Permit n CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
. III . COMM UNITY DEVELOPMENT P erm it # : ELR2009-00108
E I G
AD 13125 SW Hall Blvd , Tigard OR 97223 503.639 4171 Date Issued: 04/16/2009
_ Parcel: 2S 113 BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 200
Subdivision: Lot: 0
Project: Allstate Insurance
Project Description: Low voltage for fire alarm Job No 290146 -45
Owner: FEES
BEHRINGER HARVARD WESTERN Description Date Amount
PORTFOLIO LP, BY EASLEY MCCALEB & Restricted Energy Permit 04/14/2009 $75 00
ASSOCIATES I, PO BOX 190700 12% State Surcharge - Restricted Energy 04/14/2009 $9.00
PHONE
Contractor:
CAPITOL ELECTRIC CO INC
11401 NE MARX STREET
PORTLAND, OR 97220
PHONE 503 - 255 -9488
FAX: 503 - 257 -7121
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio & Stereo Boiler Controls
CCTV Clock Systems
Data & Telecommunications Fire Alarm: Y
HVAC Instrumentation Total $84 00
Intercom /Paging Landscape /Irrigation
Landscape Lighting: Medical: Required Items and Reports (Conditions)
Nurse Calls Protective Signal.
Security Alarm. Other
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 ays ATT 0 egon law requires you to follow the rules adopted by the Oregon Utility Notifi / ca oo. Center Those rules are set forth in OAR
952 -0 -0010 through OA' • I U -0100 You may obtain a copy of the rules or direct questions to OUNC by calling 603 24; ; • •' or 1.800 332 2344
t
Iss d By: —a .4 A ��. ( Permittee Signatur -. –' � J J .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'N 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.
FOR OFFICE USE ONLY
Electrical
Permit Application � rf"+� Date /By /
Rec
City of Tigard Y./ .' P e rmit no. /� /) 9
4/ � � / � .t / � OS �� T _�dl f dg
® 23125 SW Hall Blvd., Tigard, OR 97223 , Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 AI� K 1 d ';A Date /By. Other Permit:
Inspection Line: 503.639.4175 Date Read /B Juris:
TIGARD � Ready /By See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified /Method: Supplemental Information
R I JILDING DIVISION
_ TYPE OF WORK PLAN REVIEW
❑ New construction U Addition/alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below)
❑ Demolition ❑ Other ❑ Service or feeder 400 amps or more ❑ Building over three stories
CATEGORY OF CONSTRUCTION where the available fault current ❑ Marinas and boatyards
❑ 1- and 2 - family dwelling ❑ Commercial /industrial ❑ Accessory building exceeds 10,000 amps at 150 volts or Floating buildings
❑ Multi - family ❑ Master Builder ❑ Other less to ground, or exceeds 14,000 Commercial - use agricultural
JOB SITE INFORMATION AND LOCATION amps for all other installations ❑ buildings
Job no 290146 -45 Job site address 7632 SW DURHAM ROAD ❑ Fire Pump ❑ Installation of 75 KVA or
❑ Emergency system larger separately derived system
City /State /ZIP. Tigard, OR 97223 ❑ Addition of new motor load of ❑ "A ", "E", "1 - 2", "1 - ",
100HP or more ❑ occupancy
Suite/bldg /apt no.14 Project name ALLSTATE T.I. ❑ Six or more residential units El Recreational vehicle parks
❑ Health -care facilities ❑ Supply voltage for more than
Cross Street/Directions to job site. ❑ Hazardous locations ❑ 600 volts nominal
❑ Service or feeder 600 amps or more
Subdivision Lot no FEE SCHEDULE
Description I Qty. I Fee. I Total
Tax map /parcel no New residential - single or multi - family dwelling unit.
DESCRIPTION OF WORK Includes attached garage.
Install Fire Alarm Circuit 1000 sq. ft. or less $ 145 15 4
Ea. Add'l 500 sq. ft or portion $ 33 40 1
❑ PROPERTY OWNER I ❑ TENANT Limited energy residential
Name (with above sq ft.) 5 75 00 2
ALLSTATE Limited energy, multi- family
-
Address. 7632 SW DURHAM ROAD residential (with above sq ft.) 5 75 00 2
Service or feeders installation, alteration, and /or relocation
City /State /ZIP TIGARD, OR 97223 200 amps or less S 80 30 2
201 amps to 400 amps 5 106 85 2
401 amps to 600 amps S 160 60 2
Phone. Fax: 601 amps to 1000 amps S 240 60 2
Owner installation: This installation is being made on property that I own which is not Over 1000 amps or volts $ 454 65 2
intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 Temporary services or feeders installation, alteration, and /or
Owner signature Date relocation
200 amps or less $ 66 85 l
❑ APPLICANT I ❑ CONTACT PERSON 201 amps to 400 amps 5 100 30 2
Business Name. 401 amps to 600 amps , $ 133 75 2
Branch circuits - new, alteration, or extension, per panel
Contact name A Fee for branch circuits with
service or feeder fee, each
Address: branch circuit 5 6 65 2
B. Fee for branch circuits
Crty /State /ZIP without service or feeder fee,
first branch circuit 5 46 85 2
Phone Fax Each additional branch circuit 9 6 65 2
Miscellaneous (service or feeder not included)
E -mail Each manufactured or modular
CONTRACTOR dwelling, service and or feeder $ 90 90 2
Business Name CAPITOL ELECTRIC CO., INC. Reconnect only $ 66 85 2
Pump or irrigation circle S 53 40 2
Contact name. Sign or outline lighting $ 53.40 2
Signal circuit(s) or limited -
Address' 11401 NE MARX ST. energy panel, alterations, or
extension. Describe. 1 Page 2 75.00 2
City/State /ZiP PORTLAND, OR 97220 -1041 Fire Alarm Circuit
Each additional inspection over allowable in any of the above
Phone 503 - 255 -9488 Fax. 503- 257 -7121 Per inspection $ 62 50
Investigation per hour (1 hr min) S 62.50
CCB Lie.: 48748 (Electrical Lic.. 26 - 496C iSuprv. Lic • 3132 - - Industrial plant per hour 5 73 75
Supry Electrician signature, requir 4. ' 1 +i `f / ELECTRICAL PERMIT FEES*
L/, v ` Subtotal $ 75.00
Print Name: DARRELL MCNE£C Date: 04/07/09 } Plan review (25% of permit fee)
State surcharge ( 12% of permit fee) $ 9.00
Authorized signature: ✓ ✓ ✓ ✓ S°! . ,<� 1 , f TOTAL PERMIT FEE $ 84.00
PI int Name. DARRELL MCN EEL Date 04/07/09 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
* Number of inspections per permit allowed