Loading...
Permit Sri a CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00284 TIGARD_ 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/12/2007 PARCEL: 25101 DB -00104 SITE ADDRESS: 07300 SW HUNZIKER RD 200 ZONING: C - SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: WORLD FINANCIAL Project Description: Installation of low voltage for data installation. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: • HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: : TOTAL # OF SYSTEMS: 1 Owner: Contractor: ROBINSON DEVELOPMENT AF TECHNOLOGIES PO BOX 91305 1418 HEMLOCK ST. NW PORTLAND, OR 97291 SALEM, OR 97304 Phone: Contact #: PRI 503- 362 -2364 FAX 503- 362 -2382 FEES Reg #: ELE CLE10 LIC 167061 Description Date Amount [ELPRMT] ELR Permit 7/12/2007 $75.00 [TAX] 8% State Surcha 7/12/2007 $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, • • ' suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility ''otification Cente ose ules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You m in copies of these rule: or direct questions • OU, a• 503.246.6699 or 1.800.332.2344. ued B : Is L Li � � v Permittee Signature: � � 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 Application FOR OFFIC USE ONLY • , , ;, fi • Received �/� C of Tigard Pl an Re : // 07 _ I Permit No.. �' L. v ea e e ? --6e) .E / - q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit: T 1GARD., Inspection Line: 503.639.4175 Date Ready /By: Ju VI See Page 2 for Internet: www.tigard or.gov Notified/Method: / ( Supplemental Information TYPE OF WORK ELAN'.REYIEW' ❑ New construction TZ -4ddition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more El Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY, OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ,.Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or ❑ Emergency system. larger separately derived system. JOB SITE INFORMATION AND. LOCATION. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: Job site address: y� �y , / C Zr� 10OHP or more. occupancy. �J 36-°® (Y t/1 /Liz, ( let'f J { ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: ) ■ 6j ❑ Health -care facilities. ❑ Supply voltage for more than I ❑Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Z ©D Project name: ❑ Service or feeder 600 amps or more. job site: 7 Aid 4 A ' ' ,P FEE SCHEDULE . J Cross street/directions to b it J j (/li � � �' Description � Qty. 1 Fee. I Total 1 * / New residential single- or multi- family dwelling unit. H l (d77- �J / =",=C €7 (J Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF' WORK ' . , ' (with above sq. ft.) � / / / Limited energy, multi - family v 2 (� e - De2. ' � ! J. / /1)7 residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City /State /ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) 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 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT , '- ❑ CONTACT : above service or feeder fee, • each branch circuit 6.65 2 Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular dwelling, service and /or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: / -r 6 -__ J' N 6) L �y e pan al alteration, or or limited - z � e° S / �tTC' , energy panel, alte Address: / y / < 61w, / 7 J ' 67 -o. q' extension. Describe: Page 2 2 City /State /ZIP: ��1�� � . 0, 57 Each additional over allowable in any of the above Per inspection 62.50 Phone: (p .36;2__ X36 y Fax: 67,0 3) 3,2. — 7 gD.. Investigation per hour (1 hr min) 62.50 CCB Lic.: /‘ Electrical Lic.: C / U Suprv. Lie.: Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: / Subtotal: �( .i': Plan review (25% of permit fee): Print name: g / p ��iyj Date: 0/ o � State surcharge (8% of permit fee): 0 4 Authorized signature: TOTAL PERMIT FEE: / r O d Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. * Number of inspections allowed per permit. t:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(11/05/COM /WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: • Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* n Burglar Alarm n Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* n Other: ' COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918 - 260 -260) Check Type of Work Involved: n Audio and Stereo Systems ❑ Boiler Controls n C • lock Systems ❑ D ata Telecommunication Installation n Fire Alarm Installation n HVAC ❑ Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* n Protective Signaling n Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I \ Building \Permits\ELC- PermitApp.doc 03/23/06 CITY OF TIGARD BUILDING DIVISION A PERMIT #: ELR2007.-00284 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1212007 Phone: (503) 639-4171 A Inspection Requests (24 Hrs.): (503) 639-4175 - INSPECTION WORKSHEET FOR DATE: jfl W2008 TIME: 7:00AM PAGE: 05 SITE ADDRESS: 1)7300 SW HUNZIKER RD 200 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WORLD FINANCIAL DESCRIPTION: Installation of low voltage for data installation. OWNER: ROBINSON DEVELOPMENT, PHONE #: CONTRACTOR: AF TECHNOLOGIES PHONE #: 503-362-2364 Inspection Request Scheduled For: Date: 1/10/2008 Pour Time: Code # 'Inspection Description Confirm #\ Contact # Message 199 Electrical final 062882-oi \ 503 Corrections/Comments/Instructions: • 12 PASS) L1 PARTIAL APPROVAL CANCEL NO ACCESS fl FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: G Date: • 16 , Phone #: (503) 718- CITY OF TIGARD , . BUILDING DIVISION PERMIT #: ELR2007 -00284 13125 SW Hall Blvd., Tigard, OR 97223 Ai; DATE ISSUED: 71/212007 Phone: (503) 639 -4171 .' 'I ) Inspection Requests (24 Hrs.): (503) 639 -4175 4J'- 'IL INSPECTION WORKSHEET FOR DATE: 8/22/2007 TIME: 7:01AM PAGE: 30 SITE ADDRESS: 07300 SW HUNZIKER RD 200 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WORLD FINANCIAL DESCRIPTION: Installation of low voltage for data installation. OWNER: ROBINSON DEVELOPMENT, PHONE #: CONTRACTOR: AF TECHNOLOGIES PHONE #: 503 -362 -2364 Inspection Request Scheduled For: Date: 8/22/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 054458 -01 503 - 969.2508 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL I I CANCEL NO ACCESS I I FAIL I 1 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED p 9 v ®g ` $ P hone #: ( 503) 718- Inspector: Date: E