Permit •
�+ .� ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00119
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/7/2007
PARCEL: 1 S134DB -08100
SITE ADDRESS: 11136 SW 113TH TERR ZONING: R -4.5
SUBDIVISION: STONECHASE LOT: 005 JURISDICTION: TIG
PROJECT: LAMS
Project Description: Limited energy, residential for installation of a burglar alarm. •
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: X BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: :
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
MIKE LAMS GLOBAL SECURITY INC
11136 SW 113TH TERRACE 3212 MAIN ST
TIGARD, OR 97223 VANCOUVER, WA 98663
Phone: 503 -579 -8185 Contact #: PRl 360 - 693 -1900
FAX 360 - 906-9692
FEES Reg #: ELE 26 -711c1
LIC 69705
. Description Date Amount SUP 3635LEA
[ELPRMT] ELR Permit 5/7/2007 $75.00
[TAX] 8% State Surcha 5/7/2007 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: i / / ,/, Permittee Signature: /; (2 10y)
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
05/05/2007 SAT 10:08 FAX 12002/003
t
y
t; e zeal Permit Application FOR OFFICE USE ONLY
c ity of Tigard
R Q� Aid 5 /off- Ste►
("cloud No.: �L�12o0} "" win
13125 SW flail - Blvd., Tigard, OR 9'1223 �" - '
"' MAY - ? 2007 Dit Its Other Permit:
Ph one: S03.639.4171 Fax: 50 3,59$, 19(10 DstciDy-
TTGARD inspection Line: 503.639.4175 rite Renrty:ny: Juila: 1B See I'ake 2 for
Internet: www.tigard or.gnv CITY OF TIGARD Nnrilied /Melhrxl; . .1 I Supplemental Information 1 , :',— , `ithia
i` -".7. g ;)hirf It Jt'` ;11 '+ i° ! p�} pL ` , „ ; gyp p�y�} � F # , ' ,; r,•; •''- •,1 „ 'c ` ;t+J, r r p 1 i I �. ,tlot , , il't r1,,
:r ,, r„ i 1011 tf�`4)1.,ft @;d ;i' „ 'l ii I H tti?t, Ylt�siiiR ir ,f�, W�!P efilla tYST>f' y `' / .. : i �i,' .rK'.,t,r , Jr ip }fig„ l , i +” ' ; ,, t:,,, ' '
f ' t , {ffi rvS��n, ���„ ,'r. nri nl�i`'; rriinliia., l�Lr. C(�) {+ Y � tl , r
CI New construction Addition/alteration/replacement
check all that apply (submit 2 sets of plans w /items checked bnlr,w) W„ '
❑ Service or fccdcr 100 amps or more ❑ Buildin river three storie
❑ Demo! itioll ❑ Other: where the nv:tit :dile Iauu current I] Marinas pnd boatyards.
'
tt,ll 1 0 i } t � !t 1 ixvt:� t� �� , { Sa�� it t'1 '45 i '; S , if 4 h r +.{l(i t,,. r!. .....,......_,_..,... -,...
Al/All , `4 jI, q s 1 i k-g;. ) " i.o.1 "oA f , , 44 .,0.. * �„,,.. m , ,tT 'li 4( l S �� L '` , 4 , t ,; rn�' i L �uu ., exceeds [0,011!1 amps at 1511 volt: or Q Flooring btlildiri
t Sa m I � •, �, " :.. „ ' ,,. 1 I , � � tu. G i>r�
vn, a,, nrlrVni{•!#i1t 1111 ,,. , r� .i.;, ,�a,,,,. , Iost tol�DUna.ar exceeds 14.000 ❑ Cotunctcial- use:rericulluttl
1- and 2- family dwelling El Commercial/industrial ❑ Accessory building amps for all nthol installations. building..
Multi- family ❑ Master builder ❑ Other: ❑ File pump. ❑ hedoll of7S KVA or
" + } `` 1 4 ,.� rr }jir -�i{� cptu.S �.,., q FtF , ,,, 1tf 1 , ❑ Emergency system. lurlter separately derived system.
( 11:3 '''.'1':'t rtl'-4∎V u`r H Edit + f Oj3;J,1ek t ll ia l l T> `Z '�;� l{tl+iSSSlul rN ll` iisa }irl�I { =lie 41011; Addition of - n w nvt nr n.
r .
,e , . }. , tW.. a .1 i 'i, , ,,0,84,4.,, 4 4 _.J}li!'1� 'sr li: , i 10 'lGe∎ii it(iif .,.,� r r .j , , $ SV„.,,, i„'n,4∎ /1)if t lira El C t load o f ❑ "A", "E", „t _1 ,
job stile atislres:: �/ J � WY's') , � IOOHP or more. occupancy.
Job no.: J
/ lc �� 1 -�OL---- ❑ Six or More resideuliul units. ❑ Recreational vehicle parh..
City /State/ZIP: 11'r c ` G 1 ` C_ C f.� `''C � .
7 rl_ - 0Ii its -curl c ano n s . . ❑ Supply voltage for more than
— -- - . I ! 1 - ❑ Hazardous locations. ('00 votes nominal.
Suite/bld g- 1 /a t. no.; Project name: LAMS ❑ Service or feeder 600 amps or mote.
,�,., ,
'' r!iii .' difilltiillildigl.lkil ( +ire l„'f3`i,,, 0 1;':' 8�ir, fb ;'it;uirn :0,
Crusts atreet/dircchons to job site: Aenripriu n I atv. l Fee ( Tont I -
New residential single,• or multi- family dwelling unit,
Includes nllnchcd garage.
Subdivision: Lot no.: 1,01)0 sq. ft. or less - - -__ 145,15 4
- - - - -- Ea, add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.:
"J; r G: r w i, v, n ! u r a Limited energy, residcnrial S 2
�f (o g i ., IIf*�• „ tai.* # ail fl 1 4 { ' i ++tt rryy f eat tt, , V , :1 +1ttr t }tt li ; \ 7. 00 1,
}^ 111E ^11+ 111 ?t4 { ;tn ?1V1i'•fi,ai, ;.t 'V }r ,U11�ip 1 } 1 � {,�y'lq{i { ;9 �rg , IlifJh ii L,i {1 fit, ,+, ,►lf� }ri7.tk �{ (with above cq. R.) -- - - -- - -
r
a; ,, . .,. E 1, �, „,, , ;,, , , , ,
i / Limited energy, multi - family
75.00 2
�e Lc j`( +`_ ft' C,l )'1 Ll/ A Apil itJ 4-6 1 SGl'dC. residential (with above sq. IL)
C C / (f Services or feeders installation, niterntion. and/or rda xtion
Z• C �C� 200 amps or less 80.30 2
r,,,.., , � e, a t a �tCAt;tmt }al:nhlr,,:t.�, ' .r. rr r „nr,,,�„ , ,,...1 r , -- - - •
,,;i0h,lr,.il;1, i � *tlk.1. ;(,,1: ;) I r1= r l: , ,. , ” r. „ r, r t +tdp >tia.n ten a ail: ?'`'` 201 am s lo
2 amps 106.85
I 1. t �` �,I4i G,{t}iJ,l '1. t1}1Zh ,'•ti „l ;,lr . ; ; ,v, ;ti,',,, P I -- . _ , ... ._
Name: M • jS e L,.,V"I 401 amps [0 600 amps 1 60.60 2
601 amps to 1,000 amps .,.... 2
Address: 13 SLJ l r 3 r� !C!r�i�� Over 1.000 amp; or soils 454.65 2
C'i r Tetii services ur feeders installation, alteration, untl/ur
ry /Stare ZIP: ( l 5 �� � �� � ���� relocation
Phone: (; ) 5 15' - Vi 6” Fax: ( ) 200 amps or less 66.85 1
201 u 400 amps 100.30 2
Owner installation: This installation is being t on property that I own which is not _ nite to __
intended for sale, lease, rent, or exchange, according to ORS 447.449, 670, and 701. 401 amps to 5W) amps 133.75 2
Branch circuits - now. Alteration, or extension, per panel _
Owner signature: Date: . - Fee for h circuits with
11!11, ,,, ',r,A,t ;'trine. g tu+� p�I , .1111 Air ,,11,1 ;,;y r , ,,"i v �4i {1 t r'•, M,• `"? �j' f i;;,'l;,p,... above service or feeder tee,
�J, p pra
.ilnel? lliRilfi IC .AW 4i I 9 € j_t l o , o , t om o o , y , 1o , I p l i- .4,t 1'rt4',i
G r � c ri Fatiounchc4rcut
(
Business name: dCL t li, Fee for bench ci
i � � i brooch service or feeder fcc,
C oncact name: c` fire brooch circuit 4e - R5
!��` ^ y t.U4 c1 r Each add'l branch circuit 6.65 2
Address: 'I 6 `
' U eg i Miscellaneous (.service or feeder not Included)
City /Statc'Zll': �G"1(U ) t!? 1 / [4_) Pr (.2 - 3. lJ ! 3 Each manufactured or modular 90.90 2
CC� //�� dwelling. service and /or feeder
`))//``1 ) 6 ( '3-•1 C I D/ Fax:: Obi) 906 16fi%
Phone: ( 6. 5 2
-
-)[7l, ` c � Reconnect only 66.8_
E - mail: _21r \ 0 G \oloc- c.cct ' t ''•v- , C r- Pump or in'igation circle 53.40 — 2
1;1. 11 Ingi.tl` rr w•,r �r „ lr , , Sign oroutlinell lighting .40 7
:iii,,..,':::;': a• ° r,t ttiAlq .a„�r�P�r,!5 „i�, ,r 1 t L. �1,7'i `�� ,� „ 1 r,f „ifr11, ?fr ;,idPii f• P• _ ..... ... .. ... 51 • - •- -
r L Signal 5ireuit(s) or limited -
Business name: C� Ut �� / 't' �C 1 'L +- 'k C.01i `m t.AXl \ V ,(�i on � energy panel, alteration, or
Address: )— \ 2 ,(,', - C -I'- . extension. Describe: Page 2 2
City /State/ZIP: 7 Each additional inspectioi► over allowable In any of the above
Phone: ( 3 )613 - I2v Fax. (36 O rr
Per inspection 62.50
I ,. l� invesrigArigp pct' hour (1 hr ,,tin) 62,50
CCB Lie.: Leo' Electrical Lie.; ,,Q- ') /I e%� S Lic.: 361- `e� htdttsttial plant per hour 13.1) .w
—_ ./ -- _. , S;re13)1'IIFI M rirvE()s,',, ;, . ,,
Supiv. Electrician signature, required: _„ Subtotal: J ,pl)
Print name: k i c k / f Date: • J - �� - �> -- Plan review (25 %ofpernut fee):
- -- `` - _ r Stale surcharge (8% of penni( fee): 6.00
Authorized signature: � ,{ 3 , — '10 l'AL PCRMII• FEE: yj. (,U
/��/ t �-
D are: V This permit application expires If a permit It use nhluined within I Rfl
I tins. name:
0 .. C (a , ( > days after It has been Accepted as complete. .
' Nurlrber ol irnpeclionc Allowed per permit.
1:•13uilJin5 R.LC PerrairApp.dne (u'24rO4 •14D lclST(1I 05•COM•itr[:13
CITY OF TIGARD
BUILDING DIVISION PERMIT. #: ELR2007 -00119
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/7/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/24/2007 TIME: 7 :00AM PAGE: 64
SITE ADDRESS: 11136 SW 113TH TERR CLASS OF WORK:
SUBDIVISION: STONECHASE LOT #: 005 TYPE OF USE:
PROJECT NAME: LAMS
DESCRIPTION: Limited energy, residential for installation of a burglar alarm.
OWNER: LAMS, MIKE PHONE #: 503- 579 -8185
CONTRACTOR: GLOBAL SECURITY INC PHONE #: 360 - 693 -1900
Inspection Request Scheduled For: Date: 7/24/2007 Pour Time:
Code # Inspection Description •nfirm # Contact # Message
199 Electrical final 052417 -0 ` 503 - 718-2433 Y
Corrections /Comments /Instructions:
•
I
PASS I PARTIAL APPROVAL I CANCEL E NO ACCESS
I FAIL [ CALL FOR INSPECTION Li ADDITIONAL FEES ASSESSED
Inspector: �r 6 V l-e
Date: 1(1)-([6-7 Phone #: (503) 718- 1 .