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Permit .1` i ' .' % .'';a �I • CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT a _ .._ COMMUNITY DEVELOPMENT Permit#: ELR2012-00256 T[G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/14/2012 Parcel: 25101 DB00100 Jurisdiction: Tigard Site address: 7340 SW HUNZIKER RD, STE#201 Project: Steele&Nannini Subdivision: VARNS ACRES Lot: 4 Project Description: Rewire existing smoke detectors 1/24/13 REPRINTED Correct suite address Contractor: AMERICAN SECURITY ALARMS, INC. Owner: HILLTOP BUSINESS CENTER LLC 5411 SE MCLOUGHLIN BLVD HUNZIKER LLC PORTLAND, OR 97202 9430 NW KAISER RD PORTLAND,OR 97231 PHONE: 503-231-0303 PHONE: FAX: 503-230-1044 FEES Description Date Amount Specifics: Restricted Energy Permit 11/14/2012 $75.00 12%State Surcharge-Electrical 11/14/2012 $9.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 1 Audio&Stereo: N Boiler Controls: N CCTV: N Clock Systems: N Data&Telecommunications: N Fire Alarm: y HVAC: N Instrumentation: N Intercom/Paging: N Landscape/Irrigation: N Landscape Lighting: N Medical: N Nurse Calls: N Protective Signal: N Security Alarm: N Other: N Total $84.00 Other Desc: Required Items and Reports(Conditions) 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 OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987or,1.8000.332.2344.. Issued By: OY(.CL(�f Permittee Signature: vr" /r Q prie'A' (v'i 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' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available Inspection date. 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. CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT li g • COMMUNITY DEVELOPMENT Permit #: ELR2012 -00256 T [ c, - AR 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/14/2012 Parcel: 25101 DB00100 Jurisdiction: Tigard Site address: 7340 SW HUNZIKER RD • Project: Hilltop Building Subdivision: VARNS ACRES Lot: 4 Project Description: Rewire existing smoke detectors Contractor: AMERICAN SECURITY ALARMS, INC. Owner: HILLTOP BUSINESS CENTER LLC 5411 SE MCLOUGHLIN BLVD HUNZIKER LLC PORTLAND, OR 97202 9430 NW KAISER RD PORTLAND, OR 97231 PHONE: 503 - 231 -0303 PHONE: FAX: 503 - 230 -1044 FEES Description Date Amount • Specifics: Restricted Energy Permit 11/14/2012 $75.00 12% State Surcharge - Electrical 11/14/2012 $9.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 1 Audio & Stereo: N Boiler Controls: N CCTV: N Clock Systems: N Data & Telecommunications: N Fire Alarm: Y HVAC: N Instrumentation: N Intercom/Paging: N Landscape /Irrigation: N • Landscape Lighting: N Medical: N • Nurse Calls: N Protective Signal: N Security Alarm: N Other: N Total $84.00 Other Desc: Required Items and Reports (Conditions) 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 OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332..2344. Issued By: �n %1 ' Permittee Signature: D 4?RIOT/ D ^l 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' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available Inspection date. 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. EI ED l :()It 111 l.,( 1.: t ,,. ll. Electrical Permi A 1i Pe Received S'( �it Ne.:EL R ao G>'7o City of Tigard • NOV 1 3 2012 Raters : I Icy Plan Review ' Other Permit: 13 one SW Hell Blvd., Tigard, 7223 �Dn m atele : l� S•• page 2 for I ' Phone: 503.639.417 Fox: '� T�ty'1f 11J Rate Ready/By: Supplemental information Lints: 5 03.639.4 M1 f'11A11a DIVISIO No it1 d/Merbod. RIM I I t � n It I ? Internet: www.tigard•or,go r . --,-- :., •, . �i�;` �' %� ��.� J ... .... 1D - . w : " 'g!' .:S i; , l::ji..34 . ;4.7 AXi: ;Y: i F .1i'ViSi , :,'t :i qq yy ����� �,�11p 1 :! ryyh'41 . , ...f "'n';!)r y 3 ' .�°• ,y ^,:vr 'r )4 ?r1� -'a4%: •" "'',x 1 -• OW ...., . ' ::. : . ) ' Q e °'b` "' �i s r ;: , r= s: >.4.•. :, ,; , �•: ..,.. Please °heck all that apply (� w /items checked below): '''' " r'' �!�'�ti, f;: • (submit � sets of p ❑ New construction [54 Addition/alteration/replacement ❑ Service or feeder 400 amps or mote I] Building over three stories Marion and boatyards. _ , where the available ult current ❑ Martin nil b Demolition Other: •:, ::. exceeds 10,000 am at 150 volts or ❑ F g B De t.. + ? '' • 14,000 ❑ Commercial -use agricultural , ,. a� } ,�y ;s,. ?ri':_:: ,:,.' and, or exceeds . : ,. . . ;:.;� . : A!1�("a��;1Up_�FL�`. ".3 .- .-:‘1.7.:.:7.':.."''''''''''... Ve l eas l0 ommerciallindustriai Accessory building 0 amps for all tuber installations. buildings. El I- and 2- family dwelling C ❑ amps f r al El Installation of 75 KVA or Fire Master builder CI Other: emergency system, larger separately derived Ys e , f: Multi fa mily 0C► new tar load of ❑" cu" "1 -2° 1 4 . . � - '::.:.:�;i:a;,:';:', ❑Addition of motor JOB;`51T ,, „- � •.. � t00HPormoro. occupancy. s Job s a ddress:7& c5 ♦ �l • 1 �� N.*. ' CI Si or m ore residential units. ❑ Recreational vehicle parks. ❑ Health-oars faoiliues, Job no.: ❑ Supply voltage for more than City/State /Z1P: ❑ Hazardous locations. 600 volts nominal. T. ❑ Service or feeder 600 amps or more. — Suite/bldg./apt. no.: Project name: ,] �. . 0_ : .: 4, ' k : F rwYEE';SCHEA1JLE • ': ; �y. `, __ ... . . Bee. Toll MS Cross street/directions to j Darn. don "job Site: New residential single- or multi •family dwelling unit. Includes attached garage. Q 1,000 sq. ft. or less 168.54 1 Lot no.: IIIII Subdivision: — Ea. add'l 500 sq. ft, or portion — Limited energy, residential MI 67.84 no.: ,: , n. Tax map/parcel , with above s . � , ' ., ... -;�.. � Limited energy, multi - family 67,84 2 residential (with above sq. ft.) �+ .� t ��� ► , L.1 �a 1 _ , ) , Services or feeders installation alteration, and/or relocation 200 amps or less MI 100.70 2 • 133.56 II .Y! K '��� '�' rL 201 ampsl0 amps i:i:lY r . ri: ,d%?.`_ , .. .c- " � ; ' <: 200.34 • : � : Q: ,. PROp>; R Y'Y `: Q) F� 4ol ampsto600amps Name: ' y r II f 601 amps to 1,000 amps 301.04 An.* ►� 552.26 Over 1,000 amps or volts gl Address: --�' Temporary services or feeders installation, alteration, and /or CitylSta[eJZIP: relocation _ I 2 00 snips or less 59.36 Phone: ( ) 1 Fes ( ) 201 amps to 400 amps 125,08 Owner installaUon: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 • intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits –new alteration or extension . er 'anal Owner signature: — Date: - A. Fee for branch circuits with �,��a s,', ; above service or feeder fee, 7.42 AP A '� 'ef "r> j•,: i'. es ^ � P ' is ` : '•'. ea b rcUi[ i'•. A HT_„•.,,.`: ranch ci B. Pee fbr branch circuits without Business nam - hi - , rt : a ... service or feeder fee, first 56.18 2 • ° it - id ' ' branch circuit Contact name: Sara PatteraOn Ea ch add't branch circuit 1 7.42 2 Address- 5411 SE McLou Min Blvd. Miscellaneous (service or feeder not included) + Each manufactured or modular 67 84 2 City /State /ZIP: . • , a • • . I dweller g. service and/or feeder Reconnect Doty 67.84 2 Fax: ' ( I I — I ' ' Pump or irrigation circle 67,84 2 Phone: ( 1 ) — 1 1 67,84 �© _ Sign or outline lighting E-mail: ' , :S°K , $-'•�' . — . ��� ..���.' VW —7-54".------ ? >.. S.A ;.I <=' :i Signal tltCUlt(s)Oflimited NIERIBMII • .anal alteration or extension. Business name: s II : : a , : II - e Each additional ins' don over allowable in an of the above Additional inspection (1 hr min) ill 66.25/ hr I. Address: • ii • t • - • Investigation (1 hr min) 66.25/ hr City/State/ZIP: . • t d • R . . 20 . Industrial plant (1 hr_in) 78.18/ hr Inspections for which no lee is 90.001 hr Phone: ( I ) – 1 I Fax: ( I ) I – I a • ifical listed 14 hr min :J r. " ..:(,1&7fi'(,'flllCl♦1�;' .. K�PEE3;'�:<..., .�. CCI3 Lic.: Suprv, Lic.: S. ? ^ 'r • :! . i , I 1 r '�_ 4L . ;, :: : . 1 $ubtotal: 66 I 3 Suprv. Electrician signature, required: /� _ Plan review (25 °� of permit t> e): 0 G AN D ate: J ( D State surcharge (12% of permit fee): I j Print name: s rt - • p : i• - TOTAL PERMIT PEE: S f , Authorized signature: ' ' This permit application expires Ifs permit Is not obtained within 180 ---, days after it bas been accepted as complete. Print name: _ I Date: • Number of inspections allowed per permit. I: tBuitatnglPermiuw \E.LC- PermitApp.dtw 10/0Il09 440-461ST(I u0s/COMAVt:B l ' d ti0171 ' °N WdSE:S ZIOZ 'l .A°N Electrical Permit Application - City of Tigard Page 2 Supplemental Information LIMITED ENERGY PERMIT FEES: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation Fire Alarm Installation (a) ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* tective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations aa.aeantPamiutto.p6 miapp.e. 07/01/10 . z d tioti�,'�N Wd9E :S z�oi �zL 'AON