Permit :
,i,110.;',,,::''' '" CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
= ! ;, fit := C ; OMMUNITY DEVELOPMENT Permit., #: ELR2010-00114
" ` Date Issued: 06/29/2010
1 3125 SW Hall OR 97223 '503:639:4171
Cl xARI7 Parcel: 1 S135BD00100
. Jurisdiction: Tigard
Site address: 9600 SW OAK ST
Subdivision: Lot: 0
Project:. 'Plaza °West
Project Description: Low voltage for fire alarm.
FEES
Owner:
PLAZA WEST LLC Description Date Amount
BY NORRIS BEGGS & SIMPSON, 121 SW Restricted Energy Permit 06/29/2010 $67.84
MORRISON ST STE 200 12% State Surcharge - Electrical 06/29/2010 $8.14
PHONE:
Contractor:
JOHNSON CONTROLS INC .
4011 SE INTERNATIONAL WY, STE 605
MILWAUKIE, OR 97222
PHONE: 503- 305 -2
FAX:.
Type of Use: COM
Classrof Work: ALT
Total Number of Systems: 1
Audio &Stereo: N Boiler Controls: N
CCTV: N Clock Systems: N
Data & Telecommunications: N Fire Alarm: y
HVAC: N Instrumentation: 'N Total $75.98
Intercom /Paging: N Landscape /Irrigation: N Required Items and'Reports (Conditions)
Landscape Lighting: N Medical: N
Nurse Calls: N Protective Signal: N .
Security Alarm: N Other: N
Other Desc:
This per 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 d• e in accordance with app ved , , This permit will expire if work is not started within 180 days of issuance, or ' work is suspended for more the 180
day.. ATTENTION: Oregon law Tres you to follow the rules adopted by the Oregon. Utility Notification Ce• - Those rules are forth in OAR
95 - 001 -0010 through OAR 952 -00:1- 00. Y# • •� in a copy of the rules or direct questions to OUNC by calling 503.2.: • • • • or 1.800 44.
I -ued By: 0 4/ / / Permittee Signature: / �
OWNER INSTALLATION ONLY
The installation is being made on property I own which is notintended 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.
' ,; ° "' aklr FOR OF[
FC O c - R� � � �' h � f ,
Electrical Permit Application i � ;,
tegio . " . el `
' i � � ° :i i ., ;��" 1 " ,� �,1
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' µay +i it' Received �,, (� 6020/01.0-• � J
„ti 'i R °' w; C i t of Tlga1 Cl g !1 ��� Date/B 'W / . 0 PennitNo. K (t ��
� J 13125 SW Hall Blvd., Tigard, O Q5 E � Plan Review
t ' Other;Permit:
h 4 �i Phone: 503.639.41 Fax: 503 Date%B
T1G�RD� Inspection Line 503.639 9 ���Q DateReady /By: - 7uris: El See Page2for
' ati ,in Internet: www.tigard- or JUN ( d Notified/Method: Supplemental Information
., wo- -r r� i i, r irr��rmi �w� q . � I J„ "I p:�. a;q F�V�iJfn !p, .a 4 ti.,: um „,a�, wn �c: rN i P`re �� � ';�$
❑ New construction 0 Addition/aIrtt 4 j II ; '1, i „;; t a� ' put . a TYPE °OF d t h�l I iI � 4 ,, p :, tl a W; PLAN RED ti : Na (l p
i 4�Iw�rl n �4at � � �d ` Jms �.l :u �p .h Hiil6 i:i6iu�t., .� �JGrm.U��,) .� ,.� , �� a�., ,�r�d� i li I � ,. „ I
�e`1�P Please check all that apply (submit 2 sets of plans w /items checked below):
t �l ■ B ❑' Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
° C AT E GO RY "' " OF ' i CO NSTR � l Valli exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
"� ' " Ii I Mirl ` ” '" ° I .n b °i ”' `u` "'i""'�""" UCTION ' r 1� 1'd, l ; TD IT t " t less to ground, or exceeds 14,000 ❑ Commercial use agricultural
❑ 1'- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
El Multi - family : ❑,Master builder ❑ Other: 0 . fire pump. ❑ Installation of 75 KVA or
, iN +� ['Emergency system- larger separatelyder "ived system.
1 « -1 JOB S7. ( I . OR)VIATION AND tiIOCATIO t t
D " � -.ar ~far ��ti� n aw a �* n.'n�imnsenn � °ro�.r 4 z ^44 � ❑'A of new motor load of ❑
Job no.: 0665 -0031 Job site,add'ress: 9600S.W. Oak Street 100HP or more. occupancy
El Six or more residential units. 0 Recreational vehicle parks.
City /State /ZIP.:`Tigard Oregon'97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: detectors for elev recal ❑ Service or feeder 600 amps or more.
it 11,!44EESM}IEOII_.Ell' l,kalIIJ
Cross street/directions to job site: Description 1 Qty I Fee. 1 Total 1
New residential single- or multi - family dwelling unit.
Includes,attached garage.
Subdivision: Lot no.: 1,000 sq ft. or less 168.54 4 •
Ea. add'l 500 sq.ft. or portion 33.92 1
Tax,map /parcel no.: mit-
energy, residen residential fll�dl .' m v1 % �I' o r 1 , *i / 1 67.84 2
r b �'i i t ,,, �!+ i i I OF WORK " i;a. U ` ri (with above sq. ft
2 .)
�� I ��
Limited energy, multi- family 67.84 2
Install smoke detector in elevator machine room. 3 relays for elevator recall residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
all located in elevator machine room 200 amps or less 100.70 2
P
® ROPERTYIOWNCIt ilr . � j, a r � fTENANT'" a 201 amps to 400 amps 133.56 2
Gr.n hz � �SCp I� + i, � "� ?
Name: PLAZA WEST LLC CIO NORRIS BEGGS & SIMPSON 401 amps to 600 amps 200.34 2
601'amps to 1,000 amps 301.04 2
Address: 121 SW MORRISON'STREET 3 01 Ti (gyp Over L000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and /or
City /State /ZIP: PORTLAND OREGON 97204 relocation
Phone :`(503)352 -81'33 Fax: ( ) 200 amps or less 59.36 i
201.amps to 400 amps 125.08 ' 2
Owner :installation: This installation is being made on property that I own which is not
intended for sale, lease, rent, orexchange, according to ORS 447, 449, 670, and 701.
401 amps to 599 amps 168.54 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for.branch circuits with
- ' a 1 r �� l r(m , f * # " PERS u ra v a , 1 , above service or feeder fee.
', ∎ �r , � lCANT " ; t y a �I fl ®, 03 ON � t a i( each- branch circuit 7.42 2
Business name: B. Fee "for branch circuits without
service or feeder fee, first 56.18 2
Contact name: branch circuit
Each add'I branch circuit 7.42 2
Address: Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular 67.84 2
ty 'dwelling, service and/or feeder
Phone: ( ) Eax:: ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
Email:
a1 ti m a * Sign or: outline lighting 67.84 2
t ,
I� I ,�I . �i �P J II , rd�a 1( .� • ; CoNTeACTO:a � ,p h °' 0 ` ,
�,..g ,.,�,„,,k,,,- :,,>,... � I l r a � sa = s Si circuit(s) or limited-energy
Business name: Johnson Controls Inc panel,ialteration, or extension. 1 Page 2 2
Each additional inspection over allowable in any of the above
Address: 4011 SE International Way Additional inspection (1 hr min) 66.25/ hr
Investigation (1 hr min) 66.25/ hr
City /State /ZIP: Milwaukie Oregon
Industrial plant (I hr min) 78.18/ hr
Phone: 503 305 - 2000 Fax: (503) 654 -1158 inspections for which no fee is
Phone: ( 503) ( ' 90.00 / hr
specifically listed (% -hr min)
CCB Lic.: 65320 .Electrical Lic.: ' 6 16 -c; Su Lic.:. 22LEA ;(� ,41�ir � ' ; ,t1'CC Ei ECTRICAI PERMIT, FEES r ;;i) -„
�� Subtotal:
Suprv: Electrician signature, required:
Plan review (25% of permit fee):
Print =name: Rona ld C Bell • Date: 6 -;/9-/0 State surcharge (12 %ofpermit fee):
TOTAL PERMIT. FEE: 75.
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted' as complete.
Print name: Ronald C. Bell Date: * Number of inspections allowed per permit.
` I:\ Building `,Permits\ELC- PermitApp.doc 10/01/09 440- 4615T(1 I/05 /COM/WEB