Permit •
ra CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00378
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/1/2007
PARCEL: 1 S136CD -00102
SITE ADDRESS: 11685 SW PACIFIC HWY ZONING: C -
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: BAJA FRESH MEXICAN GRILL
Project Description: Install cameras and security equipment.
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:
•
INSTRUMENTATION: OTHER: SECURITY X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WILLIAM & SALLY FLOWBERG ADT SECURITY SERVICES, INC
834 SW ST CLAIR 2815 SW 153RD DR
PORTLAND, OR 97205 BEAVERTON, OR 97006
Phone: 503- 225 -0700 Contact #: PRI 503- 469 -7100
FAX 503- 469 -7114
FEES Reg #: ELE 26- 209CLE
LIC 59944
Description Date Amount SUP 389LEA .
[ELPRMT] ELR Permit 10/1/2007 $75.00
[TAX] 8% State Surcha 10/1/2007 $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 • uestions to OUNC at 03.246.6699 or 1.800.332.2344. C �
Issued B • a /�� J �� Permittee Signature: � A n/f f(In
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.
Oct 01 07 12:40p Stephanie Pate 503.469 p.2
ElCctiiCallPermit A pplicolEcE tV FOR OFFICE USE ONLY
)1 i 25 SW Hall d., Tigard. OR 4 21 , .r
- '
Cit-y of Tigard liceolvod i 0 No 0
S r N° ' . ffilf2a)7 -21o3it
111v 7221 Mau Review
Phone: 503.639.4171 Fax: 503.598.11:060 0 1 4100
-.by.i,pi, Dal:.33F: Other /*omit;
Inspection Line: 503.639,4175 _____________________it . rz_____
r p for
tnternet: www.cl.tigard.or.US CITY OF TI c! - ---
WITDIVISION ... -,--,- __
E...-.•,... • • ..., :"....:. - .., . • , , T . ... • ....• ..• •. ••:,:itrgigwo. . . ..
• • i - PLAN' REVV/ IF - • • • • ••• ••• • I
• . .
.
Ncw construction [alicclditionialterationfrep!aceinent Please cheek all that apply,
05ervice over 225 ;imps, cosai» 1:11-1a2ardoua location
D emolition 0 Other: 054:Rice ovor 320 amps .- rating ClBuildng Ova l0.000 sq. ft, i
',„•,.• •!,:": , ' .. ...,..1 ...: : ''...,: ' ; • ....; • ••• • t• ' ....,..,:,......„;.: ' ' ,...:......7:...• of 1 and 2 dwellnigs 4 or more new residential
2 1- and 2-family dwelling El Coiranercial;industrial 0 Accessory building 12Sys.tem over 600 volts nominal units in one Ann:bare
0 Building ovor throe stories 0 Feedas, 400 amps or more
D Multi-family 0 Mast*. builder 0 Other:
DOccupanl load over 99 persons OManuraetured structures or
' i . . . : ' ' . • . 1 . . . . : : . : . • : N . : -: : . : : : .: , - . . i c i i 3 ki I i ki 1 *-ix i .:[,01 . ;611.i,v*iox:•...... ..!.,...".::•_•••;-"...._•:....,'.:-.., 0 Et.r. plan
J
eohno...9 /4, 20 - / Job site arldrcss 8 -i / 4 39 e 1 7,-4- ftV park
0011%cr;
-.- .. ill 9 / i S l o .2 t c p il l: t u Y ls with any of the above,
7.ity/State/7-1P: 1 % ..€ 0 ( 9 , _____ The above are not applicable to temporary cons sta•vice,
• ' • • rev.. SO - •
SuiteitaltIg.hipt, no 1 roicet mune, g/7.1,4 V 4
i Fse. 1 To.I [ ••
toss strectidiroctions to job site: I New residential single- or multi-Ian/11y dwelling unit.
Includes artnelted garage. .1
1,000 sq. ft. or itivi 1 14.5.15 :• 4
_ . ' .. .• -..- .. -
3 ubdivision; Lot no.: F:t. adcli 500 sq. R. or pution 3 .4() • 1
----------- - ., Limited energy, r enti
esidal ... 75.00 I 7
fax mzip/parcel no.; -
Limited c,nerry, non-residential 75.00 2
, . , .
'• 'oysefornos 0/1' WORK. : .• .
•• .• • . • • '.• '. • •••;• .... Each manufactiand or modular i
dwelling, service ancL'or feeder , . 00.90 2 :
- tre -€711 e-/ , , ,,.//e:6 - -
'
Services or feeders Installation, alte.ratioa, andior relocation
.a
200 3111p5 07 11.:ki 80.30 2
. .. . .. • 201 amps to 400 amps 1 106
.• . • • -- -
: PM , ••britit• • • ••0VC.,IER ' • ' '.'. . ••0 'TINA.N't •• : • .. ,. ----------------• .- •-- ..-- --•--•• • •---•:--
• ..,. • -•. , . , , , • 401 anm In 600 amps
%lame.: - _. 601 :JINN In 1,000 amps 240.60 I , 1
- .. ... .
sitldret: Ove.; 1.000 Limps or volts 454.65 2.
Reconnect only I 66.85 .--- , 2
:Nty/StuteiZIP: Tempornry scrvicos or feeders installation, alteration. ondior
relocation
. _ ..... „,_
'hone: ( ) Fil ( ) ...--..,
200 imp or less 66,(5 : 1
)wncr Installation: This installation is being made on property that 1 own which is not i. 20 t mops to 4 00 amps 100.30 2
mended for sale, lease, rent, or exchange according to ORS 447, 449, 670, and 701.
-
)wner signarure: Date: , Branch circuits - new. Alteration, or exteniion. per panel -. .___ ..... _
i'' i! j•W•2 .; a APP116161"1 . .... 7 '.. : ' .*:. ' ; 1 ... ' ... -.':. .. corli•Act PERSOSI • • : : - . 7- 71 i A. Fee for branch cirzuns with
service or feeder fee. each
{ 67165 I 2
Tusincss name: I I Nlineh eircna
- .-- - it Fee rot tumuli ea:wits
..- /2 •
7ontact name; 3 , 7 g 7 - e with.u! service or feeder Av.., .
•
46.145 2
first branch circuit
Cltiross, ' _... ..._
Each add'llwanch circuit 1 6.65 1
;•ityiStatc/ZIP: Miscellaneous (service or feeder not included)
-•--,
Ptimp or irrigation circle I 53.40 j ,.
'hone: (93 ) .T1? " o 7•1' j Fax• : ( ) .. ___.• ....•..-. - e ••••••••••••■••••• • •• • • ••••11 •• ••••••• 1•■•■•■•■•••• ...........■• .• ■.■
. . Si r2.11 Or outline lighting 51.40 2
• . • . • • •
Signal circuit(s) or limited-
co
• C()
.- .IsITRA ' - .. • : . • •:' ••••• ..:: •: , : "... ., • :. ' ." • ; energy panel, alteration. or
• • .....-. ...--- ( Pr•rs 2. 15 ,
,
Tusincss name /DT Security Services ' I
...
.c•Iciress 2815 SW 153' Dr. Each additional inspection over allowable in any of the above
. . .. . .-... ..-- -, .- .----- _... .. -
Per inspection I 62.50
:ity/StateiZIP: Beaverton OR 97006 . lavi:stigotion pia. hour (1 hr nail)
1 62.50
..
......---.- •.•- . ■• .1 • . .. • • . • • • •.• . •
(503) 419-7100 1 MIX (03) 469
■■••■••••••••.
Indasu per hour plant p ou
..-- • • I 575 --- - -- I
ihore
- • 1 ACTRICAI, .1%R mil • vEF,sw,..- • • " •
:CB Lie.: 59944 - I Ele Lic.: 26-209CLE ; Suprv, Lie.: LEA389 Sinotat 15
I
1uprv. Electrician signal requiri. ..!/,..... ..,.„,..„. , Plait review (25% of permit fe.e)
i State surcharge (8% of ma fee) 6. 0.
'rint name 9/ ,.-
;
A 6
I TOTAL P ER MIT IIER
wtholizr..d signatUrCA/. /4i Thii, permit application C3 pi rcx if a permit is oat obtained within 1l10
1 days after it has been accepted as compktc
'riot name: /(1',11 A vs 1. 3atc! • vas methadon*. sal hy'rrl-Caltaly Iimild ling In I.tory tie ry ;ex: Ittlard
:
- • • Number of irqw.ctto ns per permit AInvic.d
t.rildutlefcmstisa:LC-Pcrnw..Apv.doc 1210, 44
CITY OF TIGARD
BUILDING DIVISION _ PERMIT #: ELR2007.00378
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1/2007
Phone: (503) 639 -4171 4V
Inspection Requests (24 Hrs.): (503) 639 -4175 °:_..
INSPECTION WORKSHEET FOR DATE: 17/4/2007 TIME: 7 :01AM PAGE: 44
SITE ADDRESS: 11685 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: BAJA FRESH MEXICAN GRILL
DESCRIPTION: Install cameras and security equipment.
OWNER: FLOWBERG, WiLUAM & SALLY PHONE #: 603 - 226-0700
CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 503-469-7100
Inspection Request Scheduled For: Date: 12/4/2007 Pour Time:
Code # Inspection Description Cor>ifi Contact # Message
199 Electrical final `060701 -01 97i- 678.3094 N
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C ► N 6e ti Date: % 2-4.09 Phone #: (503) 718- L , •
1
CITY OF TIGARD
lir .
BUILDING DIVISION PERMIT #: EI_R2007 00378
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1/2007
Phone: (503) 639 -4171 ���qr I
Inspection Requests (24 Hrs.): (503) 639 -4175 s' '. �_
INSPECTION WORKSHEET FOR DATE: 10/26/2007 TIME: 7 PAGE: 69
SITE ADDRESS: 11685 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: BAJA FRESH MEXICAN GRILL
DESCRIPTION: Install cameras and security equipment.
OWNER: FLOWBERG, WILLIAM & SALLY PHONE #: 603-226 -0700
CONTRACTOR: ADT SECURITY SERVICES, INC PHONE #: 603469.7100
Inspection Request Scheduled For: Date: 10/26/2007 Pour Time:
Code # Inspection Description /Confirm# Contact # Message
135 Low voltage 058413-01 971 -67B -3094 N
Corrections /Comments /Instructions: 1
'P9SS , ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
�-� F AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 5 • `rtg, L. Date: 10 1 Phone #: (503) 718- Z-illi6
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -00378
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1/2007
Phone: (503) 639 -4171 4#114141Vi
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10!23/2007 TIME: 7:00AM PAGE: 57
SITE ADDRESS: 11685 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: BAJA FRESH MEXICAN GRILL
DESCRIPTION: Install cameras and security equipment.
OWNER: FLOWBERG, WILLIAM & SALLY PHONE #: r.03-225-0700
CONTRACTOR: AEA SECURITY SERVICES, INC PHONE #: 503.469 -7100
Inspection Request Scheduled For: Date: 10/23/2007 Pour Time:
Code # Inspection Description ism\ Contact # Message
135 Low voltage 058109.01 , 971-678-3094 N
Corrections /Comments /Instructions:
cZov1 N Pt L PL wK e
c -p.aLg PN6 6 ‘ 1141 1 -v 1
93 PL4kTe s bk
g QM w 1 Tiv h Liii of s )1 L t r.,
Wow -
eZ ?c,ii S `P; f IL. 'b 1..x.1 ---, s'
- L.' Y1+ cp, Ptkpifa---
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G—• e. Ue) Date: 10I 23 ()T) Phone #: (503) 718- 144‘