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Permit • • •' S■ CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00239 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/11/2008 PARCEL: 25101 DB - 00104 SITE ADDRESS: 07300 SW HUNZIKER RD tie1 'D3 ZONING: C -P SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: HONEYWELL Project Description: Installation voice & data system. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: HILLTOP BUSINESS CENTER LLC AF TECHNOLOGIES 1300 SW 5TH AVE 1418 HEMLOCK ST. NW SUITE 200 SALEM, OR 97304 PORTLAND, OR 97201 Phone: Contact #: PRI 503- 362 -2364 FAX 503- 362 -2382 Reg #: ELE CLE 10 FEES LIC 167061 Description Date Amount [ELPRMT] ELR Permit 8/11/2008 $75.00 [TAX] 12% State Surch 8/11/2008 $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 issuan , .. 's suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Util Notification Cen - . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obt.'- . •ies of these r es or direct questions t• 0 e - 03.246.6699 or 1.800.332.2344. V Isis ed By: / 4i ` /) Permittee Signature: 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 4ie ijcation FOR OFFICE USE ONLY h Received (/ /, Ii City of Tigard Date /By: a // U PennitNo.: LoneQk --co- - ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone. 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit: TI GA R D Inspection Line: 503.639.4175 Date Ready /By: �Jurs ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: ` 1 (l.( Supplemental Information r , . TYPE;OF WORK „ : /:.. -ELAN REYIEW a , - `_c 1=1 New construction Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. w CATEGORY =0F, CONSTRUCTION ONSTRUCTION' r � exceeds 10,000 amps at 150 volts or ❑ Floating buildings. ���� �� less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or :.. »n system system. ' -�:- ''''; "hr , „ , ,..� - , - Emergency s larger separately env a, y . JOB S S ITE tiI NF ORMATI O N• S AND. LOCATION , --.,`t . - x; .. ,: U Addition of new motor load of ❑ "A ", "E ", "] 2 ", "1 -3 ", Job site address: ��)) 1001-IP or more. occupancy. Job no �� J7`� /tJ ZI Si- P 1 ®) 0 Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: 1 7 Z 3 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: Elm � /7/VeV//kj ❑ Service or feeder 600 amps or more. LP . ,'y:.; „ ,, �.:' .., ,FEE_ ,SCHEDULC.i„4" _%', 3;,' „' :” T. Cross street/directions to job site: .7 Ai ci - Description 1 Qty. I Fee. I Tota / New residential s or multi- family dwelling unit. / [ / t � �u � j (4).e. 5 -S Ce Ak e 43 Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential • 75.00 2 ` �" ` :'' ' DESCRIPTION. OF WORK".`, - - . . '- ' '*: * . ' (with above sq. ft.) � Limited energy, multi - family 75.00 2 ]1 111 4- - 6 4_,-4-451_ i NY S ' I ( residential (with above sq ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ` ,- . D PROPERTY- OWNER , +.',n - - - lam. TENANT` , , „ R - t. 201 amps to 400 amps 106.85 2 Name: z ,4/ey a) e / 7 /6y 7/'17 5 /rl 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: 7 ace) 1411{ No i t'l e IQ a7 i 1 c , Over 1,000 amps or volts 454.65 2 v� Temporary services or feeders installation, alteration, and/or City /State /ZIP: l Y� I � /( relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 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 exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel g A. Fee for branch circuits with R ' above se rvice or feeder fee, ❑ 1APRLICANT ❑ CONTACT PERSONS 6.65 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular dwelling, service and /or feeder 90.90 2 Phone: ( ) . Fax: : ( ) Reconnect only • 66.85 2 E -mail: Pump or irrigation circle 53.40 2 '. ,.:".: `,CONTRA CTOR f- . '`'” `=`_ .11'`,;.::.?,. . Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: �j F e6,4 4/7 / S energy panel, alteration, or Address: /%/ S 1/...4,,,./...) 1 o / . j Af l" extension. Descri � Page 2 -1,-00 2 (5&...& /. City /State /ZIP: // 17 �/e c `7 afl Each additional inspection over allowable in any of the above / Per inspection 62.50 Phone: ( Fax: � U� ,� ' a 3 3,0. -a 3g. � Investigation per hour (1 hr min) 62.50 CCB Lic.: / Elect ical Lic.: Suprv. Lie.:�j Industrial plant per hour 73.75 ��`/ � / / D p ' �� / -" ``EL . ECTRICAI. PERMIT FEES 7S "U ' Suprv. Elec signature, required: 7 // , Subtotal: Print name: � r ( ,',� g2 /73 /N 5 Date: , - / 1--vg' ._0 Plan review (25% of permit fee): } — State surcharge (12% of permit fee): Authorized signature: TOTAL PERMIT FEE: �©d This permit application expires if a permit is not obtained wi 180 Print name: Date: days after it has been accepted as complete. ' Number of inspections allowed per permit. I:\Building \Permits \ELC- PermitApp doc 05/23/06 440- 4615T(t t/05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: �VRESIDENTIAI�WORK ONII':.���A , ,. >;�4w _- Fee for all residential systems combined ... $75.00 Check Type of Work Involved: n Audio and Stereo Systems* n Burglar Alarm Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* n Other: COMMERCI;ALWORKONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls n Clock Systems PI Data Telecommunication Installation n Fire Alarm Installation n HVAC n Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical n Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC- PermitApp doc 03/23/06 CITY OF TIGM39 BUILDING DIVISIO& PERMIT #: Et„R2008-00239 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 81'11/2008 Phone: (503) 639-4171 a/,; itippl‘iit\ Inspection Requests (24 Hrs.): (503) 639-4175 ...,_,,tf■ ....... - INSPECTION WORKSHEET FOR DATE: 8/27/2008 TIME: 7:00AM PAGE: 22 SITE ADDRESS: 07300 SW HUNZIKER RD 103 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HONEYWELL DESCRIPTION: Installation voice & data system, OWNER: HILLTOP BUSINESS CENTER LLC, PHONE #: CONTRACTOR: AF TECHNOLOGIES PHONE #: 603-362-2364 Inspection Request Scheduled For: Date: 8/27/2008 Pour Time: Code # Inspection Description Co .Cr # Contact # Message 135 Low voltage 674710-01 503-362-2364 N Corrections/Comments! Instructions: . PR.Ovit) 3 P-AZOI wr: On) 4hei qi e CA L .....- - P km ove iq I ese OF Pa t4 Va, , - CS c I I PASS pi PARTIAL APPROVAL 0 CANCEL fl NO ACCESS FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: - % 1\)t% 1.-1 Date: t274 3 Phone #: (503) 718- 1-/-11417 _ _ • CITY OF TIGAMID _ BUILDING DIVISION PERMIT #: ELR2008-00239 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: I3/11/2008 Phone: (503) 639-4171 uingovil fi\ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 8128/2008 TIME: 7:00AM PAGE: 37 SITE ADDRESS: 07300 SW HUNZIKER RD 103 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HONEYWELL DESCRIPTION: Installation voice & data system. OWNER: HILLTOP BUSINESS CENTER LLC, PHONE #: CONTRACTOR: AF TECHNOLOGIES PHONE #: 503-362-2364 Inspection Request Scheduled For: Date: 8128/2008 Pour Time: Code # Inspection Description ColifiFrr Contact # Message 135 Low voltage \ 074769-01 503-362-2364 Corrections/Comments Instructions: • N (N C\IU n PASS n PARTIAL APPROVAL El CANCEL I I NO ACCESS I I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: G INI Date: 4..1. Phone #: (503) 718- OA> •