Permit ` f n CITY OF T I GA D ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00263
T[GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/16/2008
PARCEL: 2S112DD - 00200
SITE ADDRESS: 15618 SW 72ND AVE ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: SHARPS
Project Description: Burglar alarm.
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:
PACIFIC REALTY ASSOCIATES ADT SECURITY SERVICES, INC
15350 SW SEQUOIA PKWY #300 -WMI 2815 SW 153RD DR
PORTLAND, OR 97224 BEAVERTON, OR 97006
Phone: Contact #: PRI 503- 469 -7212
FAX 503- 469 -7114
FEES Reg #: ELE 26- 209CLE
LIC 59944
Description Date Amount SUP LEA389
[ELPRMT] ELR Permit 9/16/2008 $75.00
[TAX] 12% State Surch 9/16/2008 $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: ittee 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.
Sep 16 08 06:45a Stephanie Pate 503-469 p.1
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'Electrical Permit ApplicaticRECEIVED
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City of Tigard
...- ... 13 i'25 SIW 11;111 Blvd.. Tip,ard. OR 97223 g ‘• 1-j 7 " ' * : *
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• TYPE OF WORK PLAN REVIEW
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['tease ohNI. at; tarn apply (sotanit Z.:el, of pit-ins w:,tto,s,ti-,,. bti.,,.,1
' 0 Nc con s iori El Additionialtersiti on/replacer
i I 1 0 Nrtvic.: 01111V.tur 400 amps as more 0 llutlt!my 0 tiatcy st.•tti
0 Demolition 0 Other: mince lic :iv:sit:it& C.MI .A.Trril C=1„ Manna.; and Int:lipids
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CATEGORY 01: CONSTRUCHON .:‘‘,:t.:4::10,000.,,,o, Le t5r) , cr 0 /
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0 1- •1•(1 2-fa•ily (.11:veiling 0 Conuncrcial/indostrial 0 ACCCssory building /A 1) i ir ,I1 0111..m irtstAllanorm bodilitiv■.
0 Multi-ftimily Fl 1 ,1"aistcr builder El Othcr: , Li bin: pump. Li InmAllattort .1'71. 1..VN. ot
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no.:
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.ross stn._ 'directio Ici job site: .I .-. kih--
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Now rosisionlial singtv- Ilr MUtli-fallliVy IIIVOVIllg, nail.
5 khi.ec z.N. 1 maw., es, Ataelwcil garage.
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1.000 s<1. ft. or loss -1- i 14!,1::, ......
' 4$
Subdtv011: 1 Lot no.: _.... .
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... „ •. - .,..1 0 - Ea. aticl'l 500 sq. 11. sir purl iun
Tax map/parcel no Litnired enerr,y, irsolermat I 4
DESCRIPTION O1 YORK _ (with ell-,■■ .5)12 ...._ .i..., a° 1
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residential (wail )
tthovu iii /1 ) 7 - 0(
!!) instrilintion. O Ateration, antfk,r relocation
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_ :10 alms or I•zss
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r_l l'RM1LTY OWNER 0 TENANT ., O
,_i minx, (k, 400 arripS
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I Name.:
; .. , . • 601 Imp's to 1 00(I arms .1 -t
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, Atitln.xo: 7 ‘-. 1 ,t7l10 11114)3 01 V07111 __ L... • '1:;4_ 1_ 1 -
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I TeMpOetley 51CrViCCS or feeders installa(iun, hltvratioth, arttlfor
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trek/cut ion . - -,-
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°WIWI MVP/111011111 This • ins tal]aLion is being rn:ich: on property that i OWIl witieth i; not s ,___.
intended (or xale, lea_se. re or exch,mge, . to ORS 447. 440, 67t.), and ',VI , rto amps in - 9i . )" . ,1np - s --------.. L .--- T 1:;3 1 .7 30 5
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t rot3 rift-sails - now, atiormion, or vAt cnsloht, .12 Tyanct
Owner signature: 1)ate: ......... . ...., _
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S APrIc(:‘7.1 1 0 CONIACI PERSON ) ahoy,: servIce or fccs.lor
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tiusinesN .71111711:.: 13. Fee Mr Isranch eintuitx
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1.1777x ar feeder fee,
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Aritiress:
. -j nits og.•11:Intous c‘erv.vo or feeder not ,netutled)
City/Stott:J.411': ,, 1:..;tolt tyttotufacttmeti or moduhtr
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Atislts.,•: 2415 SW I S: DR .
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Phone (S031 469-7212 i Fax: (503) 40-7(14 :
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CCI3 Lic., S0944 1 Elc.ciric.:1} Lic,: 26209CLE [Sum. 1.14:: I,EA-VM tokivr,trili 111.1:11 r).21'11011r , L 75 ,
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Soprv. i Nir,shattirCs, rtslui ri...xl: i . Subtotal: 1 75.t10
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! hint t111111.:. j Date: days attrr .11 Intl bmt7 71;•■•c017•:(1 it. vmnItIrli
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL R20013-00263
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2008
Phone: (503) 639 - 4171 ' 1 I����
Inspection Requests (24 Hrs.): (503) 639 -417_..
INSPECTION WORKSHEET FOR DATE: 10/79/2008 TIME: 7:00AM PAGE: 27
SITE ADDRESS: 1F,f B SW 72ND AVE CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: :.;I.If.2Ps
DESCRIPTION: Burglar ztlarm.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ADT SECURITY SERVICES, INC. PHONE #: /303- 460 -721J
Inspection Request Scheduled For: Date: •i0/ -qp X000 Pour Time:
Code # Inspection Description Confirm - # -- Contact # Message
199 Electrical final 077300 503 -468 -7212 N
Corrections /Comments /Instructions: /
\ N
PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N Date: 10 2 0 Phone #: (503) 718- 2441z,