Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
I' COMMUNITY DEVELOPMENT Permit #: ELR2011 00201
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/31/2011
Parcel: 2S114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD
Project: Tigard High School Subdivision: Lot:
Project Description: Access control system for vehicle gate and card reader.
Contractor: HUSER INTEGRATED TECHNOLOGIES Owner: TIGARD - TUALATIN SCHOOL DISTRICT
1313 NW 17TH AVE 6960 SW SANDBURG ST
PORTLAND, OR 97209 TIGARD, OR 97223
PHONE: 503 - 227 -6688 PHONE:
FAX: 503 - 227 -5941
FEES
Description Date Amount
Specifics: Restricted Energy Permit 08/31/2011 $75.00
12% State Surcharge - Electrical 08/31/2011 $9.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio & Stereo: N Boiler Controls: N
CCTV: N Clock Systems: N
Data & Telecommunications: N Fire Alarm: N
HVAC: N Instrumentation: N
Intercom /Paging: N Landscape /Irrigation: N
Landscape Lighting: N Medical: N
Nurse Calls: N Protective Signal: N
Security Alarm: N Other: Y Total $84.00
Other Desc: Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
IIP
Issued By: ■_ _ Permittee Signature: -7 - 4/
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' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
F r om : HUSER INTEGRATED TECH 503 227 5941 08/30/2011 13:53 #143 P.001/003
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Electrical Permit Application . .
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.
FOR OFFICE USE ONLY .
.
•
. City of Tigard 1,.\\ Received
Permit Na ''''' ' a /./...... r9,0(
. .. 13125 SW Hall Blvd., Tigard, OR 97W. r _"1'
• • Date/f3y: 4fillir
„,., n ReVieW
• ' .‘:. Phone: 503.718.2439 Fax: 503.598.1960 OP ec ,\C} .Wirate/13y:
71
Other Permit:
• • Inspection Line: 503.639.4175 6 1 •ck4 II Date Ready/By: tuns- 10 See Page 2 for
TIGARD
Internet: www.tigard-or.gov
C) Notified/Method: 76 Su pplemental Information
N b' ...:
El New construction 0 Addition/alteration/ acement Please check all that apply (stibmtt 2 sets of plans w/items checked below).
0 Service or feeder 400 amps or more 0 But Wing over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards
ff exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground, or exceeds 14,000
0 1- and 2-family dwelling Z Commercial/industrial 0 Accessory building amps for 0 Commercial-use agricultural
all other installations. buildings.
0 Multi-family 0 Master builder P Other: elFire pump. 0 Installation of 75 KVA or
.:-. E.... -... ---- .,•, , 0 mergency system. load of larger separately derived system.
j ' ".. " '''..-.'""'"•'''' ''''' ---m-----. ' - ' - '''
•' 71" ' " - 11414 * 1 ••• - - r • ffi M IET F. 11 — .,:. .,..e,v; _ ......--..-., ' ---sr.-'2'-- 0 Addition of new motor
Job no.: Job site address: 9000 sw durham rd 100HP or more. occupancy.
13 Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: tigard, or 97224 13 Health-care facilities. 13 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
&lite/bldg./apt. no.: Project name: tigard high school I:Service or feeder 600 amps or more.
'" : ,: squ E v ar., , ,,7,1t,- ...._, L.,1,, , 4 7 ,-,--. ,,,,,,:::-
Cross street/directions to job site: Description I Qtr- Il Fee I Total I •
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Tax map/parcel no.: Ea. add'l 500 sq. ft. or portion 33.92 1
Limited energy, residential
75.00 2
Limited energy, multi-family
install access control vehicle gate and card reader residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
,-
4";01 T:1;ff
.' .' 201 amps to 400 amps 133 56 2
• •-,:,'"-•",'"--."`"' , •-7..“--- • ,,,, - ' '' .T ''' 7 ..' ;1 ',' ''-:: .---!.-, ....„....,-,_..,,,. . ,-. .:
Name:
401 amps to 600 amps " - 200,34 2
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) 1 Fax: ( ) 200 amps or less 59.36 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits- new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
...y, --- -- ..N. - : , - : " .7- d_. * +' - ' - '" - ' - ----- .-- - ---- "Wg'
,
742 2
each branch circuit
Business name: huser integrated tech B. Fee for branch circuits wilhoui
service or feeder fee, first
Contact name: lou amadoro branch circuit 56.18 2
Each addl branch circuit 7.42 2
Address: 1313 nw 17th ave Miscellaneous (service or feeder not included)
l
d
d f or modula Ea manufactured City/State/ZIP: portland, or 97209 Eac 67.84 2
dwelling, service and/or feeder
Phone: (503) 227-6688 f Fax: : (503) 227-5941 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail: lou@huser.us .._
Sign or outline lighting 67.84 2
Signal circuit(s) or limited-energy _ _
1 75.00
panel, alteration, or extension. Page 2 2
Business name: huser integrated tech
Each additional inspection over allowable in any of the above
Address: 1313 nw 17th ave Additional inspection (1 hr min) 66.25/ hr
City/State/ZIP: portland, or 97209 Investigation (I hr min) 66.25/ hr
Industrial plant (1 hr min) 78.18/ hr
Phone: (503) 227 I Fax: (503) 227 Inspections for which no fee is --
s. • ificall listed (% hr min) 90.00/ hr
CCB Lie.: 177227 -I ki / Electrical Lie.: cle134 / A Suprv. Lie.: 3609Iea
• 7 .,,S - 7 - 'z' - 1' ".... Ar,.7.7..;.....f.0
Subtotal: 75.00
-
Suprv. Electrician sig ature, required: •
Plan review (25% of permit fee):
Print name: lou amadoro Date: 8/30/11 State surcharge (12% of permit fee): 9
Authorized signature: /
TOTAL PERMIT FEE: 84.00
-', /I
.." This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Print name: lou amadoro Date: 8/30/11 • Number of inspections allowed per permit.
t:\Ooitding\Pnrmits\ELC.PermsApp doe 07/01/10 440-4615T(1 I/05/COWWEB
Fr om:HUSER INTEGRATED TECH 503 227 5941 08/30/2011 13:53 #143 P.003/003
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
Ft Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
n Boiler Controls
n C • lock Systems
n D • ata Telecommunication Installation
n Fire Alarm Installation
n HVAC
❑ Instrumentation
U Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
n Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
® Other access control
Total number of commercial systems: 1
*No licenses are required. Licenses are required
for all other installations
I l Building \Permiu'ELC- PermitApp. 07/01/10