Permit ELECTRICAL PERMIT -
C ITY OF TIGARD RESTRICTED ENERGY
401i k DEVELOPMENT SERVICES PERMIT #: ELR2003 -00092
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/26/03
SITE ADDRESS: 14945'SW SEQUOIA PKWY 150 PARCEL: 2S112AD -01000
SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
Project Description: Installation of alarm system.
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: ALARM X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC REALTY ASSOCIATES ALLIED SECURITY
15350 SW SEQUOIA PKWY #300 -WM I 935 SE ANKANY
PORTLAND, OR 97224 PORTLAND, OR 97214
Phone: Phone: 503 231 - 9550
Reg #: ELE 26- 243CLE
LIC 64465
SUP 556LEA
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 3/26/03 $75.00 Elect'I Final
[TAX] 8% State Tax 3/26/03 $6.00
Total $81.00
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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 in7 % 6 --70j
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 (7 - Al &f' , /�/9- -TIO / DATE:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
03/24/03 12:48 FAX 503 231 9551 ALLIED - ANKENY a001
07/05/2002 11:01 FAX 5035981960 CITY OF TIGARD e1002
Electrical Permit Application
Date inceived:.. _ e i Pe::rmit no.: J • Oa -1 ti • • _
�..
,.. ,. ..� . j ; Catt o f Tigar J Q Ptoject/appl. no.: D
Expire date:
City Oregon' Addres 13125 SW Elan 131
City Erni Receipt no.:
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Phone: (503) 6394171
Fax: (503) 598 -1960 MAR 24 2003 Case no.` • Payment type:
•
Land use approval: CITY Or TICAIID �� , • y — f D •
T il': OF PERM 0
CI 1 & 2 family dwelling or accessory O Commercial/lndnslxial ❑ Multi-f Ci Tenant improvement •
0 New construction O Addltionlalteratlof/replacement "•.. r: P Zi Pam.
JOB SITE INFORMATION
Job address: / it. _ - • _ • P ; - . Bldg. no.: Suite no.: Tax ma • tax lot/account no.:
• Lot: Block. Su.
Pm. .:« name r le 0 et. Desoription and locaden of wolfs on , .. sea: . ,, % %. ' / f / - -eA ! . 1 '.,
•
Estimated date of completion/Inspection:
CONTRACTOR APPLICATION I FEE SCHEDULE
Job no: • o1► 0 / / Pee .Men
Business name: 'RP . , i _ _ _i _ • Description ' ea.) Total no.
New r 1- • or readd -faawlY Per
•
Address: ! i/�., f , _ dt,dllnav dt.lnelades aftaehedgatage. •
i ,��� a - ell ZIP:. '� 6 er 41 ° 41212 ded:
Phan i.Ti ' �) E -mail: 1000. , ft. orlon 4
•
CCB no.: Eke, bus. li no • Each additional 500 sq. ft or pardon thereof
04 �r0 . o 3 Limited mew, residential 2
City/metro llc. no.: Wntrede nergy,non- residential 2
,, f../ - O3 Each manufacpued home or modular dwelling
Si: - of sueervisin: electrician ( •tilted Date Service =Par feeder 2
rmimm Licenseno.7r. a ' " eesarfeede ls- Installation,
alteration or relocation:
PROPERTY OWNER 200 am" orlets 2
Name (print): °AL, 401 nnwsto • /ail „ 201 , to coo : , • .. 2
•, =Pa
2
M a i l i n g address: j' , LLD ,m,.. 601 to loco t e m p s 2
L 7 A - 0 E YJ Zoi: -- i S ova locoan. orvolts 2
Phone , t . , f 7� Fax: E -mail: Reconnect . , I
Owner Installation: The installation is being made on property 1 own . ,... . sent= orfeeders- .
which is not intended for sale, lease, rent, or exchange according to Installation, m eratton,orreWeariaw
ORS 447. 455, 479, 670: 701.. 200 mops or less 2 •
•
201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 • , •. 2
ENGINEER Breath *clefs - new, alteration, .
. orextetfsioaper
Name: A. No forbranah circuits with pnrclulso of
Address: service er feeder fee, each branch circuit 2
C i t y : • 1 S t a t e : 1 Z I P : H. I forluanchcircuita without purchase
Phone: • F E of service or feeder fee. first branch circuit • 2
•
• Each additional branch circuit
PLAN REVIEW (Please check All Elul apply) Miss(?'r - or cederentf r-7. •
D Service Over 225 ampa- commercial 0 Health-care fedltty Each pump or trrlgaaoa circle 2
O Service over 320 amps-rating of1&Z OHa:ardouslocadon Each alga oroutliaclighting 2
fancily dwellings O Building over 10 ,000aquas feet fouror SlgnolcLait(sjoralimited roorEtY penal.
O System over600 volts nominal • mom residendal units In one structure alteretlan,orextension• 4 2
O Building over three stories O Feeders, 400 amps or mom •D peon: I •
O Occupant load over 99 persons O Manufactured structures or RV park Mari, addtdoaar non over the allowable in any ofthe abeves
O B6reseAlghtiegplan 0 Other: • h?erinspeetlon 1 I I- i
submit sets of plans with any of the above. tnveadgsdon fee •
The above are not applicable to temporary construction service. Other •
Nor dl juies:dam accept as& cards. pleats eallpaisdictian far mane itdaerates. Notice: This penult application Permit fee .. • $
• - O Visa O MasterCard . expires if le permit is not obtained Plan review (at %) $
Credit card number. within 160 days eater it has been State eurcharge (845) $ l►
accepted as complete. TOTAL i g 1
Name or cardholder sr :bows w credit curd /
—S-----..—
Cardholder signature Amo
unt 440 - 4613 (6aawCOM)
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 . -
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Reque ted ( 1 - 1 AM PM BUP
4 4 .6 /
Location r £ 5 u � Suite /37) L MEC
Contact Person �� Ph ( ) S'_ g 3 ' 7 `S PLM
Contractor p Ph ( SWR
BUILDING BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Ftg Drain Access: ELR 3 -06 0 7.2--
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 ! 4
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
P T FAIL
EEECIFIICAL
Service
Rough -In
• ff of
• arm
'Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd.
PART FAIL
Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line ,
ADA
Approach/Sidewalk Date , � Ins . ctor J ° Ext
Other:
Final DO NOT REMOVE this Inspection recor from thejob site.
PASS PART FAIL