Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
'r IS .; '. COMMUNITY DEVELOPMENT Permit #: ELR2009-00098
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/02/2009
Parcel: 25101 DB00103
Jurisdiction: Tigard
Site address: 7360 SW HUNZIKER RD 105
Subdivision: Lot: 0
Project: Hilltop
Project Description: Rewire fire alarm with plenum rated cable.
Owner: FEES
HILLTOP BUSINESS CENTER LLC & Description Date Amount
HUNZIKER LLC, 9430 NW KAISER RD Restricted Energy Permit 04/02/2009 $75.00
PORTLAND, OR 97231 12% State Surcharge - Restricted Energy 04/02/2009 $9.00
PHONE: •
Contractor:
AMERICAN SECURITY ALARMS, INC.
5411 SE MCLOUGHLIN BLVD
PORTLAND, OR 97202
PHONE: 503 - 231 -0303
FAX: 503 - 230 -1044
•
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio & Stereo: Boiler Controls:
CCTV: Clock Systems:
Data & Telecommunications: Fire Alarm: Y
HVAC: Instrumentation: Total $84.00
Intercom /Paging: Landscape /Irrigation: Required Items and Reports (Conditions)
Landscape Lighting: Medical:
Nurse Calls: Protective Signal:
Security Alarm: Other:
Other Desc:
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 throug OAR 952- 001 -0100. You may obtain a cosy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: _ !.1 _`_ /_I _ _ 1 I • • Permittee Signature: �I ' 410:4 a' 1q
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 ' t,, v , - )', Fo►t OFFICE USE ONLY C -
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• • • ' 't - City Of Tigard Received � �
IIIII4 g P : �' - Q cj 'A PermitNo.• I e ms ..
Et 13125 SW Hall Blvd -, Tigard, OR 9 7223 - 1- . 2009 plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By' Other Permit;
1'1 E R1.) Inspection Line: 503.639.4175 r S 1 14, t 1 4 Date Ready/By: luris: 69 Sce Page 2 for
Internet: www.tigard- or.gov Notified/Method
....i,'''''.:!1.'.1' I1 l i L 1 www.tigatd . 1` [ t r Supplemental Information
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❑ New construction ® Addition /alteration /replacement Please check all that apply (submit 2 acts of plans whores checked below);
❑ Service or feeder 400 amps or more ❑ Building over three stories
❑ Demolition ❑ Other:
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� s where the suet e e fault oUr Mar and boatyards.
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{{ i f � d � 4 � { 'siii{it; 11616§ 1191{ f '�R §i {8i � •�'(� ", C alts, Ili �v tl {g �� Q, ��,C E� � E 4 {4 a�`� - I-- � {i l,l� �� { g: exceeds IO.000 amps at 150 volts Or [] Floating building.
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- essi (,.,;;, aa i . { , iE {ii.s:asaa aig di leSS to round, or exceeds 14,000 ❑Commercial -use agricultural .,
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❑ 1 - and 2- family dwelling ❑ � Commeicial/industrial ❑ Accessory building amps for all other installations. buildings.
❑.Multi- family ❑ Master builder ❑ Other: ❑ Eire ptunp. ❑ Installation of 751KVA or
a 'f ra;_:=aa • C f !s ❑ Emargenoy system. larger separately derived system.
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,,, tl f ( i r r.. , , 1 { I,lyttt:, -. iliti ..: p d t ai;t4r .d f llu :: l l*itl ...;:.. i .w.;i. ❑ Addition of new motor load of
'• Job no.: Job site address: 7360 SW Hunziker Road 10tH? or more. occupancy.
❑ Six Or more residential units. ❑ Recreational vehiole parks.
City /State /ZIP; Tigard, OR. 97223 ❑ Health - cart facilities. ❑ Supply voltage for more than
❑ Ha2erdou3 locations. 600 volts nominal,
Suite/bldg. /apt. no.; 105 Project name; Hilltop Building ❑ Service or feeder 600 amps or more.
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Cross street/directions to job site;
Damnation troll
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
-- Ba. add'l 500 sq. ft. or portion 33.40 l
Tax map /parcel no.: por -
. .. nergy,residential
Limited e
t,s!rsca =s'; Idt R ', iii8iItii ii;,; Rigi =Tii - t „ $ d'-_tsasgo -„ , rii9: ' ss;m.�;igg py, 75.00 2
'iih2P"_ ; . , =,a,� dilrhl'tits;°;i0' 41,itit, i ITMCi ' 9, i f ,. -" tliIic °t it "s B II: i.ilhh: �,z�i pi
If � „wrgt 11 (with above sq, R.)
Limited energy, multi - fatuity
Re-Run exisiting fire alarm cable with new plenum rated fire cable residential (with above sq. R.) 75.00 2
Services or feeders installation, alteration, and/or relocation
, w , __.._x g, 200 amps or less 80.30 2 201 amps to 40 ... Y'u,?, ,:e� a � f si ` rAimsl V � 8 hil MBE EN. i lltt ,xi l� g ,.d t ; p 85 2
amps 106.
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Name: Hilltop Building 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 7360 SW Hunziker Road Over 1,000 amps or volts 454.65 2
City /State /ZIP: Tigard, OR. 97233 Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) f Pax: ( ) 200 amps or loss 66.85 t
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, er panel
Owner signature: Date; A. Fee for branch circuits with
!k i iii i; ' si " " °.;°: 7.7_, .: i , , on 3gastR�l�� Ill d i` H. -::.2 :I " } , r .i":d
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ntR 7 ._- :.,... r,. Ry E�d pol if R,d 9.�} " ` :` ° i above service or feeder foe, 6. 65
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tech branch circuit 2
Business name; American Security Alarms) B. Fee for branch circuits
without service or feeder fee,
Contact name: Sara Patterson 46.85 2
first branch circuit
Address: 5411 SE 1►McLoughlln Blvd. Each add'1 branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Portland, OR. 97202 Each manufactured or modular 90.90 2
dwelling, service and /or feeder
Phone: (503) 231 -0303 Fax: : (503) 230 -1044 Reconnect only 66,85 2
E -mail: Sara dL asalarms.eom _ Pump or irrigation circle 53.40 2
s'a;; 8 8t " gUS t= .St' a i rrs= :: :: ts „ , ,. : , .. £Ili- s:: -_:: -� :: tl
JiH,➢A:f)�t.l! ds .¢ ,t .S iiiii ` Y.PM" �` },s=�ilid:3l; ild 3 `; ;a tai' ziiE+ $l {1C0 {�� Ct a -': ='' ':l i<alfis7d9IN Rilp Sign or outline lighting 53.40 2
Business name; American Security Alarms, Inc. Signal circuit(s) or Limited-
energy panel, alteration, or
Address: 5411 SE McLoughlin Blvd. extension. Describe: 1 Page 2 7 2
City /State /ZIP; Portland, OR. 97202 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 231 -0303 Fax: (503) 230 -1044 Investigation per hour (1 hr min) 62.50
CCB Lie.; 58640 Electrical Lie.: 26 -283CL Suprv, Lic.; 2488LEA Industrial plant per hour 73,75
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Suprv. Electrician signature, required; �- Subtotal 75.00
Print name: Ron B1ouin a . Date: 4 -1 -09 plan review (25 % of permit fee): N/A
State surcharge (12% of permit fee): 9.00
Authorized signature: ' A , ' / 1 TOTAL PSR1vIIT FEE: 84.00
Print name: Sara Patterson Date: 4-1-09 Thus 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.
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