Permit il h
S a
CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
' ° '- COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00129
TtGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/30/2008
PARCEL: 2S101 DB -00104
SITE ADDRESS: 07300 SW HUNZIKER RD 110 ZONING: C -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: ACUITY
Project Description: Re- wiring existing fire alarm system.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: :
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
ROBINSON DEVELOPMENT AMERICAN SECURITY ALARMS
PO BOX 91305 5411 SE MCLOUGHLIN BLVD
PORTLAND, OR 97291 PORTLAND, OR 97202
Phone: Contact #: PRI 503 - 231 -0303
FAX 503- 230 -1044
FEES Reg #: ELE 26- 283CLE
LIC 58640
Description Date Amount
[ELPRMT] ELR Permit 5/30/2008 $75.00
[TAX] 12% State Surch 5/30/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: / , _ _,�� — ...,0 _ Permittee Signature: sp/ L q
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'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
. -
Electrical Permit ApplicarTiECEIV ED FOR OFFICE USE ONLY
. .
. City of Tigard Received „.,
Date/B : -) caTiliKeligZ. "ir Permit No. 1 / 44111 . : 4LA, : ..,, CVO-4r
al 13125 SW Roll Blvd., Tigard, OR 972M AY 2 F.2008
Plan Review
I II
- .. • Phone: 503.639.4171 Fax: 5o3. , „,. Date/By, Other Permit
TIGARD
Inspection Line: 503.639.4175 t :. y ;„....01. ; !uparila Dale Ready/By ltiri3: See Pap 2 or
, El f
internet: www.tigard•of.gov - i ' :: : ' " , ''- ;' s IoN Notificd/Method: Tra• Supplemental Information
i..., .
75•1';','' 1441 ONAt'Ai ' • '
Please check all that apply (submit a sets awaits wiirerns checked below)
111 New construction r4 Addition/alteration/replacement
0 Service or feeder 400 amps or more 0 Building over three stories
0 Demolition 0 Other: where the available fault etirrent 0 Marines and boa tyardS
'" .• .. ' ...:-:'..: ..' ' 11'...u:00 kOg i rt tl4tati7 lt# t .. 00 g4 .................................................................... exceeds 10.000 an 01 150 VOUS Or 0 Floating buildings
less to ground, or exceeds 14,000 El Commerciat-ust agricultural
111 1- and 2-family dwelling kJ Commercial/industrial 0 Accessory building amps for all other installations buildings
0 Multi-family 0 Master builder El Other: 0 Fire pump El Installation of 73 KVA or
larger separately derived system.
41))1:Si 0 Addition of new motor load or
1001-IP or more. occupancy
'kb nO.: k) Job site address: 1 • . '4,,,f `).-
r " ex' 0 six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: ...-- -:.-
0 Heatth-care tkeiliiies. 0 Sootily voltage for more than
1 k 'ad nR, '-‘-
1 cl n 0 Hazardous tocartons. 600 volts nominal.
Suite/bldg./apt. no.: tO Project name: .fciy111117ra 0 Serwsce Or feeder 600 amps or more.
,--, --
; '' ,:: :::''''':' • I ::... PEE. SCHEDULE
, r-1
Cross street/directions to job site: 0 Aurcrio. 1 Qty. 1 Pc;. ( Tow 1
y •
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: I ,G00 sq. ft. or less 145.15 1 4
Ea. add'l 500 sq. ft. Or portion 33.40 I t
Tax map/parcel no.:
, Limited energy, residential
1 75.00 2
• . ' . ' ..7.14i6kff01.51CM0000:i:W4antigg144 (with above
Limited energy, multi-family
'Re- .eic P(e- i4V13(NI ?itini residential (with above sq. n.) 75.00 2
Services or feeders installation, alteration, and/or relocation
• 200 amps or less 8030 2 •
Es i.,,,,,,, , iT , ,',;, , ..1.„ rnk-, ,„,-.:' T y 1,.;!., q io,i1.
0 RIMP ' .'''::•':.... '' ..::';'.' ' ' :.• ' .::;..t 201 amps to 400 amps 106.85 2
. . ... . , . ... .... ..... .. .
Name: --- Rc.)1 - i \ n ,f Con5Y0c.--t(71/1 . 401 amps to 600 amps
601 amps to 1,000 omps 160.60
240.60 2
2
Address: Over 1,000 amps or volts 454.65 - 2
Temporary services or feeders installation, alteration, and/or
City/State/ZIP :
. relocation
Phone: (5E )'9 - g955- Fax: ( ) 200 amps or less 66.85 i
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new alteration, or extension, per panel
Owner signature: Date: A. Fee for branch oimv its with
'Itl .Aliotki*.,...,.,.:,:.-,H,••••,::Hi..::.•:.;'.:!:...=::ct)..,,*01.4*wi.i*.4,ok::i,..i::•...i above service or feeder fee,
6 65 2
each branch circuit
Business name: fi maic 5_,eu1 pl T • B. Fee for branch circuits
without service Or feeder fee. 6
Contact name: S3 -P - 'Me --- ) first branch circuit 4 .85 2
Each addi branch circuit 6.65 2
Acic faxi....
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular.
90.90
dwelling, service and/or feeder
Phone; ( ) I Pax: : ( ) Reconnect only 66.85 2
E-mail: E„ (P, ..., a l Ks .. cp(VI Pump or irrigation circle 53.40 2
, . .. ,:': • ::.• , 7 ;,' H
Sign or outline lighting 53.40
0$01RAMtZY,Ri.:' '.!:,,;i''!;ri.:i.;.!!!?;^;14'■,,'L.;'H,!;■, 2
. Signal circuit(s) or limited-
Business name: /1 ryleyi Lay) e( x t energy panel, alteration, or
Address: 1- 1 II % I \A, extension. Describe: 1 Page 2 li)---- 2
City/State/ZIP: Illilail ag . 1 RO, Each additional inspection over allowable in any of the above
Per inspection I 62.50
Phone: ( 60D -, 1_
i 03i) Fax: (SD3 ) 3 3D _ /04 9
Investigation per hour (1 hr min) 62.50
CCB Lic.: SN105 Electricic.: a „ Suprv. Lie 17Lf [,vt Industrial plant per hour 73.75
• • • ELECTRICAL PERMIT FEES
Suprv. Electrician Signature, required; II ,, ls' Subtotal: 4
t
i . \ _ Plan review (25% of permit fce):
Print namc: 600,0,4c5 LV5T-0\f) Date: S, t5
State surcharge (12% of permit fee): iia.)
Authorized Signature; 1 TOTAL PERMIT FEE: '3Z
i
I Date: This permit application expires if a permit is not obtained within 180
Print name:
days after It has boen accepted as complete.
• Number of inspections allowed per pormir.
Miluilding 1 Permits \El - - , itAppll i, . - .. .. 0 N 440 I/05/COMAVEB
lAlciH: DE 'E 'APIN