Permit C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00235
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: $/6/2008
PARCEL: 2S 101 BB -01400
SITE ADDRESS: 12006 SW GARDEN PL BLD6 ZONING: C -G
SUBDIVISION: PARK 217 LOT: 002 JURISDICTION: TIG
PROJECT: CUSTOM DECORATORS
Project Description: Job No 80225 Security system
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:
RREEF SONITROL PACIFIC
101 SW MAIN 8220 N. INTERSTATE AVE.
PORTLAND, OR 97205 PORTLAND, OR 97217
Phone: 503- 295 -555 Contact #: PRI 503- 223 -5822
FAX 503- 973 -7773
Reg #: ELE 26- 370CLE
FEES LIC 53535
Description Date Amount SUP 3628LEA
[ELPRMT] ELR Permit 8/6/2008 $75.00
[TAX] 12% State Surch 8/6/2008 $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:
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.
E eCl triQal Permit Application FOR OFFICE USE ONLY
City g of Tigard til) Received Permit No.: a
NI e ��`' Date /By: .f 1�1 !' O �QQ „ : 33 s 13125 SW Hall Blvd., Tigard, OR 97 � Pl R ev i ew I
_. Phone: 503.639.4171 Fax: 50 Q Date /By: Other Permit: Alt P .wool -00 / /
q
TIGARD inspection Line: 503.639.4175 OQO Date Ready /By: Juris: 0 See Page 2 for
. Internet: www.tigard- or.gov � Notified Method: Supplemental Information
TYPE OF WORK Valkik ®s \ PLAN REVIEW
❑ New construction Addition /alter r�p N I— \"� Please check all that apply (submit 2 sets of plans Moms checked below):
` w\ ❑ Service or feeder 400 amps or more ❑ Building over three stories.
El Demolition [1] Other: �� where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CO RUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling [Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ",' l -3 ",
100HP or more. occupancy.
Job no.: Fm 5 Job site address: I 206v. J u„ .rd.e.n Platt, ❑ Six or more residential units. ❑ Recreational vehicle parks.
• CitylStatefZlP: l Q C11 a2 3 ❑ Health -care facilities.
❑ Hazardous locations. 1:1 Supply voltage for more than
600 volts nominal.
Suite/bldg. /apt. no.: Project name: Cu 5413 1 v � Ca o ( - 5 ❑ Service or feeder 600 atnps or more.
FEE SCHEDULE
Cross street/directions to job site: Description 1 Qty. J Fee. 1 Total 1
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.:
1,000 sq. ft. or less 145.15 1 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.:
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
t ( L imited energy, multi - family
t "CiII« """1
IV C.lo� ,t I� s f t, residential (with above sq. ft.) 75.00 2
��' Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 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 /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 I
Owner installation: This installation is being made on property that i own which is not 201 amps to 400 amps 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
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
g A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Address: Each add'i branch circuit 6.65 2
Miscellaneous (service or feeder not included)
:
Cit /State /ZIP Each manufactured or modular
City/State/ZIP: dwelling, service and /or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E - mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: � fu.�. f0 I T.1 G enerrgg
Signal y panel, a) alteer rattion, oor
r
limited-
^ �/
Address: $ a t .''�' lams ki ,[j,,„p , extension. Describe: 1 Page 2 1 S , t 2
I
City /State /ZIP: C)(-4 V.
2 q `1 ■ g `�-7 Each additional inspection over allowable in any of the above
Y Per inspection 62.50
Phone: (503) aQ 3- 6aaa„ Fax: (5Q3) 'i 7 3- >-> 3 Investigation per hour (1 hr min) 62.50
CCB Lic.: 13 535 Electrical Lic.: )6.370 ( Suprv. Lic.: Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 1 5. e 0
Print name�Y -0,..)..) \5 '3L, Date: — 1 —).-- Plan review (25% of p ermit fee):
State surcharge (12% of permit fee): 9 t�
Authorized signature: TOTAL PERMIT FEE: D 1 • 0 O
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
Number of inspections allowed per permit.
I:\ BuildinglPermits \ELC- PermitApp.doc 05/23/06 440-4615T(1 1 /05 /COM /WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008 0O ?_ 15,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/6/20013
Phone: (503) 639 -4171
Inspection Requests_(24 Hrs.): (503) 639-4175 s '- I -_
INSPECTION WORKSHEET FOR DATE: 812&2000 TIME: 7:00AM PAGE: 14
SITE ADDRESS: 12006 SW GARDEN PL I3LD$ CLASS OF WORK:
SUBDIVISION: PARK 217 LOT #: 002 TYPE OF USE:
PROJECT NAME: CUSTOM DECORATORS
DESCRIPTION: Job No 30225 Security system
OWNER: RREEF, PHONE #: 503-296.565
CONTRACTOR: SONITROL PACIFIC PHONE #: 503 - 223 -5822
Inspection Request Scheduled For: Date: 8/25/2003 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 074608.01 971•.222 -7202 N
1 91 FiCJgl_
Corrections /Comments /Instructions:
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1
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1gl PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G 14 Cia t-G Date: t 2.5=()3 Phone #: (503) 718- 2- •