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Permit V CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT s - COMMUNITY DEVELOPMENT Permit #: ELR2013 00077 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/10/2013 Parcel: 2S102DA00401 Jurisdiction: Tigard Site address: 13125 SW HALL BLVD PD Project: City of Tigard Subdivision: BARNUM PARK Lot: 9 Project Description: (1) low voltage to add two access control PDX -11267 Contractor: ARONSON SECURITY GROUP Owner: TIGARD, CITY OF 8089 SW CIRRUS DR 13125 SW HALL BEAVERTON, OR 97008 TIGARD, OR 97223 PHONE: 503 - 639 -9988 PHONE: FAX: 503 - 684 -4357 FEES Description Date Amount Specifics: Restricted Energy Permit 04 /10/2013 $75.00 12% State Surcharge - Electrical 04/10/2013 $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: 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: Y 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 OA 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1 / Issued By: Permittee Signature: / H r / UC*'r I (C��[- 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. 04/09/2013 06:47 5036844357 ASG PAGE 02/03 Electrical Permit A licati FOR 01'1-'1( I- I.' F ?E C EIVED Received Pcn No ,: City of Tigard D to 3 ��c)Ui 3 -ixv 71 13125 SW Hall Blvd., Tigard, OR 9 7223 Plan Review By Ilh Phone: 503,71 8.2439 Fax: 503, 59RA6R O 9 2013 Date : Other Permit; 1:17 Inspection Line: 503,639.4175 nntc Ready/By: it • ;, RI Page 2 for 1 ! �; Internet; www.tigard -or. Notified /Method: 'TKO Supplemental lnformatiom ..,n YY �_ Y � r „� i . „ ri ' „ !r ,, . ^u >. --da 1 �1 a'if ti ii i 1 t;'in,� r 'I 1 ' , ,, 1d �:-!{ I'i '- 1 w �lj {r I!t "r. ', • J o, ,. I I I 10 {L .., I iii 36 NIl a 101 ill; 14 4, 'M �f c 1 1 :1 t'dt } 9 1 1 • I ' IN li p� I q' 1i� H .: " ..” , i " " ' I'�i "'Snit, " (III . ,1),> !dil ' 0 ;, b i, ,.,j,,,d{,,,�„ I � I ,fli �,uugilrll ! j1111 �l;� dN � { �{ sir .. ' rf1 MI'I a t'{ � ? {�- • � � 1 kd1• � Gj� ��,�d rt n? r,�n a. "? a,� 1: rd u • ❑ New construction ® Addition /alteration /rep accmen i�lesee check all that apply (submit acts of piano w /i tems C below): f] Service or feeder 400 nmp5 or more © Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and bOntyardc. M�- I iJl , ` ti +E a I f 1" !! 1; !, "y� r :„ y µ,y� i, '1 i y i 'a ;' I I; +° °ir { "� ,,, exceeds 10,000 amps at 150 volts or 1:1 Floating buildings. ,., , ` f"litl)ry aJl',1! %.. ... 1Nir dllStrla Ud+t{It l I ,.�, Y y j , G � d l� it'e loro 1 a { Ices to ground, or exceeds 14,000 ❑ Commercial -use agricultural 0 1 and 2- family dwelling ® Commercial /in ❑ Accessory building amps for all other installations. buildings, III " ;;� ❑ Multi - family Master builder Other: ❑ Fire pump. ❑ Installation of 75 KVA or Y � S � i ! • " � r � � f � � �, ❑ Emergency system. larger separately derived system, 1 i ' ' �I . _Il i I " . j ibe Yi0 1 ¢1lNlli)kJ i$I„ 1 � , 1 o i " ;t I{ i , 411 ir,a „L Id . yo , ,i1 z6 ,,..,.„ , ,,�o e,„ 1IU„ eW �!,, l ri�►,m �! ^lo,,,,,,uRnr, ,,,,.,... >I'6 1,;{C�l i ) i . i :Naalt, f a., r ;; ;L. i ©Addition of new motor lo ad of ❑ • A••. � •�,,, `•1_2 ". •'1 3 ^, Job no,: PDX -11267 Job site address: 13125 SW HALL BLVD Sie or m r more. occupancy. ❑ Sx or more residential units, ❑ Recreational vehicle parks. City /State /ZIP: TiGARD, OR 97223 Q Health—cam facilities. 0 Supply voltage far more than 0 )ia:nrdnuc locations. 600 volts nominal. Suite /bldg. /apt, no.: Project name: CiTY OF TIGA RD C] Scrvitc or fender 600 amps or more, 'n»rr „ ',''' :') , m ten t 4Jia`„r I:. 9 ) 01 lr 9r. Il 1 41 9 {d�iiij i �'1, r 4 • , • f ;n' !�� ^hI „�tl���iE��M'�� ,�dis � �r�j4 d- Ml�r,.'� Vii . ■„- . {„ Cross sired /directions to job site: ncecriptten Qty- Fee. Total New residential single- or multi - family dwelling unit- Includes attached garage, Subdivision: Lot no.: 1,000 sq. ft. or Ices 168.54 4 - • Ea. add'l 500 sq. ft. or portion 33.92 I Tax map /parcel no Limited energy. residential I 1{ 1 I;lin i Y r +1n� I I l �� it e r , ia With above S , R, , lm . rC31(1 75.00 2 ,• Id li ffg1 'ri W i illl'� I ` ± t � i�,0q 1�, p ?,, i„� "i{,;,�,, ii { ,, {d hi)!d1', 1 :.,iJfl i1�l,,b,l ",� I , � ;1 i1- I�llf�'��i� 3 , ,,. ,{ - ..,, I:I , r "1lr '�� , uv ,, t, Limited energy. multi Add two card readers to access control system PDX -11267 residential sq. ft.) 75 - 2 Services or feeders installatien and /or relocation 200 snips or Icss 100.70 2 „ n " { p i il l t " I V " r, d rn I „ , n a,�ll rt ;i r•11 : r 1,q y l ly Cly�iyl { E;1 i 'Id l� i� gll t, : ,i or ?i 201 amps to 400 amps 133.56 2 IIJ rE:r,, it : l,•;i�`°5,,, ' , ,,, ,, V i' Vi 1�1�1 „ I ( 1JI , , f;Ild � 1" i " , ' I hl r i 4 911 . �Lll,;'> , ! li( ,I,. r ,1; h I lr l it. 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 r 2 Cit. Temporary services or feeders Installation, alteration, and/o City/State/ZIP: r Y - relocation Ph one: ( ) Fax: ( ) 200 amps or less 59.36 I I Owner installation: This installation is being made on property that i own which is not 201 amps to 400 amps 125,08 2 intended for sale, lease, rent. or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168 2 Branch circuits new, alteration or extension, per panel Owner signature: Date: A, Fee for branch circuits with n , i'r1 r , I , r j „ p t i y a serv or f ee d er fcc, I l r l ; , { i h,• ; I, 1 i ,,lill ld �?'I1IlE ° 7.42 2 3,,,I ...;..,�.,iLr.,,;. , ,,, ,,i,;1,,, ro „+uhl I1lu,1 ik110i da l,9iu",,ou , ,{I , ..,.,1 „. .,,.,,,,,,r,d, 6„ i,{1 »II . e ach br circuit Business name: 13. Fee for branch circuits without service pr fbcdcr fcc, first Contact name: branch circuit 56.18 2 Each add'l branch circuit 7.42 2 Address: M (service or feeder not Included Each manufactured or modular Cit dwelling, service and /or feeder 6T84 2 Phone: ( ) I Fax: ; ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E Sign or outlinc lighting 67,84 2 ( , 1 , •�,., I y '.I I ��,, l.i '� {i l,' yµ�d 9 N„ id {4 r.; d � � i 19 �'{ -� ri'� ��, i�,��1 „I 11� °i {� l, ,{ 4 , r� li pM xlljdi: 1, 13�, 4�1u ',{l '�4 ld,1�M1�I "'�M rII rr3 i_iit; 4 �'➢�d>�„ x4i)r dj, �i�)�•i si circuits) or limited -cncrgy Business name; ARONSON SECURITY GROUP panel, alteration, or extension. 1 P gc 2 75 ' � 2 Each additional inspection over allowable in any of the strove Address: 8089 SW CIRRUS DR Additional inspection (1 hr min) 66,25/hr City /State /ZIP: BEAVERTON, OR 97008 Investigation (1 hr min) 66.25/hr Industrial plant (I hr min) 78.18 / hr Phone: 503 639 -9988 Phone: ( 503) /1�S Fax; (503) 684-4357 t i rot ll f Inspections for which no fcc is ' specifically listed '4 hr min 90,00 /hr CCII Lie.; 185024 ?� Electrical l,ic.: 497 + CI.E Suprv. Lie.: 316LEA ] i': } ° s ^ P ifp ,ii. ;irt3.i '- •L.,31,UILl' ;': ti t �i'!I1ul ul,;,,,rl, Supsv. Electrician signature, required: 7i1� Subtotal: 75,00 Plan review (25 % Ofpenult fee): Print name: JAMES WI- IiTEI-iOUS r / pate: 04/08t13 State surcharge (12% of permit fee); 9,00 __ i% TOTAL. PERMIT FEE: 84.00 Authorized signature: — __ This permit application expires if n permit in ant nbtsined within 180 days after it has been accepted nn complete. Print runic: Date: * Number of inspections allowed per permit, meuna; n5\ Perma.,'r.- a..r:- P„r,,,enpp,doc 07 /01(10 140- 1013T1II/OM:OM/WEB 04/09/2013 6:47 5036844357 ASG PAGE 03/03 Electrical Permit Application - City of Tigard Page 2- Supplemental Information LIMITED ENERGY PERMIT FEES: ;''ItERDTAXIONWPWRINgiigglarataNIO Fee for au residential systems combined ... $75.00 Check Type of Work Involved: El Audio and Stereo Systems* O Burglar Alarm 0 Garage Door Opener* fl Heating, Ventilation and Air Conditioning System* rj Vacuum Systems* O Other: . fig t ,WPACOMPLIKOMMIFERMEFFIM 1 Fee for each commercial $75.00 system (SEE OAR 918 Check Type of Work Involved: El Audio and Stereo Systems El Boiler Controls El Clock Systems El Data Telecommunication Installation O Fire Alarm Installation El I O Instrumentation 111 Intercom and Paging Systems O Landscape Irrigation Control* El Medical O Nurse Calls El Outdoor Landscape Lighting* O Protective Signaling El Other ACCESS CONMR,01., Total number of commercial systems: 1 *No licenses are required. Licenses are required for all other installations 1:1BuildingWarmit+ELC-rortnitAptdoc 07#71/10