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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 1 • ° - COMMUNITY DEVELOPMENT Permit #: ELR2009 -00298 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/30/2009 Parcel: 2S112AD00900 Jurisdiction: Tigard Site address: 14800 SW SEQUOIA PKWY Subdivision: Lot: 0 Project: Home Depot Project Description: Install restricted energy for fire alarm system upgrade. FEES Owner: THE HOME DEPOT Description Date Amount 2455 PACES FERRY RD. Restricted Energy Permit 09/30/2009 $75.00 • ATLANTA, GA 30339 12% State Surcharge - Electrical 09/30/2009 $9.00 PHONE: 770 -438 -8211 Contractor: INTEGRATED ELECTRONICS SYSTEMS 4224 W 7TH AVE EUGENE, OR 97402 PHONE: 541 -485 -4456 FAX: 541 (AB 1 4 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: Y HVAC: N Instrumentation: N Total $84.00 Intercom /Paging: N Landscape /Irrigation: N Required Items and Reports (Conditions) Landscape Lighting: N ' Medical: N • Nurse Calls: N Protective Signal: N Security Alarm: N • Other: N 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 through OAR 952-001-0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: J l Y LQ C 4akfi Aj) Permittee Signature: 0 Q ) pia • OWNER INSTALLATION ONLY 1_ 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 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. SE'P- 28- 2009(MON) 09:31 IE5 RECEIVED (FRX)5416881478 P. 001 /003 Electrical Permit Application SEP 2 8 2009 FOR OFFICE USE ONLY City of Tigard CITY OF TIGAR I ! Pcnnit ' 12200' •Q aQ8 13125 SW Hall Blvd., Tigard, OR 2.2.}_ _ c Phone: 503.639.4171 Fax 503. L t f M3/ENGINEE .ti v:'t'r Other Permit: FPS2009-00080 T I G A RD Inspection Line; 503.639.4175 Date Rcady/BY NM El See Page 2 for Interact: www.tigard Notifed/Mal:ad: • Supplemental Informatlan ❑ New construction ® Addition /alteration/replacement Please check all that apply (submit 2 acts of plans w /itema checked below): ❑ Demolition ❑ Other: 13 Service or feeler 400 mops or man: ❑ Building over three stories. 4. where the available fault current ❑ Marinas and boatyards, : . , , T �.� :w�CA7��j�tO1;;,C0pYJ(�ON:_= ,7 .' exceeds 10.000 amps at ISO volts or ©Flo:uin huildm less to ground or exceeds 14,000 ❑ Commercial -use arnicultuml ❑ 1 - and 2 family dwelling ® Comtnercial/'mdustrial ❑ Accctsory building amps far all other instanatins, buildings. T ❑�Muullt Other. CI ❑ Master builder ❑ Othe Fim pump. 0 Installation of 75 KVA or "ar QWSITE I�I OBlkio- &i i ON ;T 1' , ❑ � e r semardCly derived system. - new motor load of ❑ "A ", "h "I-2 ". "1 -3 - . Job no.: Job site address: 14800 SW SEQUOIA PKWY 100111' or more. =money. ❑ Six or more residential units. ❑ Reereaaiemal vehicle parks. City /State/ZIP: 97223 ❑ Nwlth.ewe facilities. 0 Supply voltage for more than ❑ !wardens locations. 600 volts nominal. Suitc/bldgiapt. no.: I Project name: HOME DEPOT 194002 0 Service or fader 600 amps or mom Cross street/directions to job site: n 14i I Fm r tau I - New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: I,ot no.: 1.000 sq.1L or less 145.15 4 Tax trap /parcel no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential • a Cla 41 (with bows 75.00 2 . ' HRE ALARM SYSTEM UPGRADE. Limited energy, multifamily 75.00 2 residential (with above s�R) • Services or feeders installatiott and/or relocation ' 200 amps or less 80.30 2 ' -_ _ © to -.E -.1© i- �� 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 ar volts 454.65 2 City /Sttrtc/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 I 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. • 401 rumps to 599 amps I 133.75 2 Owner signature: mac Branch cI cults - new, alteration, or extension, per panel • A. Fee for branch circuits with j42Eil.tUI.IiIG 1l' y41 Or,-OlgTAt ,( R$O *= above service or feeder fee, each branch circuit 6.65 2 I3usinesS name: 13. 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 Mlscellaneoaa (crviee or feeder not included) City/State/Z1P: Each manufactured or modular Phone; dw and /or feeder 90,90 2 ( ) I Fax. ' ( ) RccOn only 66.85 2 E Pump or irrigation circle 53.40 2 „tt s ^' MECONgla - T.p ;? •= T ; ,. Sign or outline lighting 53.40 2 Business name: INTEGRATED ELECTRONIC SYSTEMS INC Signal cirealt(a) or limited - energy panel, alteration, or Address; PO BOX 708 =tension. sion. Describe: ALARM u UPGRADE 1 Page 2 75 2 City /Stale/ZIP: EUGENE, OR 97440 Each additional inspection over allowable in aoz the above Per inspection 62.50 Phone; (541) 485 _ 1456 , I Fax: (541) 688 - 1478 Investigation per hour (1 hr min) 62.50 • - CCI3 Lie.: 165599 I Electrical Lic.: 20 -552CL J Suprv. Lic.: 1953LEA Industrial plant per hour 73.75 n,ra ELECERICAC R1G :IFFES*: Suprv. Electrician signature, required: • Subtotal 75.00 Print name: AARON CROWLEY Dale: 9 : 09 Platt review (25% of permit fee): 0.00 State surcharge (12% of permit fee): 9.00 Authorized signature: TOTAL PERMIT FEE: 84.00 Print name: AARON CROWLEY Date: 9/28/09 Tbia permit appOcaton expires tfa permU b oat obtnimed within 180 days atrer it has ban accepted as complete • Number of inapt-Wiens allowed per permit. 1:'BuUdlny,+ar mitsuLC.PmoitApp.doe 05/23/US 44u- 4615'I'(I1aas/COM/waii 5E,P- 28- 2009(M0N) 09:32 IE5 (FPX)5416881478 P.002/003 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* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ IIting, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other. rC:O T1�� IIVIERO • • Fee for zilch commercial $75.00 system ' (SEE OAR 918-309 -0000) . Check Type of Work Involve& ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ® Fire Alarm Installation ❑ IWVAG ❑ Instrumentation ❑ Tntercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: ], *No licenses are required. Licenses are required for all other installations i: UiuildInglpemih616LC •ramitApp.Jw:031 /06