Permit 11111 •
q CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
IN 2 -:' COMMUNITY DEVELOPMENT Permit #: ELR2009 -00097
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/02/2009
Parcel: 25101 DB00100
Jurisdiction: Tigard
Site address: 7340 SW Hunziker RD
Subdivision: Lot: 0
Project: Hilltop
Project Description: Rewire existing fire alarm for building with plenum rated cable.
Owner: FEES
HILLTOP BUSINESS CENTER LLC & Description Date Amount
HUNZIKER LLC, 9430 NW KAISER RD Restricted Energy Permit 04/02/2009 $75.00
PORTLAND, OR 97231 12% State Surcharge - Restricted Energy 04/02/2009 $9.00
PHONE:
Contractor:
AMERICAN SECURITY ALARMS, INC.
5411 SE MCLOUGHLIN BLVD
PORTLAND, OR 97202
PHONE: 503 - 231 -0303
FAX: 503 - 230 -1044
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
•
Audio & Stereo: Boiler Controls:
CCTV: Clock Systems:
Data & Telecommunications: Fire Alarm: Y
HVAC: Instrumentation: Total $84.00
Intercom /Paging: Landscape /Irrigation:
Landscape Lighting: Medical: Required Items and Reports (Conditions)
Nurse Calls: Protective Signal:
Security Alarm: Other:
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 • • R 952 - 001 -0100. You may obtain a c•py of the rules or direct questions to OUNC by calling 503.246.6699 or 1 800 332.2344
Issued By: Mb di Ilk `i / L,. Permittee Signature: `__ �� 10 I CA
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.
IR
Electrical Permit Applicatio n+, hoe: or l ; ONLY SE O
City of Tigard 8 "° 1. e'ved Date/By: PermitN .'
i • '1 13125 SW Hall Blvd., Tigard, OR 97223 q Dare1H ' Cm o • ®��Q 7
Phone: 503.639.4171 Fax: 503.598.1' il � 1 200 Pl an Review
P R Other Permit:
T I'd AR t7 Inspection Line: 503.639.4175 D Ready/By: runs: Iii see Page 2 for
Internet: www.tigaTd or,gov C ®F' �G ____ A��
Notified/Method: , L Supplemental Information
i ' e ( "h. , i9•: i' ... l��I y ..: �;�• F fl9 'L I S 4.• , — — 1
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❑ New construction ® Addition /alteration /replacement Please cheek all that apply (submit 2 sets of plane .v /itcmu ohecked below):
Ili Demolition ❑Other.
El service or feeder 400 amps or mom M Building over three stories.
� 1 l, �! k { � ryi y J ' l! !!, pp. / t _ P t where the available fault current El Marinas arid. boatyards.
iA.;ia ,. .' 1 I _�. uSi - e'; t f' g 0 • . ACCe S ? building = 1 { :; D exceeds 10.000 amps at 150 volts or El Floating buildings.
.. ..,., li '• El to ground, Or exceeds 14,000 Commercial -use agricultural • CI 1- and 2- family dwelling CI Commercial /industrial y arms for all other installations. buildings.
❑ Multi- family ❑ Master builder 0 Other: ❑ Fire pump. ❑ Installation of 75 KVA or
ai }?s:l::� � -; - 'tom
0 f y
1 I �lNil; ., s :;; I�' t in j' iJQ 1 s p s':,rg SE' l'4 =: -:'5 " Emergency system. larger separately derived system.
E ,
:
ii „r}.,;::::,:, 4 .... _. , l S ..c. .. , iii : ?�`:d ":::_., ❑ Addition of new motor load of 0"A", "E", <, ,r
Job no.: Job site address: 7340 SW lunziker Road 100HP or morn. occupancy.
❑ six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Tigard, OR. 97223 0 Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 voles nominal.
Suite /bldg. /apt. no.:EISEgea Project name: Hilltop Building ❑ Service or feeder 600 amps or more.
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:: I ' , I�Yilisb.r a L id'l /Yeti, i a . ' y :: # b li i !v-'1 ,.:: „ fpi
Cross street/directions to job site: Rsva� r i .I e � " il; Y I ,l
_ — D ty. Fee. I Total "
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: 1 Lot no.: 1,000 sq. ft. or lass 145.15 4
Ea. add'l S00 sq. ft or portion 33.40 1
Tax map/parcel no.: —
o i t I y tl QFpt t „ m r 5 Limited energy, residential
y ,1 4, . 'a."; , 4 . 1 } 7 2
dr,t,., .: � Yl,ttl g &����, bq.. ° � - i � � t l EI, �, , i . !B b '1 I 61 e. tr else,...: `lY o @ S3 .... �ws i lit (with above sq. Li.) 5.00
�9 � 1L e� r n•
Limited energy, multi- family
Re -Run exisiting fire alarm cable with new plenum rated fire cable residential (with shove sq. 75.00 2
Services or feeders installation, alteration, and/or relocation
g 200 amps or less 80.30 2
;`' i R 1 I; . '» A i r ` � l i I' iii r l 7 i lp ' ''! 3 ' ' 18 I: i s t g .4 . I a ' I i �dIB , : #1; i ` :}i: 201 amps to 400 amps 106.85 2
Name: Hilltop Building 401 amps to 600 amps , 160,60 2
Address: 7360 SW Hunziker Road 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
City /State /ZIP: Tigard, OR. 97233 Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Pax; ( ) 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
Branch circuits — new, alteration, or extension, per panel
Owner signature. Date:
n ,a , ,,. c:;; =- :� q ; Pee for branch circuits with
6ki1,� i �.h. } t p ' }i� F 4 . � :! ebovcservicc °I. feedGrfcc
�i,aY I�rty�A �f3 . a : 49 '``3�<lls? �1f. ����._I - 1�:'(a,��1s3's'.� "•= 6.65 2
each branch circuit
Business name: American Security Alarms) B. Fee for branch circuits
without service or feeder fee,
Contact name: Sara Patterson 46.85 2
first branch circuit
Address: 5411 SE McLoughlin Blvd. Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder riot Included)
City /State /ZIP: Portland, OR. 97202 Bach manufactured or modular 90.90 2
Phone: (503) 231 -0303 I Fax: : (503) 230 -1044 dwelling, service and /or feeder
Reconnect only 66,85 2
E -mail; sara@asalartais.com Pump or irrigation circle 53.40 2
lF ?! Iry7 J laPiCE + z i �` ' i) i 'tip?+ . n : ``;;{t4 °Ef =_d _ a= - d z ......., ...... .�. ,_
3 13Y�• ti°+i+Y�tEI w S9g1 9?,�. �kJ@l:u; Ed:G.i ",l{ ==lit ,.::t O , . = , 1 6' Y� 1, ivi_i;« 5 d; 4 " l l Sign or outline lighting 53.40 2
Business name; American Security Alarms, Inc. Signal circuit(s) or limited
energy panel, alteration, or
Address; 5411 SE McLoughlin Blvd. extension. Describe: 1 Page 2 75 2
City /State /ZIP; Portland, OR. 97202 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 231 -0303 I Fax: (503) 230 - 1044 Investigation per hour (1 hr min) 62.50
CCB Lie,: 58640 1 Electrical Lic.: 26 -28 CL I Suprv Lie.: 2488LEA Industrial plant hour 73.75 OP .. ;i -MEM al{3?� , : r: c ;:r.
• u,w ' ,- Ycr.�E,.._ sR�rli; ;i::a:_i .:::::::..:::i::.,:,di
Suprv. Electrician signature, required: p..� Subtotal: 75.00
/
Print name: Ron Blouin 4 -1 -09 Plan review (25% of permit fee): N/A
State surcharge (12% of permit fcc): 9.00 T
Authorized signature; I4 I Jf IIir � . Ay TOTAL PERMIT FEE: 84.00
• - This permit application aspires If a permit Is not obtained within . 180
Print name: Sara Patterson Date: 4 -1 -09 days after it has been accepted as complete.
Number of inspections allowed per permit.
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