Permit s *q ELECTRICAL RESTRICTED ENERGY PERMIT
04 ; CITY OF TIGARD
` t Permit #: ELR2010 -00078
r� iw C COMMUNITY DEVELOPMENT Date Issued: 05/06/2010
AriGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
h 44 , a , Parcel: 2S110DB00500
Jurisdiction: Tigard
Site address: 15336 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Sonic Drive -In Restaurant
Project Description: Low voltage for HVAC
FEES
Owner: Description Date Amount
MWF TIGARD LLC
2123 NW ALOCLEK DR #1203 Restricted Energy Permit 05/06/2010 $67.84
HILLSBORO, OR 97124 12% State Surcharge - Electrical 05/06/2010 $8.14
PHONE: 503 - 617 -0175
Contractor:
SUN GLOW INC
2428 SE 105TH
PORTLAND, OR 97216
PHONE: 503 - 253 -7789
FAX: 503 - 253 -7693
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: Y Instrumentation: N Total $75.98
Intercom /Paging: N Landscape /Irrigation: N
Landscape Lighting: N Medical: N Required Items and Reports (Conditions)
Nurse Calls: N Protective Signal: N
Security Alarm: N Other: N
Other Desc:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: ' ! V Permittee Signature: 5- t L AP I L_ ] L A 'T 1r7/A✓
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
Electrical Permit Applic . v ( ', EIVE1D 1111111.M11111:111=11111111111111
, •
city of Tigard Received
Permit. No,:‘.
5 -lc\ , Dnte/14:
• 114 --.1 13125 sW Hall Blvd_ Tigard, OR r ., _ , ,, , Plnii Review ---
:, e .. ' Phone: 503.639.4171 Fax: 503.5 .1960 Dc/By. ()tier Permit:
. . Inspeclion 1 ine 503.639.4175 At (A:TIGAR
T A i..t I) . - -. . pm. R.d • 17,7. ros s Pngt 2 for
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$oppleinentn1 Information
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• • • Internet: www.ligaro-or.goy CIT v- ' wisION N,„ifi.limoil,„d:
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Egl New construction ill Addition/alteration/replacement PIC119C 4:11N:1 Apply (siihmit 2 Ack oi w/itcms checked belnw);
0 Service or feeder 400 amps Cif 1110TC 0 Sttilding MGM three SlOTiCS.
171 DernOtitiOn 0 Other: where the availetilc fnnll torrent 0 Marinas null beimmrds.
0 ",..: .', •:. " •:!,'..t . ikfiti . (4( 4 iit..Otti' ' ' . eitit4S1k l eCtION c.;: ..: . ., ':. 1 . '': ':.",7 '' ::''':::,''...::,.:i:.!..':,.1.:" c...trAp. ;0,000 ninp5 fit 150 vOlif: (r 0 Floating buildingg .
leR510 ground, or exceeds 14.000 0 Commercial-Ilse agricnIturrd
0 1 - and 2-fannly dwelling El Commercial/industrial 0 Accessoy building amps lbr n11 other inxtallalions. buildings.
Ej Multi-family ID Master builder 0 Other; CI Fin, pump. 0 lnstailerion of 75 KVA pr
. 0 Emergency system.
61 ..:' ' ' ' ' ' ' ' ' ' ' . ' ' ' ' ' ' : ' ' ' ' . larger scparracly derived system.
1: nr ore.
Job no.: Job site ad dress! 15300 SW Pacific Hwy
0011P occupnney.
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ID Six or rnnro reSidellii£111ulit5, 0 ReCTCaliOTITII Vullicle pnrkft.
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City/State/ZIP: Tigard OR 97224 ID Health-care roc:1116es. 0 Supply voltage for more than
-- ,-. ---- -- 0 Hazardous locntioni, 600 volts nominal.
Suite/bldg./apt. no.: Project name: Sonic Burger ElServico or feeder 600 amps or morn
- " - - ,'' • .'"'::: :' ' .: . ''',.:'.,': '• '1::: '':''. '!':...:.
Cross street/directions to job site: 22Eriptiva 1 cw. L Ptr. Tni n I 1 "
---- -,.. ,-
New residential single- or multi-family dwelling unit-
lochnles attached garage.
., -. ...-- ____
Subdivision: 1 1.0t rm.: 1,000 sq. R. or leSS
16R,54 4
--..- En. add1.500 sq, It. or portion 33.92 1
Tax map/pat(7ol no Lolled curry, residential 67.84 2
'''; iik ..::..::::::, :.,'.' .,:;,,r .•.•:: : (with above sq. 11.). ---___
united cllcrgy. multi:71mill
Low voltage 1F1VAC control wiring residential (with above sq. 11.)
- 67,84 2
-- - § or f nsta
eeders illon, ateraon
atilti, and/o relocation -
...„:., ,..-
200 amps ur less 100.70 ---i 2
- - -
16ii.rtitv: ::: . .!:...!'.:;,; .*:....::''..:.:' .:.::,13r., ..:.,:,:::,:.,; :..:7:: 201 amps to -100 amas 133.36 2
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401 amps 10 (700 ninps 20(1,34 2
Name.: Sonic Burger --
• _.
- 601 ninpii to 1.000 turps 301.04 2
_ „ - -.--
Addross: 15300 SW Pacific f1l•vy Ov,:r 1,000 soaps ol volis 552 26 ,
- -
-. ----- -
'Temporary services or feeders installation, alter: hon. and/or
C.ily/Stoic/411": Tiprd OR 97224 relocaliOn
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Phonc: )
1. a; ( 1
, 200 urnvi or Iosr. i‘9..46 , 1
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01,vnter installation; This insia is hieing ilmde 00 properly dint 1 i)wri ‘vli tell iS MA ..... -
-011 urrip..; to ;00 /1117. ;r:rt.-,.1 ,
,, i sa k t , it.... re , n i. ()I t x Nccon_liTT. , A) 7.)k,1 4 140, 670, ;Ind 701. f - . • -
Branch circuits- new. alteration. or e 'tension, per and
()wive!' signature,: J1.)41.1,:: A. l'ce fur branch circuits with
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C.'oninct tromr: NS.:IrAintl Phillips .,,.. , branch circim
- • • Rol 77)01 1,NiId i c.;1117; 7 ..17 2
Addrey.-;: 2428 Si!: 105 j (service or fccdc not included)
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Ciry/Statei7.1P: Portland R 9
O72 6 - .. , Rya ing, servi...T illtiii(Ir l'i2C1'.. r.,7,).hi 1
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- __ , ,, ._.. _ .__ ___ i!nch leitiitional inspection over allowi hie in any of thcalityve
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Mdrss; 2428 SE (
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rhone: (503) 253-77* • .1 - LI Fax: ( 2.53)-76'?3 InspcctiorEt tor which on (cc is
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su.„,a;: 67.10
N r,icoirici an sigivolur..... required: '21. . __.....
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Print tors: Mnr:thali Plitilips 'f)rAt c'. : 504/ 51(0 :itr.tc chat F.i.: 1)nt.,: ( I:2'N Elf peratit lee): X..1
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Ibis perrnii A n e
pplkentioxpire.< if a perinit iS nOt nlItnincil within 18(1
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enlete,
f-trillA ru-tnic; Nrkw.shAi P-dillips ' - - r ,, _ - ........_____________ .
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Electrical Permit Application. - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT ]FEES:
Fee for a residential systems combined. $67.84
Check Type of Work Involved:
O Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation. and Air Conditioning System*
n Vacuum Systems*
❑ Other:
FCC for each commercial. $67.84
system
(SEE OAR 91 8- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
E Boiler Controls
❑ Clock Systems
n D ata Telecommunication Installation
n F ire Alarm Installation
T-IVAC
n Instrumentation
❑ Intercom and Paging Systems
[] L andscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outd.00r Landscape Lighting*
O Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:H 3111411 *PcrmitAE.C- PormilApp 10101/09