Permit _.,.
,! CITY OF T I GJ F D ELECTRICAL RESTRICTED ENERGY PERMIT
l DEVELOPMENT SERVICES PERMIT #: ELR2006 -00216
Ail 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/13/2006
PARCEL: 1S135BD
SITE ADDRESS: 09780 SW SHADY LN ZONING: C -
SUBDIVISION: SHADY LANE OFFICE LOT: JURISDICTION: TIG
Project Description: (2) strobe lights S. end of hallway & conf. rm., (1) smoke detector in S. ofc area.
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:
LEWIS, GLORIA M + AMERICAN SECURITY ALARMS
LEWIS, GLORIA M TRUSTEE + 5411 SE MCLOUGHLIN BLVD
LEWIS, ANDREW M ET AL PORTLAND, OR 97209
PORTLAND, OR 97225
Phone: Contact #: PRI 503- 231 -0303
FAX 503- 230 -1044
FEES Reg #: ELE 26- 283CLE
LIC 58640
Description Date Amount
[ELPRMT] ELR Permit 9/13/2006 $75.00
[TAX] 8% State Surcha 9/13/2006 $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 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.
J
Issued By: Permittee Signature: j fa, RI \c,
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 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.
Electrical Permit ApplEap cost OFFICE USE ONLY
:
O City of Tigard '' newtay 9_ f1, PernE;tNo. � )6
13125 SW Hall Blvd., Tigard, OR 972235 E P 1 3 2006 Plan Review
Phone: 503.639.4171 Fax: 503.598.1X0 ; :,.,'c 1 e : I "• DardBy: Other Permit:
Inspection Ling: 503.639.4175 CITY OF TIGARD �, ' 1 11 Date •
Ready/By: tom: El &e Page 2 for
ww.
Internet: wci.tigard.or.us BUILDING DIVISIO' 7 C
Notified/Method: ' Supplemental Information
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_ __ .. i ...Il r.l..0 ,. .1i nt,.. , ...1 r F.+rra....6 ' =. Y ._l, _ _ ... sf .. , , _ . :':} 9 ii _. 'ji�' � {lil «' "r . : � l. l r:, .a .��., 9 9� " ri �� -�
i111T;: r •;, �:%= r% �r„ �, i r;=- l: i`-; c :�; ;:! + l1'�' Cyit<d:;ul:�•:.t.LCI� a _ �:. , . ,.. ,T �T'..; � �; :�i• +:. c is l l f, . L,II ... .., ---- a���tIUw.,inlail�la
❑ New construction to Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑ Other: ['Service over 225 amps, comm'1 ❑Hazardous location
;
l;na.. .i . . : r ,e . r, r. r, ; T: 'n... ry ..- : -=_ ,::.� - - : l: -- ::. ; `. - ['Service over 320 amps rating Bulldng over 10,000 sq. ft.
.-�'''L', !i i rl i jf , f "ir,Zc �`.- - _ a- F ; .:: . , .. mod; or rr1J ,S2=- _ --.� �a dwellings 4 or merenewr i
Gr�i+1':,` flit i,f'fiJ� i iiG.trr �,,Il,'rnrSrrr�F.v_ _....>_�� ..S� ` �.1 �;- -�:r _- �-r. .- ,- _��,�r� of 1' and 2 , 7 ('ib �dential �
❑ 1- and 2- family dwelling ® Comtnercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - fatuity ❑Master builder ❑Other: ❑Building over three stories ❑Feeders, 400 strips or more
.:r _{ „ } I Occu an bad over persons nuf red structures or
r= �`i[ I !! I LI .tirl i l . , 0 i ll ' � I ltjr 1� + I U L r 1 + i { + 1 1 f, ... i ::;, I .
p t 99 Ma seta
,� � :.: . 1 t ,.:, t
�_. r � �,, ('-',?'•1:}Y, - 1 ; 1. , � r ,I ❑Egress/lighting RV park
Job no.: N/A Job site address: 9780 SW Shady Lane ❑Health - care facility ❑Other;
Submit 1 sets of plans with any of the above.
City/State/ZIP: Tigard, OR. 97281 The above are not applicable to temporary construction service.
441: , u t ` a. F�t
Suitc/bldg. /apt. no.: N/A Project name: Shady Lane ny : . >j,1 !; i9.:1 1 t ,r ai, ;;. 1 ., � l a : j a; w :, ._.__' - ; „Th.:
rt
D•SRiprlOn Qty.
Bea Toul ie
Cross street/directions to job site: GREENBURG New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. tt. or less 145.15 4
Subdivision: Lot no.; Ea. add'1 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map /parcel no..
v !NT': ''xy,_ . -.__,::- .,lr.; . ; : l r ..• : ; : <. :. ::i�r. , t -: ,:• _,', _ .: n+.,? „,i :mr'a:,1,; .1 : Umilcd energy, non-residential 75.00 2
e
I {r � I,,j: y 1 ' :( ' 1t IGf i J r' ] d`� 'd ,if, I o ;.:l 1�.'�i�l , _'_: Each manufactured or modular
: t
�:Ir �r it r.. ! L:Ii i T,t. - ..L: .�y�: l. ..ul. :r � �,.. t - r . ui5 if 11111'111 .lf.i��.l. . �`. 1 � -'.
Install (2) new Strobe Lights to existing alarm system; South End Hallway & dwelling, service and/or feeder 90.90 2
Services or feeders Installation, alteration, and/or relocatio
Conference Room Area, Install (1) Smoke detector in South Open Office 200 amps or less 80.30 2
z rlll1i`r l > ,IJ1 l 1 ( ;;i x l ; ^f t,, 421.1.1 l l�l i . 1 , ..17.22.:..., 201 amps to400 anrps 106.85 2
- .., ,. ;;.: ,...1.,: ,,, , a,. 401 amps to600amps 160,60 2
Name: Shady Lane Office Building 601 amps to 1,000 amps 240.60 2
Address: 9780 SW Shady Lane Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Tigard, OR. 97281 Temporary services or feeders Installation, alteration, and/or
Phone: (503) 503 - 244 - 1682 • Fax; ( ) 2
200 amps or less 66.85
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 111
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
{ 3 '"'" A. Fee for branch circuits with
'''. i r 1 if . J .,,,,,,-_,:.1.7,..,... d ll i l i : t i i r , r l , :, Jr 1 ,� C illy .I 7.tn1`T d.1 f , service or feeder fee, each
" '11 11' e i i 1. t :,'-:7-::77,:' 1 1 _.
6.65 2
Business name: American Security Alarms< } branch circuit
B. Fee for branch circuits
Contact name: Sara Hylland without service or feeder fee,
46.85 2
first branch circuit
Address: 5411 SE McLoughlin Blvd. Each add'I branch circuit 6.65 2
City/State/ZIP: Portland, OR. .97202 Miscellaneous (service or feeder not included) _
Phone: (503) 231 - 0303 Pax:: ( ) 230-1044 Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E-mail sara@asalarms.com Signal circuit(s) or limited-
, ! r ,' i i 1 , i,` r 1/u l i41-, ' 1 `I �,, { 11 , !, 1 rll u.,,, :; energy panel, alteration, or
ill � `-
.,,,, .. _.. , . ' .. k. .. IL:.,
+ ....' - : � ..' °.- '- L,,,;.,:,r.,. .,....r:..->:` - extension. Describe: 1 Page 2 2
Business name: American Security Alarms, Inc.)
Address: 5411 SE McLoughlin Blvd. Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Portland, OR. .97202 Investigation per hour (I hr min) 62.50
Phone: (503) 231 -0303 Pax: (503)
230 - 1044 Industrial plant per hour _
, 1 1t rift. ;i:.ir 3 1 ? „ 1'.i4l IH i El ; � r v �l i .. . A n�' f. :..: Wl i,. n_ '6.. lit
CCB Lic.: 58640 Electrical Lic.: 2683CLE Suprv. Lic.: 774JLE Subtotal 75a)
Suprv. Electrician signature, required: Plan review (25% of permit tbe) 4
State surcharge (8% of permit fee) (0 , 0 )
Print name: Date: 9 -12-06 l
TOTAL PERMIT FEE
Authorized signature: 'Ms permit application expires It a permit is not obtained within 180
days after It has been accepted as complete
Print name: Date: 9 - - • Fee methodology set by Th-County Building Industry Service Board
•• Number of inspections per penult allowed.
i:\BuildinePamiU ' •- . »/m 440.461 Sr(10/02/COMA1Ba
1 'd £00 ' °N Wdl17:6 9001 'El 'des
CITY OF TIGARD
BUILDING DIVISION PERMIT #: FLR206000216
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9113/2005
Phone: (503) 639 -4171 hl
Inspection Requests (24 Hrs.): (503) 639 -4175 - �_ _..
INSPECTION WORKSHEET FOR DATE: 9/29/2006 TIME: 7 :06AM PAGE: 63
•
SITE ADDRESS: 09780 SW SHADY LN CLASS OF WORK:
SUBDIVISION: SHADY LANE OFFICE LOT #: TYPE OF USE:
PROJECT NAME: SHADY LANE OFFICE BLDG
DESCRIPTION: (2) strobe lights S. end of hallway & conf. rm., (1) smoke detector in S. ofc area.
OWNER: LEWIS, GLORIA M +, PHONE #:
CONTRACTOR: AMERICAN SECURITY ALARMS PHONE #: 503. 231 -0303
Inspection Request Scheduled For: Date: 9/29/2046 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 037378-01 503- 231 -0303 N
Corrections/Comments/Instructions:
F C\V&L tya epozA Ll
•
A ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' N oe r Date: 912 Phone #: (503) 718- VILA)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006 00216
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1312006
Phone: (503) 639 - 4171! i e
Inspection Requests (24 Hrs.): (503) 639 -4175 " �L.
INSPECTION WORKSHEET FOR DATE: 9/20/2006 TIME: 7:01AM PAGE: 61
SITE ADDRESS: 09780 SW SHADY LN CLASS OF WORK:
SUBDIVISION: SHADY LANE OFFICE LOT #: TYPE OF USE:
PROJECT NAME: SHADY LANE OFFICE BLDG
DESCRIPTION: (2) strobe lights S. end of hallway & conf. rm., (1) smoke detector in S. ofc. area.
OWNER: LEWIS, GLORIA M +, �, PHONE #:
CONTRACTOR: AMERICAN SECURITY ALARMS sw4q4 11 PHONE #: 503 - 231 -0303
Inspection Request Scheduled For: Date: 9/202006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 036827 -01 503-231 -0303 Y
C6 1 Li 0/1 CA Q. (ZJ�SS --
r'- �
Corrections /Comments /Instru ions: c 1 q(
t. A , .
•it..t &Atm 6 csi 43 _
1) O NV teAruiL. 11--w,
v'vIA 63V La v.) V al t• , ;•,,' ∎v S J :
1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: a-- ' ` v" Date: 1 W Phone #: (503) 718- 7• •