Permit f ,
ELECTRICAL PERMIT -
C ITY OF TIGARD RESTRICTED ENERGY
4 DEVELOPMENT SERVICES PERMIT #: ELR2003 -00102
13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 DATE ISSUED: 4/4/03
SITE ADDRESS: 14800 SW SEQUOIA PKWY PARCEL: 2S112AD -00900
SUBDIVISION: ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
Project Description: Installation of a burglar 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:
INSTRUMENTATION: OTHER: BRGLR ALRNt X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
HOME DEPOT USA INC PACWEST SECURITY INC.
370 CORPORATE DRIVE 2650 PROGRESS WAY
TUKWILA, WA 98188 WOODBURN, OR 97071
Phone: 1- 206 -574 -3567 Phone: 503 -981 -2155
Reg #: EIi1B- 9812116887CEP
LIC 132704
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 4/4/03 $75.00 Elect'I Final
[TAX] 8% State Tax 4/4/03 $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 throuc
Issued by / " i - ' Permittee Signature ex./ }-/° //G./
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
04/03/2003 09:23 503 -981 -1667 PACWEST SECURITY LLC PAGE 01/02
r�►
Electrical Permit A llcatiion
A h t. 1Ti=T1 Date received: 9 3/03 Permit no.: rue 20 4/0
,_, ii :': ii i City of Tigard Project/appl. no.. Expire date:
CID; ofllgard Address: 13125 SW Hall BlVd, Tigard,)�p97
• Phone: (503) 639 -4171 „n �� �� 2003 Date issued: By: -ltecelptno
(503) 598-1960 -
Fax: ( CITY OF TIGARD Case file no.: Payment type
Land use approval: BUILDING DIVISION
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory Commercial/indushial 0 Multi - family 0 Tenant improvement
0 New construction . Addition/alteration/replacement ❑ Other: , ❑ Partial
JOB SITE IN I. 011141 ATION
Job address: i ,'f/; 4 .. • _ Bldg. no.: Suite no.: Tax map/tax lot/account no.:
Lot: Block: 1 Subdivision:
Project name: ►.t— 0 - Description and location of work on premises:
Estimated date of coin • ledo , inspection:
CONTRA('TOH .APPLICATION FEF SCHEDULE
Job no: Fee MaX
Business name: tt S7 (t ,L . U. a. Description Qty. (ca) Total najnsp
Address: New residential - singleor - tilWy r
: ,24,57 ll?/1 • S' s! dnef'ingttnfl.lacbtdeealtafied
City 14, State: p C.__ ZIP: ' 07! Serviamduded
Pbone:/50 C 1 Fax; / jj E-mail: 7 1000 scl. ft or less 4
CCB no_:.12 '4 /22 (4 Elec. bus. lic, no: a ?A7e,•EP
Each additional 500 sq. ft. or portion thereof
Limitedeawrgy. residential 2
City /Metro lic. no.: 6020444 j / % /o 3 Limited energy, ron residential 2
/ 4_, -- Each manufactured home or modular dwelling
1 Serviceaad/or der 2
Si atu o upervising eleCtiicisa (requited) bate Qr{0,3 Services °cl ans— hotallatl
p. elect, name (print); t .. _ L , Ciceose no:: • alteration or relocation:
PROPERTY OWNER 200 amps or less 2
Name (print): '1 e /V,/!77 201 amps to 400 amps 2
401 amps to 600 Maps 2
Mailing address: 601 atnpsto MOO amps 2 -
City: I State: _i ZIP: Over 1000 amps or volts 2
Phone: j Fax: I E - mail: Reconnect only 1
Owner installation: The installation is being made on property I own Ten►potttry manias or feeders - .
ll
which is not intended for sale, lease, rent, or exchange according to bn, alteration, orrelor9tlnn:
ORS 447, 455, 479. 670, 701. 20 200 amps or less 2
201 amps to 400 amps _ 2
Owner's signature: Date: 401 to 600 am s 2
Branch circuits - new, alteration,
or extension per paaeb
Name: A Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: I State: • I ZIP: B. Pee fox branch circuits without purchase
Phone: Fax: maB' of service or feeder fee, first branch ctr+cuit: 2
Each additional branch circuit:
PLAN RI'SIEW (1'lca.c check all that apply) Misc. (Sallee orfeedereotincluded):
O Service over 225 amps- commercial 0 Heal, onatefaeility Each pomp on irrigation circle 2
O Service over 320amps•rating 0liorardauslocation Each signor outline lighting 2
family dwellings 0 Building over 10,000 square feet tour or Signal circuit(s) or a limited eaergy panel,
0 System over 600 volts nominal more residential units in one structure alteration, orextension* - - 2
0 Building over tree stories 0 Feeders, 400 amps or more *Description! V ----y
0 Occupant load over 99 persons 0 Manufactured structures or RV park Each ,/Without! inspection over the allowabie in any of the above:
O ggre,rllig),tin8 p7,an 0 Other. - Per inapecdon j 1 J
Submit _ sets of plans with any of the above. Investigation fee
The above are not applismble to temporary construction service. Other /�,.+� /) },
N t all juris accept molt cards, please can lwtsdicdoa for more hhfonn>sioo. Notice: This permit application Permit fee $ / "7 . {,LL L
ONisa Cl Meat expires if a permit is not obtained Plan review (at _ 56) $ •
�a punster .' - -'' . _ - _ — ": within 180 days a r .� State surcharge (8%) -. $ �°
TOTAL $ ID
accepted as complete,
it bas been ,
...:., credit card //
_..e f k e ► • �',• . .:. $ O ! • al) 440461S(610WCQM)
I .
CITY OF TIGARD 24 -Hour
BUILDING Inspection tine: 1503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received O � Date Requested AM PM BUP
Location / L i DUO Suite MEC
Contact Person Ph (316L) 3/ — �3 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner / �- ELC 3-00 4 -(/ 7
Footing
Foundation ELC
Access:
Ftg Drain ELR - O 1
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam .L ip 3- oG /p2,
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear c� c \ k \ K_ f ( C) \�
Framing •J T� �' \ '
Insulation t L 001)3 N 00 ) P, : � Drywall Nailing ��'� G�
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling 1
Roof I ' I Q t o '6 ■ L \ L ► d \'�
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
PASS PART FAIL
ELECTRICAL
Service
Rough -In U3 C7 t -
,....UG /Slab 1 1
'Low Volta 4
Fire arm
ART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE 111 Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line • ,
ADA
Approach/Sidewalk Date 7 � � r d 3 Inspector Ext
Other: •
Final DO NOT REMOVE this inspection record from the Jo site.
PASS PART FAIL