Permit . ,
A. 1 CITY OF TIGARD RE ST DPERMIT
ENER
Au- � �; ' DEVELOPMENT SERVICES PERMIT #: ELR2004 -00117
13125 SW Hall B Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/3/2004
SITE ADDRESS: 06650 SW REDWOOD LN 200 PARCEL: 2SI12DA -01400
SUBDIVISION: PP1996 -048 ZONING: I -P
BLOCK: LOT: 002 JURISDICTION: TIG
Project Description: Low voltage access control.
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: ACCESS CON X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC REALTY ASSOCIATES ENTRANCE CONTROLS INC
15350 SW SEQUOIA PKWY #300 -WMI 12606 NE 95TH STREET
PORTLAND, OR 97224 SUITE C -100
VANCOUVER, WA 98134
Phone: Phone: 283 - 2533
Reg #: MET 5273
LIC 65581
ELE 3847LEA
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 5/3/2004 $75.00 Elea! Final
[TAX] 8% State Surcharl 5/3/2004 $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 95 -ell-0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699.
�/
Issued by ! 1_ l _e -_` ��� Permittee Signature �o.••o its—e-----e
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 639 -4175 by 7:00 P.M. for an inspection needed the next business day
03/28/2003 12:29 FAX 5035981980 . , CITY OF TIGARD (i 002
a 1 FOR OFFICE USE ONLY
Electrical Perna' No.
leCtrIgal Permit A Plication
Received 15) Eice" • EZA 49 ,P6 . DV 19 al
.
Planning Akron' Sign
City of Tigard Date/I3Y: Perrnit No...
13125 SW Hall Blvd_ Plan Review Other
,
Tigard, Oregon 9'7223 Date/ Y Permit No.:
Post-Review Land 1.1
se
Phone: 503-639-4171 Pax 503-598-196
Internet wwri.ci.dgard.Or.us I Li COIltaCt . 1. la SeePage 2 for
---a
24-hour Inspection Request: 503-639-4175 ---"-- , NameRviethod: Supplemental Information.
.1F.i,,:!*::;:Y.L'it
.11 New consiruction • Demolition 0 Service over 225 amps- 0 Hcalth-care facility
' commercial 0 Hazardous location
r:f. • a dilionialteration/replacement II Other. 0 Service over 320 amps-rating of . , 0 Building over 10,000 square feet,
.... .. ..... . .. - ..
k*. ___.•!.'M':1•"-.:;:f:Ti.i;';',.0..iCkftGORVArleCI , " iv ! ClriONA:::4;v:tr.iDi! 1 &. 2 family dwellings four or more residential units in
. 11181-Family dwelling .2 - . .. . ercial/Industrial 0 System over 600 volts nominal one Structure
---- 0 Building over three stories 0 Feeders, 400 amps or more
--- Accessory Building • Multi-Family . 1:1 Occupant load over 99 persons D Ivisnufactural structures or RV park
. ,1 Master Builder • Other: 0 Egress/lighting plan 0 Other
Submit sets of plans with any of the above.
1.§ The above sii•,fl_LOtleable to temporary construction service.
Job site addre,ss: 66s 5 Lti pwiazei Litmd- :7_:. quitonw,
Suite #: 2 0 (7 J BldgJApt.#: Number of inspectIonsfier permit allowed
Project Name: J Pt eexey- ---"— DenriptiOrt Qty Fee (e24 Thal i
Nevi itsidentilighigle or mutti-famey per
Cross street/Directions • to job Site: dwelling unit. Includes attached garage.
Service included:
1000 se. ft or leo 145.15 4
Each additional 500 so. ft. or portion thereof 33.40 --I
Limited eneves
riidential . 75 .
.00 • 2
Subdivision: I I-ot #: Limited energy, non residential ' 75.00 '
2
Tax ma. . arcel #: . Each mamdectunidluime or modular dwelling —
.90
: :!•;• . 'F'iPi n t .- .4 4 : 4 ' 1:".41) 5 :%0E, 1 .13Riell.t.:; . •'.' 7 .;.:'. : .!:".:•. ° ! . :•••.1''!;''' - s ervice scriicr femer 90 2
Services or feeders - installation, .
Vi tf. f ' :e_ en ' •-■■1 • .° alteration or relocation:
or ss 80.30 2
--------- 201 moo to 400 mops .10615 2
401 amps to 600 am Ee , 160.60 2
..,)`" a..J . 115, .71, t •T,...; ; ;;.6;-, :: ::;14. f ,z,.;; 601 amps to 1000 amps 240.60 2
Over 1000 amps or volts 454.65 . 2
Name: I Ir d 1„S.' Reconnect only 66.85 2
Address: / - 35V 3 tc, 529y,c94,4- pgz-vty . Temporary services or feeders - installation,
alteration, or relegation:
CiV/StafreZip: po 0 4 6 s 1 0 '0 2_ Z 7 rrV i 200 amps or less 66.85 1
Phone: ,,_ -6 Fax: 201 amps to 400 amps 100.30 ■. 2
401 to 600 amps 133.75 2
Branch circuits - new, alteration, or
Name: extension per panel:
A. Fee for branch circuits with purchase of
Address: , service or feeder fs each branch circuit 6.65 2
City/State/Zip: B. Fee for branch circuits without purchase of
service or feeder fee, first branch circuit 46-85 2
Phone: iFax: Each additional branch circuit 6.65 2
, E-mail: Mise.(Service or feeder not included):
"f,.::i4;i1ViATS'grfAIE:::41g1;MONnaireliw.,,;;.,..sigilg.7:,.:.7...2igp.I::.,:".. Each P! cr bli circle 53.40 2
• - Each si______ tr_ si.2_4aSS___ ' • 53A0 2
Job No:
Signal circuit(s) or a limited eocrUPaoel / Page --75 2
Business Name: Ail - r' 0 .1c Ze-c- alteration, or extension
Description:. h _ A Pa 2 /
Address: /7-bob pe frY-- d_--ioo kat/ liOGWe IleCat 644
City/State/Zip: Liao' eg/N cc) /I- ■Iebaz-- _, Eacb how min. I hour additional Inspection over the allowable In 33. of the above:
6230
Phone:6;5-483 -25)3 Fax:A9-244-1146 Investiftation fec
CCB Lie. #: 6"6 Lic. #:, 7- 36,--cy— Other: • ,
'1:'! 4M::':':t411
Supervising electrician ,,, . Subtotal $ 1 ---W
signature required: "(a.r...0 /1fre'e Plan Review (25% of Permit Fee) $
Print Name: /eleMEIWirffialgriMi - #11. — State Surdiarg8% of Permit Fee) $ k.
o7 ___
TOTAL PERMIT FEE $ 8 i -."
Authorized i(atime.t_oiteie__ "Notice: Th permit application expires if • permit Is not obtained within
Signature: Date:, (./ f' 1 ' M 180 days after It has been accepted as complete.
• 'Fee methodology set by Tri-County Building Industry Service Board.
/1 _e_ _ ■ r . 7 A/0 ii
(Please print name)
1: 1 ElstsTermit FormsElefertnitApp.doc 01/03
•
CITY OF TIGARD 24 -Hour
BUILDING 'Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received 77-1-M Date Request d 5 2 Y AM PM BUP
Location (17) MEC
Contact Person Ph ( 5 t- 79 3 — 2-5/ e-PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner '�QYI a(X_) (O0 /` 7
Footing
Foundation Access:
Ftg Drain
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
FAIL
LECTRI
Service
Rough -In
UG/Sla•
ow Volta•
O rerrml -rm
111 A PASS PART FAIL
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line l�
ADA Date 5 2 ` I I Approach/Sidewalk I n spector Pll�2R Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL