Permit 1 09
mii CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00017
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/16/2007
PARCEL: 2S 112AA - 00600
SITE ADDRESS: 06777 SW BONITA RD 150 ZONING: I -L
SUBDIVISION: NELSON BUSINESS CENTER LOT: C -D JURISDICTION: TIG
Project Description: Low voltage for security system.
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:
INSTRUMENTATION: OTHER: SECURITY. X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
SPIEKER PROPERTIES LP HSM ELECTRONIC PROTECTION SERVICES
4380 SW MACADAM AVE STE 100 15495 SW SEQUOIA PKWY STE #100
PORTLAND, OR 97201 PORTLAND, OR 97224
Phone: Contact #: PRI 503- 968 -3353
FAX 503 -968 -3398
FEES Reg #: ELE 37- 1054CLE
LIC 161567
Description Date Amount
[ELPRMT] ELR Permit 1/16/2007 $75.00
[TAX] 8% State Surcharf 1/16/2007 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
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 rule a e 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. 699 or 1.800 33 . . ....
Issued y: ed tt/yUt 1 P ermittee Sign lure: ✓� -' � � 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'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.
FEB -01 -1900 14:21 . P. 02/02
.E actV�l itdi rerun', Appiicar.ou FOR QFFIC'F: 115E ONLY
ic ' � City of Tiga , s i "' i a i li ' ,= ReceL ' //^^ C� 0p��1�" I
• I f e 7 I`r-t! Permit N
• . Phone: 503.639.41 h 1 `' ^ . . 8 . 960 Other Permit:
DateBy:
i 1 G A R P Inspection Line: 503.639.4175 Date Ready /By; hais:l ® See Page 2 for
Internet: www.tigard- or.gov ,
J�,y 1 f, 2007 N o tif ied/Met hod: / / i0 U Dt7p0GADOr
natation
.:T'
. ... .. , .. ..... ..... ,.,..:• .:': •... . PLAN• REVt� -W' . •
❑ New construction 1� �i[upn �n/tC Catfo[Yfent Please cheek all that apply (submit 2 sets or plans w /items checked below):
❑ Demolition 3� 1 e Th1 c T � Tai T(..!' F ❑ Service or feeder 400 amps or more ❑ marinas over three stories.
T 1' F 1V the available twit current ❑ Marir and boatyards_
.....
. . • . �;0. O S7'RUC`F101V: `: % : ex ceed s 10,000 amps at ISO volts or El Floating buildings.
El 1 - and 2-family less to gmund, or exceeds 14.000 Q Comnurcial -use agricultural
Y dWellin g [ t Commercial /industrial ❑Accessory building amps for all otherinseatlations. buildings.
❑ Multi- family ❑ Master builder Ot her : ❑Fir pump.
- ....:.... ,.. ion
• Installation of 7 KvA or
...
1Z
: $1T E : ' : INF.. - _P�kgT : n� Eenc larger separately derived system.
... :. ON:�:AND! � 1L�T10N. ::.. : '� : : Y agate
❑ bon of new motor food of ❑ - n• , E , I -2 ", " •3•',
Job no.: Job site address: I y�� 100HP or more, rice
J111 6W unit a' ' 'y� (� ❑ Six or more residential units. Q Recreational vehicle parks.
City /Stare /ZIP: p0 r.JLQ,r) dr op- 01221 0 Health -pre facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 vines nominal
Suite/bldg. /apt.no.: 1 Project name: D)GpyL.t.fc eo ❑ Service or feeder 600 amps ormum.
Cross sir / r a ;PEE: SCHEDULE.::,. - .....; .. s.
cwt directions to job site: Description 1 Qrv. 1 Mee I Total I •
New residential single- or multi - family dwelling unit
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. fl. or less 145.15 ' 4
Tax map /parcel no.: Ea. add'' 500 sq. ft. or portion 33.40 1
1
• residential
500 2
;'
:
.... .•,::::: "::.•:.• :::: (with above sq. ft.)
Limited energy, multi- family 75.00 2
.t e •
1 / i yFe..4tY1 residential (with above sq. n.) _
4 Services or feeders Installation, alteration, and/or relocatio
*
:
...:;: R OPERTYO!.IVER;.:;. ` -::.p.:; , ,;;;;%
..........:... .... � :.. .,.:.,. :.�.. ......... ..... .... 1 amps
• r ass 0 2
':..
ZU to 400 amps 106.85 ,
Name: 401 amps to 600 amps 160.60 2
601 amps to 1.000 amps 240.60 2
Address: Over 1,000 amps or volts I . 454.65 2
City/State/ZIP: Temporary services or feeders installation, alteration, amour
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66,85 I
Owner Installation: This installation is being made on property that i own which is not 201 amps to 400 amps 10030 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A. _ ::'• :: : -.: :: E : . •*PI:IGANT;':.•i... ' .;:. .
Fee for branch circuits with
...: ::: . g. . •- , ,.. *, . EIIvSON : above service or feeder fee,
6.65 2
rack branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Address; Each add'' branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: • Each rrrmufactured or modular
Phone: dwelling. service and/or feeder 90.90 2
( ) Fax: ( ) Reconnect only 66.85 2
E -mail:
Pump or irrigation circle 53.40 2
:,.. COkF1RACTOR:: •.: ;:```; :.':: Sign or outline lighting 53.40 2
Business name: HSM Electronic Protection Services (HSM Security) Signal circuit(s) OT limited
energy panel, alteration, or
Address: 15495 SW Sequoia Parkway Ste. #100 extension. Describe: 1 Page 2 75 2
City /State/ZIP: Portland, OR 97224 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 968 - 3353 Fax: (503) 968 - 3398 .
Investigation per hour 0 hr min) 62.50
Q
CCI3 I.ic.: 161567 j4 - 1 7 Electrical Lic.: 37 -1054 e , t Suprv. Lic.: 941 LEA industrial plant per hour 73.75
'EEE(TRICAL PERMIT .FEES
Suprv. Electrician signature, required: f' y ( ( 7 � / / I 4 co/ Subtotal: $75,00
•
Print name: Steve Morehouse I Date: 0111,5-/D Plan review (25% of permit fee):
N LLL ---- -- State surcharge (ft of permit fee): 56.00
—
Print name: Niki Streifel Uate: Authorized signature: / .6 tr. L TOTAL PERMIT r1317: $81.00
Tins permit application expires it a penult Is not obtained within 130
01! 1 / a- days after It has been accepted as Complete.
� —
• Number of impectiom allowed per permit.
11RuilA;m \Pn•,, I,i Kl.f :- Nn »mA.vf .NC OS /41114 440 -4(1 ST/ I 1 /U3:(OMfWIU
TOTAL P.02