Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
1111 • COMMUNITY DEVELOPMENT Permit#: ELR2013-00014
Date Issued: 01/23/2013
T f G A It D 13125 SW Hall Blvd,Tigard OR 97223 503.718.2439 Parcel: 2S101 D600103
Jurisdiction: Tigard
Site address: 7360 SW HUNZIKER RD 103
Project: Platinum Lending Subdivision:CONDO SUPPLEMENTAL PLAT NO 4' Lot: 22830-2
Project Description: (1)low voltage for fire alarm alterations for TI
Contractor: AMERICAN SECURITY ALARMS, INC. Owner: ROBINSON FAMILY TRUST
5411 SE MCLOUGHLIN BLVD 21360 NW AMBERWOOD DR
PORTLAND, OR 97202 HILLSBORO,OR 97124
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 $84 00
Other Desc. Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will
be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days, ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952-001-0010 through OAR 95 -001-0090 You may�obtain a copy of the rules or direct questions to OUNC by calling 503.2322.1981 7�orr11n800 332 04-Ti 23344
Issued By: Permittee Signature: 191 F J rtOPLI v�
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE: Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the Job site at the time of each inspection.
RECEIVED
Electrical Permit Application JAN 2 2 201 tf,1:t_,i i I( I_ t 'c cl\l 1
City of Tigard Received
w ❑�7+ Datc/By: +f,9 -3 Sr Permit No.�/ X13-0OU I V
13125 SW Hall Blvd.,Tigard,OR 97223 CITY OFTIGA' plan Review
Phone. 503,718.2439 Fax 503.598.196$UILDING DIVI'' DaadBy. Other Permit:4/1/40/ )-6)&4/
I1 t:T R I)
Inspection Line: 503.639.4175 Date Ready/By. MO 1ZI See Page 2 ter
Internee. vvwvv.tigard-or goy NotiFed/Method. LI I Supplemental Information
,.`r." 4 i4e "1 ' w t+ z r` e4'v"+,ec. „t,., t:- : .r re.-T—".r,.. ''. .-
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.. i n..�'^� t !! . an '7.. ....\[r-f 1�xWr's:.°w�9' ld:��t+f]�IL��M7Fi'Nfr`4iu�s.�i�hMS:,�..4�.1.`'. �v�: g nc� yi '7�,�J� ; �' h;1� 1 f pl ( ,. � ,
❑New construction E Addition/alteration/replacement Please.check all that apply(submit a sets of plans w/irons checked below);
1 n n
❑Service or feeder 400 amps or more ❑Building over three
e
e stor
ies.❑Demolition ❑Other: whore he available fault current ❑Marinas and boatyards.
'`.:' s ., aY \) t., .!Y �f 0Ta7.r` r:,rrR. i'. k"" ,,4 .M....: t omr 1 ; i"N —l-t. "': rf+ r.,.�P.e exceeds 10.000 amps 8E150 votes or ❑Flontin g buildin g s
less 10 ground,or exceeds 14,000 O Commercial-use agricultural
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building amps for all other installations. buildings. '
❑Multi-family ❑Master builder ❑Other: O Fire pump ❑Installation of 75 KVA or
:! y "t``i Oa nI wc ;,i',,54 l7T1"F0 w 7 T ice' ❑Emargoncy system larger se ararel derived system.stem.
r •' '' ', •.,m.. .r r ,ni" � •r$+,4 4 "„Fti:.
. CI Addition of new momr load of ❑"A" 'E" "1.2" "1-3"
Job no. Job site address: 7360 SW Hunziker 10OHP or more occupancy I
C]Six or mom residential units. ❑Recreational vehiele parks.
City/State/ZIP'Tigard.OR. ❑Health-eve facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal
Suite/bldg./apt.no.; 103 Project name;Platinum Lending ❑Service or feeder 600 amps or more.
Cross street/directions to job site: ""' Ye. ''w°WI S 7" 'E '
['ascription Qty. Fr, Total
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq.R.or loss 168.54_ 4
Ea.add'l 500 sq R.or portion 3392 1
Tax map/parcel no.: _
y i Limited energy,residential
r ; t° ltti414 p l7 l ^ y , . � r�V:t ,�, (with above sq.R)
75.00 2
.P..1 ., , i:;ti i 1 ,t: „�-le-. rk,,. s' `t- r'1' .', 1 'r.
Limited energy,multi-family 75.00 2
Fire Alarm Alterations for TI being performed by Robinson Construction residential(with above sq.ft.) 1
Services or feeders installation,alteration,and/or relocation
Note in connection with:BUP2012-00241 200 amps or less 1 100-70 2
4 ,^' Oj '" d'r y m• - $ 201 amps 10 400 amps 133.56 2
y .. „o .. .. i. —
401 amps to 600 amps 200.34 2
Name:Platinum Lending 601 amps to 1 000 amps 301.04 2
Address: Over 1,000 amps or volts 1 552.26 , 2
City/State/ZIP: Temporary services or feeders installation,alteration,and/or
relocation
Phone; ( ) Fax ( } 200 amps or less 1 59.36 1
-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 I 168.54 2
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
r•" l �M�31..,.: ;am abote service or feeder fee,a}d glint ! s v s ,r+t' v "r x:"f.nu:i , : t `yl ` t .5 I I 7.42 2•
each branch circuit
Business name:American Security Alarms,Inc. I3.Fee far branch circuits,virhorrr
—. service or feeder fee,first 56,I S 2
Contact name:Sara Patterson t branch circuit
Each add'I branch circuit 7.42 2
Address:5411 SE McLoughlin Blvd. Miscellaneous(service or feeder not included)
City/Blatt/ZIP:Portland,OR.47202 Each manufactured or modular 67.84 2
d welling,service andlor feeder
Phone: (503)231.0303 Fax (503)230-1044 Reconnect only _ 67.84 3
Pump or irrigation circle 67.84 2
E-mail:sara @asalarms.com
r Signor outline lighting 67 84 2
—4'',. 7 . ,-_r,.. ' + `1! `r.*,-'.r'ariktr f A6 y: i!r4,fk Signal circuIt(s)or limited-energy
Business name'American Security Alarms,Inc. parch alteration,or extension, l Page2 75.00 2
Each additional inspection over allowahie in any of the above
Address:5411 SE McLoughlin Blvd. Additional inspection(1 hr min) 66 25/hr
investigation(l hrmin) 66.25Ihr
City/StatelZlP:Portland,OR.97202
Industrial plant(1 hr min) 78.18/hr
Phone;(503)231-0303 Fax:(503)230-1044 Inspeedons for which no fee is 90.00/hr
r — 1 s t ificall listed '/•.hr min
CCB Lic.: 59640 Electrica : 26283C1E Suprv.Lic. 774 1ea P7 .f'1+,,;1EL,.i :1 iI$.u LIR ES
Subtoal 7 1
.00
Suprv.Electrician signature,required: ,n./."------- 1 6
Plan review(25%of permtt fee):
Print name: James D.Liston Date; 1-22-13 State surcharge(12%of permit fec) { 9.00
TOTAL PERMIT FEE: 84.00
Authorized signature: \ _ This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Print name: Date: • Number of inspections allowed per permit.
1:1Buitdir�-,. 7s—Perm.• �'' ^-' r10 440-46tsT(tl/05/COM/WE0
°1 wd0ti:5 ElH ZZ '°Er
Electrical Permit Application - City of Tigard
Page 2- Supplemental Information
LIMITED ENERGY PERMIT FEES:
:WNW,IFR�� y`',iw'117��ahL;J." ACS< y�Jj Jf���Tar
Fee for all residential systems combined .. $75.00
Check Type of Work Involved:
❑ Audio and Steteo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
El Heating,Ventilation and Air Conditioning System*
El Vacuum Systems*
❑ Other:
0 r�,f .°`��.�µ ? ,� #A�?��',:�a,� `� A;C.� �''.� pia "�`;. .fig. }1�:1;
Fee for each commercial $75.00
system
(SEE OAR 918-309-0000)
Check Type of Wotk Involved:
❑ Audio and Stereo Systems
a Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
El Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
El Other
Total number of commercial systems.
*No licenses are required. Licenses arc required
for all other installations
"Bw1 69/9 -;dren,,,98ZZ77 wdoti s vpr