Permit fit.
CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
` COMMUNITY DE VELOPMENT Permit #: ELR2009 -00186
TIGR 13125 SW Hall Blvd Tigard OR 97223 503.639.4171 Date Issued: 07/14/2009
. Parcel: 2S101AC90000
Jurisdiction: Tigard
Site address: 7125 SW HAMPTON ST
Subdivision: Lot: 0
Project: Special Districts Association of Oregon
Project Description: Access Control Add - Protective Signaling
FEES
Owner:
HAMPTON STREET BUILDING CONDO Description Date Amount
OWNERS OF ALL UNITS Restricted Energy Permit 07/14/2009 $75 00
00000 12% State Surcharge - Electrical 07/14/2009 $9.00
PHONE:
Contractor:
SONITROL PACIFIC /SOUND SECURITY INC
8220 N INTERSTATE
PORTLAND, OR 97217
PHONE: 503 - 223 -5822
FAX: 503 - 973 -7773
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 Total $84.00
Intercom /Paging: N Landscape /Irrigation: N
Required Items and Reports (Conditions)
Landscape Lighting: N Medical: N
Nurse Calls: N Protective Signal: y
Security Alarm: N Other: N
Other Desc:
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 9 0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: --/ZQ it./1>^R T ) Permittee Signature: 5? — .�.. e__
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 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.
'4 ( '
JUL-13 —09 08:54 AM SONITROL —PORTLAND 9737773 P.01
. 1
EttELISAL REcEiv .. ...,, pki !CV, 11,SF....1)N1,1. . •
City of Tigard L k ' • ';'
. ' 7.,,,,ived '51 . ..
lyriint No.: 20,...a
.....- 'I 13125 SW Hall 131vtl., 'I igurd, OR 97223
' I '
a Phn 0363
oe 5.9.4171 Fax: 503.598. 1 060
11111 JUL 1 3 2009 '-
Dakily, Other Noon:
Inpeolon Line! 503.639,4i75, ),,u, l 0 See Page 3 (or
TIGARD s CITY OF TIGAR ‘ ')..} , e4d , ./13y: ,
h,,,,,, www tip; d-or.gos• ,s'oblict,l/Mellool, : Supplemental Information
--,-- IILMONG44VISKX . — — ,
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•
,,,,,,,,,„,,, .. • . .... .
YPE OE WORK ' ' PLAN REVIEW :L. ..
0 New construction Addition/alteration/replaeement
. - - - ---- jer
ri vaNe du:a all ',kit a;;Try7subillit 3 ,tc.nt of plans w;itettig checked balowy
0 •4'1 or 11:t 400 41111. or Imre 0 I Wilding over tti t
0 De111011110t1 0 Other; where the avuilahle fault curium 0 Mai inas and boatyards. .;
, t',;•,Ii•;/t r ::•, CATECORY OF CONSTRUCTION v‘kuLt, 10,000 ..0), :II I% volu 01 Homing 1,,,ildirio. ,
,
. . . 1,,, to g r o und, or vAcm,..1$ I 4,000 M C011nitgiVidl•m,U agliCtlitqral .■
Ej i . and 2-family dwelling gy Commercial/Indust! nil 0 ACeeSSOry bUilding atiitig tbr 311 other instatiaiions, buildings.
• •
0 Multi-larnily 0 Master builder El Other: El fire pump, 0 Itvlollattun of 75 KVA or
,
— --7--- 0 I.Incilteucs• iystein largo scptilatcls• detivcd systrrn,
Ett : . '.• • : ' JOB SITE INFORmAlloN AND LOCATION ' ' ' . . • ' El AL11.111.1.01 Di no in ii loild ij 1 A I .
,
— .
leel IP o r more oeropOlicy.
.! P090088 Job s it e a ddress: 7125 SW Hampton St . 0 Six or more resicleolldi linits. D Iteur c.ttional telliele pnrks,
_ Job no ____... _.. . .
IM I le•lth•cote facilities. 0 SLIpply volt3ge r,,,111(1112 Ih011
01
'5Wrill'! Tigard OR 97223 .
C 1133 On utien3 Mg) 111 11, 110 1 1 1in:11
Suite/bldg....apt no • 1 Project name: Special Districts 0 sc, vivt: or litcdc/ Otnt amps nr mom
j: ----- 4 _ 4 DUI E
Cross str(el/Liirectioiv., IL) job SIltf:rts soc-t- a i- ion of Oregon i
.
' - ' — New residential single- or molli-Iamiiy dwelling unit.
Ineludes attached garage.
,000 sq. II. or less 145.15 4 ',
Subdivon: 1 Lot no.: --
• -'""' ' . Ea. adk.I'l 500 Sq. 0, 01 portion 33,40 1 7 . :
fax mapipareel nu.: limited vrtergy, residential
.-- ,. . . • 75.00 2
Elle(!4 ; ...:•.••:!!: : OF WORK .. .• . ' i .. .'. :.;'. '.:: ( 1. 1 „,_ — -
. ..
Limited tntrgy, multi-furnily
75.00 2
AcQ.(1Sg_qPntr..01._a00___----- residential cn,o, above tit!. ft.)
So or fttliers InStaillit1011, alteration, a ndRii relneatio n • ,
•
200 arilliS 01' less 811..■0 2
. . . — .......... ..... _... „ , ,,.
0 ROPE RTV ONYNE It 7 . . E TENANT
. 201 amps to 400 ampx 106 85 1
-----,...-- -- --, -
401 amps to 600 amps I 60. 1) 2
Nam , e: _
601 amps to 1,000 amps 240.60 I
-
Address! Over 1,000 amp,i or volts 454.6.5 2
--......- _ —_„-.--
___ _...... _ . ... ..........,....„ „ , _ . .. -
Temporary services or feeders installation, alteration, and/or
City/SI:11d% 1 P .
......._. _____ relocation
_........_._ ...... .....__......... . .- ,.
Phone: ( l j Fax: ( ) 200 ipso r less
-, 66.8,5 1
- . 201 amps to 40f.lanips 100,30 2 •
Owner installalion: his irodidlation is being made on property that 1 own which is not -- _ ,
intended or sale, lease, icnt, or exchonge, according to ORS 447, 440, 670, and 701. 401 amps to 599 urEah 133.75 2
Branch circuits - nor, ulterciliim, or txtvi■ion,por_panel , •
ONiller Sign aturo: . . ___Dalc: ......_ __--- ' A. I've ilo branch circuits with - • '
D >PM IA
C'NT
1 - - • 0 CONTAC'r PEILSON . • • above service or !eviler Co:,
6.65 , •
•
each hay), t,:treuit
Blistnexs narno. B, Fee tor branch circuits . ..
without service or feeder fee.
Contact name: 46.85 2 .'
lirst brunch .
... ... .,.. .......,...... --
Addic Each addi branch circuit 6.65 2 .•
ss .----,------___ __.----- .
,. ..1111sceltapeo us (service or Roder not i nelutlelll_
City/State/7,11'; Ouch mantila:1Ln ed or modulo; . :
•
96.90 2 , •
- ' __dskellitii„,s,,ey„ice and/or fuutler ,
Phone: ( ) I Fax: : ( 1 Reconnect only 60 83 2
,--..—.. .---
E-mail: Pump Or irrigation circle 53.40 2 • :.
•,i.i.r,. . .. . CONTRACTOR . • " • •, • .... Si8n or outtine lighting 53 4b 2
. • . ____________ ..... ___________ ___................-----
Signal eireuit(s) or limited-
Business name. Sonitrol Pacific / Sound Security energy panel, alteration, or . .
Address: 8220 N Interstate Ave cmosiorl Dcscnbe: I Page 2 5 2
__
City/State/ZIP: Portland, OR 97217 , , Euth . iii1t1111onn1 insprution ortr ullumibly in any of the above '
Lie - ----. -- Per inspection 62.50 li :
( 503 ) 223-58 22 i' 77/3 ..
Investigation per hour (I lir loin) 62.5
-• w
i I s II - --_____ .__________. _ 0 —
r CC13 .: 5 3 l vctri
53 5 i Lic.: 2§ Q • 1 uprv, Lic.362ett,4 industri al plant put' hOur 7
... . _ 3.75
' • ,, ,,:'. ,. i.!.. , ,. , ' . ..: ,', :... t.I.,ECTitICAI.. PERMIT FEES
-
$4prv. Ekctrician sigrature, required:- i D111 ti -
Subtotal: IS
rint name •
___
—. . Pi,in reviow (2.5N, of permit fr•e).
P . Date. 1 ,- ,....................
.111ake_ . , . . . su s tl r o wu e ( IN, aileron! feu): 1
Authorized signature: P
re: TOTA1. LitmIT Fi:
r. • : .
'1'1115f/emit opplienilott explref If a permit Is not obia lied tt !thin 180 ,. ,
r - 1;711natne: 1_ Date: aays alter It has been accepted 10 complete.
---.....--, - - --- - • .
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