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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT F ' M n t COMMUNITY DEVELOPMENT Permit #: ELR2009 -00335 • F . 1 3125 SW H all Blvd., Tigard OR 97223 503.639,4171 Date Issued: 10/23/2009 GARt Parcel: 2S101AD03200 Jurisdiction: Tigard Site address: 129,09.,SW 68TH PKWY 150 Subdivision: •TIGARD'TRIANGLE CENTER Lot: 0 Project: Scheller Financial Project Description: Fire alarm. FEES Owner: PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA, PKWY #300 Restricted Energy Permit 10/23/2009 $67.84 PORTLAND, OR 97224 12% State Surcharge - Electrical 10/23/2009 $8.14 PHONE: 503 - 624 -6300 Contractor: STANLEY SECURITY SOLUTIONS 15495 SW SEQUOIA PKWY #100 PORTLAND, OR 97224 PHONE: 503 - 968 -3353 FAX: 503 - 968 -3398 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: 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 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 1$0 days: ATTENTION`. Oregon law requires you to follow the rules: adopted by the Oregon Utility Notification Center Those r - -, 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 503.24 • • 1.800 . 2.2344. Issued By: / Perm ittee Signature: ✓�� i� 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 of the project. Approved plans are required on the job site at the time.of each inspection. bi) „ i�w EC E 9. Utl ����01 Electrical Permit AppliCatiO .w. s FOR OFFICE USE ONLY !E iew 4' 3 ” PermttNo:: _ OCT 2 3 2009 � e ©a 9 13125 SW Hall Blvd, Tigard, OR 97223 q OtherPermit���V 9 Phone 503:6394179 Fax-` 503598,1960 p Date /By: T 1 GA R D; Inspection Line 503 639 4175 CI 1 1 OF i iurw lD Date Ready /By: rur H See Page 2 for Internet and -or ov BUILDli�G VIS www.tigard-or. l Supplemental Information _ g g DIION No tified/Method; ,�a x TYPE�OFWO)tK a r ",'! tifia'4 ❑ New construction Addition /alteration /replacement Please check all that apply (submit 2 sets "of plans w /items checked below): ❑Service or fr�l00 or more ❑ Building overahree stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. ' � exceeds ❑ Floating buildings: a mot"xCATEGORYOFCONSTRUGTION�� x'•w� � less tog *T �e �Q Commerctalruse;agrictiltural ❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building am s 1 O" p 0%satl buildings. ❑ Multi family ❑ Master builder ❑ Other ❑ Fire pump. ❑ Installation of 75 KVA or 4 h . ❑ io ncysystem. larger separately derived system. ����,, `��`'' �'��JQB��STTE6INFORMATIONAND LOCATION ya; � o A A ition of new -motor load of "A ", "E ", "1 -2 ", "1 -3 ", p Tg Job no.: Job site address: 12909 SW 68 PKWY 100•P.or snore. ❑Six or more residential uni occupancy. ts. ❑Recreational vehicle parks. City/State /ZIP:'97224 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: 150 Project name: SCHELLER C f,1fL' f Q, ❑ Servtce or feeder 600 amps or more i ' Cross Street/directions to job site: Deudptiw 1 Qty. Fee. 1 Total 1 New residential single- or multi- family dwelling unit. Includes attached, garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea:.add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no Limited energy, residential (.A �,rDESCRIPTIONJ OFR'ORK� "s i (with above sq. ft.) 75.00 2 Limited energy, multi- family 75.00 2 INSTALL THREE HORN STROBES AND POWER BOOSTER ON EXISTING residential ( with above sq. ft.) FIRE SYSTEM Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 �. ®,(PROPE TY�OWNER ' y r � r ' =q ®TENANT' I at' J 201 amps to 400 amps 10685 2 Name: PACIFIC REALITY ASSOSCIATES 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: 15350 SW SEQUOIA PARKWAY Over 1,000 amps or volts 454.65 2 City/State /ZIP: PORTLAND, OR 97224 Temporary services or feeders installation, alteration, and/or relocation Phone: (503)624 -6300 Fax: (503)624 -7755 200 amps or less 66.85 I Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits - new, alteration, or extension, per panel Owner. signature: Date: A. Fee for branch circuits with u ®APPI ICANTF , ®`�CONTi1CTPERSON above service or feeder fee, 6.65 2 ., . each branch circuit Business name: STANLEY'SECURITY SOLUTIONS B. Fee for branch circuits Contact name: GARY TAUSCHER without service ui feeder fee, 46.85 2 first branch circuit Address: 15495SW SEQUOIA. PARKWAY, SUITE 100 Each add'I branch circuit 6.65: .2 Miscellaneous (service or feeder not included) City/State /ZIP: PORTLAND, OR 97224 Each manufactured or modular 90.90 2 dwelling service and /or feeder Phone: (503) 968 -3355 Fax:: (503) 968 -3398 Reconnect 66.85 2 E -mail: Pump or irrigationcircle 53.40 2 ?� i s # S or outline lighting 53.40 2 ���ra a �«CONTRACTOR S r� r��, � � k";rr��„���°: �, g g g Business name: STANLEY SECURITY SOLUTIONS Signal circuits) or limited -- energy panel, alteration, or Address: 15495 SW SEQUOIA PARKWAY, SUITE 100 extension. Describe: / Page 2 /j � 2 City /State /ZIP: PORTLAND, OR 97224 Each additional inspection over allowable in any of the -above Per inspection 62.50 Phone: (503) 968 -3355 Fax: (503) 968 -3398 Investigation per hour (l hr min) 62.50 CCB Lic.: 161567 Electrical Lic.: 37 - 1054 Suprv. Lic.: Industrial plant per hour 73.75 Suprv. Electrician signature, required: L c- - � — Subtotal. 7, Print name: STEVE MOREHOUSE Date: 10/22/2009 Plan.review (25% of permit fee): State surcharge (12% of permit fee): tf r /f} Authorized signature: TOTAL PERMIT FEE: 75 9 [I r/ �--�° This permit application expires if a permit is not obtained within 180 Print name: -tp .tJ� i�� 14 Date: days after it has been accepted as complete. l v 1 JAN L * Number of inspections allowed per permit I:\ BuildinglPermits \ELC- PermitApp.doc 05/23/06 440- 4615T(1 I /05 /COM/WEB ,