Loading...
Permit IlI CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT - _ p ' l • a '•'-. COMMUNITY DEVELOPMENT Permit #: ELR2012 -00264 TIGAR 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/26/2012 Parcel: 2S 110AB00200 Jurisdiction: Tigard Site address: 14363 SW PACIFIC HWY Project: Las Jaras Subdivision: CANTERBURY PLACE, AMENDED Lot: PTS 1 -4 Project Description: (1) low voltage for burglar alarm Contractor: ADT LLC Owner: KOLVE, G C 2815 SW 153RD DR 14389 SW PACIFIC HWY BEAVERTON, OR 97006 TIGARD, OR 97224 PHONE: 503 -469 -7219 PHONE: FAX: 503 - 469 -7128 FEES Description Date Amount Specifics: Restricted Energy Permit 11/26/2012 $75.00 .12% State Surcharge - Electrical 11/26/2012 $9.00 Type of Use: COM , Class of Work: ALT r. Total Number of Systems: 1 Audio & Stereo: N Boiler Controls: N CCTV: N Clock Systems: N Data & Telecommunications: N Fire Alarm: N HVAC: N Instrumentation: N • Intercom/Paging: N Landscape /Irrigation: N Landscape Lighting: N Medical: N Nurse Calls: N Protective Signal: N Security Alarm: Y Other: N Total $84.00 Other Desc: • Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0090. You { may obtain - aa copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: V'1 I LL Permittee Signature: f)A■ APPL/ J1Tit &, OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE: Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. 11/26/12 08:35AM HP LASERJE FAX p. 01 Electrical Permit Applicatit E RED imumanz=imm City of Tigard 2 0 1 2 Received 1 I 1?-6 I ia— Permit No . �40 /�. • II e - q 1 3125 SW Hall Blvd„ Tigard, OR 97223�1 • 2 6 Plan Review Permit: • Phone: 503.71$.2439 Fax: 503.598.19(10 t atc/D " Inspection Line: 503 C ITY OF TiGARD Dale Ready/By: T """ ands: ® See Page 2 for T 1 C A R 7 CITY Notified /MeI1i 4: Supplemental Information I ntemeC wHw.ligavd , ... ,. 111 •t. n . >Qr1a'� >,n; ,T 1'I:,. y�ti.Jn r"_ » a. ; � 'i r,1 1 .r .?7 arrt� - '� Ri'- is A r : c' aT, - '' 1111 T �. . F.i - gin. ',;.1.i,': :, r'.i::'(' :1 a 73. r+ {''i' R ? ? , r` iw,: .; c. ;.. W. :;5 4o.i: ;1 'li 3 !In t �" ;,)' } "„ • ?', o;. W S ti; r ,,, J7, ( r j ti r r Y„l r �, n „s s.. � liz ".; t � ? .,, , ,:, , ,. ,,, y+ 1p + ,.,\. r ��L l' /+ �'i r � �l i l'd 4���� \ �' r , , ;'✓1F • ''d "M AI t kA C , t { 1 H / 1r � lrti th s ,, �Ft', ,•.i` -� i u, , ...1 i:• )'�,�. :xe,�.3,;, , .. \_ ��• �](l � �t.rfrP f,,1!�Iri;�l ::c:c /rep ""r" �! � Pleaa: check all that apply (submit Z sets of plans w /items checked below): ❑ New construction SI Addition /alteration /replacement © SerVaae or feeder 400 amps or more 0 Building ewer rht[:o stories. ❑ nna and Ito 17 emnlitf on Uth ❑M a,yar dc. where the available e bo current a s ,\.. ,�,. , w .y' I y ,.r' `'!'' � •4, " d�4'1'' • Yj?aY '�l>,'•1' ;;i '!�'�±;a exceeds 10,000 amps at 150 volts or 0 Planting buildings. "��1 'iI i >i • ,, 1.'.'r:1 �Q, , Oy 'Q - '1,t ..in. „C „1 „, t 1 „ ,;: r .l i ;e; , ):'�, ,� /10 l '” r�l I. 1`If y ;'Jt � �„tat ,, ,: r, tiV ∎,,, t., l i ::,:k'�wii is 4 Ml ta % y g �.^ tic . i!' a' • " a*yrLa ..., t ,Ire•„ . . e�is�; -?t'� � loss to ground, nr exceeds 14,000 ❑ Cammorcial -use agricultural ❑ I _ and 2-family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings. 0 Multifamily 0 Master builder ❑ Other; y 0 Fire. pump. 0Installation of 75 KVA tit .",�, 1 -, y �° t+ e • • +P” a w1aa.`:: • ,[ ! I 'a>,F . O Emergency system. larger separately derived system. 'a ;N. N • rPr 1,j , ^i, - nt ^�'•I” r'.;;ri' , i „ '' s*'r .' I ' - 1 r % ^ t ' P,� ..,,$'•r .5 � •} li - {It }1 q ) � f P Q' 1 t le i [ y ,�:c rir;lia`' � §� {r�;�S '; a , � , � �,L { sn��' , ,ICrIa` l a ,,;,, , © Additi on o f lt ewm�t orloadof E7 "A'• „E,. „1- 2. ...1. 3 ", , ; t:'Y rf'rlN / J�,r1rGi3O. �]: . ! �. (6th. „ 100HP or more. occupancy. Job no.: 083 -26096 lob site addrl e: 14363 SW NOM.. Hwy . __ q „ or mum I Wiidenanl un(ro. ❑ Recmrdienal vehicle mire (sits /State /ZIP: 'Tigard, OR 97224 C3 Health -care facilities. Cl Supply voltage for more than _ „„ ❑ Hazardous locations. 600 ve11s nominal. Suite /bldg. /apt. no.: Project name: Las Jaras 0 Service or feeder 600 amps or more. ... > r/ti X3,) .: Fill' �� ,',��; :l , 'f9),4 I ,,,, ' ') r�� c3 Cross strcel/directions to job site: Dese iptbo • • Fee. mn - ^- •-- W -^'-- ...... ---- ---- -- New residential single- or multi - family dwelling unit. includes attached garage. Subdivision: Lot no.: 1,000 sq. ti. or less 168.54 4 .. , ,._.._ _ -- Ea, add'1500 sq. ft. or portion 33.92 I Tax map /parcel no.: Limiuxtenergv, residential ^I n'tr °e •al ?'r °n,1 ? = \s \, •k +''r!c; >'s r,.»rr» tm;;ruz,71'( ;.14ysh:"u ; "r;' 1 7 i'i %\ _it about . R. 75,W 2 rt /I 1 fa,l J �(SI t i art•Yoh„ f! f I r iPmI rY { . . �. ±) .:4L�oA`,,,,,a( 2 4 : La n t. i��/I^11 4,0„, .,•r, - ,!1;,;R;rjr]trtl 4 7 1 1.,,x • , Ofq;,0 .�;, �r,!(`.ld ii fo,,.rA, r ,, _ (.(tinted energy, mule family 75 W 2 Low voltage burglar alarm residential ( w i t h vq f) - ° - Services or feeders installation, alteration, and/or .... .w ---. — �--� - /or relocation 2 amps or less 100,70 2 i r 1 4I 1,; ? „i z, s' ! ; ” ^' ”' ='. 2U1 am to O amps t. J,. » >�`,? '7,”, iS �. + . +„ alp S F, • � (, „ ' �'? ?i i=r 1 "''S � r,'n `,ri.'; .,, �y r %\.rar. J : r. � a x .-- 1 56 2 :, irT S`Zy11' C ie ia;'!rl i 1 tfiAr , '..,{3,F.4 ; `:.' i q'r�Lr',:�eai: :` r} '' r. , ,t eta ;, ..a /1•,,'';r:/�ti!;+'� " - IFfi! 401 amps to t i00 amps 200,34 2 Name: sill amps to i,U00 amps 301.04 2 Address; Over 1.(X00 amps or volts 552. 2 '""' Temporary services or feeders installation, alteration, and/or City /State/ZIP; relocation, P h o n e ; ( ) i Fax: ( ) 200 amps or lass ..iti I W _.. 201 amps to 4(X) amps 125.08 2 ' Owner installation: •iltis installation is being made on property that I own which Is not - _ ~ 40t amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670. and 701, Branch circuits new, atterANon extens per panel ,„___ Owner signature: _ _,- __ _ l •,,,,_- A Fee fer branch circuits with .:,,n,.r —_ •:Y”' ''•.:,t^: � ,�:,,. _ - Yt °:: ... � a:� ^,�., ' r r - above 9erVlae Or feeder fee 7 .. 7 "'i;} , d1" ""h:." r r. 4 o ,,,, ,tp.� I - 7, i. �y 1 %, ..1.1 'il .42 2 ;: vl "il'r,�•: .:,r,. a S i' r � ;nl i, , ), � ,;'a'��ia. , 't(: 4 ' .�' .,, ; - "•I:,:r „);;,., j , , . ' s:,.�i�� � 'A;...., a �,.i,.; .,. -, L'•sY� � �o . , � , ,.r;y� • Cad) branch circuit -_ .............,W....,,,, ,..,..- Business name: I). Fag for branch circuits rrrlbonl ... - ......- -_- —_. service or feeder fee, first 56.18 2 Contact name: branch circuit _ - _.. - -- well add'I branch circuit 11111 7.42 2 Address: Misccllaneoa� service or feeder not included) -- -- -' -- ' - ' Each manufactured or modular 67.84 City / State /ZIP; dwelling, service and/or feeder ,, , . 67.84 2 Phone: ( ) Fa; Reconnect only ( ) _._ — Pump or irrigation cirete 67.114 2 E - Malii: 67.84 2 Sign or rxnlinc lighting "'I n ' z 'TS^rtt`P.?r...,y„ 4:" ;,(jy°•1�r 'a "i"r '�±tgs',[4 >' i' r ' *o'. 'ir}t .�-.''•g �5`il )J'SA,,,4N 1 - - ca,f,i \�'f� „��,,L il(;b. .,. ;,,): a\ 1•k..utpun �•�j ,' „� > U.S;..%t ' }�1! ,.r, +; � '� t'F..:S tl'.t� : `Jr' ':�h., Sl anal circuit(s) or limited-energy ! s' '+d e iii"f .1'4•L �n'r' „.1±?rJ; w �� 5,(.f�:i..�`..ti' .'���r , . 4 .: ,',�} d: <ii%;'.::�1Y t• O try }( - .. _..75.00 Business name: AD'f LLC _nal.altemdon,orextension. , -.Jai e 2 — Each additional inspection over allowable in an of the above Address: 2815 SW 153 Dr Additional inspection (1 hr min) . 66,25/ hr ...__� IIMI ...................._•__•_--_____-..,..,,....,,,....,...,,.--------..,-^,'..,_,...., ___------- �_..,..".,,"_..,-...- Investigation ( hr min) 64,25/ hr City/State/ZIP: Beaverton, OR. 97006 — "”' - "' - Industnal plant (1 it( I)1in __....... __.,,.,__.- .__— ..._ —. . - .-- _.._ __.W_.... - - ) 78.18/ ht _ _ Phone: (503) 469 - 7241 Fax: (503) 469 -7128 inspect for which no nix is _ 90,0U/ hr m ~, s .citicall listed (V2 hr min) (,(''B Lie., 196.560 � - Iaectrical I..ic„ (l.,1;317 Suprv, Liic :4 252LEA , ::.6% i =!;; �!s "' r�. ',Al , ', 'fit �d4' u;rF;' ;', rv, Electrician signature, required: Su Subtotal: 7, A0 p 8 _Plan review (25% o permit fee): / Print mom': Eric Willard , Date( 11/19/12 S1aic surcharge (12%ofpermit tee): 9.00 = = ., •w m �.: ' - c• — _,......_ •--- .•- ••.- -- 'rO'1'AL PERMIT ME 84.00 Authorized signature: This permit application expires If a permit In not obtained within 180 .. °.. """ days after it bus been accepted as complete. Print name „ _ —W __.. -- Date: — J Number of inspections allowed per permit. I \Permits \El.C- PermitApp.Sac 4710111(1 440- 4615'1'( 11/91tCOM/VC9 11/26/12 08:35AM HP LASERJET FAX p.02 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* Ej Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* n Vacuum Systems* ❑ Other: Sx �� ��,;�;'7 l�ti . V S+� fe th -,.. 1, +;. %' t 11 ' {� • If ; �Y 141, 'yCy`,:, ur , i? j r, . {. , J. 7 ,L� �1 6rt11 •'�� . � 9Y1 DIY � - ��t �. A� � .!. . � �, � SVl • �,h��S; i����(�`,'; Fee for each commercial $75.00 system (SEE OAR 91$- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ C lock Systems ❑ Data Telecommunication .Installation E lire Alarm Installation n H VAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ N urse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other _ _ ,,•... Total number of commercial systems: _.,... *No licenses are required. Licenses are required for all other installations r 41∎,mhm1Aet 111%1 ELC.•Pcmm AMP doe. 07!01 /{4