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9250 sW ,Tigard Street
ELECTRICAL PERMIT-
CITY O F TIGARD
_ RESTRICTED ENERG=Y 4-^
DEVELOPMENT SERVICES PERMIT#: EI_R2002-00056
13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 DATE ISSUED:PARCEL: 2S102AB 03400
SITE ADDRESS: 09250 SW TIGARD ST ZONING: CBD
SUBDIVISION: ELECTRIC ADD. TO TIGAROVILLE 2 JURISDICTION: TIG
BLOCK: LOT: 5-6
Project Description: Protective signaling-Joh No.5378-043
A. RESIDENTIAI- _i� B.COMMERCIAL___------------------
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
CLOCK: MEDICAL:
GARAGE OPENER: NURSE CALLS:
HVAC: DATA/TELE COMM:
VACUUM SYSTEM. FIRE ALARM: OUTDOOR LANDSC LITE:
HVAC PROTECTIVE SIGNAL: h
OTHER:
INSTRUMENTATION: OTHER:
_ TOTAL#OF SYSTEMS: 1 _
- — Contractor:
Owner: SOUND SECURITY, INC.
MCCLURE, CHARLES J AND 1975 SW 6TH AVE
ELLEN R PORTLAND, OR 97201
9250 SW TIGARD
TIGARD, OR 97223 Phone: 223-5822
Phone: Reg #: LIC 53535
ELE 26-370CLE
FEES _ Required Inspections
Date Ceiling Cover
_Type By Amount Receipt g
Wall Cover
PRMT CTR 4/2/02 $75.00 2720020000 Elect'/ Final
5PCT CTR 4/2102 $6.00 2720020000
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Munidpal C- e, 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 work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246-1987.
_ Permittee Signature
Issued by
OWNER INSTALLATION ONLY The installation Is being made on property I own which is not intended for sale. lease, or rent.
OWNER'S SIGNATURE: — DATE: —�
CONTRACTOR INSTALLATION ONLY
SIG;NATURE OF SUPR. ELEC'N'. -----
DATE:
LICENSE NO: _ -- — -
Call 639-4175 by 7:00 P.M. for an Inspection needed the next business day
Electrical Permit Application
RE
t —v 1 Datereceived: Permitno.; �
City Of .I i�f;ard REC�rra� it r.uaa/ ProjecUappl.no.: Expiredale:
City ofTiRard Address: 13125 S%V Ilall Blvd,Tigard,OR 97223 Date issued: 13y: Receiptno.:
Phone: (503) 639-4171 _
Fax: (503) 598-1960 Case file no.: Payment type;
(.tet r. •- a'._,
Land use approval: :at li; pw ^ ._.a.,
U I &2 family dwelling or acceAsory Commercial/industrial U Mulli-family U' i'fihnfittiprovdment
U New construction U Addition/al feral ion/replace nienI U Other: U Partial
Job address: C1 ,1 0 fes. t CKIW Bldg. it,, Suite no.: ITax map/lax lot/account no.:
Lot; I Block: Subdivi.ton: — -
Project name: Y0.1' Description and location of work on premises: v1 S ti-C k
Estimated date of coon I iordins ction:
Job not ' 3' - Pee alar
(ea
Business name: Sound Securitv —• tksc�llnn -_-- )
(Jtv. Tola; oo.lnv
Address: 1975 SW 6th Avenue Nen midettlial-dnQkormuld fsndly IMr
dwelling unll.Ircludrs atlachett theta(e.
City: Portland I State: OR I ZIP: 97201 Service Included!
Phone: 223-5822_ Fax: 223-060 E-mall: 1000 sq.fl.or lei% 4
CCB no.: 53535 Glcc.bus, tic,no: 26-370CLE Luchadditional 5Ws ,ft.or ortlonthercof - --- --
-- Limited energy,residential 2
City/metro tic no.:
Limited energy,non-residential 2
Each mnuufactured home or modular dwelling
Signature of supervising elretricinnr wired _ bate Z Service and/or feeder 2
Sup.elect.name(print)! A,I" License to:'zZ 'v 3114 Services or feeders-Installation, `-
alteration or relocation:
200 amps or less 2
Name(print): 201 snips to 400 amps 2
401 amps to 600 ams 2
Mailing Addtcss: 601 snips to 1000 amps - 2
City: Stale: ZIl': Over 1000 amps or volts - 2
Phone: Fax_ E-mail: Reconnect only I
Owner Installation:The installation i,being made on property I own Temporary services orfeeders-
which is not intended for sale,lease-,tral,or exchange according to Installation,allerstlon,orrelocation:
ORS 447,455,479,670,701. 200 snips or leas 2
201 amts to 4W snips 2
Owner's sl nature: Dale: 401 to 600 ams — 2
Branch circuits-new,alteration,
or extension per panel:
Name: or
Fre for branch circuits with purchase of
Address: t service or reeddt fee,each branch circuit 2
City: Stale: ZIP_ B. pee rot branch circuits without purchase
Phone: Fax: E-mail:
of service or feeder fee,first branch circuit: 2
Each additional branch circuit
Tml Misc.(Service or feedernol Included):
l)Service over 225 amps-comnurcial U Health-care facility Pach pump or Irrigation circle _ 2
U Service river 120 amps-rating of 1&2 U Ilarnrdouslocation Each sl8n or outline lighting _ 2
familydwellings U Building over 10,000 square feet four or Signal circuits)or a limited ener,ty panel, 1
U System over 6W volts nominal more tr0dential units In one structure alteration,or extension* _ _ 1 2 _
•Building over three stories U Fredets,4W amps or more •(mescri tion:
U Occupant load over 99 persons U Manufactured structures nr ItV park Each additional Inspeellon over The allowable In any of the above:
U UWAsAightingplan U Other: perins ecdon --1— --�_.—'
Submit—eels of plans with any of fhe above. Investigation fee
- Ilse above are not applicable to temporary condrucfion service. j Other
Not all)urbwlkar u accept credit cards,please call jurisdiction ror more Information. . Notice:This permit application P@Omit fee..................... t Q
U Visa 6 rdsaterCard expires if a permit is not obtained Plan review(at _ %) $ _
Credit card nuott*t._ -- �---L— within 180 days alter It has been State surcharge(890) ....$ 0—
Esptrea accepted as complete. TOTAL . $
--
Name owe o r ru shown on ere It cr7-- .............�........
_ S
-C ho der sittrtstum '� Amount 4404615(MM'0M)
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
CUP --
Received — _ _Date R nested AM PM BUP
Location S^�
` _Suite MEC - ----
Contact Person —__- _ Y -e� Ph(_ ) 2 Z 3 r j-�Z�Z' PLM _.
Contractor-_ — Ph(_ ) _-_ SWR
BUILDING TentanI]Owner - ELC _
Footing— — `- -g ELC
Ft
Foundation
Access: — s
Crawl Drain ELR
Slab Inspection Notes �- - - -�--- SiT _
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing 5 -- ---- ---�
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -- - - - —
Roof
Other: —_--
Final —
PASS PART FAIL) — - — — ---
PLUMBING_
Post&Beam —I ---- ------------- -- —
Under Slab
Rough-In
Water Service
Sanitary Sewer — —
Rain Drains -------- -- --- — -- —---—
Catch Basin/Manhole
Storm Drain __- ___----------_--- __------_--_-- _.— ---
Shower Pan
Other: _ __ _ ------_.. ----.- ------- ---------- - -
Final —
PASS PART FAIL -_--- _ ------ - -- --— _.
MECHANICAL -
Post&Beam
Rough-In
Sas Line __� - - ------- --
Smoke Dampers — -- - -- — -- -----------------^— —_
Final
PASS PART FAIL - — - —--- - ----- - -----
ELECTRICAL
Service -- -- - - -- -- -
Rough-In
UG/Slab — -
Low Voltage
Fire Alarm ——
in4 n Reinspection fee of$_—. — required before next inspection, Pay at City Hall, 13125 SW Hall Blvd,
S PART FAIL
Of- _ Please call for reinspection RE:_ _ Unable to inspect-no access
Fire Supply Line
ADA DOW_L_ - d Z Ins `� _ Ed
Approach/Sidewalk pec�ar �_�i1"'''
Other:
Final DO NOT REMOVE this Inspection record from the Job ske.
PASS PART FAIL