Permit • CITY O T I D ELECTRICAL RESTRICTED ENERGY PERMIT
• COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00269
TIGARI5 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/23/2008
PARCEL: 25101 DD -00101
SITE ADDRESS: 06975 SW SANDBURG ST 120 ZONING: C -P
SUBDIVISION: TIME SQUARE LOT: JURISDICTION: TIG
PROJECT: CIS
Project Description: Low voltage alarm installation.
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: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WESTON HOLDING CO LLC BRINKS HOME SECURITY
2154 NE BROADWAY 8080 SW CIRRUS DR
PORTLAND, OR 97232 BEAVERTON, OR 97008
Phone: Contact #: PRI 503 -641 -0287
FAX 503- 641 -0960
FEES Reg #: ELE 34- 166CLE
LIC 44421
Description Date Amount SUP 3213LEA
[ELPRMT] ELR Permit 9/23/2008 $75.00 •
[TAX] 12% State Surch 9/23/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
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 to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: 3..ee" / /? "
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:
Cali 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 ;19 / 23/ 2008 01:58 5036410960 BRINKS HOME SECURITY PAGE 01/03
• EZectrical Permit Application FOR OFFIC:F. I iSE ONLY
City of Tigard CEI ED Received
gywiliii -
13125 SW Nan Blvc1„ Tigard, OR 97223 trios Review
!PI
, er
- • I . Phone: 503.639,4171 Fax: 503.598.1960 3 0 V
2008 Date/13y:
Other Pmit:
TIGARD Inspection Line: 503.639,4175 sEp 2 Date Ready/By: lees; 0 See Page 2 fnr
Internet: www.tigard-orgov Notified/tvfethnel; 7 supplemental information
i. t Il
',1 - : :. ,. :'., ' - - . .. ON MAN,:',.RitVirtW ...:..1,.'H. ',; H:,,, ' ' .•
0 New construction ir Addition/alterati 1- I M ? g ent
• • - Pa 5C Cheek githnt apply (submit 2 seis of itlans wiltems checked below);
0 Service or feeder 400 mos or more 0 Eluilditut Over three stories,
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyarda.
;;':;:';y. :::.::..::,::: L.: .6;ttEgbitv:,10:t : : ::,: ;,;; .. :: r: ',. -i: :,' exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground. or exceeds 14,000 0 Commercial-use air ieulturnl
0 1- and 2 dwelling El Commercial/industrial 0 Accessory building amps for all other irketallations, buildings,
0 MUlti-farni1y 0 Master builder 0 Other In rite pomp, 0 lustilintion of 75 KVA or
, , 0 Emergency system, larger separately derived Rystcm.
p,§0„,110,41'FORIVI.9.91ON.::00..,,11.0.4144,?`1.* ::' :.:': : :. . ,, CI Addition of new motor load of D
Job no.: 80907126 Job site address: 6975 SW Sandberg St 100HP or more. occupancy.
LI Six or more regidontinl unlis, 0 Recreational vehicle parka.
City/State/ZIP: Tigard OR 97223 0 Hen ILI i•care Thellities, 0 Supply voltage for more ihrm
0 Haranlons Mentions, 600 volts nomirml,
Suite/bldg./apt. no.: Unit 120 Project nainc: C I S 0 Service OT feeder 600 amps or more.
'' ' :'!•,L:':..:: :,:: • rm,
Cross street/directions to job site: 72nd _nrgcortion 1 Qtv, I RE% 1 Tom! 1 •
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145i5 4
FA. 0(1'1500 sq, ft. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential
75.00 2
))ESditlittfCrilkit1IF':'VV.0111K' .'.: :: ;' : ''. ''" : : '',H''';:i'■, (with above sq. ft)
Limited energy, multi-family
75.00 1 2
LV Alarm installation •
residential (whit above sq. 0.)
Services or feeders installation olteratonomd/or relocation
200 amps or less 80.30 2
*ofiEiiII7k:"itit4TER:' `iii ;i: : ''' ::TEPii!ENANT... I i :'' ,' ''!'': :::'!, 20] amps to 400 amps 106.85 2
Name: C i S , 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/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone'. (971)249 Fax: ( ) 200 amps or less 66.85 1
Owner in 201 amps to 400 amps 100.30 2
This installation is being made on property that I own which is not
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. _
A. Fee for branch circuits with
0 ; ;01*tie , ottf... , :!i]:; , Ji:1 : : ,, ,::.i:'. ••.., : , ::.,. • 0 ?c00 above service or feeder fee.
. - . 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
•
without service or feeder fcc.
Contact name: first branch circuit
2
. ,
Address: Each add'I branch circuit 6:65 2
Miscellaneous (service or feeder not included)
City/State/ZTP: Each manufactured or modular
90.90 2
dwelling, service and/or feeder . .
Phone: ( ) Reconnect only 66.85 2
.. _
Pump or irrigation circle 53.40 2
:',",:',4. ::::•y;"■ii:X:,•::' :',.,„:,::: ',i,i; qi.tlysrritikc !!'.. ' • i, ,, , ,' . ,; ,' , . , . , ''..,.' ;,.., ..i ,: Sign or outline lighting 53.40 2
Signal circuit(s) or limited-
Business name: Brinks Rome Security
energy panel, alteration, or 1 75.00 Address: 8080 SW Cirrus Dr extens .
ion, Describe: Page 2 2
City/State/ZIP: Beaverton OR 97008 Each additional inspection over allowable M any of the ahove
Per inspection i'p2.50
Phone: (503) 641-0287 Fax: (503) 641-0960
Investigation per hour (1 hr ram) 62.50
CCB Lic.: 044421 Electrical Lic.: 34-166CL Sup, . Lic.: 3213LEA Industrial plant per hour 73.75
r : .::: .; :,.:H; ,:'ELECT1UCALTPER1141r FEES
Suprv. Electrician signature, rcquir 4,- 11111=7, Subtotal:
kr k_....
Print name: Kevin Tucker Date: 09/23/08 Plan review (25% of pennit fee):
State surcharge (12% of permit fee): 9.00
Authorized signature: - - TOTAL PERMIT FEE: 84.00
Print name D Thls permit Application expires If a permit is not obtained within 181) ate: :
days otter it has been MCCCPted AA complete.
• Number of inspections allowed per permit.
1: \ ftuildiepeenica \ S:14:-PemiitApe.dot
0S/23105 4/10.161ST(11/09COMIWPR
INSPECTOR'S SIGNATURES ARE NOT ; .
Inspections Required for: ms? r J j REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description I PASS Date I By ✓ Code I Inspection Description 1 PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
_ 205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural ❑ 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls _ 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry V 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
r 810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab
910 Sprinkler rough -in PLM - Plumbing Permit
915 Fire alarm rough -in 305 Plumbing underslab
310 Crawl drain
920 Suppression trip test • 315 Post /beam plumbing
995 Misc. inspection:
998 Alarm final 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain -
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building \Forms \InspCard- AOP- Blank.doc 02/02/07