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12268 SW Scholis Ferry Rd
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CITY OF TIGARD — ELECTRICALRESTRICTED
ENERGY
ENERGY
DEVELOPMENT SERVICES PERMIT M ELR2001-00258
13125 SW Will Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/17/01
SITE ADDRESS: 12268 SW SCHOLLS FERRY RD PARCEL: 1S134BC-00300
SUBDIVISION: ZONING: C-G
B'_OCK: LOT: JURISDICTION: TIG
Proiect Description: Install burglar alarm.
A. RESIDENTIAL _ B.COMMERCIAL ____________
AUDIO & ST EREO: — AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
MVAC: DATA/TELE COMM: NURSE CALL:
VACUUM SYSTEM: FIRE At-ARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL-
INSI RUMENTATION: OTHER: BURG. ALAR X
TOTAL#OF SYSTEMS: 1
Owner: Contractor: —
BPP RETAIL LLC ADT SECURITY SERVICES, INC
BY BURNHAM PACIFIC PROPERTIES 281E SW 153RD DR
ATTN: JOHN WATERS BEAVERTON, OR 97006
SAN DIEGO, CA 92101
Phone: Phone: 503-469-7244
Reg#: LIC 5:944
ELE 26-2U9CLE
—-----A _ FEES — Required Inspections _
Type By Date Amount Receipt Elect'I Final
PRMT CTR 10/17/01 $75.00 272001(1000
5PCT CTR 10/17/01 $6.00 272.0010000 �
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
riot started within 130 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by Uie 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. l
Issued by Permittee Signature
-r--r`'
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not Intended for sale. least , 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
10/15/2001 09:43 FAX 5034697110 ADT SECURITY Z001/001
-----------
Electrical Per nut Application
— --- _ Date received& Permit no. ;iw
City of Tigsrd ( � !G, � Project/appl.no.:_ Expire date:
City vfTigard
Address: 13125 SW Fall Blvd,Tigard, 3 Dateispued: Py: Receiptno•:
� _
1 hone: (503) 639-4171
Fax: (503) 598-1960 Case filenn.: Paymm.type:
Land use approlral: _
U 1 &2 family dwelling or necessury �ommercial/indusUial ❑Multi-family U Tenant improvement
U 14ety construction U AW(ion/altrrat lun/replacancnt U Other: U Partial
11
Job address: ,Z �y r V /� Bldg.no.:
Sultc no.: Tnx map/tax lot/account no.:
LaC 131uck: SOhdivisiow `�T�
Project name: 6egcriptiotl and location of work on premisex: td.11 __nkn��
J 1s�lstc I�.11c. -- - -
Estimated date of completion/inapeclitm
TION1
Job no: !� I M Max
ecunty urv1Ct;5
_Utsrri tion tv. a. Total du•Itla
Business name: At)
.�_ --- N..r rrwblential-single or nuiltl-fondly per
Address: _ - dhcllint;unit-IndudecaltecM•J{nuuge.
City: at gIP: Serviceincladed:
1000 sq.h.or less 4
Phone: - _ 17ax: (� 1 h-mlul: — –
ll.►-- t?ach additional 5(N)R ,ft.or portion thereof
CCB_no.: Fl bus.lie,no: Limited energy,residential 2
City/metro lie.no.: United energy,tion-residential 2 -.
Each manufactured home or modular dwelling
die -a Scrvicr.anrUurferdcr, 2
Signututc� i •upervising ciu_trician(te uired) Uatc -
Licrnrc %rtiaennrkoders-Instaltallon,
S111,S111, Oro oon!rq,nnq (1 no alteration or relocation;
WipmrV OWNER 200 amps nr less 2
r 201 amps 1 i 400 snips 2
Name(prinl):Cvxiac. //L _,?��► Nt (pH� 2
._ r1_9 ---- 401 am s 1a 6UU amps
Mailing address: 601 amps to 1000 amps 2
City' Slate: 7.11 f)ver 1000 am a ar volts I
Phone:57 szy 1'ax: E-mail- Rrcttnnectonl l
7etaponryserticea or icrden-
owner instalktion:The installation is being made on property 1 own Ternpaorysererauon,orreMratlon:
which is not intended for sole,lease,rent,or exchange according to Install200 amps or less _ 2
ORS 44",455,479,670,701. 201 amps to 400 amps �- 2
Owner's signature: Date: 401 to 600 anis 2
IMM FIN 10 Eranch circults-new,alteration.
�t:estrcn+lon pit tiaael: __--- - ---
1VAhtef -— A Ince for brunch circuits with purthase of
-Address: 2
service or+..edct fee,tach bran^h circuit
—ddre - D. Pec for branch circuits without purchase
(pity (CL�Ate� ZIP: _ of service or feeder fee,Orta branch circuit: 2
Phone: Fax: E-mail: tel:additional branch circuit:
Mlse.(Service orfeedernot lncladeJ):
Hach pum or imistion circle _ 2
USmvicc(.vcr225amps-commercial UHealth-care facility Each rnutlinalighting � r 2
U Servic:over 3211 amps-ruing of 1&1 J Hnzsrdous location Signal circ r out or a limited energy pend,
family dwellings C3lluilding over 10,000 square feet four nr g 1 - 2
U System over 600 volts nominal more residential units in nne structuro alteration,or actensinn•
❑Building over three statics U I°ecdera•400 ampc or more •I)escrt tion
U Occupant I-ad over 49 persons U Manufactured stnictures at RV park -Tach luspection oxer the allotvsble In any of the&have:
❑HgresAighthipplan U Olther Per ins ecuuu
Submit_rets of piano with any of the above. Inveau adun fee
11w above are not applicable to temporary contiiruction serriee. other
Permit fee.....................$
Not alt iudidictinns aecept MMI cants,please call htrindktion fur more Infrxniatk Notice:This permit application Platt review(at — %)
U Visa E3MasterCord expires if a permit is not obtained
<'redlt cud numl+ra: _ ---
within IRO days after it has b.en Stale surcharge(896) •...$ _
`p tel accepted as complete. TOTAL ....................•..
Nnnie of car •� u s ovvn nn cra7it cid --- $
C,tnihol rl`nauoe _Amount 4411.4615 WWOM)
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 63P-4175 Business Line: 639-4171 MST _ - -- -
BLIP
M Date Requested le, —3/ AM _PM BLD
Location [, � � '� T Suite
`- • - f� _ MEC _
Contact Personj - c- -
-- ��-�✓ r�-• .r Ph .�1�� PLM 1 ,�—
Contractor Ph _ SWR
BUILDING — Tnant/Owner L 3etl L ('Ld 1c" _ ELC - ----
Retaining Wall -,
FootingAccess: ELR
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: — SGN
Slab SIT
Post&Beam ------`— - — I
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation -—
Diywall Nailing , `7 0 — [..aC.'11�—
Firewall ^
Fire Sprinkler ` � /1 '
Fire Alarm
,:i,p'd Ceiling
Roof
Misc: d2gz!9. l _ 'aUl�/�
Final
PASS PART FAIL ZZ41 L�
PLUMBING
Post& Beam
Under Slab
Top Out — —'
Water Service
Sanitary Sewer —
Rain Drains
Final
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 _
Firi
AS PART FAIL
SI
Backfill/Grading
Sanitary Sewer
Storm Drain ( J Reinspection fee of$--�_required before next inspection. Pay at City Hall 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE: [ ]U,iable,o Inspect-no access
ADA
Approach/Sidewalk
Other Date LCInspector ��-_ `�-rycX—Ext
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.