Permit S q CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00100
TIGARQ 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/23/2008
PARCEL: 25101 BD - 00103
SITE ADDRESS: 07875 SW HUNZIKER RD ZONING: I -L
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: TREK
Project Description: Installing 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:
Owner: Contractor:
H G M CO QUADRANT SECURITY INC
BY NORRIS BEGGS + SIMPSON PO BOX 14833
ATTN: BLAKE HERING PORTLAND, OR 97293
PORTLAND, OR 97204
Phone: Contact #: PRI 503- 234 -5558
FAX 503- 236 -2322
Reg #: ELE 26- 565CLE
FEES LIC 96806
Description Date Amount
[ELPRMT] ELR Permit 4/23/2008 $75.00
[TAX] 12% State Surch 4/23/2008 $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: ma y Permittee Signature: $ .
79//1 . �v
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.
Elect Per lit 1�pU�lcation a� I . i>I m, c l 4 , .mr . iz l. 4 j •
.- A ? rt
City of Tigard � �, P Date is fl d� � ,Q� FS _
r v (-I Perm it Nn.: 7 i
t 1 3125 SW } I a II Bl v d .. Tign 7'NORA.7223 , Plan Rcvicw
503.639,4171 Fax: 5 598:19 );
e� n
c • ` ' Datc /1) Other Pcrn+ir.
- ' F r 4 Phone: ' t` r � ,,,
' Inspection Line, 503.639.4175 P . Do te Re ady /By; ) See Pn c 2 for
" * . v . tr 1 RD, p r' t .: A - M Notiricd/Mclhnd SnpplemcntI InformAtien
:�.,r interact: www.lignrd -ar -goy 1 NI' Q , � : _ . t t
t' 'VYAki °''`'
'2, PLAN REVIEW
Le
Picric cl ccl< all Ihat apply (submit 3 sets of plans wlilcmc checked helms):
❑ New construction 1 Addition /alteration /replacement ❑ Service or Fccdcr d.00 amps or more ❑ Building +over three stories.
121 Demolition El Other: where the Available Fault current ❑ M:irinRP and boatyards.
CATEGORY. OF' CONSTRUCTION exceeds 10,nn0 now nt 150 volts or ❑ Floating buildings.
Ices Io ground, or exceeds 14,000 ❑ Commercial -use agricultural
[l 1- and 2- family dwelling lit Commercial /industrial 0 Accessory building n o n , loran other inxtair:tiens. buildingr'.
0 Multi - family ❑ Master builder ❑ Other; ❑ Firc nuntn, ❑ Installation or 75 kVA or
❑ Emergency r larger scparntcly derived system.
...... JOB STTF . INFORMATION ANA LOCATION ❑ Mahlon of new motor load or ❑ "A" 'r•" I - 2". ' I -3
10t11417 or more. occupancy.
Job no.: Job site address; ' - g 1 14 uv �� `LQ� ❑ Vise or more residential units. ❑ Recreational vehicle parks.
❑ Health - care rncilitio, Q Supply voltage For more than
City /State /ZIP; ` fir A , OR 91,..1.3 ❑ Hazardous Incntions. 600 volts nominnl,
Project name: "��, i4, t ' rZ _ ❑ Scrviec or fccdcr 600 amps ar mars
• Suite/bldg./apt. no.: I "—
FEE SCHEDULE
Cross street/directions to job site: _C ` a De,,,,,„„ oe.„n f Qty. i rte. l Trani 1 •
... New residential single- or multi- family dwelling unit.
includes attached garage.
Subdivision; Lot no.: 1
Loon sq, rt or less 145,15 4
Tax map /parcel no_: •
• DESCRIPTION OF WORK Cu, mid 'I 500 sq. 11. or portion 33.40 1
i / 1
Limited energy, residential 75.00 2
(with ahnvc sq. 0.)
❑ PROPERTY OWNER , TENANT
_ Limited energy, multi family
75.00 2
Name: I e ' { I _ residential (with above sq. fl.)
Address: & '7 5 U t l � � I) . . Iffie rd Services or feeders installation. alteration, and/or relocation
r
City/Slate/ZIP! r +� (� 9 7,9 __ 200 amps or lens 80.30 2
1 ( )
Phone: ) Fax:
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 106.R5 2
intended 67r sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. ---
Owner signature: Date: 401 amps to (inn amps 160.60 2
❑ APPLICANT ❑ CONTACT PERSON --
Business dame: 601 amps to 1,000 amps 240.60 2
- _
Contact name: _
--- Over 1,000 amps or volts 454,65 2
Address: _
— Temporary services or feeders l)stnitatlon, alteration, a ndlor
City/State/ --,f P: relocation
Phone; ( ) Fax: : ( ) 200 amps or less 66.85 1
y E -mail: --
CONTRACTOR
201 amps to 400 amps 100.30 2
Business name: Q `V ' �: "'- _ -_
� .
Address: Rl — �1) l L 15< �� 401 amps to 599 amps 133.75 2
CitylStatC /ZIP; . " ) C . ,( , ' la.. ] ' Branch circuits —new, alteration, or extension, per fnncl
( je ) . Fax: _, 1
Phone: .J ) - BLL - CT (ft? - . ) )�E r ' A. Fee for branch circuits with
c
Alcove service nr ILeticr I'ae. 6.
2
CCF3 Lic, l •, , Electric Lic 5 5C I • • Suiwv. Lic. ' (I L . each branch circuit ,,,^
A. Fcc For branch circuits
Suprv, Electrician signature, required: •-i .' 4.4 w'lrltorrr service or fccdcr Ice, 46 85 ,
First branch circuit _
Print name: • J7 - ., 0 Date: LI _ 23 ..0,1?
Each ddti'i branch circuit 6.65 2
rluthoriyed signature. O, A I 'L4+L /_ I gull ded - -
Miscellaneous (service nr feeder not inolu)
Print Warne: A a 4. • Date: q At
t : \thodinornmms {I_CAcmdtApp•chn n5r23ro6 440- 46I5T(IrroS/COM/wGn
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EI..R 2003 -00 )00
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/23/200i3
Phone: (503) 639 -4171 i 1, ;r�
Inspection Requests (24 Hrs.): (503) 639 -4175 ,,'' I
INSPECTION WORKSHEET FOR DATE: 4/29/2008 TIME: 7:OOAIVI PAGE: 23
SITE ADDRESS: ()7e' /6 SW HUNZIK _R RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: . 1RI K
DESCRIPTION: Ins:tailing socurity system,
OWNER: 1 1 ( 3 M CO, PHONE #:
CONTRACTOR: QUADRANT SECURITY INC PHONE #: 503.234-5668
Inspection Request Scheduled For: Date: 4/21:V2008 Pour Time:
Code # Inspection Description -: - • Contact # Message
OVA
) 3 Kl 060990-0 503-234-5558 ` Y
H ib ■
Corrections/Comments/Instructions:
11111141
C IA/
W b i, PASS 1 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
• i IL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: 5 ' 00Q5 Date: N 110 Phone #: (503) 718 - 1 A ro