Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT Permit#: ELR202 0-001 2 1
Date Issued: 10/12/2020
T r t;A R L] 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 BD00100
Jurisdiction: Tigard •
Site address: 7650 SW BEVELAND RD 120
Project: AD Architects Subdivision: None Lot: None
Project Description: Fire alarm and data telecommunications systems.
Contractor: POINT MONITOR CORPORATION Owner: WHA BEVELAND BUILDING LLC
5863 LAKEVIEW BLVD STE 100 7650 SW BEVELAND RD
LAKE OSWEGO, OR 97035 TIGARD, OR 97223
PHONE: 503-627-0100 PHONE:
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Restricted Energy Permit 10/09/2020 $150.00
12%State Surcharge-Electrical 10/09/2020 $18.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 2
Audio&Stereo: 0 Boiler Controls: 0
CCTV: 0 Clock Systems: 0
Data&Telecommunications: 1 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 $168.00
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: Y1 � Permittee Signature: Se( P 't Crh0\
!!!"' 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.
- Electrical Permit Application 1 t t tt i II 11( 1 I >1 (0,1 t
ti
City of Tigard ter, Ie f via, / Permits: _�.
III13125 SW Hall Blvd.,Tigard,OR 97223 ptan � {/
141
Phone: 503.718.2439 Fax: 503.598.1960 DeteJBy: �/ Rda led Pers — f�� /e 7
h t> Inspection Line: 503.639.4175 Ready Date./By. 7 mitlerr El See page 2 far
c.
Internet: www.tigardogov 1'l
r. otifsedia Notified/Ma si'- 31. e I I Sappi mental laformatloa
❑New construction ®Addition/alteration/replacement Please check all that apply(submit l eels of plans w/item/checked):
❑Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑Other' where the available hub current ❑Marinas and boatyards.
r; o M r'o r y ' 1 Cty_Q __.. .....3 exceeds 10,000 amps at 150 volts or ❑Floating buildings.
❑ I-and 2-family dwelling ®Commercialrndustrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other insta0ztiorxs. buildings.
❑Multi-family 0 Master builder ❑Other. 0 Fire pump. 0 Installation of 150 KVA or
- z%al',:l'Q= t r�. il..J.!'..\_O.Q 4,‘‘ I):tom'." 94(c)"----.- ---`_.._,.1 ❑Emergency system. larger separately derived
Job#: Job site address:7650 SW Beveland ❑mowor mom.
Addition of o coma boa of
1 DHP ❑"A""E" "1-2""1-3"
City/State/ZIP:Tigard,OR 97223 ❑Six or more residential al units, any.
❑Health-rare facilities. ❑Recreational vehicle pada.
Suite/bldgJapt.#: 120 Project name:ADa Office 0 Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 am.. or more. 400 volts aomival.
Cross street/directions to job site: sr ii- ; -
Dnnipasa 104r. 160tM Taal •
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea.add_ '1500 sq.ft.or portion 33.92 1
I .. _ r Tr _ tits n•.`rsrt�w-ei-a'- ,;.,'z*.'.A>rP.as• 4 • Limited energy,residential
Fire Alarm&Phone/Data (with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above so.ft.)
_ Renewable Energy 0 See Page 2
"®-s- --'bri?41.- i ' ® -' v '"41 ,ems,.- '+''- Services or feeders installaton,alteration,and/or relocation
Name:ADa Office 200 amps or less 100.70 2
Address:7650 SW Beveland,Suite 120 201 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 I I
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps I 125.08 12
Owner signature: Date: 401 amps to 599 amps 168.54 l 2
ee ;.wv t4- iL Ir- it« a..t.F.7 Branch circuits-new,alteration,or extension,per panel
i a-sc.,4l.s:r'u:e,,,, ®WAPP, .e iTs... �, ,' ' ° a.0 1 E'RSO�. 'e A.Fec for branch circuits wish
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
Address:5863 Lakeview Blvd.Suite 100 branch or feeder fee fast
brmrch circuit 56.18 2
City/State/ZIP:Lake Oswego,OR 97035 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)627-0100 I Fax::( ) Each manufactured or modular 67,84 2 i
dwelling,service and/or feeder
Email:bwilliams@pointmonitor.com
Reoomtect only 67.84 2
_ CO, `.! ir[QR -': , Pump or irrigation circle 67.84 2
Business name:Point Monitor Corp. Sign or outline lighting 67.84 2
Signal circa ids)or limited-energy ® See Page 2 2 2
Address:5863 Lakeview Blvd.Suite 100 panel,alteration,or extension,
City/State/ZIP:Lake Oswego,OR 97035 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)627-0100 I Fax:( ) Investigation(1 hr min) 90.00/hr
Email:bwilliams@pointmonitor.com Industrial plant(1 hnnin) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 135901 I Electrical Lic.: 34508CLE I Suprv.Lie.: 4460LEA specifically listed('h hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
I 5-0..L
Print name: Ben Breit Date: 9/28/2020 0 Plan Review Required(25%of permit fee):
State surcharge(12%of pennil fee): if.,
Authorized signatur •``yam �aL----- TOTAL PERMIT FEE �
r� 4 _
This permit application expires If a permit to not obtained within 180
Print name: Ben Breit Date: 9/28/2020 days after It has been accepted as compkte.
Number of inspections allowed per permit.
19341110in;Pnmitsal.C_PeamitApp_ELR ERE doe Rt.0(I'2015 440.4615T(1I O5,COM-WEB
r
- Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL.,WORKIre ONLY:_ "< clnuLE
•
Fee for all residential systems combined: $75.00 1 Qty. �� I Total I
y Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
• Audio and Stereo Systems* 15.o1 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑ Heating, Ventilation and Air Conditioning Solar generation systems In excess of 25 kva:
System*
Each additional kva over 25 7.42 3
n Vacuum Systems* >100kva—no additional charge 0.0 3
Each additional inspection over allowable in an of the above:
n Other: Each additional inspection is 66.251 hr
charged at an hourly(I hr min)
Inspections for which no fee is 90.00/hr
specifically listed(%hr sin)
COMMERCIAL WORK OINI.rY: ,ELKGnueAL PERMIT FEFS
Fee for each commercial system: $75.00 Subtotal(Ever on Page 1):
(SEE OAR 918-309-0000) * Number of inspections allowed per permit
Check Type of Work Involved:
El Audio and Stereo Systems
fl Boiler Controls
El Clock Systems
® Data Telecommunication Installation
• Fire Alarm Installation
n HVAC
❑ Instrumentation
El Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
I Protective Signaling
El Other:
Total number of commercial systems: 2
*No licenses are required. Licenses are required for all
other installations
I:Belldin5 Pcnnin Et-f PrrmilApp ELR_ERE.dor Pe.116 1'2015