Permit i w
, :
71 . CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2009 -00030
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/5/2009
PARCEL: 2S112DA -01400
SITE ADDRESS: 15350 SW SEQUOIA PKWY 198 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 002 JURISDICTION: TIG
PROJECT: COMPUTERATION
Project Description: Low voltage for fire alarm.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATAITELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: .
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PACIFIC REALTY ASSOCIATES MERLIN POINTE TECHNOLOGIES
15350 SW SEQUOIA PKWY #300 -WMI 12606 NE 95TH ST SUITE C -130
PORTLAND, OR 97224 VANCOUVER, WA 98682
Phone: Contact #: PRI 360 - 892 -0065
FEES Reg #: ELE 37- 100CLE
LIC 155924
Description Date Amount
[ELPRMT] ELR Permit 1/5/2009 $75.00
[TAX] 12% State Surch 1/5/2009 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow 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 copies of these
rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: I ellileyl(JQ Permittee Signature: /�,/
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'N: 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.
I
Electrical Permit Application FOR OFFICE USE ONLY
Received eh ,a9 City of Tigard Received
: 5 °f Permit No.: ,L (J( c cgJ
q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
0 Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit:
T 1 G n R D Inspection Line: 503.639.4175 Date Ready /By: MI ® See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW .
New construction Add i ti on/al terati on/rep l cemen t
Please check all that apply (submit 2 sets of plans w /items checked below):
a
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑Other:
where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
El 1 - and 2 - family dwelling Commercial /industrial ❑ Accessory building lesssoorall other a exceeds ons, ❑Commercial -use agricultural
ry g amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ",
Job no.: Job site address: / 3 # IOOHP or more. occupancy.
17 �� u0! 4 �� y '+ � ❑ S ix or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: nn J ❑ H ealth -care facilities. 0 Supply voltage for more than
Pa/ALA-JO U/1 �f2 2 ( ❑Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: , P C ❑Service or feeder 600 amps or more.
9 name:
���'Cm/ l^ "'� FEE SCHEDULE
Cross street/directions to job site: r i)G.1 orc > / (6 toll 4 /' /' ,y 7 Description I Qty. I Pee. I Total I •
New residential single - or multi- family dwelling unit.
6r M11v/_11( S 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 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family
residential with above sq. it)
75.00 2
Services or feeders installation and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I IR- TENANT 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
nA T Ai/4 1 601 amps to 1,000 amps 240.60 2
Address: I r 3 QD irk .4u0114 i 1' k ip 1x o6 Over 1,000 amps or volts 454.65 2
City/State/ZIP: p
IAA / 0� Gj 9-114 * Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) 6? y- !O `36) Fax: ( ) 200 amps or less 66.85 1
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 ex tension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT I []t CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: ,�/� I" j� / B. �7l Li p/ Os ' �
J C R l.Or.✓o1111�r C f 1-1 C L B Fee for branch circuits without service or feeder fee,
Contact name:
lot-/ 61�., first branch circuit 46.85 2
/ t '
Each add'I branch circuit 6.65 - 2
Address:
[.2 Ot AI •-/; 57 L- )7 6 Miscellaneous (service or feeder not included)
City/State/ZIP: 9 c g 2 Each manufactured or modular 90.90 2
UA4�i�t l dwelling, service and/or feeder
Phone: (,,3) - 7v f _ Q vii/‘ ` Fax:: ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2 •
CONTRACTOR Sign or outline lighting 53.40 2
, Signal circuit(s) or limited -
Business name:
/V) y A nor,j17- " - k 1, energy panel, alteration, or «
Address: " 1.l Cnl Aft. %‘ A Si S7 C /3 G extension. Describe: i Page 2 'JS 2
City/State/ZIP: � 'kG �.
ik \`� Each additional inspection over allowable In any of the above
ViW wt/ f ' a -- \ V.
p Phone: (i3) . / 5 - O ` Fax: ( �L \` `
l Investigation per hour (I hr min) 62.50
\A ss CCB Lic.: a 92 q Electrical Lic.: 3 7 ,./ Suprv. Lic.: cg za Industrial plant per hour 73.75
t> • ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: ...2 .------- Subtotal:
Print name: Date: Plan review (25% of permit fee):
'`f/ A94& �� State surcharge (12% of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
... Print name: / Cam, fo- Date: / — 6-7_0 9 days after It has been accepted as complete.
• Number of inspections allowed per permit
1:\ Building \Permits\Et.GPermitApp.doc 05/23 /06 440- 461ST(II /05 /COM/WEB
CITY OF TIGARD :
BUILDING DIVISION PERMIT #: AS0009,00030
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/F)/2009
Phone: (503) 639 -4171 A
'1�
Inspection Requests (24 Hrs.): (503) 639 -4175 �': '`!.l
INSPECTION WORKSHEET FOR DATE: 1/22/2009 TIME: 7:OOAM PAGE: 18
SITE ADDRESS: 16350 S W SEQUOIA PKWY •1 8 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: (0MPl.)1te-RATIt7N
DESCRIPTION: L voltage for fire alarm.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: MERLIN POINTE TECHNOLOGIES PHONE #: 350.892- {)(}66
Inspection Request Scheduled For: Date: •1/22/ X009 ' Pour Time:
Code # Inspection Description Confirm Contact # Message
199 Electrical final C - 9880 -02 603-349-0846 N
Corrections /Comments /Instructions:
ct 4 2g And
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*PASS pi PARTIAL APPROVAL [ CANCEL `` k. CESS
_' * -t � LL FOR INSPECTION n ADDITIONAL FEES ASSESS
Inspector: G9. N4SB 1 Date: I' i -� Phone #: (503) 718- �•tiLi-,
c.
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Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
O Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
1: \BuildiugWamits\ELGPamitApp.doc 03/23/06