Permit ti CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
' - COMMUNITY DEVELOPMENT Permit #: ELR2010 00270
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/07/2010
Parcel: 2S113AB01201
Jurisdiction: TIGARD
Site address: 16290 SW UPPER BOONES FERRY RD
Project: Dow Agrosciences Subdivision: PACTRUST BUSINESS CENTER Lot: 0
Project Description: (2) security systems.
Contractor: PROTEC INC Owner: PACIFIC REALTY ASSOCIATES
720 NE FLANDERS ST 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97232 -2763 PORTLAND, OR 97224
PHONE: 503 - 235 -4000
PHONE: 503 - 624 -6300
FAX: 503 - 235 -0363
FEES
Description Date Amount
Specifics: Restricted Energy Permit 12/07/2010 $150.00
12% State Surcharge - Electrical 12/07/2010 $18.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 2
Audio & Stereo: N Boiler Controls: N
CCTV: N Clock Systems: N
Data & Telecommunications: N Fire Alarm: N
HVAC: N Instrumentation: N
Intercom /Paging: N Landscape /Irrigation: N
Landscape Lighting: N Medical: N
Nurse Calls: N Protective Signal: N
Security Alarm: Y Other: N Total $168.00
Other Desc: Required Items and Reports (Conditions)
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 ru - dopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952 - 001 -0090. You may obtain a c• • of the rules direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. `
- --
Issued By: n --- _ —i1."" — a� Permittee Signature: d — ° .a
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 the next available inspection date.
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.
DEC -03 - 2010 14.54 PROTEC INC P.131/03
Electrical Permit Application Licit Ot 1`I(r , w, 't r ,
City of Tigard Y
Sk\1 Dnlen3 1 1 _ Pf*- Permit No ff L id .; a 70
13125 SW Hall Blvd., Tigard, OR " ti Review V:° Platt Rev Other Permit;
R ' Phone: 503.718,2439 Fax' 503.5'8.1960 4S Date/13
Data Readyll3y: lads: Iii See Page 2 for
I l I 1 i Inspection Line: Internet: ww rle: 503.639.4 (75 O�C � QQ, Supplemental information
w.tigard- or.gov L'�' Notified/Method ,./ np
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s r {{I ill.+ 1111. !� F t i!Ir. r; J :r10tti .r da�it�� tl, ,_ '�l?1a�ldl.li..R1. lr",kE 1 . 91. II II III:Ii.II ,Id�bl I. .lfi ii i; t.q k :F:1'.:X� 9.�r .,
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Addition/altera)} • :cement Please check all that apply (submit sots of plans w /items checked below)
► :�
❑ New conSlrUCtion v Service or feeder 400 amps or more ❑ (nodding over three storiez.
❑ Demolition ❑ Other: where the available fault current El Marinas and boatyards.
:Ii, i h 1 a��.'.ISri't it tl '�h i1 I' t F� * j I I q 1, ��' 1 ��9,1 G I�� �' fil t���. � yi.t.: exceeds 10,000 amps at 150 volts or El FIoarina buildings,
3 11 ,!;::. II , " „i,!ri • {..161 �C:.. ,� +"i =gyp. ` ` ti i`it less to ground, or exceeds 14, 000 0 Commercial-nu agricullurel
❑ 1 and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations, buildings.
. 75 V A or
t,dlatton of 7
❑ Multi-family ❑Master builder ❑Other- ❑ Fire pump, D Ins
h , a [r ro °n a a , [ r ` II ' ° ti l r u r s { I :' Addition anew m otor loa of ❑ larger a y n
{ {� �� I, II ❑ separately derived g st a
i!:ir l li,l, tk iF 11th l ti r I ; l chat l . r , , ills u l r,� } 1 olut If +(l. ,' Q
. h. 1..++7. co,w..b L .�c. V�. ,.,rfh'tl�� l d7,., r �•h
10011P or more, occupancy.
Job no.: 2333 Job site address: 16290 SW Upper Boones Ferry Rd 171 Six or more residential units. ❑ Recreational vehicle parks.
CI Health-eare facilities. 0 5upply voltage for more than
City /State /ZIP: Tigard. OR 97224 ❑ Hazardous locations, 600 volts nontitial.
Suite/bldg./apt, no.. Project name: Dow AgroSciences
❑ Service or feeder 600 amps or more
iSS l � 1 �' kt, ; . l
' II ` i lol
1 ' 1 3 1:j:t�S � i ° rii(t 1 114.1 O II t his It l t i...
Cross street/directions to job site: SW Fanno Creek Place oercriiiiina l oky. I pee Total ”
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq, ft. or less 168.54 4
Ea, add'I 500 sq, R. or portion 33,92 1
'Fax map /parcel no Limited energy, residential 2
t , f'i 1 { 4 f II' I�1 ':1t 4'� tilt x {Y 75.00
<, 1 g 1 I Ik r ,,. t�...m { ryt a 1711 i , aj ,j q a �IlisP ( I,:; -1 I-with fl.)
If .,,;t�, { r't "� {I���,rlr��'.:� ...:.r;, .r.�- - 1 �„ jt: ?,�.�r I��
Limited energy, multi - family 75.00 2
Extend security system to new space residential (with above sq. ft,)
Services or feeders installation alteration, and /or relocation
200 amps or less 1 00.70 2
III, ,IF. @, t� fr1 ly & {fqi pl, r, :.rte ' 201 amps to 400 amps 33,56 — 2
1 I f CI1q 'to ,. 0 ` 1 J i 1` ,1 0 { t. 4 FI h :!�!�11'Y� ,1:fYIV4 ,)` (+L1 d 4 Y�WI 1 7
I:1 li r.� '.Lf:, tA. 6 i 79 I'
r791R .. r•"rvl'..�II 'I'� As .!'II: Iii 'Lt.>�I'E:��IU �,� V6➢R %r' I
401 amps to 600 amps 200.34 r 2
601 amps to 1,000 amps 301.04
Address: Over 1,000 amps or volts 552.26
Temporary services or feeders installation, alteration, and /or .
relocation
Phone: ( ) Fox: ( ) MIA Is or less 59.36 1
201 amps to 400 amps 8 125,0 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 25 08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Brnnrb circuits new, alteration, or extension, er panel
Owner I' signature: Date: A. Fee for branch circuits with
1 ", r ;' 0 it/{� 4y 3 ,. ? 1 1r r'' ' , n�! e 1 ;.. ui o i ,�, i { above service or feeder fee.
Il 1 , .,i..tL�,,11,. V T. R p L -, PI(�i1 ilA 1 .f.' „..�tl t I 9 !� t ?ll 11Gk3����Y.,- ,. �1., r_ vS�ua1 ;Ll. �l ,, �i each branch circuit .. 7.42 2
Business name: Protect Inc. B. Fee for branch circuits without
service or feeder fee. first 56.18 2
Contact name: Heather Hill branch circuit
Each add'I branch circuit 7.42 T 2
Address: 720 NE Flanders St
Miscellaneous (service or feeder not included)
Each manufactured or modular 67 84 2
Ciry /State /71P: Portland, OR 97232 dwelling, service and/or feeder _
Phone: (503) 235 -4000 Fax:: (503) 235 -0363 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E heatherh @protecsecurity.com Sign or outline lighting 67,84 2
'. r.1 q, I qr h , e l Z gi e l a 0„� �� y� s a. b�R Q y : VON 1� `S � �'#.i hil r HI(, I�µ' i =y l S ! S ignal circuit(s) orlimited- energy o
,, 'l iivl' I'.�1 6,11.: 1 r e.tl s.,. Ip 11 t hIi Q of 7,fldWr,rRu 71 t 150 2
Business name: Protect Inc. panel, alteration, or extension Pie 2
Each additional ins ection over allowable in an of the above
Address: see above Additional inspection (1 hr min) 66.25/ hr
Investigation (1 hr min) 66.25/ hr -
City /State /ZIP: Industrial plant (I hr min) 78.18/ hr
Phone: ) Inspections for which no fee is 90.00 / hr
( . i1t specifically listed 0 hr min)
CCB Lic., 55414 Suprv. Lic.. 1023LEA 4 1jl�!.kl ilia rIAI'1'i?0341. icAl1,4181 11 F't't4rr, ij,l
0 1 fl Subtotal: 150.00 �.
Suprv- Electrician signature, require. - /alri Plan review (25% of permit fee):
Print name: Jack Chilson Date: (2 .3.10 State surcharge (12% Uf permit fcc): 18.00
TOTAL. PERMIT FEE: 168,00
Authorized signature: �1.r. alb This permit application eapirra If a permit is not obtained within 180
pays after It boa been accepted as campielu.
Print name: Heather Hill Date L - • • Number of inspections allowed per permit,
t: ufuiIding \Pmmita\ELC- rcrrnhApp.doc 07/01/10 440461ST(1I/05 /COM/W a
DEC -03 -2010 14 55 PROTEC INC P.02/03
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
I W JIF, .,; l�'i�r '^.� 1 #i4iY 's1G1w7'4IGPCh�b� f ?,iltF�l
Fee for a n residential systems combined $75.00
Check Type of Work Involved=
❑ Audio and Stereo Systems*
❑ Burglar /M1arin
E l Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
n Other:
j ,,� 'M 11Zii i '::
ke �
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Wont Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
fl Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
Protective Signaling
❑ Other
T number of commercial systems: 2
*No Licenses are required. Licenses are required
for all other installations
I'\eullding\Pcirnil ELC•PermitApp.doc 07/01/10