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Permit 4 CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT ``7 - COMMUNITY DEVELOPMENT Permit#: ELR2013-00016 T E GARD 13125 SW Hall Blvd,Tigard OR 97223 503.718 2439 Date Issued: 01/23/2013 Parcel: 2S 101 DB00100 Jurisdiction: Tigard Site address: 7320 SW HUNZIKER RD 300 Project: Eagle Home Mortgage Subdivision: VARNS ACRES Lot: 4 Project Description: (1)low voltage for fire alarm alterations for TI 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 01/23/2013 $75 00 12%State Surcharge-Electrical 01/23/2013 $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 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 952-001-0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344 Issued By: jthithy l.C± Permittee Signature: Q/�- A6Pe-le ATv 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. RECEIVED Electrical Permit Application JAN 2 2 2013 ',?',"` '''f ''USE t'"' Received /iJ,9.0 i 3-vvvr t, City of Tigard CITY OFTIGARD D Received t I 3 f 3 `� Perm,tNo. • 114 • 13125 S W Hall Blvd,Tigard,OR 97223 Ian Review Other permit: 7 • Phone: 503,718.2439 Fax 503,598.tWILDINGDIVISIONDateBY, T<t P+901 idp toe/ Inspection Line: 503.639.4175 DM Raady/By. RM.,. Bl Se e Peet 2 for 7lt_1/1RI7 Notifed/Mclhod: / ((z: Supplemental Information Internee www,tigard-or.gov y�v �;•;�.? ' rr 040, d -t" s.St i Mid r < 02,: 7,;'?3:,oa. E.- '41.- „, '� A r•a`' 1,°+ •t ” �.: .,acv^.±. +. i"Jrigli' MITV'''12.Z11 ,r.',vl �tl) R .41. ,.: ,rS aye. MY..'" ry 1 ;wt ❑New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plane w/i[ems checked below). ❑Service or feeder 400 amps or more Q Au,ldinp over three 41ocios ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. � ; 0 , T '7 ,t o t x 1'4.!� •.(f` +,s��•"4yu' l:'P BXUeds10000 amps at150 volts Or ❑floating buildings ! ,,r _r_;, H i '4ri .i ;r. �h ..uv� 3 less to ground,or ex°eeds 14,000 0 Commercial-use agricultural ❑ I•and 2-family dwelling ®Commercial/industrial ❑Accessory building amps for all other installations buildings Mule famil Master builder ❑Other O Fire pump. CI Installation of 75 KVA or y ,� , •, � +.r r•++• , ; Emergency system larger scpararely denved system, L:A.� aF s. l Lo• : t` t3'y�'c. r.' l ; i,.. itt�ati-t iil�i •t ;4 �1 0 Addition of new motor load of ❑..A., .E„ ..1 2....t ]„ r ::=� ui..,.,e.'°"A.,.S��L �•- .., a1. ..._.i.r.'>rr ❑ IOOHP or more occupancy. Job no.: Job site address 7320 SW Hunziker 0 Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP:Tigard,OR ❑Health-care facilities. ❑Supply voltage for more than 0 Hazardous locations 600 volts nominal Suite/bldg./apt.no..300 I Project name;Eagle Home Mortgate Co ❑Service or feoder 600 amps or more. Cross street/directions to job site: Deacri.ti°n eillIELMOI Mt10 New residential single.or multi-family dwelling unit. Includes attached garage. Subdivision Lot no. 1,000 sq ft or less 1111 168 54 —Q Ea.add'I 500 sq.R.or portion IIM 33.92 0 Tax map/parcel no.: Limited energy,residential 75 00 MN J wsi " lil x' —.1, .4 .if,5 u "�" a s'T..Ww; e with above s..R Limited energy,mulct-family 75.00 111 Fire Alarm Alterations for TI being performed by Robinson Construction residential with above •.ft. Services or feeders installation alteration and/or relocation Note in connection with: BUP2012 00269 200 amps or less - 100.70 0 ,vim $li f' i ,fit t q i.'�ctxr.t JVO x i"itr''S11 -rFt111uf 1. t. :7&,�^+• 201 amps to 400 amps 133.56 — r:„pA ., -A.,-, t'1.1i..•.x:1,,,. ,q ',7,it 17,.''v.. 4'AV -• c.:ir. 401 amps%600 amps Mil 200.34 El Name 601 amps to 1,000 amps 1111 301.04 a Address: Over 1,000 amps or volts 11111 552.26 Temporary services or feeders installation,alteration,and/or City/State/ZIP: relocation Phone;( ) Fax.( ) 200 amps or less Ell 59.36 MOM � - 201 amps to 400 amps r 125.09 © Owner installation:This installation is being made on property that I own which is not 401 amps to 599 amps Mil 168^4 intended for sale, lease,rent,or exchange,according to ORS 447,449,670,and 701. Branch circuits new alteration,or extension er usual Date A.Fee for branch circuits with Owner signature: ■ ,,..,.. c y,�: � , T above service or feeder fcc, 7.42 IIIII H,, . •, :'-lr4 a r ,nr tid , � 'lr,A `i",:1aril .'..i '. .)- . -.._.... each branch circuit ' B Fee for branch circuits wflhout Business name:American Security Alarms,Inc. service or feeder fee,first . 56.18 2 branch circuit Contact name:Sara Patterson Each add'1 branch circuit NM 7 42 r Ei Address:5411 SE McLoughlin Blvd. Miscellaneous(service or feeder not included) r, _ -- I Each manufactured or modular t 67.84 2 City/State/ZIP:Portland,OR.97202 ` dwellin rvice and/or feeder t _ Reconnect only 67.84 2 Phone:(503)231-0303 t FaX' (503)230-1044 Pump or irrigation circle 67.84 2 E-mail sara®asalarms.com Sign or outline lighting , 67 84 f 2 etc c,r_ta • 7F.. •, t,s " tt •"7 8 s Or limned-energy 1 111 -".. m ,,; ,rr2r1 eves.ail,it,,'•,i. U:°7vr.'l`~:1%S�tEaazw`wy iji,_ �i. k# Signal anion Po e2 7500 ti'x•�'�_. + a'�.�. '' �", �"•v panel,alteration.Of extension. ,g -, - 2 Business name'American Security Alarms,Inc. Each additional inspection over allowable in any of the above Address.5411 SE McLoughlin Blvd. Additional mspoction(I hr min) 66.25/hr — Investigation(1 hr min) — 66 25/hr_ _ City/State/ZIP:Portland,OR.97202 _ Industrial plant(1 hr min) 78.18/hr Fax:(503)230-1044 Inspections for which no fee is 90.00/hr Phone:(503)231 0303 F ( ) st cificatl listed 'h hr min I 26283C1E 'a�+:a.r cs„e!I F '•"',gar...• 'S ;i , CCB Lic 58640 Elecfrica c.: ' Subtotal: 75.00 Suprv.Electrician signature,required; Plan review(25%of permit fee). D State surcharge(12%of permit fee): 9.00 7-1 Print name: James A.Liston f TOTAL PERMIT FEE' 14.00 Authorized signature: 1 This permit application expires if a permit is not obtained-within I90 days alter it has bean accepted as complete. Date: • Number of inspections allowed per permit. i Print name' --1 [inuilaingvPsrmiuF�GP tiermtiwpp.der 07101110 440-46151(11105/C060/68 9/ 'd 9E •cN Ad6E,5 E101 'zz 'LJPr Electrical Permit Application - City of Tigard Page 2- Supplemental Information LIMITED ENERGY PERMIT FEES: g!.yEac;sV:r,;.:![• 00 .1 .;'ri; ;•, �, -t;�.r? .•.,.•` °� Fee for all 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: 'r" '• Fv.• .i..... 9'.(: "'i �:nti So:,•:iCr., h:6;; .G:.'l-^�.-,, -.",C~(:� lf�#/!!s`'... rl,:v[�y,�i f,�AI � �.[,��� ) `7: �'t.::::'r:�-.. 5;.•..... 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 • Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems n Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses ate required. Licenses are required for all other installations 1:\Lt1,ildinADorm■u\PJ.C-PermiIADD•da 07/01/10 9/Z d 98ZZ '91 wdoti 5 ELU .6Z .11pr