Permit q CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
`'. a :. COMMUNITY DEVELOPMENT Permit #: ELR2010 -00155
TIGARL) 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/17/2010
Parcel: 2S113AD01800
Jurisdiction: Tigard
Site address: 16798 SW 72ND AVE B14
Subdivision: OREGON BUSINESS PARK I Lot: 11
Project: Cascade Computer Maintenance
Project Description: Low voltage for burglar alarm.
FEES
Owner:
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 Restricted Energy Permit 08/17/2010 $75.00
PORTLAND, OR 97224 12% State Surcharge - Electrical 08/17/2010 $9.00
PHONE: 503 - 624 -6300
Contractor:
BROADVIEW SECURITY INC
8080 SW CIRRUS DR
BEAVERTON, OR 97008
PHONE: 503- 641 -0287
FAX: 503- 641 -0960
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
Landscape Lighting: N Medical: N Required Items and Reports (Conditions)
Nurse Calls: N Protective Signal: N
Security Alarm: N Other: Y
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 i . • • w 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. • TENTION: Oregon - re. ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 - 001 -0010 through OAR 952 -00 110'. may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: . 1, 0, ,A _1 I _ / Permittee Signature: ) -....—S;th;
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.
08/12/2010 20:32 5036410960 BRINKS HOME SECURITY PAGE 01/03
Electrical Permit Applicatio> == - - , ' FOR OFFICE USE ONLY
City of Tagalyd D e a 7 0? to �._� PcrmitNo.: fL,eo�O,e_De 5-s v 13125 SW Nail Blvd., Tigard, OR 97223 plan Rev
Phone: 503.639,4171 Fax: 503.598.1960 Other Permit:
AUG 1 3 201 oar :
in An* FM ection Line: 503.639.4175 Date Ready/B': 'See Page 2 for
T t , A R I? Notificd/M Supplemental Information
Internet www,tigard or.Rov ,-4- PP
•If ' Y{ L.. rtn " : y +�r ' :i'1'•i..'FP ..�` ; '
N' i - r ,. , 5C
❑ Ncw construction .v,{ ❑ Addition /alteration /replacement Please check all that apply (submit 2 sate of plat w /items checked below);
❑ Demolition .4V Other: ❑ wl,crcc t hcavailab a fault t current 0 Marinas ca'
a and boatyard
'' : - >'' ■'' '; k'. r t ;` exceeds 10.000 amps at 150 wits M ❑ Floating imildln
�, 1 - and 2-family • .. , ' ,, ;' < : ; . _, , • " :' .. ,, .." . lets M ground 14,000 , ❑ i� or exceeds 14 0 Commercial-use , -uee agric u Ira
❑ dwelling Commercial /industrial ❑ Accessory building amps for all other installations, buildings.
❑ Multi - family ❑ Master builder ❑ Other: 0 Piro ptmio. CI Installation of75 KVA or
,....:.
;. . : . Emergency system, larger separately derived system.
. . :.. .. : - •' : .:s t � motor load of - 1 •3"
1 crivc
��' �' Addition of new m 0 "E° "1
10014P or occupancy.
Job no.: 100826595 Job site address: 1679$. SW 72nd Ave-
. G) Six or more residential units, ❑ Recreational vehicle parks.
City /State/7_iP: Oregon 97224 ❑ Health-care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: 14 Projcctnamc: Cascade Computer Mailat ❑Service orfcada600 amps ormorc,
Cross street/directions to job site: bcrtm
lAum, ' . " ' �_ Pm. 1 r Tntnl 1
New rrlidential single- or multi - family dwelling unit.
includes attached garage.
Subdivision: Lot no.: 1.000 sq. R. or less 168.54 4
Ea, add'I 500 sq. ft. or portion 33,92 1
Tax map /parcel no.: Limited energy, residential
t ; :._ 7 !,. •.. ,,.':: �'."attlei1f1'"by'. ' 1Rit 7 ,. (with about sq. ft) •�r.. .r 2
Limited energy, multi- family 75,00 2
Low Voltage Burglar Alarm Install residential (with above sq. ft.)
Services or feeders installation. alteration, and/or relocation
t
-
200 a or less 100.70 2
*'�
-" 1tli� i 'l ' I '1`�, �J�7V"i" 201 a mps n 400 amps
— 133.56 2
t °�, =� � ' 401 amps to 600 amps 200.34 2
Name:
C,r� a ,rt r Matint• t501am to1,000am s 301,04 2
> . a� Cry*nn a p•
Address: SW 72nd Avenue 14 Over 1,000 amps or volts . 552.26 2
Tigard, Oregon 97224 Temporary services or feeders installation, alteration, and /or
City /State /71P: g P relocation
Phone: (503 ) 684 -3196 Fax:( ) 200 amps or less 59,36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that 1 own which is not 401 amps to 599 amps _ 16R,Sa 2
intended for sale, lease, rent, or exehange. according to ORS 447, 449, 670, and 701.
Branch circuits -• new, alteration, or extension, per panel
Owner signature: Date: .. . Fec for batch circuits wait
feeder ....
A rctr is
❑ p s above cc,
7C
ll���.f��� � branch c rc i t s
2
,:.,•'...'..- .;':; ` :' ",' � .,.... . , -,, ... each i u
Business name: Broadview Security B Fee for branch circuits without
1' service or feeder Ibe, first 56.18 2
Contact name: branch circuit
1)„e ra Daniel sort Eachadd'i branch circuit 7,42 2
Address; 8080 SW Cirrus Drive Mlscelianeous (service. or feeder not included)
Each manufactured or modular
City /State /7TP: Beaver+ton, Oregon 97008 dwelling, service and/or feeder 67.84 2
Phone: ( 503 ) 641 -0287 . Fax::( 503) 641 -0960 Reconnect only 67.84 ^ 2
E. mail :de.Lta. danieJ.sor broaTviewseeurlty'. corn Pump or irri circle 67.84 2
Sign or outline lighting 67.84 2
Signal circuit(s) or limited- ener
Business name Broadview Security p 2
or extension, 1 Pa � �
Each additional inspection over allowable in any of the above
Address: 8080 SW Cirrus Drive Additional inspection (I hr min) 66,25/hr
City /State /ZIP: Beaverton, Oregon 97008 ind u str i a l pn (lhrmin) 78.18/ hr °"
s $ industrial p lant (] ht min) 78,1 RI hr
Phone: (503—P41 Fax: ( 503 ) 641 -0960 Inspections for which no fee is 90.00 / hr
specifically listed (r /, hr min)
CCB Lie.: 44421 Electrical Lie.: 34- 166CLE Suprv. Lie.: 321 3LEA .., netentro t'';J IB vEss:`fz:E ';
Subtotal: 71. I b
Suprv. Electrician signature, required: Plan review (25 %of pctmit fee);
Print name: Gary Kevin Tucker - Date: 8 -13 -10 state surcharge (12% of permit fee): 9 . Bo
0 .1 4 ... _ expire.; TOTAL P1 PEP.: iv. n -
Authorized signature: • . . This permit applieotinn xpir"ec if n permit is not obtained within 180
Print name: Delta Danielson Date: 8 -13 -10 days after it hna been accepted as compkte. • Number of inspections allowed per permit.
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