Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
'• COMMUNITY DEVELOPMENT Permit #: ELR2011 -00197
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/23/2011
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 198
Project: Computeration Subdivision: 1996 -048 PARTITION PLAT Lot: 2
Project Description: Security system.
Contractor: SONITROL PACIFIC Owner: PACIFIC REALTY ASSOCIATES
8220 N INTERSTATE AVE ATTN: N PIVEN
PORTLAND, OR 97217 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 223 -5822 PHONE:
FAX: 503 - 973 -7773
FEES
Description Date Amount
Specifics: Restricted Energy Permit 08/23/2011 $75.00
12% State Surcharge - Electrical 08/23/2011 $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: Y Other: N 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. 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 may obtain < • • • or • ire •uestions to OUNC by calling 503.232.1987 or 1.800.332.2344
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Issued B . _ �_ ��' •e ' = Signature: • ' i/ i ^
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.
AUG —22 —11 03:39 PM SONITROL —PORTLAND 9737773 P.01
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Usetrical Permit Application ' '• '-i-- rola 01.1.1(.1.: ti-3:11N11 \
. City of Tigard AUG 2 2 7 fill
,_ _ .1 Re.ived
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.--. m 13125 SW 'lull Blvd., Tigard, R 07223
UPI —.
,„ a nr ,
Ober Penult:
: O ' phonul 503,7111.2430 1:as: 503.598.1960 .cipt OF TItiwit? [/9y:
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i i ,, inspection 1.ine: 501,39.4175
G DIVIC100"c keutlYiny:
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Jur1s: )21 seu Page 2 for ,
Internet: W WW.li gut{ -cir.gilt, iBUILD1N - winedwood, Tx.„.60.
Suplemntl IniorMatlen
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::,,,...,-.... ...• •,.• , .,.:' . ' TYPE OF WORK, ' " , ,: . '; :: • •:- ::'., :'r:H...:i' ':' ';;:.•.H.:;.:::: REVIEW. '''.::::: '.,,,...k.
PleaS O check A11 that apply (subnlitlSOi Of plum whiner checked WOO
0 New construction g Addition/alteration/replacement 0 scrvicc 4 )1. feeder 00 any or more 0 Building over three stories,
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El
Demolition ( Other: whore the available fault current 0 Marinas and btAtyards. • '1
exec ,d, 10 a , I o yolis or 0 Hoilliug buildings.
• '",•.Ii.:'.:‘"'$trii: ...,.' . OF . :CONETROCTION . 2 ' :.' !;:''' :•,:;..;,,::;.,,,.:•. ,..
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less to ground, Of exceeds 14,000 El Commercial-use agricultural • ,
Q I. and 2-family dWelling Cornmefdaliir---lustrial riAjilding amps for all other installatirmi. buildings. ...
, 0 Multi-family 12 Master builder 0 Other; 0 Fire pump. a Installation a 75 KVA or
VITICrSelis!.y Nyhipin. larger 5tOaratelY dcri4d 8 riollt
1 •'..'' , :t.:', 1 ` , '`I.,t1 1 ',/ll'i,iA:1 7-,74 : c ti:'" 4 •' . J 4011 SITE INFORMATION AND . LOCATION • •:•... . ,' •'.. '' ..i'''' • 0 Addilillo of new utotor )(tad of 0 - A - , II", " I-2", '1-1",
),h)i,i)ilirt I ..',Irl:.:.'1:I:: .:,, .,• ..
100111' or mutt), occupancy.
Job no. V II C) 130 Job site address: 15,350 sw livol E l Six or inure resideil units 0 Recreational vehicle payks. •■
_ „...... ........_..... . ._. . City/State/Zip: ci.,,ar064. 0 Re cb 12,4 0 L,.ffi.,..,„: (kiii,i„,
______..._ 0 Hazardous locations. 001) Supply voltage the more than .• :,
00n volts nominal.
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,__. SerVICO or .tie_er .i.... IMPS OT mum
In ' i • too , •
Suite/bIdg,/upt. no.: t a 03 Project narne: ... • . • .
.,.:
i_jk_„, , __, w . ': • .r.'.:' . ' • • '. l' . :. 7M7F)ME „:1 :.• .,
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Cross street /directions It) j ob SILL, ,,,,„ I 9,:i_.. Ett... J
--- --- New residentiiTaingle- or multi-family dwelling unit.
_ Includes attached garage.
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........,,_______,,..,,..-..........■......,----......"- 1 000 sq. It. or less 168.54 imilmi ,
Subdivision: Lot no,: — —
-- - Ea. add'I 500 sq, II, or ponion 33!)2 1E1 ' H
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Tax map/parcel no.: Limited energy. residential --------
' g''• ''''''''. O :'• ' ' • '' ' DESCRIPTION OF WORR';''' ''' ...: ':":: . ';" ' ":-: :,:::' --.1 • - ------ —
Limitcd energy, niulti-fitmily — 75.00
lnAta...4..ors_sse.... reai&'ntial (with above sq. II) .1_.
Services or feeders Installation, aiteru MTh and/or relocation . ..
200 amps or 1014: 100,70 EEI . ...
. .. • • ' ' 20 in .ix to 400 amps
. • ' '. . ' • PERTY. OWNER : ''''.• • • .': ' . • • :, ',: • ',.::, 0 •.TPIA1. : .:'• ':;•:;• ..i :, • a i - 133.56
- 401 ampslo600 amps 200,34 11
Name;
. 60) amps to 1,00o umps ..... . ,. _ . _ .”.... 30 1 .04 IIMIIIE1 . :
Address: Over 1 OM amps or volts --
552,26 IIME111 f,i
Temporary services or feeders installation, alteration, and/or
City/State/ZIP; relocatio n ___
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Phone: ( ) -{ Fax: ( ) 200 amps or less 59.3ii
---- Min
201 umps to 400 amps 125 .mi 111111•111111 1 Y.
Owner Installation: This installation is being made on property that I own which is not "------------- -...-- —
4o I amps to ps 168.54 OM B -....,
intended for sale, lea 599 am
se, rent, or exchange, according to ORS 447, 449, 670, and 701. .
_Bran: e service or feeder fee circuits - new, alteration ration 1 eateolon, ler and t
Owner signature: Date: 'A. Fee fur branch circuits with
• . . - abov
.. : ..• • ' :, , : • ':-:.' • .! : • : 0 CONTACTERSON ::'::;.!..:,:.,•.,;',.:: .., each branch circuit 1 L:
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13usiness name: El, Fec for branch circuits without — M
- , service Or feeder fee, rirst
Contact name: br • f
unch circuit 56.18 . t.
— — — — t addi branch circuit .. EEO
Address; Miscellaneous (service or feeder not Included
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Each manufactured or modular
City/State/ZIP: 7.84 MD
d/ _____. t
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dwrIllewervice anor feeder 6 1111.11111113 .: .
Phone: ( ) Fax: : ( ) Rec 67.84
onnect onl
y fl . 1 r
• — - Pump or irrigation circle 67.84
E-Mtlil; , Sign or outline lighting 67.84 131 /
164;J:i.." : 7 . '.' • .: .. CONTRACTOR,. • • • • ' ' • ' r ''' ' .. •• • .
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. . . • ' . ..• • . • • ., :.,. Signai Giro.' it(s) or 11111nd-energy i iii
i - . pane), allerat101 or extension P r 2
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Business name; 5ort, ' re, 1 V
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.. Each additional Inspection over allowable In an r of the above t r,
Address; 11 0_24 7 IN * ,, . . Additional inspeetio (1 hr 66.25/ hr MIMI
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''''''''' Investigation (1 hr min) 66,25/ hr =IN 1 .,'
City/StOte/ZIP; p , i
J i 0 R. I ) '1.1
_0_1_1_ tra..tk_cr---
Industrial plant (I hr min) 7/3,18./ hr M. f
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Phone: ( a., 1 .3 . 5 1 z a Fax: (sal -1.. 7- e l inspeci ions fur which no fee is 90,00/ M
hr Mil
. — I 4... s ccificaII Hilted Vs hr min
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CCB Li c,; 53555 71 Electrical Lie.: 26.37 suprv, Lic354,7 LA .:,,....,,;.,.:,.. ,.:.,:..ii;:,,..: ELECTRICAL :PERMIT 4, • : . , . , 1 :
— Subtotal: 75 ,e, •
Sup. Electrician signature, requircd/144 /ata — Plan --... review (25 of permit fee):
Print name; Cs/0C CII CLAAl2.-- Date: 4 8. al-. 11 _____ st„te surd.r (12% ul' permit fee)!
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ToThi.PERmyr H.F.: '', g-I 0 0 1
Authorized signat Um; COL..4.----'*-- I .:.
Thls pernTit7ppicadiIIIexplre;ii71perWmrtie noi ;Ina within 180
— - — -- days after It ham been accepted as complete, ,,
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Print name: An (..., , frt re Date: a9_,,- II j . Number of Inspections atiowed per permit. "..
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Iliodi \ tar. pcmtiospi) doe um, mu 441) 46151'111/1/5/COM/Wl.i1; ..
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AUG-22-11 g3:4 PM SONITROL-PORTLAND 9737773 P 02
Electrical Perrnit Application - City of Tigard
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• • Page 2 - Supplemental information
. LIMITED ENERGY PERMIT FEES: •
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Fee for all residential systems combined •.. $75.00
Check Type of Work Involved:
E3 Audio and Stereo Systems*
El Burglar ;Nlarrn . .
ID Garage Door Opener* •
Veotilation and Air C.;onditioning System*
Vacuum Systems*
0 ()tiler: 0.
wou
Fee for ei commercial $75.00
system
(SEE OAR. 918-309-0000)
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Check Type of Work Involved!
Audio,uid Stereo Systems
0 Boiler Controls
Clock Svstems ' •
Data . 1.'clecommunication Installation
Fire Alarm Installation
ITVA(,:
Instnimentation
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Iratrcom and Paging Systems
• 1,an&cape Irrigation Control*
D Medical
Nurse Calls
out.d,,,,,I.andscape Lighting*
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NI Protective Signaling
E Other
Total numlwr of commercial systems:
*No licenses arc required. Licenses arc required
for all other installations
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