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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 3 COMMUNITY DEVELOPMENT Permit #: ELR2010 -00207 T t G A R. D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/07/2010 Parcel: 2S112DA01400 Jurisdiction: Tigard Site address: 6650 SW REDWOOD LN 215 Subdivision: PACIFIC CORPORATE CENTER Lot: 0 Project: Umpqua Bank Project Description: Fire alarm. Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 Restricted Energy Permit 10/07/2010 $75.00 PORTLAND, OR 97224 12% State Surcharge - Electrical 10/07/2010 $9.00 PHONE: 503 - 624 -6300 Contractor: STANLEY CONVERGENT SECURITY SOLUTIONS INC 15495 SW SEQUOIA PKWY STE 100 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 $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 Ce Those rules are set forth in OAR 952 - 001 -0010 throw • •AR 952- 001 -0100. • • - • • • • - les or direct questions to OUNC by calling 503.246 or 1.800. . 44 Issued %�!./ — 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' 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. Ele trial Per mit Applicati 0:) FOR OFFICE USE ONLY City of Tigard -6� Received �, Permi No.: ° 13125 SW Hall Blvd., Tigard, OR 97223 q O Date/By: ' '7 (O 6i T I .L`2�I1 1 C1CJr} ` Plan Review C q Other Permit: 0 Pkl t) — UO� i Phone: 503.639.4171 Fax: 503.598.1960 C e Date/By: T I G A R D Inspection Line: 503.639 _ ate ReadyBy: Juris: ® See Page 2 for Internet: www.tigard- or.gov 10 PV '� ed/Meth .-1-LP Supplemental Information • TYPE OF WORK :A G l PLAN REVIEW : • Vi� men t Please check all that apply (submit 2 sets of plans w /items checked below): ❑ New construction ®Addition/alti ration /re ❑ 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. • less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑mergency system. larger separately derived system. ['Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "I -3 ", Job no.: Job site address: 6650 SW REDWOOD LN 100HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: 97224 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: 215 Project name: UMPQUA BANK ❑ Service or feeder 600 amps or more. • FEE SCHEDULE Cross street/directions to job site: Description I Qty. 1 Fee. I 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'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential • DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 • INSTALL FIVE HORN STROBES ON EXISTING FIRE SYSTEM Limited energy, multi -family 75.00 2 residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80:30 2 • ® PROPERTY OWNER I ❑ TENANT . 201 amps to 400 amps • 106.85 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 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 extension, per panel Owner signature: Date: A. Fee for branch circuits with ® APPLICANT ` 1 ❑ ,CONTACT PERSON 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 or feeder fee, 46.85 2 first branch circuit Address: 15495 SW 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 only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 • • CONTRACTOR Sign or outline lighting • 53.40 2 Business name: STANLEY SECURITY SOLUTIONS Signal p a nel t(s) or limited - energy panel, alteration, or Address: 15495 SW SEQUOIA PARKWAY, SUITE 100 'extension. Describe: 1 Page 2 .--2 5 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 (1 hr min) 62.50 CCB Lic.: 161567 Electrical Lic.: 37 -1054 Suprv. Lic.: Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: 75 t Print name: STEVE MOREHOUSE Date: 10/06/2010 Plan review (25% of permit fee): State surcharge (12% of permit fee): ci - `- Authorized signature: TOTAL PERMIT FEE: Eq., du This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. IABuilding\Permits\ELC- PermitApp.doc 05/23/06 440 I I /05/COM/WEB 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: . ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* . ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: LY: 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 ❑ D to 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:\ Building \Pennits\ELC- PermitApp.doc 03/23/06 T • 07 0 09 O O 10 240-0 — 30-0 _ 1 S-O 3a-0' 30-0 30-0 - _ ■■ M ■ E'IIII■ •i i I I O ■W■■■I . 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