amps or leas 2
Na;;rle(print): 201 amps to 400 amps 2
Mttilin urldress - 401 ams to f;u amps — 2
K 601 amps w 1000 amps 2
City: - - ,a-- State: ZIP: over I"amps ar vow _ 2
Phone: I E-mail: Reconnectonly I
Owner installation:The installation is being made on property I own Tetnponryservices orfeederi
which is not intended for sale,lcnse,rent,or exchange according to htatallation,altrralton,orrelocation:
ORS 447,455,479,670,701. 200 snips or Iris 2
201 ams m 400 amps 2
Owner's signature: _ Date: _ 401 to 600 amps 2_
Breach circeha-neve,allerntion,
_Atriensinn per pass! -
_,___-_ -_- A. Per forhranch circuits with purchase of
Address: _ service or feeder fee,eu.h branch circuit !
City: - State. _ 7.1P: _ _— -- B. Pee fo-branch circuits without purchase
--- --- --
Phone: E-mail: of service or feeder fee,first branch circuit: 2
— I'ar. - --
Hoch additional brooch circuli:
Mc.(.Service or feeder notIncluded):
U Service over 22.5 amps-commercial U Health-care facility Each pump or litigation circle 2
O service over 320 amps-rating of 1 dr2 U Haratdouslocation ruch cion or outline lighting -2
—
family dwellings Cl Building over 10,000 square feel four or signal circult(s)or a I Invited energy panel,
O system ovrr600 volts nominal more residential rNts in one structure alteration,or extenslono -_ I T6-) 2
U Building over three stories U Feeders,400 amps or more aDeacri tion
U Occupant loud over 99 pemnns U Manufactured structures or RV park Heir additlonal inspertlan over the■llowable in any of the alp e:
U BittesKnighling plan 0 Other _ Perintspection
submit__seta or plans with any of the above. investigation fee_
'rite above are nol applicable to temporary construction service. other �-
-- Permit fee.....................$ _
Not W Jurisdictions acegs credh cards,pleas call Jurisdiction for more Infnrmauon. Nouse:This permit application --
D Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ _
Credit card ourn w -- –
within 180 days after it has been State surcharge(11%) ....S _
–
--- "pifet— TOTAL accepted as complete.
.......................S
Name of cardhader u own one r card
S _
cwdholdws anNwe --- ^—Atrpwni 4 IJ615(6MMM)
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 635-4175 Business Line: 639-4171 MST
BLIP _
Date Requested :z _AM PM
BLD _
Location (-'7(� D Lc.7') L � , Suite H -3 MEC
Contact Person 7'1 C�.��-��r� .- Ph _ L 7.,1!2
1!2 PLM
Contractor Ph -- (� ,`J `Ty sWl. — -- - -
BUILDIN3 Tenant/Owner ELC _
Retaining Wall --- - ELR ,Ie'72Cl2'� � (
Footing / P
ACC@SS:
Foundation FPS
Ftg Drain -
Crawl Drain Inspection Notes SIGN -�
Slab SIT
Post& Beam -------
Ext Sheath/Shear
Int cath/Shear
------------
Framing v - -------
Insulation
Drywall Nailing
-----------
Firewall
Fire Sprinkler -- -_ -- ----
Fire Alarm
Susp'd Ceiling -- - ---- ---------
Roof -- - -
Final - -
PASS PART FAIL
PLUMBING -�
Post& Beam --- - - - - - - -
Under Slab
Fop out - - - — - - -- - - - ---- -- -----
Water Service
Sanitary Sewer - - --
Rain Drains
ma - -
PASS PART FAIL
MECHANICAL _ ------- - - - ------ - -----
Post& Beam -
Rough In
Gas Line
Smoke Dampers -
Final
PASS PART FAIL
ELECTRICAL - -
Service
Rough In - -
UG/Slab
Low Voltage
Fire Alarm
ina�
PART FAIL -- -- -SITE
Backfill/Grading ----- --- __
Sanitary Sewer
Storm Drain ( ]Reinspection fes of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reins
Fire Supply Line I 1 reinspection RE _. _ -_ [ J Unable to inspect-no access
ADA
Approach/Sidewalk
Other nate � _ _ Inspector _� `J I :>/< _Ext
Final J�
PASS PART FAIL) 00 NOT REMOVE this inspection record from the job site.