Permit a CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
s - COMMUNITY DEVELOPMENT Permit#: ELR2013 00015
Date Issued: 01/23/2013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503 718 2439 Parcel: 25101 DB00100
Jurisdiction: Tigard
Site address: 7340 SW HUNZIKER RD, STE#201
Project: Steele&Nannini Subdivision: VARNS ACRES Lot: 4
Project Description: (1)low voltage for fire alarm alterations for TI-expansion of existing tenant suite
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. 503-645-8531
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 9 2-001-0090 You may jobtain'a=coopyy of the rules or direct questions to OUNC by calling 503 232'1987 or 1 800/332.2344
�-y
Issued By: J Permittee Signature: Del! PPl,�/C!* / ioki
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 2
- City of Tigard CITY OFTIGA "v. 1 :) �I s; Permit No. 3/3 - f '
• 13125 SW Halt Blvd,.Tigard,OR 97223 BUILDING DN1�ieW ,
Phone: 503.718.2439 Fax: 503.598 1960 Date/By; Other Permit, OUPc:C,l:.)_00-7O
t-t iiAR D Inspection Line 503.639.4175 Date Ready/13y. Juries/ See Page 2 for
Internet: www.tigard•or.gov Notif-ied/;vfeihod• /r SV Supplemental Information
, :.,:: Y"!:'rry. -xlKT - H!'7 eri..•.� .. ..-1. - .' :.- .. . .� ..x •,�" {` Ft,I:Vsi) r;tlw .,� l'1'_.:.i��t. t ` ��
❑New construction ®Addition/alteration/replacement •ease check all that apply(submit 2 sets of plans wlitems checked below)
❑Service or feeder 400 amps or more 0 Building over three stones.
❑Demolition ❑Other. where the available fault currant ❑Marinas and boatyards
a u =t1j T
: 1 n ^ .. . 4" Y° T'' ¢ j,H,.:. } 1 s: ; 0 ;v I 'i ;: .1: ,F s' r r " ; iw•' exceeds 10,000 amps at 150 volts or ❑Floating buildings
less to ground,or exceeds 14,000 ❑Commercial•use agncntiural
❑ l-and 2-family dwelling ®Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder Q Other: ❑Piro pump, ❑Insraltalion of 75 KVA or
' 7' sue' at ecl , � ir rti�r-rt ,,L.. r;r•.>".Ni. •,,,
, 0 Emergency systom larger soparalely derived systetn.
a -.rLxt " . .........,..:'-:.:,,:.,•'I ,4a ..,,oLdun t .:y I 1 .i a, '.'.`�� ,Ki r x 4E
•, ❑Addition of new motor load of ❑"A" "E".1-2","1-3"
Job no Job site address:7340 SW Hunziker l00HPormore, occupancy
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard,OR. ❑Health-care facilities. 0 Supply voltage for more than
- ❑l-azardous locations 600 volts nominal
Suite/bldg./apt. no.:201 Project name:Steele&Nannini LLP ❑Service or feeder 600 amps or more
+I c u"..r `� �l
.Cross street/directions to job site: pesipt on qty. am 1 Tam !
New residential single or multi family dwelling unit.
Includes attached garage.
Subdivision: Lot no.' 1,000 sq,ft or less 168.54 4
Ea.add'I 500 sq.ft or portion 33.92 1
Tax 131ap/parcel no.; Limited energy,residential 75 00 2
".ilrxlr 3 �YJ.;. res �y' ; .. , ..
r'r- �? ( ` „ : (wrth above sq n)
r Limited energy,multi-family 1
Fire Alarm Alterations for TI being performed by Robinson Construction residential(with above sq.ft.) 75.00
Services or feeders installation,alteration,and/or relocation
Note in connection with:BUP20112.00270 i 200 amps or less 100.70 2
Ie },,,7 "�A* ir.A. FY.. Mi.�.rrhs47P .F a' Lvr„ liAj .;t7.;,..42:� 446 201 amps to 400 amps 133.56
&Nannini 401 amps to 600 amps 200 34 2
Nallle:Steele
601 amps to 1,000 amps 301,04 2
Address Over 1000 amps or volts 552.26 2
City/State/ZIP:/State/ZIP Temporary services or feeders installation,alteration,and/or
Y relocation
Phone: ( ) I Fax:( ) _200 amps or less 59,36 I
I 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•-new,alteration,or exteasi0rt,_per panel
Owner signature: Date: A.Fee for branch circuits with
14 . ".dyr''�, ryes eiij".' Is i JCl.f_ .,,'' above service or
circuit f eder fee, 7 42 2
13usineSS name:American Security Alarms,Inc. B Fee for branch circuits without
service or feeder fee,first 56.18 f 2
Contact name•Sara Patterson branch circuit
Each add'I branch circuit 7.42 2
Address:5411 SE McLoughlin Blvd. Miscellaneou(service or feeder not included) -
City/State/ZIP:Portland,OR.97202 Each mg ufactured Of modular 67.84 I 2
dwellin service and/or feeder
Phone:(503)231-0303 Fax; ; (503)230-1044 Reconnect only 67.84 2
Pump or irrigation circle 67.84 i 2
F mall gara@asalarms.com Sign or outline lighting 67.84 2
-,rs"Rx _ 46..:: ,t'"":..,..w 6`7;.5, hlq ,,d7*i* r .;r:C ;1y;.: Signalcircuit(s)orlimited•energy 1 75.00
Business name:American Security Alarms,Inc. rc panes aitcmtion orextension. Pi e 2 2
Each additional inspection over allowable in ark`of the above
Address: 5411 SE McLoughlin Blvd. Additional inspection(I hr min) 6625/hr
Investigation(1 hr min) 66.25/hr _
City/State/ZIP:Portland,OR.97202 Industrial plant(I hr min) 78.181 hr
Phone.(503)231-0303 Fax:(503)230-1044 Inspections for which no fee is 90.00/hr
speciftcallY listed(h hr min)
CCB 7741eta 'i"`°' i ::�„ .a T T11 ..;: <a` ,
Lic.: 58640 t Supr-Lie.; ,.�r,lr�,,- ••rc�•',,��P ���PFf�I. ��ES;.
Subtotal: 75.00
Super. Electrician signature,required: ya C�, Y - Plan review(25%of permit fee):
Print name: James D.Liston Date: 1-22-13 State surcharge(12%of permit fee): 19.00
TOTAL PERMIT FEE; 84,00
Authorized signature: —This permit applicetlon expires if*permit is not obtained within 180
days after it has been accepted as complete.
Print name: Date; r Number of inspections allowed per permit
hnuiiiimo. r'°^trrairAr- ^'^^ 440-4615T( I/05/C0M/WOB
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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*
❑ Heating,Ventilation and Aix 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
❑ C• lock Systems
❑ D• ata Telecommunication Installation
• Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are requited. Licenses are required
for all other installations
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