Permit • CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
•
• - � - - � COMMUNITY DEVELOPMENT Permit #: ELR2013 -00042
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/20/2013
TIGARD Parcel: 2S113AC00103
•
Jurisdiction: TIGARD
Site address: 7228 SW DURHAM RD, STE# 800
Project: Argo International Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 25 -27,2:
Project Description: Low voltage for voice /data.
Contractor: AZIMUTH COMMUNICATIONS INC Owner: PACIFIC REALTY ASSOCIATES
PO BOX 508 ATTN: N PIVEN
WILSONVILLE, OR 97070 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 639 -0110 PHONE:
FAX: 503 - 639 -0115
FEES
Description Date Amount
Specifics: Restricted Energy Permit 02/20/2013 $75.00
12% State Surcharge - Electrical 02/20/2013 $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 accor 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. ATTE ION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -0 0 through OAR 95 -01 -• r =0. •u may obtain a copy of the rules or direct questions to OUNC by calling 503 or 1.800.332 2344.
Issue By: j/ Permittee Signature rim
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.
To: 5035981960 From: Lindsey Schmitt 2 -15 -13 11:29am p. 3 of 4
Electrical Permit A l CEIVED FOR OFFICE (SE ONLY
Received �1/ A► i�Ce A/5 At
City of Tigard / PcrmitNo.: /, /"
13125 SW Hall Tigard, OR 972 EB 1 2 013 ° e Review • /
111
C Oth er Permit: 7
Phone: 503.718.2439 Fax: 503.598.1960 Delia . / I _ ' -/
T 1 GA R D inspection Line: 503.639 CITY OF TIGARD Date Ready.By: iuris' H See Page 2 for •
Internet: www.tigard- or.gov � Notified/Method: Supplemental Information 1
TYPE J NC DIVISION PLAN REVIEW
® N ew construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
Other: ❑ Service or feeder 400 amps or more ❑Building over three stories.
❑ Demolition
❑ where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings,
less to ground, or exceeds 14,000 ❑ Commercial - uso ag
❑ 1 - and 2- family dwelling 0 Commercial/industrial ❑ Accessory building Amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pomp. .0 Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION D Emergency system. larger separately derived system.
0 Addition of new motor load of ❑ "A ","E ", "1- 2 ", "1 - ",
Job nt .: : Job site address: 7228 SW Durham Rd. IOOHP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City / State/ZIP: Tigard, OR 97224 ❑ Health -care facilities. : 0 Supply voltage for more than •
❑ Hazardous locations. 600 volts nominal.
Suite/bldg./apt. 800 Project name: Argo lnternation ❑ Service or feeder 609 amps or more.., .
FEE SCHEDULE
Cross street/directions to job site: De:eriptioa I Qty. I Fee. I Total I •
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'! 500 sq. fl. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. R) 75.00 2
Limited energy, multi- family 7500 2
Voice/Data residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name:
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
City/State/ZIP: /State /ZTP: Temporary services or feeders installation, alteration, and/or I
y relocation
Phone: ( .Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125,08 2 1
Owne - stallation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2
inte ded 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
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee. 7.42 2
each branch circuit
Business name: Azimuth Communications B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact Steve branch circuit
Each add'! branch circuit 7,42 2
Address: 9500 SW Tualatin Sherwood , Rd. Miscellaneous (service or feeder not included)
City/State/ZIP: Tualatin, O 9 7062 Each manufactured or modular 67.84 2
ty dwelling, service and/or feeder
Phone: (503) 639 - 0110 Fax:: (503) 639 - 0110 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E- mail: lindsey (azimuthcommunications.com Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s) or limited - energy ii
Business name: Azimuth Communications panel. alteration. or extension.
1 Pgge2 2
Each additional inspection over allowable in any of the above
Address: 9500 SW Tualatin Sherwood Rd. Additional inspection (1 hr min) 66.25/ hr
City /State/ZIP: Tualatin, OR 9706 investigation (l hr min) 66.25/ hr
Industrial plant (I hr min) 78.18 / hr
Phone: (503) 639 - 0110 Fax: (503) 639 - 0115 Inspections for which no fee is 90.00 / hr
specifically listed (%: hr min)
CCB Lie.: 145828 Electrical Lie.: 36 -94CLE Suprv. Lic.: 2312LEA ELECTRICAL. PERMIT FEES
Suprv. Electrician signature. required:" o Subtotal:
Plan review (25% of permit fee):
Print name: Brett Ulberg Date: 2/15/2013 State surcharge (12% of per fee i
\l/ TOTAL PERMIT FEE: wI,�,
Authorized Signature: \ This permi application expires if a permit is not obtained within 180
Print name: Brett Ulberg Date: 2/15/2013 days after it has been accepted as complete. ' , /
Number of inspections allowed per permit. Or
• ✓
1:1Building \Pe:mits 07/01/10 440- 1615T( ILOS/COM/WEB
To: 5035981960 From: Lindsey Schmitt 2 -15 -13 11:29am p. 4 of 4
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
.Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
E l Burglar Alarm
❑ Garage Door Opener*
El Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
�] Other. ..
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918 - 309 -0000)
Check Type of Work Involved:
El Audio and Stereo Systems
El Boiler Controls
El Clock Systems
Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
El Instrumentation
El Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
El Nurse Calls
❑ Outdoor Landscape Lighting*
El Protective Signaling
❑ Other
Total number of commercial systems: t
*No licenses are requited. Licenses are required
for all other installations
1: aiiildie \PeroikaLC- pe,mitApp.doe 07:1O1/lo
To 5035981960 From: Lindsey Schmitt 2 -15 -13 11:29am p. 1 of 4
Fax
FACSIMILE
Date: 2/15/2013
To: 5035981960
From: Lindsey Schmitt
Subject: Permit Request
Lindsey Schmitt I Administrative Assistant I Azimuth Communications, Inc.
Physical Address: 9500 SW Tualatin - Sherwood Rd. Tualatin, OR 97062
Mailing Address: PO Box 508 Wilsonville, OR 97070 I Ph: 503 - 639 -0110 I Fax: 503 - 639 -0115
From: konica @azimuthcommunications.com [mailto:konicana azimuthcommunications.com]
Sent: Friday, February 15, 2013 12:15 PM
To: Lindsey Schmitt
Subject: Message from KMBT_C360
1
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7228 SW DURHAM RD STE 800, TIGARD, OR,
97224
Commercial - Electricial Limited Energy
135 Low voltage
02/25/2013 00:00
ELR2013-00042
PASS
Violation Summary:
Inspector Contractor