Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
2 COMMUNITY DEVELOPMENT Permit #: ELR2010 -00130
13125 S W Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/22/2010
TIGAAD: Parcel: 1 S136DC04400
Jurisdiction: Tigard
Site address: 11945 SW 70TH AVE
Subdivision: DARTMOUTH SQUARE Lot: 30
Project: TVF &R Command Center
Project Description: Changes to existing and installation of additional security system.
FEES
Owner: Date Amount
TUALATIN VALLEY FIRE & RESCUE Description
20665 SW BLANTON ST Restricted Energy Permit 07/22/2010 $75.00
ALOHA, OR 97007 12% State Surcharge - Electrical 07/22/2010 $9.00
PHONE: 503 - 649 -8577
Contractor:
SONITROL PACIFIC
8220 N INTERSTATE AVE
PORTLAND, OR 97217
PHONE: 503 - 223 -5822
FAX: 503 - 973 -7773
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: N Instrumentation: N Total $84.00
Intercom /Paging: N Landscape /Irrigation: N Required Items and Reports (Conditions)
Landscape Lighting: N Medical: N
Nurse Calls: N Protective Signal: N
Security Alarm: Y Other: N
Other Desc:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 -0' 1100. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: j � / Pemtittee Signature: 0A✓ �// / / (4 Clf\/
` OWNER INSTALLATION ONLY
The installation is being made on property 1 own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
JUL -20 -10 10:46 AM SONITROL- PORTLAND 9737773 P.02
i
Elec rieal Permit A
City onplicatCEIVED
FrlFttll.l III (`tip ctrl l
f Ti�urd Recciv,a
v IJ 125 514' Hall Blvd.. Tigard, Ok � 4 halegly 3 o ? / j r . - . • Pcnml No.EA 2 /O QDi3d
, , 97 ® L (� � F Ian kcvtew — od 7
none: Su3 i n +171 Ins: x. 503.59$, � tl pate /By fuller Pernl6j,� �t7 °
f'I t n ,. t' Inspection line: : 503.639.4175 - _ - - .. ---
R( CITY OF T IGARD pate Reidy /Bye 1im�, _ yea Page 2 Ins
InlCntel. wwW,tl Ird•ur. rev Nuriltel/Mclhud: / /% TO Information
i'
•
-' TYPE: ' 1 r . r PLAN RF.1'IF.11r = :;
❑ New construction Add ition /taltdratian /replacetttcnt Please cheek all drat apply (submit 1001 alder's Wilms checked below): •
❑ Service Of tceder 400 nmps or more ❑ Building over three tuortel, '
❑ Demolition ❑ Other; - _ where the Available fault current In Marinas and boatyards.
• CA'f ECORY OF CONSTRUCTION exceeds i0,000 minim at 150 t'olis or in I /Lining buildings.
- less to ground, or exceeds 14,000 0 CommerciaLare agricultural •
❑ 1- and 2- 11trnily dwelling ICC OMMerciaLtndustrial ❑ Accessory building haws For all culler installations. buildings.
❑ MU111- family ❑ Master builder ❑ Other: ❑ Pile p ❑ Installation or 75 KVAe .
100 Sill INFOItM;1TlON AND LOCATION 12 Emergency system larger separately (loved systtan-
❑ Addition of new mna,r load of [J ^A" ' );^ )_2° • t.�•
occu)rency.
Job no,: f w - fah site address: t L15 -�� 10(1I IP or m ore,
❑ lee tipen irn4I vehicle parks.
i _ � -.. ,W - - - ❑ Six or urns residential amts,
City /State /ZIP: , /'1 r 9 s ❑ 11calt11 -care facilities. ❑ Supply voltage for more than
•
_ v -- ❑ l I rdaua I , carionx. 690 volts nominal.
Suite /bldg, /apt. no,: _ Project name: -Tv F4 tz . 2- J : ,/�� ❑ service or feeder M10 amps or more .
-- FEE SCHEDULE • .1: u'c:• '
Cross strcel /direeli(lls lo job site: Description s • Fs. =TEM x
.... - .`., - . - -- ---' '""'""""` New residential single• ur multl•famlly dwelling unit.
Includes attached garage.
Subdivision; Lot no.: L000 sq. 11 or less Ina 54 .. 4
Tax map/parcel no.;
En. adtl'I 500 sq 11. or portion 33.92 I
_ ___ Limited energy. residential
DFSCRIP'I'ION OF WORK (with shoves 1� 75.011 2 .
.}�.� / , Limited energy, multifamily 2
4.LA -1! "'i'� ._..- Tv _...__ s1 4.L1 Lt 0 residential (with shove MI it .l , _�_ 75 0O
, y Servlcea or levelers Inslnllation, niteratton, huller relocation
.......1/L l.. 1' "j 200 amps or less 100 70 2 .
.."..':•. . , 0 PROPERTY 0'R ER ❑ TENANT tot amps in 400 nmps � - T 13.3 5 h 2
-- -- - - 401 amps to 601) amps 2 00 34 2 ,
Name -- - - - --
_ 601 amps 10 1.000 amps 3(11.04 2 , t
Address: Over 1,000 amps or volts — -- 552 26 2
, d
_
-- -_._.._..-- ._ —_ -- - •-- .._.._._- ._ .__.__. Temporary services or feeders installation. alteration, and/or ;
City/State/ZIP: relocation
Phone; ( ) hex: ( ) 200 amps or los 59.3(1 1
...,,.,...,._..,,- .....:..: ... ....,....�... .- .- ..__..- ----- .- .._- .----- .- _- --- --- -.. - 201 amps to 400 amps 125 2
Owner installation: This installation is being made on property that 1 own which is col - -- - - - -- ° °•-- ^°
intended for ,ale, lease, re or exchange, according to ORS 447, 449, 670, and 701, 401 amps to 599 am 168.54 2
--
Branch circuits - sew alteratiunyir extension, ■ er panel i
Owner signature; _ _ ... ....._... " -._„-.,.. .. Date: _ - -- A Fee fur branch circuits with ,
• %! r - -- above service ur Yredcr fee
❑ APPLICANT !_ ❑ CONTACT PERSON 7 2
-- -._...._..........-- --- __ - - -- - _ -- each brunch circuit }
13usiness name B Fed for bunch circuits l i1/r mrf
service or [ceder lee, f first
Contact name. branch circuit 56 l a 2 ,
- - ° - --- -- facie add'I branch circuit 7.42 min i
Address: MIscellancou.t service or feeder no included
Each manufactured or modular
City /Stale / %I1': dwdlhn service and/or feeder 67.84 2
Reconnect only 67.84 2
Phone: ( ) Pax; : ( ) LL __�...._� --._
C •mail: ..,..,,_...-.., r..,._....•_._,.,,.,, •...�.,,,,,.„.,._.._._•,• -,•_ -- Pump ur irrigulion Cif Cie - - - -- -- 67.84 2
-- - -- - -- - -- - — _ Sign or rnnllne lighting 67.84 2 •
CONTRACTOR Ignnl cireuit(s) or limited- energy
Rosiness rum F „ 1/i �a 1 L f • •••1421 ilitatinn• 21 exiensiinl Page 2 1S" 2 l
etch additional Inuccdon over atluwaMc In Ray of the above ' I •
Address: sca., - u • Additional in pectin {1 hr min) 66251 hr '
Investigation (1 hr mitt) 66 25/ hr '
City/State/ZIP. 3.Sc[.. .,_.- �.� — Industrial plant ( lhrmin) 7 . 18/ hi
{
P }rand, A9.3.--5 )tux: "� Ins}xcuons for which no fee is
91.100/ hr _ • f I
specifically listed ('4 hr min)
CCB Lie.: 455.53 I: cctrical L 3706, Su v , Ltc LIal EIL.ECI•RIGAL PERMIT FEES k t
( 7/ ,1 - - - - -- _ Subtotal
Suety. Electrician sign: re, r quirt d: --
- - -- ___., '.�� ..r �:. .ri ..._. ____-- Plun review (2.5% of permit let
P111111lWIl. w Oulu: 7r , Stole +urchargc(12.%
TOTAL. PERMIT FP1 , or {
Authorized si m:aure ---•-----_.._-._ __._..__._..___....._....__.._.
gr. .. . . This permit applirnnnn mares if w permit Is nor obtained within 110 i '
r days after It has been accented at complete. I I
Print name: L � Odle: +� .y
- _._...__._ . �L!_� ....._......_.._ -- G' • 1 - - -. - ` ILO - - - - -_ Nwnhal of inspections ntluwcJ ;ter lMrruir i
l` auildmNlPer teits`Jdr.Pcrntil,lppdu 47;nl'II) 4JA- 4h151'(1 rin$,'('oM'WIIa