Permit 'y • +' CITY OF TIGARD RESTRICTED NE -
RESTRICTED ENERGGY
/iA DEVELOPMENT SERVICES PERMIT #: ELR2002 -00093
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/23/02
SITE ADDRESS: 07895 SW HUNZIKER ST PARCEL: 2S101BD -00103
SUBDIVISION: ZONING: I -L
BLOCK: LOT: JURISDICTION: TIG
Project Description: Installation of security system.
Job No. 2367 -090.
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:
INSTRUMENTATION: OTHER: SECURITY X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
H G M CO SOUND SECURITY, INC.
BY NORRIS BEGGS + SIMPSON 8220 N. INTERSTATE AVE
ATTN: BLAKE HERING PORTLAND, OR 97217
PORTLAND, OR 97204
Phone: Phone: 223 -5822
Reg #: LAC 53535
ELE 26- 370CLE
SUP 2260JLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 5/23/02 $75.00 2720020000 Elect'I Final
5PCT CTR 5/23/02 $6.00 2720020000
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
Issued by � i � % z,„ Permittee Signature (»V 79 e/9
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
( rt
•
Electrical Permit Application
u�Ti "r� f �� � Date received: .5122/0- 2 Permit no.: ELRgA5,2 �1 4093
A � I City of Tigar t L � I 1� � Project/appl. no.: Expire date:
City nf Tigard Address: 13125 SW Hall B vd, Tigard, OR 97223
Phone: 503 639 -4171 pppp A y 2. 7 n Date issued: By! Receipt no.:
Fax: (503) 598 -1960 • Iv ?g " ' I Case file no.: • Payment type: •
- . . - Land use approval: C H Y OF '�•1 "• .'
i.'11 Jf.DINn l)AV1 1ON &Va0 — eV /SO . .
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory X Commercial/industrial ❑ Multi- family ❑ Tenant improvement
❑ New construction ❑ Addition/alteration /replacement ❑ Other: ❑ Partial
JOB SITE INFORMATION
Job address: ( 1 g 1 uv - \ 2_,i !4' y 1 Q , Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: I Block: (Subdivision:
Project name: &..,.. \ANGC - I Description and location of work on premises: -- __ n sk 0-LQ 7_,Q_Csu....
Estimated date of completio spection: (S
., CONTR CTO 2 4PP1 PON - FEE SCHEDULE
Job no.
�� – i►�O M a x
Business name: Sonitrol Security Description Qty. Total no. insp
Address: 8220 N. Interstate Avenue New residential - single ormulti- family per
dwelling unit. Includes attached garage.
City: Portland I State: OR I ZIP: 972 17 Service included:
Phone: 2 2 3 -5 8 2 2 I Fax9 73-7773 I E -mail: 1000 sq. ft. or less 4
CCB no.: 53535 5/ii/pi/ I Elec. bus. lic. no:1 26 -370 .CLE Each additional 500 sq. ft. or portion thereof
Limited energy, residential = == 2
City /metro IiC. O.: /0/0 1/0 2--- Limited energy, non- residential 2
Br e /ei /a / /Q' Each manufactured home or modular dwelling
Signature of sure '[sing electrician (required Date S ? Service and/or feeder 2
Sup. elect. name (print): Se., 1 F. ,, License no: 2 p Services orfeeders – installation, .
alteration or relocation:
PROPERTY,OWNEf� .. 200 amps or:less • •• 2
Name (print): - - - 201 amps to 400 amps ... 2
401 amps to 600 amps 2
• Mailing address: •
601 amps io 1000 amps _ 2
City: , 'State: I ZIP: Over 1000 amps or volts 2
Phone: I Fax: I E -mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary services or feeders - -
which is not intended for sale, lease, rent, or exchange according to installation, alteration,orrelocatio
. ORS 447, 455, 479, 670, 701. 200 amps or less 2
201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 amps 2
EN GINEER Branch circuits - new, alteration,
Name: or extension per panel:
A. Fee for branch circuits with purchase of
Addre� _ service or feeder fee, each branch circuit 2
• City: ... I State: • — B: Fee or rranc crrcut s WI ou purc ase
of service or feeder fee, first branch circuit: .■ 2
Phone: Fax: E-mail: Each additional branch circuit:
PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included):
❑ Service over 225amps- commercial ❑ Health -care facility Each pump or irrigation circle uS. 2
❑ Service over 320 amps-rating of l &2 ❑ Hazardous location Each sign or outline lighting 2
family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, n
❑ System over 600 volts nominal more residential units in one structure alteration, or extension* 1 I5 .4 15 2
❑ Building over three stories ❑ Feeders, 400 amps or more *Description:
❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above: '
❑ Egress/lightingplan ❑ Other:
Per inspection I I I
Submit sets of plans with any of the above. Investigation fee .
The above are not applicable to temporary construction service. Other "
Not "all jurisdictions accept credit cards; please call jurisdiction for more information. Notice: This permit application
Permit fee . - ..:. $.. .. 5 t
❑'Visa - ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card number: • . 1 / within 180-days atter it has been State surcharge (8 %) .... $
Expires accepted as complete. • TOTAL $ L�
Name of cardholder as shown on credit card
Cardholder signature Amount 440 -4615 (6/00 /COM)
Electrical Permit Fees: Limited. Energy Fees: •
- Alt
TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Complete Fee Schedule Below: Restricted Energy Fee $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total 4
Check Type of Work Involved: '
Residential - per unit "
1000 sq. ft. or less • • - — $145.15 4 n Audio and Stereo Systems
Each additional 500 sq. ft. or . •
portion thereof $33.40 1 n Burglar Alarm •
Limited Energy, - • " ' ' - ' $75.00
Each Maned Home or Modular n Garage Door Opener* Dwelling Service or Feeder $90.90 2 -
Services or Feeders n Heating, Ventilation and Air Conditioning System*
Installation, alteration, or relocation
, 200 amps or less $80.30 2 Vacuum Systems
201 amps to 400 amps $106.85 2
401 amps to 600 amps $160.60 2 �
601 amps to 1000 amps $240.60 2 I I Other
Over 1000 amps or volts $454.65 2 '
•
Reconnect only $66.85 2
• Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY
Installation, alteration, or relocation - - - • Fee for each system $75.00
200 amps or less $66.85 2 (SEE OAR 918 - 260 -260)
li 201 amps to 400 amps $100.30 2
401 amps to 600 amps $133.75 2 Check Type of Work Involved:
fi Over 600 amps to 1000 volts,
see "b" above. n Audio and Stereo Systems
+ Branch Circuits
i New, alteration or extension per panel n Boiler Controls
a) The fee for branch circuits
with purchase of service or n Clock Systems
feeder fee.
} Each branch circuit $6.65 2 n Data Telecommunication Installation
; b) The. fee for branch circuits ,
i without purchase of service I--1 Fire Alarm Installation
or feeder fee.
First branch circuit $46.85
Each additional branch circuit _ $6.65 HVAC
Miscellaneous n Instrumentation
(Service or feeder not included) •
Each pump or irrigation circle $53.40
Each sign or outline lighting $53.40 n Intercom and Paging Systems ..
Signal circuit(s) or a limited energy },
panel, alteration or extension ( $75.00 I S. n Landscape Irrigation Control*
Minor Labels (10) $125.00
Each additional Inspection over n Medical
the allowable in any of the above
Per inspection $62.50 Nurse Calls
Per hour $62.50
In Plant $73.75 • n Cutdoor Landscape !_iohtinq*
-- _ a... _. ..
Fees: Protective Signaling
Enter total of above fees $ 1 5 ` n Other
8% State Surcharge $ V , Number of Systems
25% Plan Review Fee •
See "Plan Review" section on $ * No licenses are required. Licenses are required for all other installations
front of application.
Fees:
Total Balance Due $ 8 ( ,CO •
• . Enter total of above fees • $ r 15 .
•
0 Trust Account # " .. 8% State Surcharge'" ` "' _' _ : ';. $ . . t. 00
.. _" . .. _ ,. - 1 Total Balance'Due" , ' _, ,. ' , .,, $' S -.
i:\dsts \forms \elc- fees.doc 10/09/00 •
CITY OF TIGARD 24 -Hour
BUILDING ' - - Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 7/ / AM PM BUP
Location =g"/ � N---”Art Suite MEC
Contact Person Ph ( ) 2 7- 3 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT k
Post & Beam �.
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation ) N
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm 0 von) ) t i _ ®\ _ (t�
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING - = ,
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
FAIL
ELECTRICAL
Se -
Rough-In
UG /Slab
w a
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
P ART FAIL
V4
LI Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA 7 /5 a v
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record fro " the j o site.
PASS PART FAIL