Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00051
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/7/2008
PARCEL: 25101 DB - 00100
SITE ADDRESS: 07320 SW HUNZIKER RD 106 ZONING: C -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: WOODEN SHOE DELI
Project Description: Adding (1) low voltage alarm system for cafe area.
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
21360 NE AMBERWOOD DR. 5411 SE MCLOUGHLIN BLVD
HILLSBORO, OR 97124 PORTLAND, OR 97202
Phone: 503- 645 -8531 Contact #: PRI 503- 231 -0303
FAX 503- 230 -1044
Reg #: ELE 26- 283CLE
FEES LIC 58640
Description Date Amount
[ELPRMT] ELR Permit 3/10/2008 $75.00
[TAX] 12% State Surch 3/10/2008 $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.
y• , i
Issued B Perm Signature: ` %����d�(
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.
, ,-•:*.,
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Electrical Permit Application . volt 01 IISLONLY
. City of Tigard " 13125 SYV Hall Blvd., Tigard, Oft. CE1VE " .„,„,t . "
66' 0/1— Permit No.• e 11)
...■ an." oi •-•-• A, SI ,
111 7 .,n08 Plan Review
; . .r: .. Phone: 503.639.417 i Fax: 503.598.1* 7 Lt. AR — 1 Pate/By: Other Puma: )'4p gut - --cx_oo_
TIGARD inspection Line: 503.639.4175 Dale Ready/By: Juris: V1 See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Not ifted/Method: Supplemental Information
8;M .f ,: 5 rtil
M New construction .0 Addition/alteration/replacement PleaS0 cheek all that aply (stibmit 2 Seta of plans wii(crns checked below).
D Service or feeder 400 amps Or more 9 Building over three stories.
Demolition El Other; where the available fault current 0 Marinas and boatyards.
;i'0:;:‘.::. 'al . • , l ii f inl egligleMir'1:10,t507, F exceeds I.0,000 amps at 150 volts or 0 Floating buildings.
lk,,,.-:gll;S4c N
4INW...vt...t1, i ...„' r, ifflO;FWA • ' • . AWBATAW • ,•"• : ,'''' ':A . 'etA.5i
' ' ' ''' "" " less to ground, or exceeds 14,000 9 Commercial-use eine ul I oral
n 1- and. 2-family dwelling R1 Commercial/industrial 12 Accessory building amps for all other inStallatiOnS. buildings.
0 Multi-family I=1 Master builder 0 Other: . Orin pump. 0 Installation of 75 KVA or
i .41 ' . . ": . AVVIVON ii ; (t ''''Vy6iii al' laggalti 9 Emergency system' larger separately derived system.
;:.•„;:: ll , .,IN,UticA4' .::',, ,L!s7AtIlii0 0 Addition of new motor load of
job no.: N A Job site address; --- t • • ' 1 10014P or more, occupancy,
Ir / ,t,. IL A • kz , ILI/. . 9 Six 0 more residential units. 9 Recreational vehicle parks.
City/State/ZIP: 1 4 " ...,... , ,
.., a . 9 Health-care facilities. 0 Supply voltage for more titan
0 Hazardous locations. 600 volts nominal,
Suite/bldg/apt, name; ./apt. no.: / 0 / Project — 0 - _I
a Project _,..„... . 0 Service or feeder 600 amps or more
ag&'O$E.N.1,r2iittglAkA,
Cross street/directions to job site: L300 • 13 t. 40E , b.scri e nee i Oly, I e.n. I Told ,
New residential Single Or multi-family dwelling unit.
- ---- r - J__ Includos 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
.„ Limited energy, multi-family 2
_ 4(,{drh • 1/1 'ED Olh4111 __Ijje ') n • , , ,0
75.00
residential (with above sq. fl.)
Services or feeders installation, alteration, and/or relocatio
•
I.,. ' # "
.....a.. 200 amps Or less 80.30
77.: .1.i..,:),: 201 amps to 400 amps 106.85 2
- 401 amps to 600 amps l 60.60 2
Name: c .i2 na5n I cir • .
601 amps to 1,000 amps 240.60 2
_
Address: Over 1,000 amps Or volts 454.65 2
Cit /State/ZIP Temporary services or feeders install;t1on, alteration, and/or
y :
. relocation
Phone: ( ) I Fax: ( ) 200 amps or loss 66,85 I
100.30 amps 100
amps to 400 amp .
Owner installation: This installation is being made on property that I own which is not 201 amp - 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 circuits With
; , above service or feeder fee,
,, ....- .;...,...,i,::"••• .., ,. .. .7, T, „,5s i..,.,..,;i:VJii..i ,H. .4 I :".. . I.L. .., .7 ■ , ,...-, )„ kb 6.65 2
Business name: NiNNeSigfV C_,L)<NA1/ 0 10A-ista_ B . each branch circuit
Fee for branch circuits
_
— without service or feeder foe, 4685 2
Contact name; q1/4. --)Dyk fir .
first branch circuit —
Address:
Each a dd'l branch circuit 6.65 2
,
. — — Miscellaneous (service Or feeder not included)
City/State/ZIP: Each manufactured or modular
90.90 2
dwelling, service and/or feeder _
Phone; ( ) - Fax; .: ( ) Reconnect only 66.85 2
--
P
E-mail: 9 f. e • Pump or irrigation circle 53.40 2
ii % l, • . el A A
;.:. .::•: ; 6 , ..;NTi,ifiq7it5i,;?:;;<it f.tis!.:EMMiniall, .ffl Sign or outline lighting 53A0 2
Signal eircuit(s) or limited-
Business name: ti y_airi fikrin0_ pic-, energy panel, alteration, or 1 C
Address: Sii 11 E mc is) ' 4 ' kli y\ 7--1-1, extension. Describe: i Page 2 . 2
b
City/State/ZIP: ! d a: ek .... I • . 0 - Each additional inspection over allowable In any of the above
Per inspection 62.50
Phone: ( l) ; - 2 3 \ - 0 . to Fax: 60 ) ,;1 - 64
Investi per hour (l hr min) 62,50
CCB : Lic C.
Lie.: tch Blectrical - ic.:Q e .. ' j ; Suprv, Lie: 771i,GrA
- . ..
1.-.....1 Industrial plant per hour 73.75 „ .. .
Suprv. blectrician signature, required: 9 Subtotal: 1 „Al)
Ail . A... . • _
I Plan review (25% of permit foc); I
Print name; '
.
... Iliell=1 ° ate 3. (12 • (4._ State surcharge (12% of permit fee): ill
AuthOri2ed signature: r TOTAL PERMIT FEE: ■ .0
This permit applicatiOn Mirka it a permit to not obtained within 180
Print name: , Date; days after It has been accepted as complete,
* Number of inspections allowed per permit.
I: \ Buildine""'il'\ ' """'S 0 L E ' 0 N 440.4615T(41/0S/COMIWBB
hc10'S 900Z '9 ''''IN
CITY OF TIGARD
BUILDING DIVISION
A18 PERMIT #: ELR2008-00051
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 317/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/5/2008 TIME: 7:01AM PAGE: 34
SITE ADDRESS: 07320 SW HUNZIKER RD 106 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WOODEN SHOE DELI
DESCRIPTION: Adding (1) low voltage alarm system for cafe area,
OWNER: ROBINSON DEVELOPMENT, PHONE #: 503-645-8531
CONTRACTOR: AMERICAN SECURITY ALARMS PHONE #: 503-231-0303
Inspection Request Scheduled For: Date: 51512008 Pour Time:
Code # • • -ction Description •onfirm # Contact # Message
1 99 Electrical fina 069342-01 503-209-8555
Corrections/Comm- ructions:
ON
f tog it. 14 11) Nh
I
Sat U1 1--tS; A6 ra - 460.- AL— •
- PASS II] PARTIAL APPROVAL E] CANCEL NO ACCESS
I I FAIL fl CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
Inspector: GM NI 6 6 L‘ Date: 5-t oi Phone #: (503) 718-
, .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008 -00061
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 31712008
Phone: (503) 639 -4171 4'141
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/202000 TIME: 7:00AM PAGE: 43
SITE ADDRESS: 07320 SW HUNZIKER RD 106 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WOODEN SHOE DELI
DESCRIPTION: Adding (1) low voltage alarm system for cafe area.
OWNER: ROBINSON DEVELOPMENT, PHONE #: 503-64&8531
CONTRACTOR: AMERICAN SECURITY ALARMS PHONE #: 503 -231 -0303
Inspection Request Scheduled For: • Date: 5/2/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 069209-01 503-231-0303 N
Corrections/Comments/Instructions:
kf; 0e6 N 61 FvftL F
o lam co 41 4 _151 4-143
6, ,°s
.
C. A, P rs: ( uP QODT 00,7-)3
- _ -• ❑ PARTIAL APPROVAL
❑CANCEL 0 NO ACCESS
4.0 FAI n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr .---r 0 l Date: 6 2(0 Phone #: (503) 718- 1)- 140
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