Permit R EVISED
CITY OF TIGARD r3 ' 3 ; I ELECTRICAL RESTRICTED ENERGY PERMIT
• COMMUNITY DEVELOPMENT Permit #: ELR2013 -00034
J GA RD' 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/12/2013
T
Parcel: 25101 BD00200
Jurisdiction: Tigard
Site address: 8005 SW HUNZIKER RD
Project: Commercial Vehicle Group Subdivision: 1994 -025 PARTITION PLAT Lot: 2
Project Description: (1) low voltage for Data /telecommunications 2/13/13 REPRINT to correct ASI information
Contractor: AMERICA'S PHONE GUYS Owner: TIGARD DISTRIBUTION CENTER LLC
PO BOX 873279 4800 SW MACADAM, STE 120
VANCOUVER, WA 98687 PORTLAND, OR 97239
PHONE: 360 - 904 -6782 PHONE:
•
FAX: 360- 254 -1967
FEES
Description Date Amount
Specifics: Restricted Energy Permit 02/12/2013 $75.00
12% State Surcharge - Electrical 02/12/2013 $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: Y Fire Alarm: N
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,ltems 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 �� - 00 -0090. You may obbtaiin a copy of the rules or direct questions to OUNC by calling 503.232.1987 .1987 or 1.800.332.2344.
•
Issued By: ?AM M ib ( Q ? J(.I I Permittee Signature: N deP0- 6T/ 70
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
q
a, .. COMMUNITY DEVELOPMENT Permit #: ELR2013 -00034
.TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/12/2013
Parcel: 25101 BD00200
Jurisdiction: Tigard
Site address: 8005 SW HUNZIKER RD
Project: Commercial Vehicle Group Subdivision: 1994 -025 PARTITION PLAT Lot: 2
Project Description: (1) low voltage for Data/Telecommunications
Contractor: AMERICAS PHONE GUYS Owner: TIGARD DISTRIBUTION CENTER LLC
PO BOX 873279 4800 SW MACADAM, STE 120
VANCOUVER, WA 98687 PORTLAND, OR 97239
PHONE: 360- 904 -6782 PHONE:
FAX: 360 - 254 -1967
FEES
Description Date Amount
Specifics:, Restricted Energy Permit 02/12/2013 $75.00
12% State Surcharge - Electrical 02/12/2013 $9.00
Type of Use: COM
Class of Work: DEM
Total Number of Systems: 1
Audio & Stereo: N Boiler Controls: N
CCTV: N Clock Systems: N
Data & Telecommunications: Y Fire Alarm: N
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.
,V Issued By: '414 i'414 in � ^ Permittee Signature: Oki n P 8 /ICA
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.
02/12/2013 10:53 3 6 0 2 5 41 9 6 7 PHONE GUYS LLC PAGE 01 / 0 3
Electrical Permit Application FOR OFFICE ILSE N
City of Tigard ECEIVE I
()U,.
,. Rcv ci red ..;14
Datc/B : I - c . r .-- Peril Noe I - m , ()c 3
1111 — /1/ g 13125 SW Hall Blvd., Tigard 2 2013 , OR 97223 Plan Review
: ' Phone; 503.718.2439 Fax: 503.598.1960 FEB 1
Date/Sy: other Permit:
. „:, A it 1) fl Inspection Line: 503.639.4175 Dam Rcady/By: inns: M sec Poge 2 for
Internet: www.tigard- CITY OF TIGAR
or,gov Noted/Method: Ti Co Supplemental Information
D ■fi
• .,•,..:.„. .. ..,., .; - ., :.:.:;•....;.; ,1. *so. 7,2T.t, 7. III • 1, - , .. . ... :.:,:.:?.!;; .:;.,.,:. ..: .,r:;:. . . :•
ID New construction Addition/alteration/replacement
Please cheek oil that apply (submit 2 sets of plans w/iterns checked below):
El
CI Service or feeder 400 amps or more 0 Building over three 5113Tie4.
12 Demolition 0 Other. where the available fault current 0 Marinas and boatyards.
• ::.!,:':.!...:: :--',..:::;:',,,',..; ;;;;',...i'..; . ..':[401601-Aitte,itiofttittileitlitsg,. - Y,!;;•'...1...:.i....i.i:.:.; , : .ii.;:.1fY.i::;;:.:::.::i• exceeds 10,000 amps at ISO volts or 0 Floating buildings .
lesS to ground, or exceeds 14,000 0 Commerrial-itsc agricultural
12 I- and 2-family dwelling El Commercial/industrial 12 Accessory building amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: O FM pump. 0 Installation of 75 KVA or
-■• . . ...... . .. . ., .. .. . ..... .. „ „ ..,, . . . .. 0 Emergesley system. larger separately derived systm.
1.6.i;Sfrti*iliiii a Addition of new motor load of CI "A"."E",
1 thliiP nr morn OCC111:18.11Cy.
Job no.: 7501 Job site address; 8005 SW Hunziker St, ., 0 Recreation! vehicle parks.
— , 0 Sin or more residential units.
City/State/ZIP: Tigard Og q 72Z.3 in H facilities. 171Supply voltage far mom than
) I:3 Flarardous locations. 600 volts nominal,
Suite/bldg./apt. no.: l Project name: Commercial Vehicle Group 0 servicc or feeder 600 amps or more.
Cross street/directions to jobliteLi , ■ 4
e44:1 EIMPP 4. 7re_ Det.teilllina I Ow. Fee. I Total
New residential single- .ur multi-family dwelling unit.
_nn...../4-tierVvenia‘ • Includes attached garage.
Subdivision: I Lot no.:
1,00054 ft. or less 168.54 4
— Ea addi 00 sq. 11, or portion 33.92 1
Tax map/parcel no.: Limited energy. residential 75.00 2
glittli0ibKriVOWill (with above K . 11.)
' Limited energy, multi family 75.00 2
Low Voltage Cabling residential (with above sq. 11.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
: 'a" ' :: „itk i:-;:.::;::4:::::j;i: i . ,:...,::;:!ki::,.::.::-.i;::;:: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name: Commercial Vehicle Group
001 amps to 1,000 amps 301.04 2
.
Address: 800S SW Hunziker5INAtitt Over 1,000 amps or volts _ 552.26 _ 2
—
Temporary services or feeders installation, alteration, and/or
City/Statc/ZIP. Tigard OR 97223 relocation
Phone: (503)670-8813 I Fax: ( ) 200 amps or less 59.36 1
- [
Owner installation; This installation i3 being made on property that I own which is not
201 amps to 400 amps 125,08 2
intended for sale, lease, rent, or exchange, according to O.RS 447, 449, 670, and 701. _.]
401 amps to 599 amps 108..54 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: . „____
Date: A. Fee Rif branch circuits with
: :.:..:. ;.;.. .....ii.. 2).. ::;....:.'..:...., .... :.•:::::.... • :•:!...: ,, . Act. p} J$ :.....„... above se. v Wu tn fccdCi fce. 7.42 2
, . . .. . .. . . . .. each branch circuit
Business name: Americas Phone Guys B. Fee for branch circuits without
service or feeder fcc, first 56,18 2
Contact name: Tracy Brodie branch circuit
Each addi branch circuit 7.42 2
Address: PO Box 873279 Miscellaneous (service or feeder not Occluded)
Each manufactured or modular 67.84 2
City/State/ZIP: Vancouver WA chveitile,i service and/or feeder
Phone: (503) 490-7811 I Fax: : (360) 254-1967 Reconnect only 67.84 2
-
Pump or irrigation circle 67.84 2
E-mail: service@a mericasphon eguys.conn '
. . . Sign or outline lighting 67.84 2
to.st-tijietoic',i'i • ., 'i, Si circuit or limited-energz, ,
t -
Business name: Phone Guys dba America's Phone Guys panel, altcmtion, or extension. I pip 1 75
Each additional inspection over allowable in an or the above
Address: PO Box 873279 Additional inspection (1 br min) 66.25/ hr
Investigation (I hr min) 66.25/ hr
City/State/ZIP: Vancouver WA 98687
Industrial plant (1 hr min) 78.18/hr , 4
Phone! (3611) 904-6782 I Pax: (360) 254-1967 Inspections for which no fcc is 90 00/ hr
• specifically listed (V2 hr OPP)
4 -- .. ..
CCB Lic.: 174014 Electrical Lie.: CLE82 Suprv. Lie.: 3907LEA :!::::..x i::::!4:=ItigergiCilEL.:;PB101Vii;nES: .!•:' .:: .• ::••.!
subtotal: /5.
Sum . . Electrician signature, required:Jar •
Plan review (25% of permit fee): ,
—
Print name: Tray Brodie ,,-- Date: 2/11/2013 State surcharge (12% of permit fix):
TOTAL PERMIT FF.F.- I ...,-
Authorized signature: ab i . I I i .
— This permit application expires if a permit ke not obtained wage 180
..„-
4111 days after it has been accepted as complete.
Print name: Lois Cook Date: 2/11/2013 • Number of inspections allowed per peon it.
— __...
1:1130 dingTermits1ELC-PermitApp.dee 07/01/1n 445
02/12/2013 10:53 3602541967 PHONE GUYS LLC PAGE 02/03
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 Steren Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
17 Vacuum Systems*
❑ Other:
........ ....._......., Yid .. _ _
C ONE It;
Fee for each commercial $75.00
system
(SF.F. OAR 918 -309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
Data Telecommunication Installation
•
Fire Alarm Installation
❑ HVAC
❑ Insrrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ rrotec,c Signaling
El Other
Total number of commercial systems: I
*No licenses are required. Licenses are required
for all other installations
rVUdiding \Per nits\SLC- PormhApp,dne 07/01/10