Permit CITY OF TIGARD ELECTRICAL PERMIT
111111 COMMUNITY DEVELOPMENT Permit #: ELC2011 00222
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/28/2011
Parcel: 1 S 135 DD03301
Jurisdiction: Tigard
Site address: 11945 SW PACIFIC HWY 206
Project: Wells Wigs Subdivision:PARK PLACE GARDEN APARTMENTS Lot:
Project Description: Security system.
Contractor: GLOBAL SECURITY & COMMUNICATION Owner: TIGARD PLAZA LLC
3212 MAIN ST 8320 NW HWY 99
VANCOUVER, WA 98663 VANCOUVER, WA 98665
PHONE: 360- 693 -1900 PHONE:
FAX: 360 - 906 -9692
FEES
Quantity Description Date Amount
1 ea Limited Energy 04/28/2011 $75.00
Specifics:
1 ea 12% State Surcharge - 04/28/2011 $9.00
Electrical
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $84.00
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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0090. You ma o y of the - or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. `
Issued By Permittee Signature: G /dam
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.
Apr. 27. 2011 1:14PM No. 2487 D. 2
Electrical Permit Application FOR OFFICE 1.'SE ONLY
City of Tigard RECEIVED ` 7 I PermitNo.: / _ ,
r 13125 SW Ball Blvd ; Tigard, OR 9
Phone: 503.718.2439 Fax: 503.598.196 DareBy Other Permit
11CiARD Inspection Line: 503.639.4175 A r R 27 2011 Date Ready/By: lads; See Page 2 for
Internet: www,tigard- or.gov Norified/lvleihod: j ),7:6y Supplemental Information
..,s '!�! ?t( lm��`�I;ati !:‘,'„,..,,.."7-771-17......,i,::::,-t'. A g i fS 1 a3�i1�a� Y LY r at : yy x':
- • _. _ — .. iL'- r_.....-L..1 _ _ . - L _. � �. ._ - 7t ;ec1.-at apply (submit 2 acre of plena wlit checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other, where the available fault current ❑ Marinas and boatyards.
' • c ` - " 4y COLON 0):., /: q r; : i 7 r kcj. `p exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
.Gr. • ._. —� -- 1-�-.. less to ground or exceeds 14,000 ❑ Commercial -use agriculnural
❑ 1- and 2- family dwelling E Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑Fire pump. ❑ Installation of 73 KVA or
i�iJ Igo IEalh i 7trr;9i1(IS: d.jlYt:�:ilf't4Ntda�s ❑Emergency system. larger separately derived system.
• ❑ Addition of new meter bad of ❑ "A^ "E•' "1-2° "1-3"
Job no.: Job site address: 11945 SW Pacific Hwy looHP or more Recre ation.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: Tigard Or 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: 206 Project name: Wells Wigs Unlimited ❑ Service or feeder 600 amps or more.
� 11lkli '
Cross street/directions to job site: Description —.. .�[. 1.�i "' _
Qo. Pee. Tail •
New residential Single- or multi- family dwelling unit.
includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less 168.54 4
Tax map /parcel no.: > a. t 500 sq. ft. or portion 33.92 1
energy, residential 75.00 2
(with above sq. ft)
Limited energy, multi- family 75.00 2
Security Alarm Reinstallation residential (with above sq. ft.)
Services or feeders installation alteration and /or relocation
200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name:
401 amps to 600 amps 200.34 2
601 amps so 1,000 amps 301.04 2
Address: 01/0T 1.000 amps or volts 552.26 2
..__......... __..._ - - Temporary services or feeders installation, alteration, and /or
City /State /ZIP: relocation
Phone: ( ) I Fax: ( ) 200 amps or less 59.36 1
Owner installation: This installation is being made on property that I own which is not _ 201 amps _ io 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits - new, alteration, or ex tension, per panel
Owner signature: Date: A, Fee for branch circuits with
j�G'4r f :l G d��' t i
above service or feeder fec
,�� : 1,� 't. - . 0( !t iv yt ci...Eyl.2. q tr: 7.42 2
each branch circuit
Business name: Global Security B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: Jell'Isaak branch circuit
Each add'l branch circuit 7,42 2
Address_ 3212 Main St Miscellaneous (service or feeder not included)
City/State/21R Vancouver l� a 98663 Each manufactured or modular 67.84 2
y dwelling, service and/or feeder
Phone: (360) 6934900 I Fax: : (360 - ) 906 - 9692 Reconnect only 67.24 2
E -mail: jeffi @globalts.n Pump or irrigation circle 67,84 2
Sign or outline lighting 67,84 2
Signal circuit(s) or limited- energy
Business name: Global Security panel, alteration, or extension. 1 Page 2 75.00 2
Each additional inspection over allowable in any of the abov
Address: 3212 Main St Additional inspection (1 hr min) 66.25/ hr
City /State /ZIP: Vancouver Wa 98663 Investigation (1 hr min) 66.25/hr --.. - Industrial plant (1 hr min) 78.18/ hr
Phone: (360) 693 Fax: (360) 906 - 9692 Inspections for which no fee is 90.00/ hr
- - - --• citirally listed ()A hr min)
COB Lie.: 69705 Electrical Lic,: 26711 cle Suprv. Lic.: 36351ea ` ' -
r , CA's£" , •,., ,.,, .
r Subtotal: 75.00
Supt . Electrician signature, required: ` : Plan review (25% of permit fcc):
Print name: Kirk Tipp Date: 4/27/11 State surcharge (12% of permit fec): 9.00
TOTAL PERMIT PEE: 84.00
Authorized signature! Thus permit application expires If a permit is not obtained within 180
(� d ays after it has been accepted as complete.
Print name: Jeff /seek f Date: 4/27/11 " Number of inspections allowed per permit.
1: Bu116 ioa5rrmin\E.l.C- Pcrmitap0.do /0111D 440- 4616T(11/0t /cOi4/WEa
Apr. 27. 2011 1: 15PM No. 2487 P. 3
Electrical. Permit Application - City of Tigard
Page 2 - Supplemental Information.
LIMITED ENERGY PERMIT FEES:
Fee for all residential systems combined $75.00
Check Type of Work Involved:
n Audio and Stereo Systems*
Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other;
Fee for each commercial $75,00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
0 Audio and Stereo Systems
❑ Boiler Controls
❑ C lock Systems
❑ Data Telecommunication Installation
Fire Alarm Installation
❑ HVAC
❑ I nstrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ M edical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
® Protective Signaling
❑ Other
Total number of commercial systems;
*No licenses are required. Licenses are required
for all other installations
L\ BUi 1ding\PermiLs■ELC- PermicApp.flac 07/01110