Permit „ �'� ELECTRICAL PERMIT -
CITY OF TIGARD
RESTRICTED ENERGY
4.11 44%, DEVELOPMENT H PMENT Tigard, (503) 639 -4171 DATE ISSUED: 00212
- 13125 ED: 7 19 2004
SITE ADDRESS: 08-330 SW HUNZIKER RD PARCEL: 2S101BC -02200
SUBDIVISION: g3c ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
Project Description: Install intrusion and access control.
Job # 4482.
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:
Owner: Contractor:
HHO + B ASSOCIATES, LLC ACTION TECHNOLOGY SYSTEMS
BY H + A CONSTRUCTION CO 835 SE 17TH AVE
PO BOX 23755 PORTLAND, OR 97214
TIGARD, OR 97281
Phone: Phone: 231 - 1992
Reg #: LIC 157630
ELE 26- 775CLE
FEES Required Inspections
Description Date Amount
[ELPRMT] ELR Permit 7/19/2004 $150.00
[TAX] 8% State Surchar€ 7/19/2004 $12.00
Total $162.00
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.
Issued by 6? 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 639 -4175 by 7:00 P.M. for an inspection needed the next business day
,
' Lical Permit Application
,
lir
FOR OFFICE USE ONLY
City of Tigard R ECENED
4 11, ,(i: Rec,ved
' Date/By: 7 --/q---,99'
13125 SW Hall alvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 * 'f Date/By: Other Permit:
Inspection Line: 503.639.4175 11 1 . " A 2004,41.ALI _ Date Ready/By: Juris El See Page 2 for
... , ,.. L..
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
_ .--- ,—..— -rin A 10 fl
oyif:af-:
D New construction I] ri!Clititini/taltel-ation/replacement Please check all that apply:
OService over 225 amps, comm'l ['Hazardous location
D Demolition CI Other:
['Service over 320 amps - rating ['Bulldog over 10,000 sq. ft.,
' 5 ' 1 * ( ' 4' " of 1- and 2-family dwellings 4 or more new residential
t'e ' iA;''';4..., ',.,^, , ,,st;mitiort,, ''%tWe.4"", " ' , ,
El 1 - and 2-family dwelling El Commercial/industrial ID Accessory building ['System over 600 volts nominal units in one structure
['Building over three stories ['Feeders, 400 amps or more
El Multi-family 0 Master builder 0 Other: ['Occupant load over 99 persons ['Manufactured structures or
.,: .::;Z13 ElEgress/lighting plan RV park
ElHealth-care facility ['Other:
Job no.4482 Job site address: 8330 SW Hunziker Road
Submit 2 sets of plans with any of the above.
City/State/ZIP: Tigard, OR 97223 The above are not applicable to temporary construction service.
',MMT,EK070 ',"::..*1
Suite/bldg./apt. no.: Project name:w- s
e tern Partitions Description Qty. I Fee. I Total ** ,
Cross street/directions to job site: New residential single- or multi-family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map/parcel no.:
Limited energy, non-residential 75.00 2
,. , ; , ' , :f:; , rg; 'ff''''ANtStit§eRli4101±eWINMPRI;;', '''' Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Install jntrusion-& Access Control Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
, , 17-7 Ti i iiii r W i jA.,:eir !, .. ,:, .F,,, -‘, -, 201 amps to 400 amps 106.85 2
11 '''' - ' ' ' '' ' ' ''' '" -: ' '''''''''''''''' '"-- ''''''" 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
Address:
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
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 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
A . Fee
, , e4 , " . '' , Wi A for branch circuits with
lir,:::411::141oott-,,,in7,
service or feeder fee, each
6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
46.85 2
each branch circuit
Address: Each adcrl branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( )
Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited-
; WqTAikryti .1:; : energy panel, alteration, or
extension. Describe: ‘ 2 Page 2 2
Business name: Action Technology Systems LLC
Each additional inspection over allowable in any of the above
Address: 835 SE 17th Ave. Per inspection 62.50
City/State/ZIP: Portland, OR 97214 Investigation per hour (1 hr min) 62.50
Phone: 603 31-1992 Fax: ( 501 231-1992 Industrial plant per hour 73.75
7;176AEg.c14,100 MAW FtE5I'S'''''..:,',i''.741e1
CCB Lie.: 157630 Electrical Lie.: 26-775CLE Suprv. Lie.: 511 LEA Subtotal 150.00
Plan review (25% of permit fee)
Suprv. Electrician signature, required:
Print name: Steve Kirkland Date: 7-13-04 State surcharge (8% of permit fee) 12.00
rn et i srAebsEe eifPn.Ea p R e r IitTi saFsnEoco tE obtained a l i n 6 e d2w within iO
Authorized signature: n 180
,
This permit a
Print name: Rena Kirkland Data * Fee methodology set by Tri-County Building Industry Service Board
** Number of inspections per permit allowed.
1: \BuildingTermits \ELC-PermitApp.doc 12/03 440-4615T00/02/COM/WEB
CITY OF TIGARD 24 -Hour
BUILDING Inspection 146: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received _ Date Requested q-- 3 AM PM BUP
Location 336 /4-uAtil2,14-0, Suite MEC
Contact Person Ph ( ) Z 3 I /55a._ PLM
Contractor ] Ph ( ) SWR
BUILDING Tenant/Owner W .t.QQ/1 _/ ELC
Footing
Foundation Access: ELC /
Ftg Drain ° - ELR 0 c7" — a a/
Crawl Drain =
Slab Inspection Notes: SIT
Post & Beam
Sr Anchors
Ext Sheath/Shear
th/Shh ear
Int Sheath /Shear
Framing ` J
Insulation
Drywall Nailing
Firewall P $ 6L, r _ Ft IV 1 i
Fire Sprinkler /
Fire Alarm
Susp'd Ceiling C
Roof
Other:
Final
PASS PART FAIL
PLUMBING }yam.
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL `
Service
Rough -In
UG /Slab
Low Voltage
Fi - Alarm
-� Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
rler`' PART FAIL
SITE ❑ Please call for reinspection RE: El Unable to inspect— no access
Fire Supply Line Z ('
ADA
Approach/Sidewalk APP ' 671 3 61212- 1 ( J b Inspector / 1 !"'`I Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL