Permit 71 I �� ® ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00474
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 115AA -00100
ZONING: R -25
JURISDICTION: TIG
SITE ADDRESS: 16164 SW 108TH AVE
SUBDIVISION: DURHAM PARK APARTMENTS LOT: 036
PROJECT: BRIGHTWATERS @ RED HAWK
Project Description: Low Voltage for Fire Alarm repairs. DATE ISSUED: 12/19/2007
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: :
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
DURHAM PARK LTD PTNRSHP PRAIRIE ELECTRIC INC
1525 SW PARK AVE SUITE 200 6000 NE 88TH STREET
PORTLAND, OR 97205 VANCOUVER, WA 98665
Phone: Contact #: PRI 360 - 816 -2484
FAX 360 -816 -0482
FEES Reg #: ELE 37-491C
LIC 60178
Description Date Amount SUP 3562S
[ELPRMT) ELR Permit 12/19/2007 $75.00
[TAX] 8% State Surcha 12/19/2007 $6.00 REQUIRED ITEMS AND REPORTS
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. 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 -0100. You may obtain copies of these
rules or direct questions tto OUNC at 503.246.6699 or 1.800.332.2344. ��
Issued By: a��L�-�u.ct' Permittee Signature: 1 i��te: L.�1
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 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
1 ' '17EC -19 -2007 04:06PM FROM- GBMANCHE 1- 5032871863 T-848 P.001 /003 F -631
Electrical Permit Application : ` �t ' . i ' ` ` ' ° '' °r ' J,I t
PA y 7 , iF4R O U tyL1 t r s 24
�,,t w�i�� City of Tigard DEC 1 P, 2001 ,,,, ,,.�
Da � / ,
nis .. / - J A r • _ i.
, / 13125 S Ha ll Blvd., Tigard, OR V Plan Review
l Phonc: 503.634.4171 Fan: 5U 5�! 80 OF rIGA f (i r),,,013 : uthwr P.rmi.
x
2 for
Inspection Line: 503.639.4175 u nDiNe D s Ready /By E7 See r.t:<
T
•
I�iA1ZD' ufW lyateRead /B J,.r+
,h r 3 lntc[net; www.tigard- or.gov Noluied/Method S
� tt upirlement.11Information
11 r t, ,"fI � n ti . � !'a ''t �.�1�xJ ,1 '� r YI � � r r K_ -•,' ; , '+•err.. ., ): S. '`�� -h" � Y't •( "1` �'� ,Pry'" yh• � a �, t l r'
Vil.:.. ' ,� y ,�!,• .�,rW .,.'.', rr((�� it M'•4.• I f r X c ; •f - (, e+ y 'p•�a-1,,r�,Mp ,� ��..��//(��;1�,t�y7W',. Y 47tH' v 4, .
-: F't .. - +4 t. {>, 'T[•.w � d .,li,��a�,A .Z. f 'r➢ f�' IL )>} -Ct 1tj'Jt*�'9���•:!','1' "eS�! ,. °•'+ Ie1 +tF��£'t ,�Ft`:vi,Y�.AArI•`➢ r�9t . P Etna
❑ New construction 124 Additio alteration , eplacattent Please ch <ck all ibat apply (submit 2 sets of plans w/ items checked below):
9 Service or fcedcr 400 a mps or mum 0 'Liming over tir<c $Ivn ).
❑ Demolition ❑ Other: when' available fault contra 9 Marinas and boy yards
t
*� t> r �ryo, a + , -' 7r , ., , tot' Ili , Pi • . P 0 Floating buildings.
145,1E0
� +,1 ? ' ,., . mat .,s� , a , 1 �.ar.. e ) i _ I• , YL} � .'�� ? :4 � , ., t��� cacceds 10,00![ nap., 150 v olts or
round, or caetOds ( 4,000
B 4 Cmnmercial -use agrich.ltural
Q I- and 2- family dwelling 0 Commercial /industrial 11 Accessory building Arne; Gar all other installations buildings.
Multi - family 0 Master builder 0 Other ❑ Fire pumP. 0 Installation of 75 KVA or
a , ,� , P ergency ayaem,
a� ill S � Tv5 '�y, +M3'�a" " � Ir l� E Ear r ae ralel derived system..
,ripe::!',± l . ,'�rk.:'c" i4 { 2 i�. , ! . 11 .4�3a . � : ' i 1 ' n t 1 p, i, rt.'A Z< pa Y Y
a / . , +, ' . 1 • ❑ A e fd iuon o f taw mow( b ad o [] " A" "f " , - 2" "1.3"
Job no.: 1.03 Job site address: 1( kA 5 W r. A IOQHr or Mote. occupancy.
Q Q Sin or more residential units. Cl Recreational vehicle parks.
City/Srate/ZIP: ">' p,A0 DO_ El Hwltli-carc facilities. 0 Supply voltage for mom than
9 mararduuv location 600 volts tiomited
Suite/bldg. /apt- no.: Project 'tame: i� /r ,� / n ❑ S ervtc< or t<edor amps or more.
- . �,
h t I .r�J ' /�/ KY� :�. A_ _ ern �;�r•, at Jl X: boo N ��T'F ;,. y� � rHi� 9j � +c?{q' �
j t 1. i Xf ,I s a . 2il �. i ' 1. r_ G•... a t T..r..St, , 213,
Cross street/directions rections to job site: n )�}j.4 k fi Sw T>f Dncrin -
(Crb 1JC lioa Qty. rye_ tow
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivi3ion: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map/parcel no.: Fa. add', 500 sq. ft. or ponion 33.40 1
ab0
y . rot u x + i • IF-7 u rr 7D4 D T 1 5 ie f ,,, i . Limited energy, residential
c 9 °'P �� 1 t 'Jr + 11Jrvll'� rf Y� ( nlr t) /" -�ul'ti'' $ iY. T � }:ta. t � ( wi 75.00 2
iS•. {w� 1 -.ss. } :3 ' 1 '. „r1` _.. � f.: zn3 #?6 .' i i �aigi '
. '.1.ra F , r ;,iX. 1t 1111,7. hr t, i
,.: ( th 4e 5q 8.)
� , .�-- A Q 5 Li mited energy, multi -tams(
75.00 2
..i,,,36. - _ P!Z � ' �r: /l tJr9tki r rasidenti:il fwida above ay li
Services or feeders installation, alraterion, and/or relocarion
, F. s 1.m.4 v�ttT:'1 -- t9t x r prr % �� y +r�.u• ni p , . qt r "' x•.Cr�wr av A �. ,v ��, t r u rr .. 200 Amps or less 80.30 2
r,, ? , i o , tti, 3 °, , ∎ t ..ti Viol, : .,i ...t,; .. ,i> r :, ,:i. . ir 4,6 YY ` + u
'^f' %.r1 ."43, i fi f 201 .imps to 400 impe 106.85 2
Name: 401 amps to 600 amps 160,60 2
601 amps to 1,000 amps 240 -60 2
Address: - Over 1,000 amps or volts 454.65 2
City/State /Z1P: Temporary service or feeders installation, alte and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 1 66.85 1 i
Owner iastallatiott: This installation is being made on property that I own which is not 201 turps to 400 'ergs 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new, alteration, or extension, . r panel
Owner signature: Date: r A. Fee for branch circuits with
Kt1 t7•�N1iN ,4C..!r �'S' a i ti4rhTw�. ° r> t i'Y `�r'' � I w a i G 1• ,/�•,,� ^ j )' } �:�;'7
,e`1.*sH y,4 i C�.N.4: �t,rtt Y ,y 7:7.e "9' 'l /: {° 7 7L fEa t. e..1 1.,)b : ` t' •above service or tccderfie,
Et .Yet. il.c J2 ...h wre..CaY7.. d �. -_ Y :a,e..
n�
' 1 �1 etch branch circuit 6.65 2
Business name: ft C ttt ST E' 1 'a at . A
� M , • ,QI � �(tsC�i .�• B. Fee for bt [ s
Contact name: S � ^E�irC ItiJ 1 without service or foxier fee, 46.85 2
first branch circuit
Address: 7 ' i ` £ach add'( branch circuit 6.65 2
��- ^ J7 � Miscellaneo servitc or feeder not included)
City /Stare /21P: An)Cc J eye wy 98t,&5-- Bach manufactured or modular
90.90 2
dwelling. service and/or feeder
Phone: (iw) S) 6 0 ,10 Fax: : (%o y46,6,1,11
Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
17 ( ,1, f' 1 r �'<hw4`.71:iy5 t %„, 7 , t't l+' S'' ,� r l t. lIi t1 1 T} }1u ➢f iII•RB ayT. 0. ,.w
ea:,.E J:.. �. .. L.W.+ yb. , i�•e. , y ry R j i4w2tdt;'it�ur`i�.v. � • � �'n. � J� ° Pp M'"'' �r. �ul� r�u�..- .�:k'.�1r���i' i•r�M1�')���t�Jtil Sign or Outline lighting, 53.44 2
Eusiness name: n ftA) - i' ' 1 . 4 ?e,4:0:6.,... _ .dcZ., • Signal panel, a t orli o
energy panel, alteration or
Address 1 x0 _IA. Tx ez .��r extension Describe. J Page 2 $ 2
City /State/Z1P: Y .. e . 114' 1-JA %'''6.4.5
/C.• Each additional inspection over allowable in any of the above
Phone: (3(,Cp) if/6 , (k/�''q F ax: ( ) S7G . Din Per inspection 62.50
Invcsripatt per hour tl hr man) 62.50
CCI3 Lie.: 601 7$ Electrical i ic. .37 ` - Lic.: (-„25 Industrial plant per hour 73.75
a j4 t fit' c%"'� a ��,' i, " `, "+v1' "rM1
Suprv. Electrician signature, requited: �� .l • I f � u y 11J' 4 , " •
_ _ _ Suhrowl: 5. (�Q _
r7 Plan review (25% of ntr fee
1 'ins name: h I } L iSe C3 Date: a_ • _ 7 pen ):
State surcharge (8% of permit fee): ,,to
Authorized signature: 'TOTAL PERMIT FEE: T
.f e 44/9-6r 7
Print name: C ,5 vale: This permit application expires if a perntit is IIN ubtainud within 144)
days after it bar been accepted as complete.
' Numbci of 113pceituas allowed per permit
CITY OF TIGARD
BUILDING DIVISION
A, PERMIT #: ELR2007-00474
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1271912007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
...„..., ---
INSPECTION WORKSHEET FOR DATE: 2127/2008 TIME: 7:00AM PAGE: 28
SITE ADDRESS: 16164 SW 108TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM PARK APARTMENTS LOT #: 036 TYPE OF USE:
PROJECT NAME: BRIGHTWATERS @ RED 11AWK
DESCRIPTION: Low Voltage for Fire AI:aim rerairt..;,
OWNER: DURHAM PARK LTD PTNRSHP, PHONE #:
CONTRACTOR: PRAIRIE ELECTRIC INC Z-C_CSTV PHONE #: 360-816-2484
Inspection Request Scheduled For: Date: 2/2712008 Pour Time:
Code # Inspection Description Confirm # Contact # N NIVessage
,--- ------..,N
199 [Electrical finaI ' 06E732-01 360.607-3637 Y
Q r
Corrections/Comments/Instructions:
,/
\ ------/
\ \\
..„
•1 \:\
, PASS fl PARTIAL APPROVAL 7 CANCEL NO ACCESS
F• IL 7 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: C• 5 " ---1 Nt(61.--e" Date: 1MA 641 Phone #: (503) 718- 14/6
02/25/2008 MON 8:39 FAX 3608160482 GB Manchester a008/010
lir M'ANCHESTER
CORPORATION
6000 NE 88 Street
Vancouver, WA 98665
503 287 -1112 503 287 -1863 fax
FIRE ALARM INSPECTION AND TESTING FORM
CCB # 60178
Site: Brightwaters Redhawk Date of Testing: 1/8/08
Address: 16164 SW 108 Ave Contact: Terry Ann
Address: Tigard, OR 97224 Phone: 503.684.8000
Fax: 503.598.9479
INSPECTION PERFORMED
Quarterly ❑ Semi - Annual ❑ Annual Eg
MONITORING ENTITY
Name: _ Type of Dialer:
Phone: Make:
Account #: Model #:
FIRE PANEL
Manufacturer: Radionics Model #: D7022
Circuit Styles: Class B # of initiating circuits or zones: 2
# of signaling circuits: 1
Primary Power: Nominal Voltage: 120V Amps: 1_5
Over Current Protection: Type: Breaker Amps: 20
Power Location (Panel Number): Building 16156- Circuit #18
Secondary / Standby: Battery Voltage: 12v Amp -Hr Rating: 7
Date Battery Installed: 5/23/07 Battery Condition: Good
Fire Alarm Inspection and Testing
Page 1 of 3
02/25/2008 MON 8:39 FAX 3608160482 GB Manchester a009/010
PANEL CONDITION
Good Bad N/A Comments
Lamps /LEDs ® ❑ ❑
Fuses ® ❑ ❑
Trouble Signal ® ❑ ❑
Disconnect Switches ❑ ❑
Ground -Fault Sup. ® ❑ ❑
Remote Annun. ❑ ❑
Additional Comments:
ALARM INITIATING DEVICES AND CIRCUIT INFORMATION
Device Qnty #Tested Pass Fail
Manual Station 2 2 ® ❑
Ion Detector - - ❑ ❑
Photo Detector - ❑ ❑
Duct Detector _ ❑ ❑
Heat Detector _ ❑
Waterflow Switch _ _ ❑ ❑
Supervisory Switch _ _ ❑ ❑
Other ❑ ❑
Other ❑ ❑
Other ❑ ❑
Fire Alarm Inspection and Testing
Page 2 of 3
02/25/2008 MON 8:39 FAX 3608160482 GB Manchester C(l]010 /010
ALARM INDICATING DEVICES
Device Qnty # Tested Pass Fail
Horn /Strobe _ _ ❑ ❑
Strobe _ - ❑ ❑
Speaker _ ❑ ❑
Speaker /Strobe _ ❑ ❑
Heat Detector _ ❑ ❑
Comments: (2) Exterior Bells, (8) Interior Piezo's- All Work
ON / OFF PREMISES MONITORING
Signal Sent Yes No Comments
Alarm Signal ❑ n NA
Alarm Restore ❑ ❑
Trouble Signal ❑ ❑
Trouble Restore ❑ ❑
Supervisory Signal ❑ ❑
Supervisory Restore ❑ ❑
SPECIAL PROCEDURES:
SYSTEM DEFICIENCIES / NOTES: None
Did system return to normal operation ? Yes ® No ❑
Comments:
This test was performed in accordance with NFPA standards.
Name of inspector: Steve Urban
Signature: Date:
Name of owner or contact:
Signature: Date:
Fire Alarm Inspection and Testing
Page 3 of 3
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: t =h1 ?007 004;'4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '12110120'1
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR • DATE: 2/2212008 TIME: 7:00AM PAGE: 61
SITE ADDRESS: 16164 SW 108TH AVE CLASS OF WORK:
SUBDIVISION: DURHAM PARK APARTMENT'S LOT #: 036 TYPE OF USE:
PROJECT NAME: BRIGH1WATERS @ RED HAWK
DESCRIPTION: Low Voitage for Fire Alarm repairs.
OWNER: DURHAM PARK LTD PTNRSHP, PHONE #:
CONTRACTOR: PRAIRIE ELECTRIC INC PHONE #: 360- 816.2404
Inspection Request Scheduled For: Date: 2/27/2008 Pour Time:
Code # Inspection Description Confir Contact # Message
199 Electiic l final 6 E434 -04 360-W3-2515 N
Corrections /Comments /Instructions:
(Z P ot014:) E L - 157 i b / 1 FAP A
�1 It - 3 N t c__.
� C��1ti0 � fir-- f
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G" ---1 ba Date: 2-7 Phone #: (503) 718- 1 "r 1"