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Permit t e 1 CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT Permit #: ELR2010 -00131 TIGARD, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/23/2010 Parcel: 1S136DC04400 Jurisdiction: Tigard Site address: 11945 SW 70TH AVE Subdivision: DARTMOUTH SQUARE Lot: 30 Project: TVF &R Command Center Project Description: Install fire alarm Owner: FEES TUALATIN VALLEY FIRE & RESCUE Description Date Amount 20665 SW BLANTON ST Restricted Energy Permit 07/23/2010 $75.00 ALOHA, OR 97007 12% State Surcharge - Electrical 07/23/2010 $9.00 PHONE: 503 -649 -8577 Contractor: E C COMPANY PO BOX 10286 PORTLAND, OR 97296 PHONE: 503 - 224 -3511 FAX: 503 - 295 -3012 Type of Use: COM Class of Work: ALT Total Number of Systems: 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: 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 •52- 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: f= 1, �- Permittee Signature: 67A/ /9-743/4 .. / 07 / v 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. Jul. 21. 2010 1:55PM No. 6860 P. 1 Electrical Permit Application . I (>1 (4141 Ni (1Ni 1 City of Tigard �/0 ` e Pmt No.= 4/e — 00/.1 13125 SW Hall Blvd., Tigard, OR 97223 JUL 2 1 2011 Plea Review Phone: 503.639.4171 Fax: 503.598.1960 Date/13y: • Ma t6� /Q —0062 ,o t L u Inspection Line: 503.639.4175 s Ready/By: Loris B See Page 2 for Internet: www.tigard-0r.gov CITY OF TIGt�R L � Supplemental Information TYPE of w0 1WILDINC DIVIS' 6 , -- PLAN REVIEW ❑ New construction al Addition/alteration/replacement Please check an that apply (submit2 acts of pima w/items chested below): El Demolition ©Other: © Service or fbeder 400 amps et more D Building over three perks, where tie available fault current Cl Mari=a and boapleds, CATEGORY OF CONSTRUCTION exceeds 10,000 Amos at 150 volts or ❑ Floating buildings. • 1- and 2 -family dwelling ® Commercial industrial 0 Accessory building kits to ground, m «accts ene. ❑ buildings. l use agricultural fa all ot insmllatioas. baitding. 0 Muhl- family ❑ Master builder I] Other. ❑ Fire pump. ❑ Installation of 75 KVA or JOB S1TE INFORMATION AND .LOCATION . D> �' neW ni "Agar E". 1 i - 2 ",1.3", system ❑ Addition or aew motor load of ❑ "A", "E", "1 -2 " ", "1.3 ^. Job no. :73$45 Job site address: 11945 SW 70th ave x or °° e more. occapaacy. ❑ six or more residtamial mitts. ❑ Recreational vehicle parks. City/State/ZIP: Tigard, OR 97223 ❑ Health-care facilities. ❑ Supply voltage fa more than ❑ Hazardous Inceaons. 600 volts nominal Suite/bldg./apt. no.: 1 Project name: TVF &R CBOC C.7 Service or feeder 600 -raps or more. _ .. . . Cross Street/directions to job site: PEE SCHEDULE ,. 1 J ' otx,tQtLon 1 Qtr. 1 tie, I Tent 1 • New residential single- or maid - family dwelling unit Includes attached garage. Subdivision: I Lot no.: 1,000 sq. R or less 168.54 4 Ea. add'l 500 sq. ft. or portion 33.92 1 Tax map/parcel no.: Limited energy, residmnial 75 2 • DESCRIPTION OF WORK (with above sq. ft.) Limited energy, mnki•family 75.00 2 Install wirin- for fire alarm residential (witb above sgft) - Services or feeders installation and/or relocation 200 amps or less 100.70 2 ild PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133,56 2 Name: 401 amps to 600 amps 200.34 2 Tualatin Valley Fire & Rescue 601 amps to 1,000 amps 301.04 _ . 2 Address: Over 1,000 amps or volts 552.26 , 2 - Temporary services or feeders ioatallatloa, alteration, and/or City/State/ZIP: relocadon Phone: ( ) 1 Fax: ( ) 200 amps or less t 59.36 1 Owner installation: This installation is bcing made on property that I own which is not 201 amps to 400 cps - 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 stops to 599 amps 168.54 2 Enoch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ® APPLICANT 1 0 CONTACT PERSON above service or feeder fee, 7.42 2 each branch circuit Business tame: EC Company B. Pee for branch circuits wiMote service or feeder the, first 56.18 2 Contact flame: Kathy Kelley branch Q°°t"t Each add') branch circuit 7.42 2 Address: PO BOX 10286 Miscenineoa!serviee or feeder not included) Each manufactured or modular City/State/ZIP: Portland, OR 97296 dwelling, service and/or feeder 67.84 2 Phone: (5 0 3) 224-353.1 Fax::(503) 2 9 5 - 3 012 Reconnect only - 67.84 2 Pump or irrigation circle 67.84 2 _ E - mail: Sign or outline lighting_ 67.84 2 • CON Sigaalcircuii(s)o la' 1 75.00 Bustrless name: EC Company C C Co ti p qti' y — panel, alteration, extensto Pat 2 , , 2 Each additional inspection over allowable in any of the above • Address: PO BOX 10286 Additional inspection (1 hr mil) 66.25 / hr City/State/ZIP: Portland, OR 97296 In(1hrmin) .25/ hr - - Industrial plant plant (I hr min) 78 78.18/ hr Phone: (5 0 3) 224-3511 Fax: (5 03) 295 Inspections for which no fee is ' CB Lic.: 4 9 7 3 7 Electrical Lic -: specifically listed ('/a hi min) 90.00! hr "� 2 6 - 4 5 C ` juprv. Lic.: ELECTRICAL PERM f FEES Subtotal: 75.00 Suprv. Electrician signatule, required: Plan review (25% of permit fx): Print name: Ron Co f f mail I Date: 7/21/2010 State surcharge on of permit fee): 9.0 0 - Authorized signature: TOTAL PERMIT , 00 T FEE: i3 7'Ns permit application expires if a permit is not obtained within 180 Print Warne: Andrea Stinger Date: 7/21/2010 a' it bear accepted perm Number of allowed per permit. t: lauldmgwamitslEL.C•PemotApp.doc 07/01/10 440•6ItT(II/051COM/W® • • Jul. 21. 2010 1:55PM No. 6860 P. 2 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: • Fee for RE residential systems combined........ $75.00 Check Type of Work Involved ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating„ Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each comtnetcial $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 InstaUaation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling El Other Total number of commercial systems: _ *No licenses are required. Licenses are requited for all other installations e\Buildieaamia\ELC -e rmlwpp.eoc a7ro1n0