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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT a COMMUNITY DEVELOPMENT Permit #: ELR201300086 T [C;ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/17/2013 Parcel: 2S 101 AD03100 Jurisdiction: Tigard Site address: 6950 SW HAMPTON ST 300 Project: BFG Communications Subdivision: WEST PORTLAND HEIGHTS Lot: PTS 1 -8 Project Description: (1) low voltage for burglar alarm Contractor: ADT LLC Owner: WESTON INVESTMENT COMPANY 2815 SW 153RD DR ATTN: JOSEPH E WESTON BEAVERTON, OR 97006 2154 NE BROADWAY ST PORTLAND, OR 97232 PHONE: 503 -469 -7219 PHONE: FAX: 503 -469 -7128 FEES Description Date Amount Specifics: Restricted Energy Permit 04/17/2013 $75.00 12% State Surcharge - Electrical 04/17/2013 $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: N 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: Y 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 5033 2 or 1.800.332.2344. A Issued By: jAili %L� Permittee Signature: D PL CAT/ I /6M. 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. 04/17/13 07:48AM HP LASERJET FAX p.'1 Electrical Permit Application RECEIVED ED FOR OFFICE USE ON L, City of Tigard I Received `H 1 7 / 3 Penult NO 13125 SW HaII Blvd., Tigard, OR 97223 F ) R 1 7 2013 Date/8 . �Q �(}0 3` D &jo I Plan Review tither Permit: Phone: 5 Pax.: 503.598.1960 1)ate/tly Inspection 103,6394175 C IT YO FT I G ARD - -- �' ��� T I G A RD P� Date Re udyltdy: Juris: 12 Ste Page 1 for Internet: www.ti ardor ov ' ,. , , ' 1 1 ' t,,11 ►��otiffed/h4othpcl ss �//(y 1 t ty Supplemental Information g g r ! lr t F , e k• , ' "(Ni1h ' rlrrcylF� ,'f \r ....... .. f -� � ''ss �• `Vitpllllle �'lrx {f " ?� i ts " a �� rl e1;` OF w (i gg � f , ....... . ... , •.( �f1, t:a. k�?t5 r. r r�, at tG .6 , • r.. � ��,ret X4:4( �' ��,.«, �t. l* Q New construction ® Add it iotl /nitt.rati(n /replacement t'ha c check all that apply (submit j sets of plans wlttems checked below); t;' 17unol itt On 0 Other: 0 Service or feeler 400 amps m more Q Building over three stories. _ where the available fault current Q Marinas and boatyards. i ixf N "di 4 y: im}��gr ) r,. l30*( 'k` t r , i1% • 1 r •1ti- �gI : Sn ;n,iw T � {0w ' ,t 61.. . WA' mo t _, ,,,,::4 �� ' ut � xli u i . 1i t + ,r {+€f,ge less exceeds grou or exceed 14,000 0 Commercial-use o a 0 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings. [1 Multi- family 0 Master builder [ .] Other: © Fire pump. a Installation of 75 KVA or t i „ u " )r r w , r it ' t 1 : ~ 1gm t P t t , ;�al' • ❑ Emergency system larger separately derived system. 1r iz ' ,a ,; '1 1� E y :ti a ,�, ilr rw t� 9v rl �fin:ht $ . i k „ . ,, . ki�i 1 � 0 Addition of new mol,+r load of 0 "A”, "E" "1.2 ", " i -3 ". Job no.: 083 -27457 Job site address: 6950 SW Hampton St i 00HP or more oocupnncy. — __ - _ ______ _ .._ _ 0 Six er more tcaideatial units. 4 Recreational vehick parks. City/State/ZIP: Tigard, OR. 97223 0 tleahh•care facilities. 0 Supply voltage for more then . 0 Hazardous locations. 600 volts nominal. Suite/bldg• /apt. no.: 300 Project name: BFG Communications © Service or feeder 000 amps or more ._..— - a h t I f xiL 1il;,13,i-'... .. � F {' .: �tf �f ^,1',1 6.V. :$ Cross strcet/directions to job site: Description Qty, roe, �A »�� New residential single- or multi - family dwelling unit. - Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft or less - 168,54 _ 4 » ...»- ,.....»..,.- ,....• ... .. add•l500 n _� 1 Tax map /parcel no Ea. sr: or pot - l� �'��t�,,�( qfil t � ¢ t • i • , v Limited energy. rcsidenrfal ��, { i 0 rN t� I.' • At ,�. r � - •,.r* 11 } 75.0 2 t. i�ft.41;r. rt,,4f oYl ti h�A : :(l r ' t +,r ': '4 �u ' ' t Nit . . 6 t , " rt ti . � i . h ' .W. i d • t ' i \i VW •• • t _,. kwith above sq 0,) ...-. Limited energy, multi- r'amily 75.00 2 Low voltage burglar alarm residential (with above sq. ft.) ...... _ ..._......... .,_. -- Services or feeders instalhtion t on ■Iterati and/or relocation 200 amts or less - 100.70 all 2 f,ktll J r . ,, a wi i. , , } !< e . l ::. , , 0 1'k; \,1 r"' I 201 amp to 400 amps 2 a «:� , 401 amps to 600 amps — 200 2 NName: _ 601 amps to 1,000 amps M 301.04 MN 2 Address: Over 1,000 amps or volts MIMI 2 Pity /Statc/LI I': Temporary services or feeders installation, alteration, and /or .. relocation Phone: ( ) I flax: ( ) 200 amps or less 5936 201 amps to 400 amps I 125.08 2 Owner installation: This installation is being made on property that I own which is not intcnded for sate, lease. rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 590 mops 168,54 2 Branch circuits - new, alteration, or extension, per ii el Owner signature: Elate: _ A. Fee tin branch circuits with e a it above service or feed f ee, • M u: { C^f''r�kr ~c-i' Pf >I7�() 7.42 2 _ 1 : %.t., cacti branch circuit 151151 :5 name: B. Fee for branch circuits wrmttrr service or feeder fee, first 5618 Contact name: branch circuit ,",.,,, - � °_ - - Each add't branch circuit 7.42 12 Address: Miscellaneous(serviee or feeder not lnetuged) City/State/ZIP: Each manufactured or modular 67 R4 dwelling, service and/or feeder Phone: ( ) __•. _._.. » .. ( ) _..._ - - - - — Reeennex h only ...,,.._._..,. 67.34 2 - Pw nit or lrrlaadutt circle _ 67 e-4 2 E 9 p� Sign or outline li tin_ 67.84 2 j akl �/ , 1 ' n r'£.t � a r r 1 ,ri r t - `iq a:% 9t.y fi :. 4 i (" ' i ', t S i g nal circuit(s - limited•energY •' S i r M+!�'!,.t t �}��}P.?r5� S 7 1 � h x � A s .�.. �� ��. L S� • . .• , Busine name: APT LLC ., uine� alteration or, CMensi MT r PStg 2 w .. 73.00 2 - - - -- - -�- •••••• -- — - •- - •••- •••• -.. Each additional Inspection over allowable in any of the above Address: 2815 SW 1153 Dr Additional inspection ( hr min) 66.25/ hr C: ity /State /ZIP: Beaverton, OR. 97006 Investigation f 1 hr min) 6b•2S/ hr .__.___ . Industrial lent I hr min p ( ) 78.18/ hr Phone: (503) 469 -7241 [ Fax: (503) 469 -7110 inspections for which no fee is _ 11111 90 OW hr — s ks:iffc:all listed Vi hr mitt CCB Lie„ 1%560 Electrical Lie., CLOP Suprv. Lic . . .,,......_ ..............._._ '�4. l l�i"4�'' Y' 1?E �; rf '., ; Subtotal: 75.00 &MTV, Electrician signature. required: -- 1 l •_......,-._ ..._, -•. -- y-+ Plan review (25%of permit far Print name: F r" - Alp Stale surcharge (12% of permit fee) 9.00 � _%�� TOTAL P 1 F . 84.00 Authorized signature: ` � - -- -------- - - - - -- -----.. .............................. This permit application expires If a permit is not obtained within 130 Print name'. P AIM - Date: ' Number of inspections ailowarl per permit I \Builds gW aftstELC-PermliApp.ape 07/0I /10 44O 46iSt'(1 IM5 /COMIWCN 04/17/13 07:48A11 HP LASERJET FAX p.02 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: ; XI; "i 7+ ' ..�. >w��.,wv� N�1:�fdlmXwn� lfae r .1.,'w7al1 �B. 1Fll 4 d`a ` ���+''�T� y�id4`��' 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* Ej Other: ,w� eggi E I'1,� -,a r naru.FF � tn✓� rr . r, 7�M! uMa'E irA i:+Ti�l. n�ou � ' � jf }�tP"`� � 54'Ji y 1� ?�,'(9�i .� f � r � : Fee for sacji 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 ❑ 1 -I VAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling Other Jamb ala= Total number of commercial systems: 1 *No licenses are required. Licenses are required for all other installations 1 :13uildingtPcrmits\ELC•Pami1App tot 07/01/14 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 6950 SW HAMPTON ST 300, TIGARD, OR, 97223 Commercial - Electricial Limited Energy 199 Electrical final 05/23/2013 00:00 ELR2013-00086 FAIL No access Construction or work for a permit is required to be accessible R109.1 Violation Summary: Inspector Contractor