Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT Permit #: ELR2013 -00020
T I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/24/2013
Parcel: 2S101 DB00100
Jurisdiction: Tigard
Site address: 7340 SW HUNZIKER RD 101
Project: Platinum Lending Subdivision: VARNS ACRES Lot: 3
Project Description: (1) low voltage for Data/Telecommunications
Contractor: OREGON ELECTRIC CONSTRUCTION INC. Owner: HILLTOP BUSINESS CENTER LLC
1709 SE 3RD AVE HUNZIKER LLC
PORTLAND, OR 97124 9430 NW KAISER RD
PORTLAND, OR 97231
PHONE: 503 - 234 -9900 PHONE:
FAX: 503 - 234 -1001
FEES
Description Date Amount
Specifics: , Restricted Energy Permit 01/24/2013 $75.00
12% State Surcharge - Electrical 01/24/2013 $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: Y 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: 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 may obtain a copy of the rules or direct questions to OUNC by calling 5033 .232.198 1.800.332.2
. J l1
Issued By: • , . !... (/
_ ►_L -' Permittee Signature: HPP_e1 r `'L (/
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 503.839.4175 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.
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Electrical Permit Application 1 OR oI !'ICI U [ OM i
City of Tigard I vEl soitagrEso w Perm II N0. -L � 0I 3 '- Oa o
q 13125 SW Hall Blvd., Tq aid, OR 97223 x:.. Plan Review
® Phone: 501.718 X439 Fax: 503.598.1 Olhr ::
2 2 013 Dale /Bv.
y Ins Line: 503.639.4175 Dale Read )` I6 H See Page 2 for
TbC,ARD 7 /T(
Internet wwwiigard - ocgnv ^ '}'� Nrn fiicdiMcthod: Supplemental Information
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TYP .,OF..
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New construction Addltl011!alterahOfVre ) t � -� ;�� ; � � Please check all that a pply (submit 2 of pars w:nems checked beiou•Y -, �
❑
❑ Service or Iredet 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available hull current ❑ Marinas and boatyards.
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CATEGORY OF CONSTRUCTION ' :": - exceeds IC) UO0 amps at 150 volts or ❑ Floating bu:Id n
less to ground, Or exceeds I4,Gpll ❑ Commercial-use t iicultural
❑ I and 2- gamily dwelling ® Commercial/industrial ❑ Accessory building i amps for MI (a inn installa:ions, buildup.
❑ ,Multi- family ❑ Master builder ❑ Other: I ❑ Fire pump. ❑ installation of 75 KVA or
;:: :.,, : : ; c : ., ; - :... :.._,.. :. :... ; " :- :. : :; :,.: ❑ Emergency s'sion. tarsier .separately derived system
-_ d0B SITE I N F ORMATION AND :LOCATION g y p
'• ��.? � ' � � -:, � - .::. ' �, � :" ." . , ,::. :,. -. - - ' � �, � Addition of new moist lwd of ❑ "A" "L•" "1 -T "' I 1"
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Job no.: 55758 Job site address: 7340 SW HUNLIGER RI) 1 00I - CP or more occupancy.
❑ Sir or more rcsidrolial unit;. ❑ Recreational vehicle larks
City/State/ZIP: TIGARD, OR 97224 ❑ l-lealth -care facilities. ❑ Supply volage fur more than
❑ Hazardous locations. 600 volts 'laminal.
Suitc /bldg. /apt.no.: 101 Project name: PLATINUM LENDING ❑ Serviceor feeder SOO amps or more.
„FEE .SCHEDU . ”: ' -
Cross street'directions to job site: oercriptiva I QI . I Fee. I Total I • I
I New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: I l,000 sq. 6. or less 165.54 4
Ea. addl 500 sq. fl. Or portion 33.92 1
Tax map/parcel no.: f residential 7 5.00 1
Limited eUCr�y, rC]Ider'
_ - (with above . ft.
:DES •-RIPTI % >� K'. =!> -
-`� � C UN;'OF VOR sq
' I.imited energy, multi - family
LOW VOLTAGE CABLING, FOR VOICE & DATA . iesicicntial (with above sq. 0.) 75.00 -
-' "' Services or feeders installation, alteration, and`or relocation
•
:. :. > :.; : : :.- : ............. :.. -. - amps e r t?
' mps x less 11f �'i
2
n 1 0
33
4 )
- _ tam to amps ,
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eR P R ; TE ANTS p
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Nance: PLATINUM LENDING 401 amps to 600 amps 1 I 200.34 2 I
1 601 amps 10 1,000 atr,ps I I 301 .04 2
Address: 17900 SW MCEWAN RD I Over 1.000 amps or volts I 1 552.26 2
I e.nlporaty services or feeders installation, alteration, nndUor
City/State:6iP: ` UALATIN, OR 97224 relocation
Phone: ( 1 I Fax: ( ) I 200 amps er has 59.36
1 201 amps to 400 amps 1 25.08 ,
Owner installation: This installation is being made on property that I own which is not -- . - - -.
401 amps to 599 amps 165.5.4 I
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits -- new, alteration. or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
:; '' = icr or feeder fee,
,... . . "..., -:: -- ::, :. " . aGcx�c sot 7 4'
WCANT_ r. ;_ •s :•: ;: i= ` COPITACG %PER50N -' > '' %'"
". ... : : :ARP -, .._. ..... : -�: � : : ❑ :- . : : :...
.. .,.....:•: . -.: - . ._... .. >... �- •.� - : :.: �. : :.� " :: _� :.. " :� G]l'11 branch circuit
Business name:
B. Fee. for branch circuits without
service or feeder lee. first I I
I 5u.ta ,
branch circuit
Contact name: MATT NISWONGER
-- 1 Each add'I branch tires; I I 7.42 I I 2
Address: I Miscellaneous (service or feeder not included)
Each rnanufacrorcd or modular I
dwelling. service and/or feeder G x.34 � 2
City/State/ZIP:
Phone: (503) 957 -6428 Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 6 2
E -mail:
sign or outline lighting b7.84
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CONTRACTOR
s : Signal r.uruu(s) Or limited energy I
'II 500
Business mat .: OREGON ELECTRIC CONSTRUCTION, INC panel, ahcrth ou, or extension. Pace 1 _ _'
Each additional inspection over allowable in any of the above
Li 1709 SE 3" AVE Additional inspection ( I hr min) 66.25/ ht
' Investigation (I hr ruin) 66. 25' hr
City /State /ZIP_ PORTLAND, OR 97214
ladustrial Mani (1 hr min) I IS .1 81 Far
Phone: (503) 234 -9900 Fax: (503) 234 -1001 �1 inspections for which no fee is I 9(1.00.1 hr
`. / specifically listed (5i hr min)
CCB Lie.: 203 Electrical Lic.: 26 -95c 1111` Su riv. I ic.: 4818S Ip , _.. -,! `£< ECTttICAL%PE .SPEES - � ; : : :; ; : : .'- :v
Subtotal: 75.00
Suprs Electrician signature, required: i • � � , Plan_ review (25%of permit fee): j
Y °
P ame: MAl21 :'EINBENDER _ I Date: 1/24/13 State surcha %of permit fee): 9.00
r' II ,{ TOTAL PE Crmo I CL: 84.np
Authorized signature: � , �f{/ This permit application espirea if a permit is not Obtainrd w514io 180
‘�r r days after it bas been accepted as complete.
Print name: MARK WEINBLNDER 1 Date: 1/24/13 . Numhnt hi inslwciion; allowed per permit.
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