Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
• COMMUNITY DEVELOPMENT Permit#: ELR2020-00059
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/21/2020
Tic; \Rp 9
Parcel: 2S113BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 350
Project: Grand European Travel Subdivision: None Lot: None
Project Description: Fire alarm system.
Contractor: POINT MONITOR CORPORATION Owner: PORTLAND SW CENTER LLC
5863 LAKEVIEW BLVD STE 100 BY FELTON PROPERTIES INC
LAKE OSWEGO, OR 97035 ATTN: FELTON, MATT
520 SW 6TH AVE, STE 610
PORTLAND, OR 97204
PHONE: 503-627-0100 PHONE:
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Restricted Energy Permit 04/20/2020 S75.00
12%State Surcharge-Electrical 04/20/2020 $9.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio&Stereo: 0 Boiler Controls: 0
CCTV: 0 Clock Systems: 0
Data&Telecommunications: 0 Fire Alarm: 1
HVAC: 0 Instrumentation: 0
Intercom/Paging: 0 Landscape/Irrigation: 0
Landscape Lighting: 0 Medical: 0
Nurse Calls: 0 Protective Signal: 0
Security Alarm: 0 Other: 0 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 o follow the les adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR •: -0•1-0090. You m fain a cop e ru or direct ues- NC by calling 503.232.19 or 1.800.332.2344.
Issued By: Permittee Signature: G C
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.
ED
Electrical Permit ApplicaCtt" rt>R c1P1 It 1 l tin I1V1
City of Tigard APR 0 7 2020 Received
III i • 13125 SW[all Blvd.,Tigard,OR 97223 Plan Review 4soli!, '� ir�
p Phone: 503.7182439 Fax: 503r598't9�D0F T GARD Datc : : ! -�
at' id r��
Inspection Line: 503.639.4175 ;^�� p^+�^+�'} ``'I ' Ready Date/By: Aids: lit See Pap 2 for
tic;nl,l) Internet: www.tigard-or.gov „ etVl�s✓'ttISi0 Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans n items checked):
ElService or fader 400 amps or more 0 Building over three stories.
❑Demolition ❑Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building less to Bound,or exceeds 14.000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑
Job#: Job site address:7632 SW Durham Rd. 100HPo of sew motor load of system.
00HP or more. ❑"A","E"."1.2""1.3"
City/State/ZIP:Tigard,OR 97223 ❑Six ormore residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle perks.
Suite/bldg./apt.#:350 Project name:Grand European Tours 0 Hazardous locations. 0 Supply voltage for more than
- ❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Deseripttan I Oh'. I Each I Total I • '
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft or less166.54 4
Ea.add'I 500 sq.ft.or portion 33.92
DESCRIPTION OF WORK Limited energy,residential 75.00 2
Fire Alarm (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
❑ PROPERTY OWNER TENANT Renewable Energy 0 See Page 2
Services or feeders installation,alteration,and/or relocation
Name:Grand European Tours 200 amps or less 100.70 2
Address:7632 SW Durham Rd.Suite 350 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard,OR 97223 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
® APPLICANT ❑ CONTACT PERSON Bench circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Point Monitor Corp. above service or feeder fee, 7.42 2
each branch circuit
Contact name:Brooke Williams B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Address:5863 Lakeview Blvd.Suite 100 branch circuit
City/State/ZIP:Lake Oswego,OR 97035 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)627-0100 Fax::( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:bwilliams@pointmonitor.eom Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Point Monitor Corp. Sign or outline lighting 67.84 2
Address:5863 Lakeview Blvd.Suite 100 Signalnel, lteattion(s)orlimensiclergy ® See Paget 1 2
panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP:Lake Oswego,OR 97035
Additional inspection(1 lu min) 6625/hr
Phone:(503)627-0100 Fax:( ) Investigation(1 hr Irvin) 90.00/hr
Email:bwilliams@polntmonitor.com Industrial plant 0hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 135901 Electrical Lie.: 34508CLE Suprv.Lic.: 4460LEA specifically listed CA hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:
Subtotal:
Print name: Ben Breit Date: 4/7/2020 0 Plan Review Required(25%ofpermit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires Wit permit is not obtained within 180
Print name: Ben Breit Date: 4/7/2020 days after li has been accepted as complete.
• Number of inspections allowed per permit.
I.suitdin .Permits ELC_PermitApp_ELR ERE.doc Rev06 l'20t5 440.4615T(1 I.OS COMWEts
Electrical Permit Application—City of Tigard
Page 2-Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description 1 Qty. 1 Each 1 Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
n Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
n Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kve over 25 7.42 3
❑ Vacuum Systems* >100 kca-no additional charge 0.0 3
Each additional inspection over allowable in an of the above:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/ltr
specifically listed(A hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
• Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
n Audio and Stereo Systems
❑ Boiler Controls
El Clock Systems
❑ Data Telecommunication Installation
// Fire Alarm Installation
❑ HVAC
❑ Instrumentation
n Intercom and Paging Systems
C Landscape Irrigation Control*
❑ Medical
Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
n Other:
Total number of commercial systems: 1
*No licenses are required. Licenses are required for all
other installations
1,Building Perms ELL'PermilApp_ELR ERE.doc RCN'061-2015