Permit CITY OF TIGA D
�• ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00319
DATE ISSUED: 11/17/2008
TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 DB -00103
SITE ADDRESS: 07360 SW HUNZIKER RD 206 ZONING: C -
SUBDIVISION: HILLTOP BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: HILLTOP BUSINESS CENTER
Project Description: Low voltage for protective signaling.
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: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL: X
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 11/17/200E $75.00
[TAX] 12% State Surch 11/17/200E $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: / •ermi ee Signature: t
�� � ��/ e-64./ rte/
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.
. • E1eetrical Permit Application , FOR Ol'l'I
� 9 CE USE ONLY
City of Tigard Received
.. 't 13125 SW Hsll Stud., Tigard, OR DalelB :
moan Permit No. ,G , _, e _ ou ,,
` 1 Phone: 503.6 ?9,4171 Fax: 503.5 q Plan Review C
C ' Date/B Other Permit:
TIGARD Inspcc ion Line 503,639.4175 l aatcR Y ad y ;relic. fa See Page 2 for
—
Internet: www.tigard- or.gov V C' Pte, .'otiredm4ethod: T� --
/ Cf Supplemental Information
* t•li . '?",1'.'::.. o * 7; f ) '' i ; T PLAN fii,
❑ New construction a 3 ! ` •,. W .
Ad dition /altefati0 w please check all that apply (suhntit2. .or. of plan; heals checked below)
El Demolition ❑ Other: �� ) ! ❑ Service or feeder 400 amps or more 0 Building over three stories
where the available fault current ❑ hram,as and boatyards
- . a1T ;F� (4t))f(,I,, , QF : C'O 0S hi00, - .i r ; ,i t r,' exceeds 10,000 amps at 150 volts or 0 Floating buildings, • ❑ 1 and 2- family dwelling Q Commercial /industrial ❑ Accessor buildtn lea; to around, or eacoedS 14,000 0 Commercial-use agrietilwrai
Accessory � amps for all other installations, baildme;
❑ Multi - faintly ❑ Master builder ❑ Other: O Fi r epump.
-- rr•-- --�• —� In;lailanon ol•75 KVA or
J4r3 + JTE, 40 1!�',' # D G ATI rl' :` t, D Emergency sYStcm. larger separately derived system.
,.: , .• t ,, �� .r hY ? ': ❑ Addition of new motor load of ❑ .: ,. , 1.2 ., ., ..
Job no.: N I w Job site address: 3 �� I 1 or more. occupancy.
f
❑ S i x or more residential units, ❑ Recreational vehicle parks
City/State/ZIP: . � (,�,� G V t' /� � ❑ H ealth -oore facilities. d Supply volty;c for more than
— _ y
_ 0 Hazardous locations. 600 volts nominal
Suite /bldg. /apt. no.: A 1 Project name: Ili I Toe 1501 kii ❑ Service or fecdcr 600 amps or more,
Cross street /directions to job site: F1s> SCHEDULE
Desert uton ME gay. I Total °
New residential single - or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no En. add'l 500 sq. ft, or person 33.40 1
Limitcd energy, residential -
DE CR1P; ION OF, w,CJR "i jwa11 above sq. R.) 75.00 2
- 1 / Limited energy, multi- family
` tot • �(��_ • �� �� r / Y /, , / residential (with above sq, R.) 75.00 )
W \ A ( H On �l ,/) Services or feeders installation, alteration, anU /or relocation
t 1 f f L 200 amps dr less 80.30 ' 2 •
., .,. 1• ; PRO'FkrY 4 )? R ` d,, ;' Orr .E+NAI4 i : ' 201 amps to 400 amps 106 85
2
Name: ,„I A, `,I ' - � . ` �1✓1 401 amps 10600 amps 160.60 2
I1 '- t
Address: 601 amps to 1,000 amps + 240.60 2
Over 1,000 amps or volts I 454.65 I 2
City/State/ZIP: Temporary services or feeders installation, alteration, and /o r
relocation
Phone: ( ) 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 100,30 2
intended for sale, lease, rent, or exchangc, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 I 2
Owner signature: Date: Branch circuits — new, alteration, or ex tension, per panel
A. Fcc for branch circuits with
E APPLIC.aNT (]`?CON 1 AC^ I' ipERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: A I r N^ : t 6
B. Fee for branch circuits
Contact name; without service or feeder fee,
� +�tui 1 ' first branch circuit 46.85 2
Address. Each add'] branch circuit I 6.65 2
City/State /ZIP' Miscellaneous (service or feeder not included)
Each manufactured or modular
90 90 2
Phone: ( ) Fax:: ( ) dwelling, service and /or feeder
Reconnect only 66.85 2
E -mail Pump or irrigation circle 53.40
2
CO NTkAt'T0
Sign or outline lighting 53.40 2
Business name: American Security Alarms, Inc. Signal circuits) or limited -
energy panel, alteration, or
Address: 5411 SE McLoughlin Blvd. extension. Describe: 1 Page 2 7 > 2
City /State /ZIP: Portland, OR. 97202 Each additionallnspeetion over allowable in any of the above
Phone: (503) 231 -0303 Fax: (503) 230 -1044 Per inspection 62.50 I
Investigation per hour (1 hr nun) 6250 II
CCa Lie.: 58640 Electrical Lic.: ago•' a '7 Suprv. Ltc.:9q 1 industrial plant per hour 73 75
Suprv. Electrician signature, requned: v 'ELECTRICAL PERMIT FEES •
Subtotal: 75.00
Print name IP • , Date: . ,it Plan review (25% of permit fee): N/A
Authorized signature:
State surcharge (12% of permit fee): 9.00
TOTAL PERMIT FEE: 84.00
Print name: Sara Patterson Date; Thls permit application expires if a permit is not obtained within 180
days after It has been accepted as complete,
`• eu, ldinglhermiislF _U•- h... „, a • gpp. ^, ^ " ^< ' Number ofiuspectto nsallo-- '+ , . , a.. -
d ni7rn A, aao- 16L`T(It /0s /Coouwo let o / O , 7 / 7 I Q p
•
Electrical Permit Application - City of Tigard ()
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
Fee for ail residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
Fee for each commercial $75.00
system
(SEE OAR 918 - 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑
Data Telecommunication Installation •
❑ Fire Alarm Installation
E HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
rotective Signaling
❑ Other
"Total number of commercial systems: •
*No licenses are required. Licenses are required
for all other installations
f:Dn;d�ng \l , 9 t. 8 tAl d L e: 1 8006 ' L 1' A O N
CITY OF TIGARD ,.- :.
BUILDING DIVISION PERMIT #: FLR 200$ - 00319
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/17/2008
Phone: (503) 639 -4171 ' A
I
St
nspection Requests (24 Hrs.): (503) 639 -4175 :..' "'I —
INSPECTION WORKSHEET FOR DATE: 11/26/2008 TIME: 7:OOAM PAGE: 33
SITE ADDRESS: 07360 SW HUNZIKER RD 206 CLASS OF WORK:
SUBDIVISION: HILLTOP BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODMAN NETWORKS
DESCRIPTION: Low voltage for protective signaling.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: AMERICAN SECURITY ALARMS PHONE #: 503-231-0303
Inspection Request Scheduled For: Date: 11/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 078536.01 i: 3-231 -0303 Y ✓
Corrections /Comments /Instructions:
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL El CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / F 2 6 " P Phone #: (503) 718-
. .
(.