Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
11 4 COMMUNITY DEVELOPMENT Permit #: ELR2011 -00142
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/21/2011
Parcel: 25101 BB01400
Jurisdiction: Tigard
Site address: 12006 SW GARDEN PL
Project: Custom Decorators Subdivision: PARK 217 Lot:
Project Description: Low voltage for temperature and flood monitoring in server rooms.
Contractor: SONITROL PACIFIC Owner: WALTON CWOR PARK BC 8 LLC
8220 N INTERSTATE AVE BY CTMT - WALTON RE TAX
PORTLAND, OR 97217 4678 WORLD PARKWAY CIR
ST LOUIS, MO 63134
PHONE: 503 - 223 -5822 PHONE:
FAX: 503 - 973 -7773
FEES
Description Date Amount
Specifics: Restricted Energy Permit 06/21/2011 $75.00
12% State Surcharge - Electrical 06/21/2011 $9.00
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
Intercom /Paging: N Landscape /Irrigation: N
Landscape Lighting: N Medical: N
Nurse Calls: N Protective Signal: N
Security Alarm: N Other: Y Total $84.00
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. ATTENT ' : Oreg. • law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 hrough OAR 95 I I I f • u may obtain a copy of the rules or direct questions to OUNC by callin• 51 - 2.1987 or 1.800.332.23• 4.
,���
Issued B Permittee Sig .ture: �I� �r1 / •
r
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.
JUN iai 3 : 26 PM SONITROL-PORTLAND 9737773 P . 01
.
.
.. ok
' • Electrical i)erliiir Annlicatinc EIVED FOR-40141(11.:. llsi: ONI V • •
Ol
i i
It City of Tigard .•
4 i3125 SW iiiiii lilvtl., Tigard, t 9724 1 1 ki 1 pi 2011 i'llivh:: SW118.243 I 50:008.44001 i I LUI I Ruevived
._ ilz!ten.ly: _ , . 17 11.. _
1;iR,i,,,
i,:„v,13,, 0,1,...,ve,„,i,.. 1
.
I ki ARD I 1„spti,.„, I ink': 503.(0)04175 , Flaw Rendy/Fiy: J 1,1,• - ' - )
. •
IIIO'nel: WWW I ig■ii (1 o•.guv CITY .OF TIGARD _ Notilled/Mothud: NoppIemettial Information i
---- a
., ..., “. : • T lifillIMIUDIVISION , . • PLAN REVIEW --
!?:'ic1 • . _ _
0 Nev construvtion El Addition/alteration/replacement etg4s,) ia:,...), utt arAt 4pp1y (Mbpil / SlAh 1.41.14111: WItC1115 Cill:Cked MOW):
0 Surviee or lectla 400 am or
amps or me C•3 Batting over thre oda
e s
0 Dcrouliriun 0 C3ther: where me :•ild:fine Iltolt commt 0 Nhioildx una boatyard,$. ' V
C,■Tr (;()1Z1' Or c ONSI'ItIJCTION eseeeds lamp! amps at I volts of 0 Viliiiiiilg balidillgii.
i•ll'AJ:•%^• ■ '• . ' • ' • .
ICSti iii grgillid, (if execeds 11,000 C) Connomiul-Ilit agricultural ''
El la and 2 dwelling n ........ Commercial/industrial 0 Accessory building limps far aii other installations. buildings. '
a Mtiligattlil V 0 Mager builder 0 Other; 17 Fire pump. 0 Installation or 75 KVA or
17.1 litnergcney syston. large,' sspoluten, durIv0
F'41( — JOB. sar INPORMATIC)N AND LOCATION • :
. 1:1AJaiii0a or ti motor li,:i(I or C) "A", 11, 1,1, 1.3",
_ ..;;
mai Ho or mare iouviipillay.
Job no,.. PI 10095 Tioll site address: 12006 SW (..7arden Place
rzi Nix or ilioN roxILloifilal iiolig D ttecicatiotiAl velirle parks.
City/State/ZIP; Portland, OR )7223 10 i ieludi-ears racilitic6, G) Supply voltage fo r n10111 than
.-. .. - C3 i 18/A1'11th iihni ii011ii. nOti volts nominal. .^
$0j{c/bItie,./Lipl.. 00.: 1 i'l'iljt:Ct Ilalne; Custom Decorators 0 Service or Neder 60111111ms or more
,---.----...-------- ‘ , .
PEE SCIIEDPLE . • „. - ::'..': •••slt."l
Cross slt eaidired (011S tO jell) idle: - I4Icri2(1.11 7/1:1: r.a+0 . . •!
.e.
--......—. ....., .. ..„
New retiitientini Single- or multl-famIly dwelling unit. .t't
Includes attached garage. ..1.
.....- . — - .
Subdivision; I.. Lot no,: Loot) sq. it nr less 168.54 4 ' '.
, r.
' Ea. culd'l 500 sq tl. or portion
• •
Tax map/parcel no.: ' Limited energy, residential
- . z
prN, .. • ...: . • DESCIIIPTCON OF WORK . . .,.,.., . • iwh armee 75.00 - sq. 11.) 1
-- ...
, t ...' ,:.: ,'-,. ''. . . • — it Limited encigy, multi.tamtly i. ..
75.00
Add equipment to provide temperature monitoring In both server rooms and flood ._ r above sii,n.1 _
. — . or reed J.44 installation, (Mei (Mon, and/or relocallon :v
monitoring In one or the server rooms. 200 urnps or IcsS 100.70 2 '. '•:'
'‘ , C. •. ' •, ' Ej • PROPERTY OWNER 0 TENANT 2oi amp to 400 mops 3,56 .::
. . 11 2
- .
—
4111 amps to 600 anips 200.:i4 2
• Name; -- . • :
001 amps 10 1,001)1101 .t(11.04 2
— ..,
Address: Over 1,1)00 snip or volts 552.26 2 .: 1
.......„.._.........._..........._______-.......... ... .......-----_, _
„. -...,...., . ..... ... .. ...... . ......._._ .............-.....„ „. .
Temporary services or feeders installation, alteration, and/or
City/Stale/ZIP: relocation ..;,..
Phone; ( ) I Fax: ( ) 200 imps or less
.---
201 amps ie 400 amps 125.ffli 2
..,, -
Owner Installation! This insi,illal ion is being made on properly that I own which is not — , . _
40 I =psi(' 599 amps ibs.54
intended for sale, lease, rent, or exchange, accotcling to ORS 447, 449, 670, and 701.
,
nn Ii circuits - tics*, *hero Wit' exteqlmaer nand
:.•1
Owner signature: Di.tte: A, r rann th
IL for hi cit•cuits wi .
- -. — -
V.:',..ii;9 •N ' 'f=1 APR 1C' t NT I. 0 CONTACT PERSON . ; . above seivice or feedr e rev.
7.42 2 ...
li?•.;•:r`i.'-' •;-.':':-..' • • " 1.?:101 SiliThiil circuit ..
- "
•
,.,
..
Business name'. 13. Pee tier branch circuits without • •
I li'
---. . soNico tit ro.:,.tcr Fee, first
50,18 2 ro:
Contact name: branch eirellit
. . ,.
......................„............... ---,- . ......
Loch Add I brunch irc.ait 1.43 2
— - .
Addis ; Miscella'neousls:ervIci:Or feede not includetilL --
-
raeli inamiuNdived tit. modulo!
City/State/ZIP; tlwelliny, scry no
ice Ll li_Tc.lur 1i7.134 2
PhOne: ( ) I F ax.; : ( ) Reconnect may 67./0
2
, — , Pump or irrigation circle 67144
E-mail: — ..
— — — Sign or 01.1ilinV lighting 67.H4 2 ".
t : J 6 ,i' : :(':;.'•: : ::, •••• .' CONTRA(7T OR • ' '
i
, iignal cireuins) or limitat
— I 75,00
_vend, tilts.ration, or VAn.TiFiiir). ri& , 2 , • ''
Business nine: tionitrol Nellie
Foch aildilional insivetion over anow4ble in any or tilt' ilhOV
1 --
Addrcss: 8220 N Int erNtatv Ave Ailtliiiimal inspection t, i hr miAl 6().2/ hr
.-...,-- ....... ....................______ .____________________.................... ---------- ------
hoestigai top it hr mini 66.25!
City/State/ZIP: Portland, OR 97217
Industrial plina () hr iniiii 78.18; hr 1 ',
none: (503) 223-5822 I Fax: (503) 973-7773 Inspections for which no fee is
90 00/ hr i •...',
. s , Ci II i_a_ 1(1,.4_ _
CCB L,ic.: 53535 1 kleelrieal Lie.; 26370CLE I Sup's', Lie.: 3567LEA .
..: • • EI.ECTRI('Al. PER MIT FEES
.
..
—
Subtotal:
Suprv. Electrician sign:mire, required: ill t j J
-4 t ii.. J : i. .. _ _ . 75.00
_,, F ,± _.., .. ..._ „,,,,,,,.::i% 0121:r:rill l'Oe):
Print tame: Cordon Du(ette Date; 06/17/11 Milk: Sill ( I 2".•i, 01 patio t rue): 9,00
-
, r — . .
IOTA 1..1131<M VI NIL: 84.00
Authorized signuture: at, _.,
ThlY permit application explrei It ii permit ik noi obtained %Willi 180 1 ..:
0 (101 idler h UN beim aerepicil us compictc.
Print name: Ann C. Moore ..- --- L.a -.— --
te. 6/17/11 * Ntoul■cr of ioxpoctions plhowd per polo('
- —
•
• (.441(RilluloPerrolic.14-1' NI niiiipp.doi; Wool 1,1 4411.41)111111/0.1.1)MAY1iit
JUN 03:27 PM SONITROL 9737773 P2
•
Electrical Permit Application - City of Tigard
.•
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
'ALSIDEIL NLy WORK OI
Fee for all residential s combined..... $75.00
' Check Type of Work Involved:
0 Audio and Stereo Systems*
•
E Burglar Alarm
•
E Garage .I)oor >pen
0 I kitting, Ventilaii. In and Air Conditioning Sysienl*
vacimm systems*
(
.1411iMC WORK ONLY:
Fee for each commercial $75.00 ,
Rye tem
(SEE OAR 918.309-0000)
Check Typc of Work Involved;
,
1: Audio and Siereo Systems • ‘ !•i
E Bac?' Controls
E Clock Systems
E Telecommunicadun instathmon
111,4:thotion
Instrumentation
•
0 intercom ilnd Paging SyStelnS
1..antlscApe Irrigation Control*
.q•
E MedicnI r!'
E Nurse Calls
0 Outdoor I ,ittidscape 11,ighting*
E Protective Signaling
El Other iimpsranirncl Flood
Total nlitnher or' cominerci:11 systems: 1
4
*No licenses arc required. Licenses arc required
for all other installationg
tudtai4Rmil,m(4,...i.App,Kivw10