Permit C ITY OF TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT
� DEVELOPMENT SERVICES PERMIT #: ELR2006 -00235
)j- 1312 SW Hall Blvd., Tigard, OR 97223 503 - 639 - D ATE ISSUED: 9/28/2006
PARCEL: 2 S 102 C C -00500
SITE ADDRESS: 13500 SW PACIFIC HWY 86 ZONING: C -G
SUBDIVISION: TIGARD MARKETPLACE LOT: JURISDICTION: TIG
Project Description: Low voltage for 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:
PACIFIC CORP/ELLIOTT ASSOCIATES SECURITY ALARM CORPORATION
200 SW PINE ST, SUITE 200 217 MAIN ST SE
PORTLAND, OR 97204 ALBANY, OR 97321
Phone: 503- 224 -6791 Contact #: FAX 541- 967 -8034
PRI 541- 928 -4544
FEES Reg #: ELE 22 -57CLE
LIC 40591
Description Date Amount
[ELPRMT] ELR Permit 9/28/2006 $75.00
[TAX] 8% State Surchar€ 9/28/2006 $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 • ow ru - - dopted by the Oregon Utility Notification Center. Those r = -, are set forth in OAR 952 -001 -0010
thro 4gh OAR 952 -00 0101. •u may obtain copies of these rules or d • - stions to OUN' at 50 216 -6699.
Iss ed By:- k _ I / / Permittee OWNER INSTALLATION 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.
09/27/2006 15: 49 5419'b ) (ittaa 1 14 } • MARTINVEST PAGE 02/03
lect> iica1 Permit APP11icatiq,Ip 2 7 I- OK (7r I. ii i, lfsf ON1,Y
City o f Tigard JCC f 100 Reeei.hed G P ermit No.:
Y DaWB : 9 ay - 9x FG,e.„1.0.06-c0 . S
13125 SW Hall Blvd., Tigard, OR 97223 ,,..." j .
Phone: 503.639.4171 Fax: 503.598. I.9 1 'Jr' AI i- *.:.'.- ir ;. :
e�' Flan Review Permit:
e ��` I r` Date/By:
Inspection Line: 503.639.4175 7 RI T')ThT� --) z .l r I bate R eady/By: tins I3 Sot Page. 2 For
Internet: www.ci.tigard.or.us , e Notified/Method: '/ I,'. Supplemental Information
r, a , i6
tt.: 11 t ;7 4 ! " P ,r . y; .; t^ gy ! , . �._ , m Iiili r•-'r { { ' ! ePA9l -r__ y q:_ f
lh3ii` I 1 6 4 h8, 4 i L i. i :{ {' 1 � . 5 1': b - �1. r . l
iv1 4, (r N 1. l � i �, 1�,., , ,_ ,_ � i " 7 . ! . : .. A , lniv , a _.. n• _ ,- l&f
m1i11 + _ , L�`�4, � I�r. �� ., �>s-!; PF` A !a,,,t(talls?Ri4�l';;ti>tiNi;xiyr *a er II 1111�1i1 ,•r; �; °�'l .,:;•���: _?+�Utfm!ll)t11ma:1ullI4UK, o! P� r U,I>l,lwllltiH�, � .
o New construction T , B 'AdditionJalteration/replacement Please check all lllal apply:
❑ Demolition CD Other; ['Service over 225 amps. comm'l ❑Hazardous location
al i E �� I{y nl i�+ z fI u ° ltu�f .f` + !NI e
+.' nP'' a "rw nr� �'4�, 1 =Mi iE iI' i S 'f'' g�,, ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft,
111 {I
! d. !i 1+i ii / i IIE I, iltli n gt , T !+ a l! ,. i.. " "= 1 1 , r I 1 ` 71 : . . - of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling , "Commercial/industrial ❑ Accessory building 0System over 600 volts nominal units in one structure
❑Building over three stories OFeeders, 400 amps or more
❑ Multi - family ❑ Master builder ❑ Other: ['Occupant load over 99 persons ❑Manufactured structures or
ii:� . rsL li+'r '4f ' I�npni:4lnpfx -i ,Ir - uu!!I!! rxrp!t�I�nr +.q ru•
/ . if i i '!ilii.El;iidi Ir tlil !lritid dlgiitild su = Ce.-::!' -. ! ixrlsii8t!iI +IS WI ' a• x } l ' - 1 1 riii = - ❑E gress / ligh t i ng p RV park
Job no.: Job site address: ‘1500 SW 1, if% L gm., ❑Health -tare facility DOthar:. Submit./ sets of plans with any of the above.
City/State /ZIP; 'TI (rM1FD Q R q 1Zv 3 The above are not applicable to temporary construction service.
4 , ,V,I ry I
r rv•
Suite/bldg. /apt, no.: �� Project name: W l r � «S 5 �_:: = = =T>y : Fit. = ,, , , ,,,``.,�;:r „���)r {�;� �,.,,,,rs „a�.,lr IFi<jiiME t, l I , 4 b
Daa'tptleo Qty. Fee Total
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: I Lot no.: Ea. add'1500 sq. R. or portion 33,40 l
Tax map /parcel no. Limited energy, residential 75.00 2
t <r w, - ;.,,- ° , °„ Limited energy non - residential 75.00 2
1l 'I , I ,1 IER ( f t i l't,' 'e. '4,":... 7£ 1l' c W' -it, �, {t n -!u 'y
,I ` 1 n _. io'I . • kill ,1 , 1 ' ii; ch t, ;t,,4,ly i$ i;;f.,;1; ; ,' Qs 1'P iII . ..�, , u ; , AI. ' ! ! Each manufaotured or modular
. E. c v e • .. ` �N 2t�i LI.- serv service ffeeders feeder , 90.90
and 2
services or seeders installation, alteration, antUor relocation
200 amps or less 80.30 2
III : ❑ � " ":`, • ;: � ,;yt'•..,:+!„ ° ' =�''+' ` '1 —� z''` ' � ;� + � p 201 am Ps to 400 am S 106.85 2
i iii ' ., It liill;i'i' ` ;� 'f,— �'� _ 81 .�, r 1 � 1 .
�ll:inr _- ,'s-a_:d +r'„ri ':fin gi iill . ,rt• ' „ 401 amps to 600 amps 160.60 z
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
Phone: ( ) I Fax: ( ) relocation
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 133.95 2
Owner signature:_ Date: Branch circuits - new, alteration, or extension, per panel
1�1 "'y� Ilutl 1 II C l!tll (! u •{q •" , ,
�1�I, 'h k` • i`ra t ll' � W �.!� 1,,;,11 p , � A. Fee for branch circuits with
h>`.118"�I, ,{ lllal:: lllU'': 11/ 11: Tdw3 :is�ali,i7a�rnln.n,ul,fii�l;ri #✓:'{ tl(till . +I 1 iliiiarc�kth i i' i s I 1 rill'
service or feeder fee, EBCl1
Business name: branch circuit 6,65 2
B. Fee for branch circuits •
Contact name; without service or feeder fee,
first branch circuit 46.85 2
Address: Each add'I branch circuit 6.65 2
City/State/ZiP: Miscellaneous (service or feeder not included)
Phone: ( ) I Fax :: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
a u r�urs fm. o f 7 •� �q'rtP�cnn
i tit �,� Vi ir' q(L+i;l; F 1 1? y ?,;6';t;�r��;;i,�i a ' ' .. I . Iltili, iii: '
" + ,.2- r, ll ..'5''',P1•1':4 energy panel, alteration, or
�III!UhGts�Fa�"K;r - -. -• •_.. .1N l,'a - ":
extension. Describe: I Page 2 i S 2
Business name: SS-COIL a rLA • M Co
A • s'r c Each additional inspection over allowable in any of the above
Address: - e2 t 1 ' t : Per inspection 62.50
City/State/ZIP: A L134 . co R gr 7 3 Z I Investigation per hour (1 hr rain) 62.50
Phone: (51.1( ) ?lb' - 1S 4 4 Pax: (S41 ) 4• 7 - 803 y Industrial plant per hour • 73.75
'. M f ` 17 -M ; ;"FU ! di ' 111 i4!il t
CCB Lic.: l/0 S41 tl ? Electrical'.: 2 _ -I elt4 Suprv. Lic.: 90 E Subtotal 1 S
Suprv. Electrician signature, required: : 4i1 ' Plan review (25% of permit fee)
Print name: - Wi t . I D Qfiri // State surcharge (8% of permit faze) (p
• 1 TOTAL PERMIT FEE $' I
Authorized signature: i a` This permit application expires If a permit is not obtained within 180
Print name: •�''1 RN Dat 9
days after it has o ran accepted ng n complete � . ' Fee methodology set by Tri- County Building Industry Service Board
Number orinspections per pen= allowed.
iMuitdingTermits \ELL- PermitApp.doe 12/03 440.4415T(10M7./COM/wER
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006 -00235
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/28/2006
Phone: (503) 639 -4171 . ' � I
Inspection Requests (24 Hrs.): (503) 639 -4175 , "__..
INSPECTION WORKSHEET FOR DATE: 12/4/2006 TIME: 7 :03AM PAGE: 31
SITE ADDRESS: i3500 SW PACIFIC HWY 86 CLASS OF WORK:
SUBDIVISION: TIGARD MARKETPLACE LOT #: TYPE OF USE: ,j
PROJECT NAME: GO WIRELESS
DESCRIPTION: Low voltage for security alarm.
OWNER: PACIFIC CORP/ELLIOTT ASSOCIATES, PHONE #: 503- 224 -6791
CONTRACTOR: SECURITY ALARM CORPORATION PHONE #: 541- 928 -4544
Inspection Request Scheduled For: Date: 12/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Low voltag 040583 -01 541 -967 -6288 N
Ig 11 F NAL—
orrec ionsLComments /In ctions:
X PASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: lV 66 L, 't � Date: 1 11/ is ‘ Phone #: (503) 718- 7.,4 4 D •