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7340 SW HUNZIKER RD 200
CITY OF TIGARD ELECTRICAL
RESTRICTED E ERIGY
DEVELOPMENT SERVICES PERMIT#: ELR2004-00290
131?5 SW Hall Blvd., Tigard, OR 97223 (5031639-4171 DATE ISSUED: 9/13/2004
SITE ADDRESS: 07?40 SW HUNZIKER RD 200 PARCEL: 2S10"DB-00100
SUBDIVISION: ZONING: C-P
BLOCK. LOT: JURISDICTION: TIG
Proiect Descritition: Low voltage- security alarm
Job#083-182.17-01.
A.RESIDENTIAL_ B.COMMERCIAL_
AUDIO& STEREO: AUDIO & STEREO: IN rERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRS ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER:
TOTAL# OF SYSTEMS: 1
Owner: Contractor:
ROBINSON DEVELOPMEN f ADT SECURITY SERVICES, INC
PO BOX 91305 2815 SW 153RD DR
PORTIAND, OR 97291 BEAVERTON OR 97006
Phone: Phone: 503-469-7244
Reg#: I.IC 59944
LLE 26-209CLE
FEES _ Required Inspections
Description Date _ Amount V Low Voltage Inspection
[CLPRMT) ELR Permit 9/13/2004 $75.00 Elect'I Final
[TAX] 8%State Surcharl 9/13/2004 $6.00
Total $81.00
This Permit is issued subject 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 work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTEN T ION: 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 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at (503)246-6699
Issued by t7 Permittee Signature � (
r '
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
SIGNATURE OF SUPR. ELEC'N _ DATE:
LICENSE NO- --
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
1
CITY 4F TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BUP
Received Data Requested_ f�-` AM_ PM BLIP
LocationJam(/�LY2.41iel� --Suite—�'�OU _ MEC _-------
Contact Person M &1)_�'s Ph(____) kj!�Z " 12- D _ PLM
Contractor _ Ph( _) _ _ SWR
BUILDING Tenant/Owner �L
.,200 —avd-q o
Footing --- ------ - ELC
Drain ELR
Foundation ---
Access: �.
CrawFtg l
D 1 Q� � �
C
Crawl Drain _ �--- --
Slab Inspection Notes: SIT
Post& Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing - _ - -- ------ -- --- -- - ------ - -
Firewall
Fire Sprinkler - -- -- - - -- ---.-.
Fire Alarm
Susp'd Ceiling ----- - -- ---- ---- -- -
Roo!
Other-
Final
ther Final
_ ASS PART FAIL
-
Post& Beam
Under Slab
Rough-in
Water Service
Sanitary Sewer
Rain Drains - -
Catch Basin/Manhole
Storm Drain -- --- --
Shower Pan
Other. --
Final
PASS PAR- FAIL - -
MECHANICAL —
Post& Beam
Rough-In
Cas Line
Smoke Dampers
Final
PASS PART FAIL ---
ELECTRICAL
ervice
Rough-In —
UG/Slab n - ---
I ow Voe ►" G'
Fire arm ----- -
Final
Reinspection fee of R _ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
_PART FAIL
SITE _ Please call for reinspection RE: �� Unable to inspect-no access
Fire Supply Line ,r
ADA > / '
Approach/Sidewalk Date" � / � � -_ Inspectef �{�z- _ U-----' °_ . Ext --------
Other
Final DD NOT REMOVE this Ilnsliection record from the,iab site.
PASS PART FAIL
09 14 12:42 FAX 5034697110 ADT SECURITY 0003.
E1c deal P,rff-,t Apile
City of Tigard
13125 SW Hall Blvd.,Tigard,OR 9 23 Plan Revinw Usher Permit
Phone: 503.639.4171 Pax 503.598.1961) t Dam
Inepaction I trha:
503.639-4175 �� Data Rcodyifly: - -- J �Ba Pep 2 for
Internet www.ri.dgurdorrUS �1GPA NOUA6 140hodl -- - -- 9 eneaailgehrrrnaapo
❑ 17
New construction n Ad nn/alteration/replacement Ple=check aU that apply:
L]Sexviee over 225 ii—o3,comm'l L314a ardous location
u Ueuurlilion other.. CServ:ce over 320 tu,tps rating OBuildug over 10,000i q.ft.,
of I-and 2-family dwellings 4 cr more:new residential
,] 1-and;f7
ily dwelling CocmtlereiaUindu'strial Q AccessorybUlld�it� ❑System over Gil(1 voila nominal units in one str,uctuM
[]Building over t'rrre stpries (�Feedas 4C0 rtttqus orttrno
Multi-f []Master butldff ❑()then': [30ecupant load over 99 persons L�ManttfhcbtrM structures or
❑BpmAiBaUngp� RV park
[]Health-care facility nOther: -_---
Job no. � site y _n Submit 2 acts of plans with any of the,above.
-�-' 11tr above an not applieablc to temporary consttucd0n service.
City/StatdZlP: Z? _
Stritn/luldg✓apt no. Project name: Tsui •'
Coss streetfdirections to job site: Nedeodal singir.-or multi-[amity dwelling unit.
Includes attacbed garage.
_ 1,000 aq.ft or IM taws 4
Subdivision: - - Lot no.: - - Fa.add'1500 aq.ft or portion 33.40 - 1
- ---� --- Limited energy,rrrridentiel_ 75.00 2
Tax inv/ angel no.: Unrltrxi euetgy,von-residentlal 7.5.00 2
„ach ttLltlufaetrtrtd Modular
dwelling,senhcc end/or t'beder 9U,90 2
Services or feeders Installation,alteration,and:or reloauloo
200 arnpa or tau 80.10 - 1.
_101 ttrrqus to 400 angel _ 106.81 %.
bl 4 m 600 ansa 160.60 T
Naa,e: 601 attrys to 1,000 am240
ps .60 7
-- - ---
Acirlress Over 1,000 Irma or volts 454.65 2
- - itxonnect only 66,Bi '2
city/State/Z1P: Tensperary sersiees or feeders iustalledon,dtersdon,and/or
- -- relocation
Phone Fax:( _^)_ — 200 or leas 6G.85 1
(Mer Installation:This'installation is being trade on property that I own which is not 201 attars to 400 empa 100.30 -^ 2
intended for sale,lees",rent,or exchange,acrording to ORS 447,449,670,and 701. 401 a to 600 amps _ 133.75 T s
Owner signature: Date: Breach drnits--new,atteratiou,or extension,per anal
A.Fee for hrmeb rucoita with
service or feedrr fa,tach 6.45 2
Busine n name: branch circuit _ _-- --
-- --- A.Fee fnr besach circuits
Contact name: wirlrout service or feeds frc, 46.83 2
— -- each lunch nirouit _
Addrasa: _ _ _ Pnch add'1 branch circuit 6.65 2
City/sPump or irrigation
Mi.uellanrnua(eervtee fee
or der not Iududed)
Puirrigation eirele 53.40 2
Phone:( ) --- w Fax: ( ) Sig outline ligating _ 33.00 2
h m
E-mail; Signal circult(s)or limited
energy panel,alteradwi,or
extension.Describe:
Page 2 � Z
Business narne- ADT SECURITY SERVICES,INC. _ -
Address! -----7915 W 15-SM UR. Eaah additlanal inspection over allowable to any or the above
_ ppev�,g�N,pR grtlnp �_-.— Pc intpectien 62.30 �,
City/Stote/ZIF: (303)463.7100 Investigation per hour(t w min) _ 62.50
Phone:
Industrial Int er hour
CCB Lic: L, l Electrical Lic, Uprv.Lic. WA
--^ Subtotal 00
Suprv.Pjectrieien signature,required: Plan review(25%of permit fee)
-J --"T'-y State attrchuge(8%of permit fee) , L7
Print name: �Q.l�� Date: (� t1�1� - TOTM.PERMIT FFE �J
Authorized signature: v This permit application expires If a permit la not obtained within lio
-- — days aver It hss been eetepted As cnmplete
Print n8;ne: -- — ---- Datr Fee methodology set by Tri-County Building Indwtry Service Boanl
—�-- --— "Number of iaspeetiens per petrrdt allowed.
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