Permit . „ CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00308
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/6/2007
PARCEL: 2S113AC -00103
SITE ADDRESS: 07216 SW DURHAM RD 200 ZONING: I -P
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: WELLPARTNER
Project Description: Low voltage burglar alarm installation.
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 - 7100
FAX 503- 469 -7114
FEES Reg #: ELE 26- 209CLE
LIC 59944
Description Date Amount SUP 389LEA
[ELPRMT] ELR Permit 8/6/2007 $75.00
[TAX] 8% State Surcha 8/6/2007 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or dir- ques ions to OUNC at 503 6.66�� .800.332.2344. f�
Issued By /JJj IJ / Permittee Signature: o _ T7 46( c (J7i
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Au7 03 07 07:25a Stephanie Pate 503-469 p.1
Electrical Pormi.t A - As--- _. ,. FOR OFFICE USE ONLY
City of Tiz,ard ` ._ < �. .. > ' , iteccivod p �y t'rrmihfJ
13125 SW i-i 1f R
Plan Rev
lvd„ Tigard, OR 97223 Date/13 ev D 1 IO 7L o, � • zto _�
na ,.r, , r iew
'hoot: 503.639.4171 Fax: 503.59$,1960 A U f2 17 0 J 2007 (. l' {� DMe/Sy: tiller Per,+vt
Jispectiun line: 503. 639,4175 y '' Dete Reidy/11y: , ,
.� 8 so.: Page 1 for
nternet: www.ei,tigard.or,o5 ,--,- i .ti. .§. ` Notifrod/Mothed: Supplemental information •
New construction 1 ! ,1 i i ' , u h • M - Please check all that apply:
Demolition ❑ Other: ❑Service over 225 amps, comm'I ❑�a
Tiardous location
❑Service over 320 amps .- rating Ol3tcildng over 10,000 sq. ft,
• . CA" I'IS(:COI.Y.:,OT' ( :ONS [J2U(�: r;(QN; ;• •. •, ..i.),•.,. ,: ,, of 1- and 2- fancily dwellings 4 or more new residential
] 1- and 2- ftimily dwelling M Commercial /industrial ❑ Accessory building ❑ System over 600 volts nominal units in one structure
Multi - family ❑ RFastcr builder Ocher: ova- throe stories 0 FCOdcr.. 400 amps or rnorc
❑occuptuht 'owl Ova 99peraons DManufactured structures or
'J011 51 - 1'E r F(M MATION AND LOCATION,' • . 5 ❑tgress /lighticcg plan RV park
ob no.: / 731 - y Job site address; 2.2 /4 .5(.42 ,)U g ,e ,y1 /Pa/ 00. ❑.Health - I:arc facility ❑C>ther:
Submit 2 sets of plans with any of the above,
:icy /Sphtcd7_IP: 4'-`g- c:// .+1 /J 97 / 2 The above arc not applicable to temporary construction s,'xvice.
iuitelbldg, /apt. no.: Projecct / of /� G.f -2 - r c c. 1 •Y; :� SC
t 1l Q I T T
'�� DrawiMton [ Qty. Fee J Tow I ••
:rocs streetJdircctians to job site: New residential single- or muit!- fancily dwelling unit.
' Includes attached garage.
1,000 sq, ft. or less 4
iubdivision: Lot no.: Era_ add'! 500 sq. R. or portion , 33.40 1
Limited energy, residential 75.00 2
ax map/parcel no„ Limited rstergy, non-residential 75.00 2
� 1)I:SCIZIPTION. OF WOI. C awl, rnimul'actured or modular
Le i ` //�/J _ dwelling, service and/or feeder 90,90 2
���/I� _ 3 ervfccs or feeders installation, alteration, and/or retpeptlpn
ZOO amps or its.? 80,30 2
.0 PROPERTY OWN.E�:R� 201 amps N 400 amps 106,85 2
C1 . ' CLN.�N T
• 1pm_ " -'--- 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240..60 2
,ddress: Over 1,000 amps or volts 454,65 2
Reconnect only 66.85 2
Sty /stetc/zlp; Temporary services or feeders installation, alteration, and/or .
relocation
hone: ( Fax ( ) 200 amps or less 66.85 ,, I
rwner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100,30 2
Mended for sale, lease, rent, or exchange, according to ORS 447,449, 670, and 701, 401 amps to 600 amps 133.75 2
tuner signature: - Branch circuits - new, alteration, or extension, per panel
' • Q APPUICANT , 0 'CONTACT' 1 ,11SON • A. Fee for branch circuit$ will
- - — service or feeder fee, each
6,65 2
usin s name; branch circuit
B. Fee for branch circuits
Outlet name: ZA4e / , witifOut s ervice or feodcr fee,
,ddr J7 fiat branch circuit 46.85 2
Each add'l branch circuit 6.65 1 2
'ity /Statc/ZWP: Miscellaneous (service or feeder not included)
Pump or irrigation a rele 53,40 ' 2
Florio! (�3) ?/k -5,9e e Ftax:: ( )
Sign or outline lighting 53.40
•
-mail m Signal circuit(s) or limited-
CONTRACTOR . • � energy panel, alteration, or / to
extension. Describe: ` rage 2 „ 2
usiness name: ADT Security Services .
rd
Midi allowable additional Inspection over allble in any of the above
ddress: 2815 SW 153 Dr.
,. Per inspection 62.50 h
ity /Stnte(ZIP; Beaverton OR 97006 p investigation per hour (1 hr min) 62.50 I
lone: (503) 469 -7100 Fax: (503) 469 -7114 _ Industrial plant per hour f 73.75
- [:Lr:c: BIC:ti1, PERMIT 1'l
C13 Lie.: 59944 Electrical Lie.: 26- 209CLE Suprv. l...ie,; i,F.A.389 om
�7 t �v
Subtotal
.'pry, Electrician signature, rtxluined :.4 F // i � /0 hie / e 0 Plan review (25% of permit fix)
/ State surcharge (R% Of permit fec) 6. 44 ' name: •int name: ANN � r -- D
- • f TOTAL PeltMIT FEE 8te. 49 d
uthorized signatur _ ‘ ,/ / 4 ., This permit 4 pplicatien expires it a permit 1s Hurt obtained within 1140 -✓
ant name: / , �) <ficya After n her been accepted ax complete
/` /t/ �4 a: Date: / 4 l=tt mothedoto{,y liar by Tri- County Building Industry Service beard
•• Number of inspections per permit allowed.
4e•4 6 { ST(, Ore2/CO).uV.7crr
/& ' Cc ..,/(0 (, ,
CITY OF TIGARD
BUILDING DIVISION
A,_ PERMIT #: ELR2007.00308
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: B/&/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
) INSPECTION WORKSHEET FOR DATE: 2/22/2008 TIME: 7:00AIVI PAGE: 46
SITE ADDRESS: 07216 SW DURHAM RD 200P CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: MU...PARTNER
DESCRIPTION: I_ 1701 voltage burglar alarm installation.
OWNER: PACIFIC REALlY ASSOCIATES, PHONE #:
CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 503469-7100
Inspection Request Scheduled For: Date7---22/2008 Pour Time:
Code # Inspection Description C. firm # Contact # Message
199 Electiical final 065472-01 503-469.7212
Corrections/Comments/Instructions:
N N "\ \
())\ 11)(-Ni •
" I7A . PASS n PARTIAL APPROVAL LI CANCEL n NO ACCESS
n FAIL fl CALL FOR INSPECTION LII ADDITIONAL FEES ASSESSED
Inspector: Gm e)\- Date: 2-2"2- O Phone #: (503) 718- i07
_ . •