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Permit • r CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT • PERMIT #: ELR2005 -00212 DEVELOPMENT SERVICES DATE ISSUED: 7/29/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135DD -03301 SITE ADDRESS: 11945 SW PACIFIC HWY 250 ZONING: C -G SUBDIVISION: HOFFARBER TRACTS NO.1 LOT: 002 JURISDICTION: TIG Project Description: Fire alarm. Job #083 - 19214 -02. 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: TIGARD PROP INC ADT SECURITY SERVICES, INC 8320 NE HWY 99 2815 SW 153RD DR • VANCOUVER, WA 98668 BEAVERTON, OR 97006 Phone: 360 -574 -6255 • Phone: 503- 469 -7244 • Reg #: LIC 59944 ELE 26- 209CLE • - FEES Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 7/29/2005 $75.00 [TAX] 8% State Surcha 7/29/2005 $6.00 • 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: Permittee Signature: ___3,.( 0\ 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. 07/27/2005 14:49 FAX 5034697110 ADT SECURITY [(7001 E lectr i cal Pernnut Application FOR OFFICE USE ONLY • City o 5 SW #' Tigard R ECEIV 44, Received �9 D�� - <�L�adQ O¢,Z 1312 Data/By: Pe�tNn' Hall Bivd., Tigard, OR 97223 P la n Review Phone: 503.639.4171 Fax: 503.598.1960 * u:L,, r• Permit: Inspection Lute: 503.639.4175 JUL 2 7 - - 0 ) L • � � Date lteady/By: 55 See Page 2 for Intcmer www.ei•tigard.or.us Notified/Method: kris; Cf Supplemental Information prl ,q:;,,1 ,7,7,,,,, .'I 7, t�.r�l�rli ::1.1 , t.TA1 i `, ; ;; .: ;; i 'fit -01,5 1 .e9' �. !r :.F.1 N � ,F .rf. 5Fli'' ¢' ' :'�_¢fr `7t' - • • .. '- a'1`.:.4::1;:SU1 :, -Lii >..6. 7 d, • E1 � ,i �1 . .I,- u h f, l i . JLtI , ILI. f s N t C h �' r- i � z,. L,ia . -9:)i r, .. : . +','- '.S•j� . � 1.1 . t ., 'L(G.,. 'r.. r�! _t!t1r c: b c ¢ y i 1 . 1 , 7 , , 1 Ii i r i � _ 1. - ._I•SJtcl -y L•J �7 �'��J..�.f�u9:L i'��L�t ,�'. Ii�W'I . .� . - I•' l .r1'- New construction ❑ AdditidithildeE tigl : 1 i - ; Please check all that apply: - II Demolition ether ❑Service over 225 amps, comm'l ❑Hazardous location :r; " ,, t l I � �: r. * �T u,• c , t,,:, •L ❑Service over 320 s �- rating Buildng over 10,00 c } I 2b7 U 17r .1 a ! .i X 1.1 - R ^�1� i R- • l/ �j'iS i � r�. �c, y' _ tl 1r1 7 t 9 it t ,,�li 4 ,,ia t ',,5 F 7 , .f r�. , N i Ti .1 ,: ; ;;.a { .,-„, J��u N; :ICyJ Jet , ia,rrJ ? f 4„sl1'�`..tlti,,, A LS ,� I' of i - and 2 dwellings g 4 Or 0 sq. R., � i� ,I ���rr,� Y � more ne w residential ❑ 1 - and 2 family dwelling ►. Commcrcial/industrial ❑ Accessory building El System over 600 volts nominal units in one structure 0 Multi family ■Master builder ©ether; ❑Building over three stories :Weeders, 400 amps or more - ,, 1 II I •.w��� , `'�"'.>T lt1 - `'?' �d ;:ri nlj;'1'1'I�t�:. ,r' ,,;,.:.;.:;,��rrm, *.yhqI'. •, itr„ - •r' ,,�, - rr,l ; 1 ,•�:. ❑Occupant load over 99 persons ❑Manufactured structures or t 1 l,L�k,Yi �i .��rC -.N'+ .I,t I'k41i : �,`�l1�leT,�Fll:3'{�'. nl � JI I 1L !( ` I � II la,q I C - 1, trlllt -•9 r t M, r �IjTEF j �.lii 1 i I 'li RV I re ul I�.t '..._.sIs,...f. -s r.h.,_II C l� ��r ..t �1' ❑Ejtress/li �t 1® park P .� 411 , Ls ��Ir,.� � g P Job no.: 1g5.. Job site address: I . 6 ,�� ❑ Health -care facility ❑0��: _ .J ��" submit 2 sets of plans with any of the above City /State/ZIP: f t , I/ 1 The a bove are not applicable CO to � • app temporary construction service. ED : .ldg. /apt. no.: 1111 Project name: IMF i �Li } ��'�:,(. ��f ! J; i cu Im tkr,3t';<'ita!•f -''; Ti'''.,' ' . Doserlptke Qtr. Fee, Total Cross street/directions to job Site; New residential single- or multi- family dwelling unit. Includes attached garage. 1 1,000 so. ft, or less 145.15 4 Subdivision: Lot no.: Ea. add'1500 sq. ft. or portion 33.40 1 Tax neap /parcel no.: Limit energy, residential 75.0 2 �� T , �, r L'' r 7^ r c r {{ ,e t'm z f Limited energy, rt -!.it6 � , 1 1 iti171 li l�i'I I.i/�1. Ir I 7 J f dOl r r• iI� )y'�1:C' *!''� ,� �'^ l f t .� 11 gY on-residcntial 75.00 2 0..rrt`.a. �l�k�. .1�wn'_i11i '� 9 15 i-L ? , sa:u ' )5ti";5�l:�Li�lirI�l r r. ( 1. I1 It t:t , _ S.u�tl5..f_ ._ti .0 a �:,.r y - �ur.,C �'.0 t�r�.J��� I r ° .It!' I z r each manufactured or modular , � r dwelling, service and/or feeder 90.90 2 _ il 4 21 •', Services or feeders installation, Alteration, and/or relocation 200 amps or less J 80.30 2 I�' 7 X1 1V 1 9T ' T!L 4 , 1 1N 1 cl.f , F ,, � trt 4 ,3 Il" �I I iq.!,3- yz•tii pil.:7 � , i rp9 I l 201 a s to 400 s r:r�, ,t f:JWI�+ �)�1� +MU�1, � ; „NIA. mP amp 106.65 2 ,1�1 ii ,'�, a r 4 �"lM1 tFl�{ *!,_ I` GF' ' ? r2 ,1t l'',�' ": � -0v 1 r ..:SuC1 `L9�... S_: 1 7/1.l1.� I .:.S rAfl »�:•i ,?, J�' h�il �1i I�I�n. . ,�t ' -� �,tt�1i�.,! 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State/ZIP: Temporary services or feeders Installation, alteration, and/or relocation Phone: ( ) 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: n ! 11 { 1 L Date: grimed circuits - new, alteration, or extension, per panel - � i;' lYt7 : stifil #> n,i[ i` i l ettti 1 3� 7 {t `I I1, I ,f �} r1 ,l . l,1'f � S � C i ' k ` ` t` t� i _ 1 i : E . j ..Sl,a A Fee for branch circuits wuh Business name: service or feeder fee, each 6,65 2 branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, Address: each branch circuit 46.85 2 Each add'l branch circuit 6.65 2 City / State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax:: ( ) Pump or irrigation circle • " 53.40 . 2 Sign or outline lighting 53.40 2 44 _ _ Signal circuit (s) s) or limited - et fit I f + 4i i �rl ti' 1 R 1P 1 I- "' st -r- I t { rJ `-,�Il z . , t 1 rl i p ' r r t t I '"�I :" 9 energy Panel' nel altuanOn, " L:� t...�, �_�LYI.)!,L:2S1!,1ifl� i<.%' lIIC}_ u[. 1C) 11rT• s.. �.,. �J' L� > r. I!��,?.�.��u_t>a(ti2���>. Ili ! ��� >ftl�'�Yjl�9iL�_�.���.��`.>'I:I p extension. Describe: I Page � � . W e 2 2 Business name: ADT SECURITY SERVICES, INC. Address •t,• X . 1 - • _ Each additional Inspection over Allowable in any of the above :a • , • ; : I l i : Per inspection 62.50 City / State/ZIP: (503) 469.7100 Investigation per hour (1 hr min) 62.50 Phone: ( ). Fax: ( ) Q � Industrial plant per hour 73.75 `�. / / -" ! f /b ,y1. i ltrl 'Fa -ti - r,' , , Ta- tm-�, ,,.. 59 Gig, F rI i i ;i yrl;7 'r,Nrl ar 7 at ^'' 1 1 ,1r,•., z7'1 CCB Lic, S 'S�.isL,�.l �:�:IiAJ�;.:�.l,.rY c:�e.���.nr„�4, _�.., 1 r�` ��, uprv. Lic.: , • Subtotal Suprv. Electrician signature, required: ` nom- _: Plan review (25% of permit fee) Print name: . A , , Date: --- IR State surcharge (8% of permit fee) TOTAL PERMIT FEE $1, DO Authorized signature: Ti,!, permit appllcadoe expires li a penile io am oeeainea within 180 da after it has been accep as co mplete Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board • Number of inspecdoes per pent allowed. c1BmidioeonoIie16LC-PemdtApp .d°c- 1 � TK � 2/03 11 440 CMTY..0F TIGARD BUILDING DIVISION PERMIT #: ELR2005 -00212 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/29/2005 Phone: (503) 639 -4171 tIhillll Inspection Requests (24 Hrs.): (503) 639 -4175 - p__.. INSPECTION WORKSHEET FOR DATE: 9/14/2005 TIME: 7 :09AM PAGE: 78 SITE ADDRESS: 11945 SW P ,, .IFIC HWY 250 CLASS OF WORK: SUBDIVISION: HOFFARBER 'r „• CTS NO.1 LOT #: 002 TYPE OF USE: PROJECT NAME: JO -ANN FABRIC DESCRIPTION: Fire alarm. Job #083' . 14 -02. OWNER: TIGARD PROPERTIES I PHONE #: 360-574-6255 CONTRACTOR: ADT SECURITY SERVICES, l, C PHONE # : 503-469-7244 Inspection Request Scheduled For: ►tote: 9/14/2005 Pour Time: Code # Inspection D-scription Con” m # Contact # Message 135 Low voltag= }- t v via t, 015621' 1 .503-469-7212 N Creation /Comments /Instru PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4 �-"`� Date: 7" 11-- r L Phone #: (503) 718 -