Permit CITY TIG AR D ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00265
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/17/2008
PARCEL: 25101 DB -00100
SITE ADDRESS: 07320 SW HUNZIKER RD 207 ZONING: C -
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: GREGORY KLUTHE CPA
Project Description: Low voltage for security alarm.
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 9/17/2008 $75.00
[TAX] 12% State Surch 9/17/2008 $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/O �� �_ Permittee Signature: ,J f _
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
• FOR OFFICE:11SE ONLY ..
. ..
1•7:- g
City of Tigard r Et Ell., a ,,,,teived
. ,... .... 13125 SW 1 Tigard, OR 97223 ,.
1 0 i. .... Phone: 503 639.4171 Fax S03.598.1960
I P/
.. k t treis i/Ii7r Permit
SEP 16 21} Da 113Y
Pla Review
' No.:
• Oth Permit
TIGARD :
InSpectiOn Line: 503.639.4175
' - Elate Ready/By: Anis: Ed Sec Page 2 tin-
Internet: www.tigard-orgov Notified/Moho& Cp Supplemental information
s -4 .
34 ;W:h.1.141;'ilA.imroioliatifirmajstal-tviseraill magifolinsioggv.koolow.v:,',,J.,.;:;i:,-..•.'!••
El New construction 1!' i 2' A.dditiOn/alteraildke I T 1 . li 11 Please check all that apply (submit 2 sers'of plans witerns checked betou
CD Service or feeder 400 amps or more 0 Building over titres stories.
0 Demolition 0 Other:
where the available fault current D Marinas awl boatyards.
exceeds 10,000 amps al 150 12 Floating buildin
. '''.. !: ar,Mil 1.4;,09„Ir2
lasS 10 ground, or exceeds 14, ohs or 000 El Commercial-use agriculteiral
111 I - and 2-family dwelling 101 Commercial/industrial 0 Accessory building amps for a1t other instailations buitdings.
0 Multi•family 0 Master builder E Other; 121'Fire pump. CI Installation of 75 KVA or
' ' '" , .,'' %''''.' ' •
k
' 4,114 .'li ii - 'i t•'. ' n 1
, .i,,,, t ,,,„:., :i .,,,, i ,i: i;i 0 Emergency iystern. larger separately derived system.
,t . .4 . 111 4,iti,,. L ,,.„ ,:,,;,„;! k , i; gozi tydiat!,,...1,t 0 Addicion of new motor load of
Job no.; kii n Job site address: - 73 Ro sk) 14-06 oyeg.,--- 100HP or more. occupancy
12 Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: ---c,Rc OR . c l - 4 agi:-2 0 liesich facilities.
0 Hazardous locations, D Supply voltage for m n
ore tha
600 volts nominal.
Suite/bIdglapt. no.:4-2,67 Project name: C g . t , , . . 1(10iiAt P MI 0 Service or feeder 600 amps or store.
fra'4 , .. .
g .: ' ... : . •
Cross street/directions to job site:
io.ritgiori I op Pet. I ' Talat ..-
.
New residential single- or multi-family dwelling unit.
._
Includes attached garage.
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Subdivision:
Lot no.: 1,000 sq. ft. or less 145.15 4
Bs. add'l 500 sq. ft. or portion .
i. 33.40 I
Tax 7 map/parcel no,;
• Limited energy, residential
F ;11) A
.' :IIVI:7. ., 4 il i H'e -, .infg.P: A 1 1 * 1 ' (with above sq. 0) 75.00 2
i:•.it.,?.,''',.'fi';i'i,:!'itql./21doiim,7.. l, - irr i ..irie' en ' li i”. a• 1 '
Limited energy, multi-family
75.00 2
residential (with above sq. it)
Services or feeders installation, alteration, and/or relocation
.. 200 amps or less 80.30 2
, — , . .
• :';.•': ..l :, ,17 1 IAOP4ltittlr . ,*1111til4lit illi,N1; ,:o.■iircgin - 7' t ghl‘,!:4 201 amps to 400 amps 106.85 2
N came: , , , , kw., „fp 401 amps to 600 amps 160,60 2
. 601 amps to 1,000 amps 240.60
1 2
Address;
Over 1,000 amps Or volts 454.65 2
-
State/ZIP: Temporary services or feeders installation, alteration, and/or
City/
relocation
Phone: (s -- 0: „ ( 0 _oi ti l Fax ( ) 200 arrins or less
- 66.85 I
201 aTi.S CO 400 s 100 2
Owner installation: TiiS installation is being made on property that I own which is not t p amp .30
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: ______________ — A. Fee for branch circuits winh
1i10...N..7!iiii,10 API: . i.''' dag,*6.r.:,,,i.1,gr, ";10-;,11,40kik above service or feeder fee,
6.65 2
each blanch circuit
Business name: i -
II '' I tg i' 0 & .1 alf4 Th Fee for branch circuits
- - -
witilOut service or feeder fee,
Contact name:
' .. .,..._,i .0•AMMIII.11111 first branch circuit 46.85 2
Address: Each add'l branch circuit 6.65 2
Misceitaneous (service or feeder not included)
City/State/ZIP,
Each manufactured or modular
90.90 2
dwellins, service and/or feeder
Phone: ( ) Pax: : ( ) Reconnect Only 66.85 2
.
E-mail: • . .
Pump or irrigation circle 53.40 2
. • . . • 2.as...„' 'A & .
!", trti if•ii sign Or outline lighting 53.40 2
s 4 _ 4 5 1 ...--. Signal circuit(s) or limited-
- . ..
Business name: 1 \ 4 la 6.... i t;111 1Y
- / • C. . energy panel, alteration, or
ri 8
I Page 2 - - 1,,,..), 2
Address: . il , , C • extension, Describe:
Each additional ins ectlon ovet allowable in an of the above
City/State/ZIP: 40 7 1111 _
Per inspection 62.50
Phone: ( 4 , )_. _ - 0 ,-- a io "_
Ell MRRMIheM11.1 Investigation per hour (I hr min) 62,50
CCB Lic.: 5v .. EleCtric ic.41191 Suprv. Li.: '1 71.1Lat Industrial plant per hour 73.75
'$ ...'toc '1111 ' .. . ..." '
Suprv. Electrician signature, required: \ )--"---'-•
Sub
Plan review (25% of permit fee): _fiii p,
Print name: jaAmt Ub6•11 Date q 1 ( ..-OS -
State surcharge (12% of permit fee):
Authorized signature:
TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Date:
' (Jays attar Ii has been accepted as complete.
Number of inspections alloii.ix. -
ii \ likiiiclineTeroliii■Eli. 'd Appidc0 iv L ' N 440 AdlE:17 80H '9l 'd'S
CITY OF TIGARD
BUILDING DIVISION
Adie PERMIT #: ELR1008-00265
13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED: 9/17/2008
Phone: (503) 639-4171 avatici 11
Inspection Requests (24 Hrs.): (503) 639-4175 .44 11.
INSPECTION WORKSHEET FOR DATE: 11/18/2008 TIME: 7 PAGE: 35
SITE ADDRESS: (7320 SW HUNZIKER RD 207 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: GREGORY KLUTHE CPA
DESCRIPTION: Low voltage for security alarm.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: AMERICAN SECURITY ALARMS PHONE #: 503,231-0303
Inspection Request Scheduled For: Date: .11/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
/ --
199 Electrical final 07812-01 503.231-0303 N
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Corrections/Comments/instructions:
( C IA -- fiecp
1111
S I PASS Ti PARTIAL APPROVAL 1 CANCEL pi NO ACCESS
fl FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: e's Nob 1' Date: ILI Phone #: (503) 718-
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