Permit CITY T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2006 -00105
'''� ��' I° 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/17/2006
PARCEL: 2S 102AA -04800
SITE ADDRESS: 08962 SW COMMERCIAL ST ZONING: CBD
SUBDIVISION: MORINS ADDITION LOT: JURISDICTION: TIG
Project Description: Low voltage: security 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:
TRI- COUNTY METROPOLITAN AMERICAN SECURITY ALARMS
TRANSPORTATION DISTRICT OF ORE 5411 SE MCLOUGHLIN BLVD
4012 SE 17TH AVE PORTLAND, OR 97209
PORTLAND, OR 97202
Phone: Contact #: PRI 503- 231 -0303
FAX 503- 230 -1044
FEES Reg #: ELE 26- 283CLE
LIC 58640
Description Date Amount
[ELPRMT] ELR Permit 5/17/2006 $75.00
[TAX] 8% State Surcha 5/17/2006 $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.
Issued By: (30_,,L u_c.a... ( ( Permittee Signature: 4-, —,-
OWNER INSTALLATION ONLY 1 �_
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.
E1ectlrical Permit Ap e oil t FOR OFFICE USE ONLY
City of Tigard D at
Permit x/` I OD 05
13125 SW Hall Blvd., Tigard, OR 97223 / B • iew • ' r
Phone: 503.639.4171 Fax: 503.598,1960 mAy 1 6 2 (J /Gar:d'il"a, '� � t Date/B : Other permit:
Inspection Line: 503.639.4175 ��! _�" .,r' I ! Date Ready/By: E3 see Page 2 for
Internet: Www.oi.tigard.or.us Notified/Method: Supplemental Information
,: sr �W r. wkax ' �r I'rr s ., i. r t,4 i' z ; ", ' �=o 0L h s' 6 r,:� 'r ; RA g -qi F v ; ., :: a� O ..
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0 New construction IN Addition/altaration%rcplacc 1 Please check all that apply:
❑ Demolition Other: COService over 225 amps, cortun'l DI- Iaiardous location
ruYLTs� tr F , 1 �,� Qj r Y , r tti 't yip t � � 4 Y. . , ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. fr.,
°" .h�241M: I : Y. :Vi Ir" z'' *133 ,� * ? z: °' i 1 + 1d,�i; ';00,,11':_. ,.1 O _ ,, €i'!? of I- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling 4 Commercial/industrial ❑ Accessory building ❑S over 600 volts nominal units in one structure
❑ Multi- family • Master builder 0 Other: OBuilding re uctures
v, r:;�gy f 4i :"•.> .., .. , ,r•, e ' u „ n . ,, ups 99 persons 3
Bull g over three s Fccdcrs, 4 o amps or e
c r.�� ' .,y� e..p - •S "xr ^s .S " ay .�a i. -�, ,..X It�� :,�. .;p': iif , '
"`; xs? rn 'ir l5tti +•� ;•L ,ik;er'"ir,:: '� ❑OCC ntloadover9 ❑ RV.par ctu d tr or
M , s a1x4 P f; , - .. 01 -,. t d,;i r d ib ll ,, X111" i `9 Ct 6 F'l, 'a'r :t ,: �, y wA s '' z kt , (� , • ❑ 1W park
a. :vrM ,• ,1,, t x n (1 h tl'4H1S,`�: �t?��.... v �`�� ,. , t st � li eSS/li htin P
xe1t`,:'Y £ . ,.. �. .,. _...ti ...rat t":_..�. *.t: �' g g plan
Job no.: MI Job site address: la ❑Health -care facility ❑:
I� V .�l _ Submit 2 sets of plans w above
with any of the above.
City / State /ZIP: ; • is The above arc not applicable to temporary construction service.
511ite/bldg. /apt.no.: , Project name: ;r`` ��;;;,y �tr ��r ���ti 1' �' �` u � "' T ,� l z�ltltr�' ^, r � ,, z l . O j f )r� i� � 1� ... •y •
Description Qty. Fee. To tal
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no,: Pa. add'l 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
ai ,,, c } ,v 9 xa+ xr y < r{ y t , r x ? 'la- r x � . Limited energy, non-residential 75.00 2
? '"1I P�`a SeN r .' g i i9ci i t9 g lll l �tC t�'k { 1 i �� 1 f f Bllyv t. : 1 " 3sUkU , 4 , sip c -
y »r+h rL: tr.. _. z.i ii, ,._...lcw._. �t.....s__..,t,._,i LL� .._ _'4, a, 1 t � ._ r.>�r ,,,,.. Each manufactured or modular
dwelling, service and /or feeder 90,90 2
,1 # .i • pit. ' A ll !� . . 1 V ii I, Services or feeders installation, alteration, and /Or relocation
��il • 200 amps or less 80.30 2
r i," . "°: " r.:a�. tip(• iV :;y5::.7c.. •�f5'' ? r>ta: . :lPtN° ,8x;.1�!tY ,".r,�::.�r . ,^ i vxs3 : V� 6 tS: "bi' 201 am s to 400 amps 106.85 2
ref•'' `i ' a .; ,,e1w h.sgeer.;,,,:l ' 1 deVi ; •1�' 9 .?RAtkiLez , l Y f ° •. n it e zF�` `fit ' +'t Q " `1 ,� zil i3 ! t t f.h - p
+�Y � ,�r_5.c 401 amps to 600 amps 160.60 2
• Name! ``CA - `NAQ • 1 L , a % 601 amps to 1,000 amps 240 60 2
Address: Over 1,000 amps Or volts 454.65 2
Reconnect on ly 66.85 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation _
Phone: ( 6 ) • 1. D,/.4 fax: ( ) 200 amps or less _ 66.85 1
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 600 amps 133.75 2
Owner signature: Date; Branch circuits .- new, alteration, or extension, per panel
' i • k % t " r 1. ; 5 ]y$\j,S1 ut ti1 S1! s al : �1.i , ~F`}° :0 Z. {sW Y � 1 - W . ; . : ., 5, . ' r 1:i itn s. (li . k : z :':r ? -S1i A Fee for branch circuits with
?:a,,. Ss l:', . ....,. i, t.R... 2t tti 41 ...n - ire : :
o ':L ..ia 1.. - ..a. :. , 0 .;1;sLi, . service or feed„ fee, each 6.65 2
Business name: Ameri - rt branch ci
B. Fee for branch circuits
Contact name; a a without service or feeder fee 46.85 2
each branch circuit
Address: 5411 SE MCLotx • hl in Blvd. Each add'l branch circuit 6.65 , I 2
City /State /ZIP' p ar a • C 1 Mis (service or feeder not included)
Phone: ( Pump or irrigation circle 53,40 2
, - I I I 1 r 1 Sign or outline lighting 53,40 2
E -mail: sara @asalarms. • I. - Signal circuits) or limited- .
:..
, f x r - 1 � [ �, - t 1• 7 a`5 r � �'t V l -`�Y" � "` °�" t,�'' F `�! Ni ♦ 71 h d } energy anel, alteration, Or
. "� x 1,$1 `7 x1 try r tk �� SF >1, 1 I rF - a ,.. : , ;§i_ : , ,. c1 ;Y: ! e yr gY p
ss u _`� ma.._,.l _ _.t �. Z_ , Y.S4:1 7 1.kl:S' YL _ x.:04 3 _....rs.
extension, Describe: Page 2 15-66 2
)3 us i tiess name: Americ : !! e r9. Alar .. • ._
Address: Each additional inspection over allowable In any of the above
' (,l • _ • • : • Per inspection 62,50
Cit /State /ZIP; Portland d_: 1 Investigation per hour (1 ht min) 62.50
• Pax: , _ ` O Industrial plant per hour 73.k
^� / ( g ) . } -F' y �r tit6'11 tr F3 { t <SUttt41�1 Int �is . - t l 'r,..'. ±,..: .,
CCB Lic.: 58641 Blectrical 26-283CL l UP) - Lic.'774 LE Subtotal 0
P sign: ' , �« a NI A.
Suprv. Ele ICI si a sired: Plan review (25% of permit fee)
Print name: ,_ D>,: �; f ' _ n/ State surcharge (8% of permit fee) - 01..) : 11 - : I x • • J l l�lV TOTAL PERMIT FEE ( . w
Authbrized signature: V Tbis permit application expires ;Fa permit Is not obtained within 180
• days after ithas been accepted as complete
Print name: Date: . Fee methodology setby Tri- County Building Industry Service Board
**Number of inspections per permit allowed.
i:\Building\Pezmit l ' d rmitAp / G 9 0 O N 440 -4615 r(10/02/COM/W55 A J 9 7 -, 9 0 0 7 '9l A P AI
r
CITY OF TIGARD _ •
BUILDING DIVISION PERMIT #: ELR2006-00106
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 611712006
Phone: (503) 639 -4171 e'il
Inspection Requests (24 Hrs.): (503) 639 -4175 'f I ..
INSPECTION WORKSHEET FOR DATE: 6/13/2006 TIME: 7 :22AM PAGE: 84
SITE ADDRESS: 06862 SW COMMERCIAL ST CLASS OF WORK:
SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE:
PROJECT NAME: TRII °MET
DESCRIPTION: Low voltage: security alarm.
OWNER: TRI- COUNTY METROPOLITAN, PHONE #:
CONTRACTOR: AMERICAN SECURITY ALARMS PHONE #: 603 -231 -0303
Inspection Request Scheduled For: , Date: 6/13/2006 Pour Time:
I
Code # Inspection Description Confirm • Contact # Message
136 Low voltage 031607-01 603.781 -8838 Y
-7— "F Corrections /Comments /Instructions: C A,, v Q.
PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I I FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Q�j /
r ^ II
Inspector: '"" Date: 6 - v Phone #: (503) 718- ti�y�