Loading...
Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT • e . COMMUNITY DEVELOPMENT Permit #: ELR2012 -00255 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/14/2012 Parcel: 25101 DB00103 • Jurisdiction: Tigard Site address: 7360 SW HUNZIKER RD Project: Hilltop Building Subdivision:CONDO SUPPLEMENTAL PLAT NO.4: Lot: 22830 -2' Project Description: Rewire existing smoke detectors Contractor: AMERICAN SECURITY ALARMS, INC. Owner: HILLTOP BUSINESS CENTER LLC 5411 SE MCLOUGHLIN BLVD HUNZIKER LLC PORTLAND, OR 97202 9430 NW KAISER RD PORTLAND, OR 97231 PHONE: 503 - 231 -0303 PHONE: FAX: 503 - 230 -1044 FEES Description Date . Amount Specifics: • Restricted Energy Permit 11/14/2012 $75.00 12% State Surcharge - Electrical 11/14/2012 $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: Y 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: N 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 9 2- 001 -0090. You � m ( ay obtain a copy of the rules or direct questions to OUNC by calling 503.232..1 987 or 1.800.332.2 Issued By: of'LC Permittee Signature: DA1 gQ LI CH / r Dg 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.tfor 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. • • • I l ll(f )I FIi'I. I l) \I.l Electrical Permit Applies cEivED City of Tigard Date/13 pDl�_DDaS ltccbi : petmit NO.: a : U� 13125 SW Hall Blvd., Tigard, OR 971a111V 1 3 2012 Plan Review 'Other Permit: ' Phone: 503.639.4171 Fax: 503.598.'196 Da1eB nuu� ®snePe¢•2tor 3.639- Date Ae/Metho l l Supplemental Pe 2 Information Inspection Line: 50 4175 CITY OF TIG h, RD Notified/Method: ` l Internet: www,tigard- or.gov I Iu�HJ ,.-.-. vt ,� ,,, ..:a 7•�:R .P�,:�;v, :;:`,i _ti ?; , ... ... ........,...'....w.,•� o -.. mkt $';� Y r.4% +- .+f> `�' .'i�'i•s'r•`J 4 � - . -.. ..... i .. it .a IS >" -': + g�1: ; '�:. ,x � �ai,�"::�:::; .::: ;':.. . ��' • � '� • Please cheek all that apply (submit 2 sets of plans w /ileme checked below): ❑ New construction Ca Addition /alteration/replacement ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ O ther: Marinas and boatyards. [3 Demolition _ ; , . 6 •. f ry: Y 4. •• : exceeds 10,000 amps stt current 1S0 Volts 0r ❑ Floating buildings, s ) ` syU.'Y7? y`•j`= i;i ".�.• 4,000 ❑Com u agricultural • .., .... . • , .., arc l- se Ir ATib (y$' ( a; 3 .. :.!..::r.i`.. less to ground. or exceeds 1 ,, yy.. 9c..,:. m ie • buildings, CI 1- and 2 family dwelling i!'4 Commercial /industrial ' [] Accessory building amps for ell other installations. ❑ In buildings, of 75 KVA or I O ther: ❑ Fire pump. ❑Multi family Master builder ❑ ❑ F-mergency system. larger separately derived system. :.3613' . 1TTi . Alidi0l 1 410,1FACA1tP4i, 4 ;:...,, • ' : '' ' : • '. ''.Additioaofnewmotorloadof ❑ "E 1.2^ "1 -3 Job no.: r ' .:..., . ❑ t00IIP or more- oc.apeney. n a a L 1 � Job site address. . residential unite. ❑ R ecreational vehicle parks. di d 1000 or more. 1 ❑ Health.eare facilities. ❑ SupP Y voltage for more than City/State/ZIP: ❑Hazardous locations. 600 volts nominal. ❑ Service or tteder 600 amps or more. Suitdbldg. /apt. no.: Project name: k1 t� tf ;: 4 . % �```'''' Dan •non r Pee. 1 Told Ng Cross street/directions to job site: New residential single- or mulli- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1 sq. ft or less 168.54 Ea. edd'1 500 Sq. R. or portion 33.92 Tax map /parcel no., Limited energy, residential 67.84 ;hike <,'r ,:4,, :t t q.� •t'. (with abovesq. ft.) AES. l)FaU yt .; : _ya ';:c '' p' a ;l:n �. Limited ulti family © energy, m 67,64 residential (with above sq. ft.) Services or feeders installation alteration and/or relocation 200 amps or less 100.70 � © r`: 201 amps to400 amps 133.56 El ;,(]::::PR EA .... ....... . . ..' . ..:• . : . , � :. . •. ,s ,,: .. . ...• 401 amps to 600 amps 200,34 2 al& A ^ y ti 601 amps to 1,000 amps 301.04 2 Address: Over 1.000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and /or City/State /ZIP: relocation 200 amps or less 59.36 1 Phone: ( ) Fax: ( ) 201 amps to 400 amps 125.08 2 Owner' installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - ne , alteratlon, or extension, , er panel Owner signature: Date: A. Pee for branch circuits with — a bove service or seeder the, 2 . e 1 , ,. ..2 j ;.t r4 c,`-. ,,. 7A2 �'�I ` pPP1L1C : !t ' :.v � �'�,'`.r : r , r•t ;. _ ', .. "'' : � ..., • 1��°�`, c ,t'' ` wch bmnch circuit B. Fee for branch circuits without Business name: : 11 - : a - _ : to - a service or feeder fee, first 56.18 2 branch circuit Contact name: Sara p ; arson Each add'I branch circuit 7.42 2 Address: 5 411 SE McLou l Yin Blvd. Miscellaneous (service or feeder not included) Each manufactured or modular 67.84 2 City/State/ZIP: , • r . 0 C I d well' :service and/or fe eder Reconnect only , 67.84 Phone: ( 1 .) — 1 1 I 1 1 ' ' Pump or irrigation circle 67.84 E - mail: Sign outline lighting 67.84 a t _ • g, t `' 1 : ;5 ; 4 3, - i ? ^';i 476+.0 `` • Signal circuit(s) or limited - energy `:net alteration or extension. Pa:e2 1 • : a . ; II - e Each additional Ins . ection over allowable In an of the above Address: Additional inspection (1 hr min) 66.25 / hr I 11 • _ ' - • Investigation (1 hr min) 66.25/ hr Cit /StatdZlP: 1 Y • • p : � • OR 2 0 Industtial pleat (I hr min) 78.18 / hr I nspections for which no fee is 90.0W hr I 1 . 1 1 1 I s` 'Beall listed % hr min - Suprv. -.' t?� .::p.E. r M:;•:::,•,E •Cfl4IRAi3)RERM ' .;,,,.'..• / Subtotal: MUM Suprv. Electrician signature, required: 't At P lan r eview (25% of permit fee): I]Garm +t - = 1 � •u MIMI Date ll State surcharge (12% of permit fee): °l TOTAL PERMIT PEE: $H', Authorized signature: This permit applice non expires if a permit Is not obtained within 180 days after it bas been accepted as complete. Print name: Date: • Number of inspections allowed per permit_ I: 1BuildingipermitslBLC- PerroaApp.doe 10/01109 1404615T(II/OS/Ct>M/WEa E0ti1 'c'N wf106:5 6106 'L 'AON Electrical Permit . Application - City of Tigard Page 2 ....Supplemental Information LIMITED ENERGY PERMIT PEES: Fee for au residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ 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 Boiler Controls ❑ _ Clock Systems ❑ Data Telecommunication Installation `J Fire Alarm Installation Meg ....ia a) ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* e Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I :VBuiUiogP r itABLO-PUmiIApc.doc 07/01h0 i .. ,d.: E0til '9N wdlZ:S Z[oZ z1,. ^oN