Permit 4
CITY OF TIGARD ELECTRICAL PERMIT -
Al RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT #: ELR2005 -00050
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/11/2005
PARCEL: 2 S 112 D D - 01600
SITE ADDRESS: 15495 SW SEQUOIA PKWY 100
SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
Project Description: 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: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC REALTY ASSOCIATES HONEYWELL INC
15350 SW SEQUOIA PKWY #300 -WMI 15495 SW SEQUOIA
PORTLAND, OR 97224 STE 100
PORTLAND, OR 97224
Phone: Phone: 968 -3300
Reg #: SUP 941LEA
LIC 150191
FEES ELE 26- 207CLE APP. SAYS C
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 3/11/2005 $75.00
[TAX] 8% State Surcha 3/11/2005 $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 CaNi.
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.
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.
MAR-10-2005 16:07 HSM HONEYWELL SECURITY 503 968 3398 P.02/02
. ,
Electric a Permit Application . - I FOR OFFICE USE ONLY
City of Tigard FIVED
A, 1
D Roca ate/B . -- D (-' PctN° ' ; 60 L oOLT - ati 00
13125 SW Hall Blvd., TigaftRg Plan Review
Phone: 503.639.4171 Fax: 5q3..593.1960 I '. g' Dale/BY1,-- Other Permit;
Inspection Line: 503.639.4175 MAR :. ' 7Pq9 .,,,,,, ,, * Data Rddy: eais
---• Airia: , See Page 2 for
Internet: www,ei.tig,ard.or.us t■lotitleelfmethod: 1 IV Supplemental Information
k *
0 New construction
Please check all that apply:
12041firractil !MAI-ion/replacement
os.r.fice over 225 amps, comrn'l InHazardous location
El Demolition Ej Other: t , v , OSerfice over 320 airms - rating OBuildng over 10,000 sq. ft.,
.,'`,1"; Fill,,,, of 1- and 2-family dwellings 4 or more new residential
.,.....:.....?::404:...,...:.—.-4:0::..,) A......v.i.:-.• ,.. :4, i.U ,...r. u..,....• .....Q.4 .. 6' :',••■■■•
CI 1 and 2-family dwelling 12tormnercial/industrial 0 Accessory building InSystem over 600 volts nominal units in one structure
OBuilding over three stories OFeeders, 400 amps or more
0 Multi-family [] Master builder 0 Other: ['Occupant load over 99 persons CIManufactured structures or
" ; . 262 - .3.4 ... t .., $1 i&:, DESresdlighang Plan RV park
EIRea fa LlOther:
Job no.: limy 1/ 46ik Job site address: 44 S ie(..5/11A(2 lth.care cility
ki 41)C Submit 2 sets of plans with any of the above.
City/State/ZIP : Tor-i-t-Av(ti Dia 6 r1214
I The above are not applicable to temporary construction serviee.
Suite/bldg./apt no.: I Project name: Vi5nalykrett ...4.',45.1 T- 05Ek5,1 7 4tilkA.;e 1. ....:''
, Discripifoa I QM I rcc, I .
Cross street/directions to job site: New residential single- or multi-family dwelling unit.
" I .. .
• Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: I Lot no.: Ea. addi 500 sq. ft- or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.: • _ Limited energy, non-residential 75.00 _ 2
,.E1•Rli,att :, 1
1 , 1 ,.S . E . 4"1 1 ,;.::.";;Nii'igN,.18 1 : .'. - E.ach manufactured or modular
dwelling, service and/or feede 90.90 2
illg ivrvi slisiakt / f —
Services or feeders Installation, alteration, and/or relocation
200 amps or less 80.30 2
_ 106.85 2
=; T : 5' 1 • I F•45'-' 4 114 . 101 - likiVthiii4 4 44,,i ' eli;ii/C:.,$. r it'.'.:f .4, it" r . 1 P;Itl i .'isikli.f ..7. : .., : :. ?; 1-::: .. : . :7,:. •••:.7
401 2°1 ampamPs s LI to 3 4 6 arn P s
.i,,,.9: ..• :1/4 .,:: .,.....„:„.:•4.., :,..,,,......i.......'r.:*•• .3•:. ,.,..!.... .„.,:.., .....2 ,:,:.•::::... '..i • " L- ' : ,,,, ..,„,„,, 160.60 2
'""P..' ._
N ame: . amps to 1,000 amps 240.60 2
.
' O v er 1 , 000 . .
WNW 1 ,U1/1./ =pa or aOltS 454.65 2
Address:
Reconnect only 66.85 2
City/State/ZIP; Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I 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 I 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps I 133.75 2
Owner signature: Date: _ Branch circuits - new, alteration, or extension, per panel
1 t'. . "...In . ;',7. j..a.'-'4 ;17.71 A. Fee for bmnch circuits with
service Or feeder fee. each 6.65 2
Business name: branch circuit , .
B. Fee for branch circuits
Contact name; without service or feeder fee, 46.85 2
each branch circuit
Address: Each add branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not Included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( ) 2
_ ' Sign or outline lighting , 53,40
E Signal circuit(s) or limited-
' ..,_.4.. r,.--.,:..m.:101.....:,-.1.iir:2:•,•r 4. :. 11 1 ''' , ' ..:. .5 energy panel, alteration, or
.i. :..... • •-•?..z r.-:•:....•:; o........!....-1.•••'••••; ■fie 11. o 1 11...; du.
1 Page 2
extension. Describe: 14 2
Business name: ti-DOcIly\I-6( . .
AddroSS: 6915 6 IN Seomo 10 0 ac Eh additional inspection over allowable in any of the above
1 R Pv/vtvy*
Per inspccd on 62.50
Cit p OR. 01 Investigation per hour (1 hr min) 62.50
Phone: (135) lug, 55D b r Fax: ( q65) of. (ig - Lie.: 1 tp I 51/1 Electrical Lic.: vic 51..to . Subtotal 1S
c) .
Suprv. Electrician signature, required: ,,,..,.,, z - Plan review (25% of permit fee)
State surcharge OM of permit fee)
Print name: '1 1.-Arroavvic_,.. -- Date: 51 lobs --- -
TOTAL PERMIT FEE cy (
- -■ ----.
Authorized signature: 1 :4-‘,1; / ../ This permit application expired if a permit 11 not obtained within 180
days after it has been accepted as complete
Print name: 54Aje A1jJy41ttA4$,6. I Date: 51 to I Ds • . . ee methodology set by Tri.County Building industry Service Board
P . . - .. . .. .
TOTAL P.02
CITY OF TIGARD .. .
B LDING DIVISION PERMIT #: ELR2005 -00050
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/21/2005
Phone: (503)639 - 4171,, , 'l l i�l ��
Inspection Requests (24 Hrs.): (503) 639 -4175 „Jai- R__I.
INSPECTION WORKSHEET FOR DATE: 4/7/2005 TIME: 7:14AM PAGE: 104
SITE ADDRESS: 15495 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORP. CENTER LOT #: TYPE OF USE:
PROJECT NAME: SECURITYCO,INC.
DESCRIPTION: Alarm system.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: HONEYWELL INC PHONE #: 968 -3300
Inspection Request Scheduled For: Date: 4/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 003914 -01 503-968 -3330 N
Corrections /Comments / Instructions:
C '
1*7
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1�,.,., rc "-^-- Date: L,/ _ 9 - �� Phone #: (503) 718-
/