Permit _ ,
' 4 CITY OF T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00368
TIGA 1312 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/20/2007
PARCEL: 1S134AA-01800
SITE ADDRESS: 10260 SW NIMBUS AVE M5 ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: 002 JURISDICTION: TIG
PROJECT: EID PASSPORT
Project Description: Burglar alarm low voltage.
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:
ROBINSON, CONSTANCE A + ADT SECURITY SERVICES, INC
ROBINSON, LYNN + BELL, KAY ET 2815 SW 153RD DR
BY INSIGNIA COMMERCIAL GROUP BEAVERTON, OR 97006
BEAVERTON, OR 97008
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 9/20/2007 $75.00
[TAX] 8% State Surcha 9/20/2007 $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 que ' ns to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: A40644t 4/et/At Permittee Signature: 8
1
•
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.
ti
Sep•20 067 07:10a Stephanie Pate 503469 p.1
Electrical Permit , ,,;, t , ; . • 11 i r ' IN FOR OFFICE USE ONLY
City Rece€"/"
h of Tigard �" `'' 1317.5 S W dTigrd, OK 9 7223 w
Phone: 503,639. `171 Fax: 503 50t.t9ti0CCD `• U 2007 �' ar t�> (�`\ Datcaty: Other Permit
Inspection Line: 03.639.4175 �J , . � l _
tw Date Ready /Bp: • , lt.ru:
Internet ww.ci.lig,ard,or,us Y � . '. ,
4 a Notified'Mc 7 Supp lemntai Inform-vigil
' h i • '�
... • •" .,, ° •• �'A�" . • • ; • . ` r i' f .
❑ Now construction s _ ■•- , ''t' , — 4 u t r C• if cmc ^� F 1 1 1 1 .. .. • 1 ' 1.,AN ' • IIIVI •
IC;tsc choek all that apply:
❑ Demolition Other; aver 225 tulips, cortun'1 ❑t•latttrdnus location
r * ,,,•. - • Service over 32C amps - rating 0Duildng o:•cr 10.000 mi. ft.,
., CA: Trig Cilia '.0F.'..CONSl�R71G.L`ION •I•(";' ' of I -:u 1 2-family dwelling 4 dwe I
. r.: 1. or more new residential
0 1 - and 2-family dwelling Z Cornme� ❑ Accessory building - °system ova 690 volts nominal unite in ono structure
O13ui Idn,g Otto three !storks ❑feeders, 400 antpa or more
❑ Multi - family ❑ Master builder ❑ Other;
❑Oceupatll (Ord over 99 peesorm ❑INanul'acntre4 structures or • .. . - .i i % .t :'':I• • ' ❑l?rrecsitigl,tin RV park •
• 5 7" pother
o no.: /Y f5- -/ I Jo site addre / 0 Z4 0 S) A • 0 lth -can; f acility C7 ' -.. .._.
- • - GS _ _ Su b mit 2 se is of plaits with any of the above.
:iry!SwteJ7.iP: ' y , p06.. 970 3 MC Abeve are not applicable to temporary' con truction service.
iuitc/bld�!.!npt, no.: ✓ 9 I Project name: �/A Psx"e7 Tjt'QG ND:E" .SCEir;nu k% ': :: ?' •
t Qty Fev Yowl 1
...MSS ctruct to job site: New residen single -or mufti - family dwelling unit.
' - Includes attached gerafic,
_ i t,OCO Sy. 11. or to 145.15 d
;ubdivi.:iot, I Lot nu,: y ! t. udd 500 sy. II. nr ponion 33.40 1
- - Lim inert y rtsid 75.00 • • 2
'ax map /P:rrct no Lintii.xi tvtrg . nou raklentitd _ "• 5.00 2 • ' Y;.`.; - il '(Oti' or tiVO) <• ; 1 ad .h n,tlni of tnudular + . •
dwelllnf, sc•Vrco and/Dr fealty i 90,40 ' 2
— . . •. ._ ._.. r Nervices or feeders installation, alteration, anWUor relocation
200 amps or leas 80 .30 I
�' d I " "'' 201 am s to 400 am s 106.85 I 2
:- `
: fi b PROP1: V OWNER _, ....•
..L • • '. ' 1Z:144Pri' ' -- p n -• I - • - 40l amps to 600 amps I 60.(,0 2
lame: - 601 amps t:, 1.0110 amps I 240.6U 2
.ddress: — _Over 1,000 amps or' v ultd I 454.65 I 2 •
Reconnect only I i 66.95 _ 2 ;
ivy/Suite/ZIP:
Temporary serviCcs or feeders installation, alteration, A nd/or
hone: I relocation
Fax: )
i 200 a,np^ or loss I 6G 35 I
'wncr installation: This installation ;'being made on properry that I own which is not X 7,01 :im to 400 am p4 s . ( , tJ3. 100 20 2
.tended for sale, !caw, rent, or exchange, according to ORS 447, 449, 670, and 701. f 4�jj Ln „y to 690 ,,m • -
1
wncr signature: Date: _ {°ranch circuits - new._
x' alteration, or extension, per panel
:” w'' • + ': I A. fee for brrnclr Circuits with
I
�n r :• : • •�':n.r'ri•,X�,iN'1�� • • • • c o1vT ' �,c ;1:� t �a:l:so1\� .
__ .,_• �,., SCrvit:u or Ayala fee, each
usincSS name: brunch circuit - 6.05
�' Li I ibrhr:mch circuits
ant,ivt nattic: I
�r Srej, A ✓ 1 I f wi!L ;.erf stSViCe or feeder feC. •1G $5 2
dt,IrCSS:
" fn.( branch circuit
•• - . _ 1111._
_. _.. , __. _ ��;tCh add'! branch cu'Ouit i 0.65
ry/State ZIP: I 1 MlsCell >ueous (service or feeder not included)
�/ Pump or irrittation circle 5,1,40 2
tone: (03 ) 9,T � , S3aC .. W I I'u� c _ ._I tile;,, fir outline, lighting_ 5 ;.40 2
mail: Signal c:reuil(:) or limited- -
7 - + 7 7 - 7 - - . • : - - w energy panel, altctati:1i. or Q
._ .� _. • 1111.. cxtensinn. fh's.:ribe: f • Parc 2 75 2
rsinccs name: ADT Security Services
1 r
/dress; 2815 SW 153 1)r. - - Elicit additional inspection over allowable in all of Iltp above I
_ 1 Per inspection I 62.50 I
taterL1f': Beaverton Olt 97006 Ltvc ta!u
h /S B t uon per hour (1 h: 4,0,1 I ..5°
one. 503' 469 -7100 4 71I4 l,rtltr.,trial p per 7 / 7.75
(• ) i Fax: (. 0. 69- ' • TA,RCIRICAI, PERMIT. Ir131�i *... - , .
13 Lic.: 59944 I Electrical Lic.: 2G- 209C'.I,f f Sttp v. Lie_ I.EA389 - ._. • , oA
Subtotal "Z" prv. Electrician signature, required: ,����� Plan review (_5% c1'peruut (ce)
r 7z 111_1
nt name.: , 1 �/ I Date Slate surcharge 04°4 of permit fee) 6 0O -
- -- • _ --_•— _ - TOTAL PERMIT FEr i S. a °
chot^izcd si nafprC: � - '
., / `t jQ / Th �a per'rniI application, explret if u permit la not obtained within 100
r' :-
dnye after it leas been accepted as complete
nt name: /(N /� A Us' , � l 1):11e: - _ ; Peente:i'o4 :iI,,'.y .ni by Tr-Chevy Building Industry Servie•: An:nnl
//// •-- • Ntmthcr of u,6pct ortx per permit eatw_d.
.h.ePc++mu�a.C.Penu ;: Avii.je, 1: :4; r � /r Ci � oan.4SlaT(L PL
JI,NW
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007- 00368
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9120/2007
Phone: (503) 639 -4171 M
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_.., 1.L
INSPECTION WORKSHEET FOR DATE: 5/1612008 TIME: 7:00AM PAGE: 39
SITE ADDRESS: 10260 SW NIMBUS AVE M5 CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: EID PASSPORT
DESCRIPTION: Burglar alarm low voltage.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 503. 469 -7100
Inspection Request Scheduled For: Date: 5/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 069967 -01 503-469-7212 N
Corrections/Comments/Instructions:
•
-ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• ' ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: pv LE Date: 4161 u V Phone #: (503) 718- 11194