Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
•
COMMUNITY DEVELOPMENT Permit #: ELR2012 -00092
T I G A R T7 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/11/2012
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 150
Project: Diana Harrison Subdivision: 1996 -048 PARTITION PLAT Lot: 2
Project Description: Installation of intrusion security devices. Includes a base panel, a keypad, 5 audio sensors and 2 door contacts
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 05/11/2012 $75.00
• 12% State Surcharge - Electrical 05/11/2012 $9.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: •
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: Y
Security Alarm: N 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 tf 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 2- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: OA A PPG/ / ! A11
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.
May. 11. 2012 12:42PM Sound Security Inc. No. 1435 P. 2
Electrical Permit ApplicationRE , . .. . , ,
FOR 01.1. k L tIst oiN1.)
111:-
City of Tigard iCE: .... . . ,..... ti I ,.
Permit No.: c-:_z_tgabA,_E
4 Blvd.. Plan Review
1 13125 SW Hall Bd. Tigard, OR 97223
1 • Phone: 503.718.2439 Fax: 503.598.1960 MAY 1 1 2012 DateA3y: Other Permit:
TI A Ito
Inspection Line: 503.639.4175 Date Ready/By: lurk.: 1 Fil See Page2 2 for
c ;
Hemet. www.tigard
CI OF Tir4c;:l ), Notified/Method: -rt p Supplemental Information ,.
: : '::',.;:.. :. . .. ., ..1.1*Ebk: C ....'• ...: : • :•.i.•:, :.:-.."•:. :!: • • •PLAS*1.•*f.W..f.•:••!
El New construction N Addition/alteration/replacement Please check all that apply (submit Z sets of plans writems checked below):
0 Service or (ceder 400 amps or mom 13 Building over three stories.
D Demolition 0 Other: %%hero the available fault current 0 Marinas and boatyards.
.0 • • • . = .: i::,.9,4; t- CATEGORY zOE.....00NSTAIO ON: • ••: :.,:. ., . ; • ., exceeds 1%000 snips at 150 volts or 0 Floating buildings.
lase to (paled, or exceeds 14.000 0 Commercial-use agricultural
ID 1- and 2-family dwelling 1211 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
El Multi-family 9 Master builder D Other: 0 Fire pump. 0 Installation of 75 KVA or
[(Emergency system. larger separately derived system.
: ,• ; • • • ..e'....:'•'''':' ''. 46k§irrE INFORMATION .AND LOCATION - ;•; - .i:.f.(;., --41 ,,,E I T7 • •
D Addition of new motor toad of 0 "A", "1 "1
Job no.: P120058 I Job site address: 15350 SW Sequoia Pkwy
10011P at more,
1:1Six or more residenti occupancy.
al units. 0 Recreational vehicle parka.
City/State/ZIP: Portland, OR 97224 I:Holm-ore facilities. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: 150 I Project name: Diana Harrison, CPA 0 Service or feeder 600 amps or more.
• : . ' • . "
FEE SCHEDULE
Cross street/directions to job site: Descrintion J lary. I Fes I nag I • .
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: 1 Lot no.: i sq. ft. or less 168.54 4
Es. eddi 500 sq. ft. or portion 33.92 1
Tax map/parcel no.: Limited energy, residential
75.00 2
WC . '.:.:::::. ' ... • •:'.. • •• :...'...,:.:;':.%::::,:. ,..,,.:.: (ivfill ANY° sq. 11
Limited energy, multi-family 75.00 2
Installation of intrusion security devices, Includes a base panel, a keypad, 5 residential (with above sq. IL)
Services or feeders Installation alteration, and/or relocation
audio sensors and 2 door contacts. 200 amps or less 100.70 2
' . . • 02.PROPtliVIOWNER .: • : ..`: '.'..[...; • :.... • : ,:: : .13 TENANT '. • ..::..: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name:
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
- Temporary services or feeders installation, alteration, and/or
City/)tate/ZIP: relocation
Phone: ( ) Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps 10599 amps - 168.54 2
Branch circuits - new, alteratton, or extension, per panel
Owner signature: Date: A. Fee (hr 'stanch circuits with
:... . *; ...:': s:': Y • ■ 0 S APPLiCANtW
3-3 „. ...., :::1 7.-„.5-_-,... y .,,,......,.i . . r:7 --....
u 0040 ... .. above service or feeder fee,
each branch cimvit 742 2
Business name: B. Fee Oar branch circuits without
service or feeder fee, first 56.18 2
Contact name: branch circuit ,
- , Each add'I branch circuit 7.42 2
Address: Miscellaneous (service or feeder not included)
Each numufactured or modular
City/State/ZIP: dwelling, ,ilia service and/or feeder 67.84 2
_
Phone: ( ) I Fax: : ( ) Reconnect only 67.84 2
- Pump or irrigation circio 67,84 2
E
Sign or outline lighting 67.84 2
.. ,
,-;',... : ; • ; : • . ' ',.• :•::•• .•A-Y0. .72kL:ive. • ,.. • Signal circuit(s) or limited-energy I 75.00
Business name: Sonitrol Pacific
panel. alteration, or extension. Peg 2 2
Each additional inspection over allowable in any of the above
Address: 8220 N Interstate Ave Additional inspection (I hr min) 66.25/hr
Investigation (1 hr min) 66.25/hr
City/State/ZIP: Portland, OR 97217 -
- Industrial plant (I hr min) 78.18/ hr
Phone: (503) 223-5822 41. *1 ' Fax; (503) 973-7773 Inspections for which no fee is
1 'V 90,00/ hr
I lk specifically listed (IA hr min)
.(2B Lic.: 53535 5'1 - ) Electrical Lie.: 26370CLE I Suprv. Lie.: 3567LEA " . • • ' • ''•:!Eti.ECTRICAlL4EITMET ' FEES: >.•:, ...4'
Subtotal: 75.00
Suprv. Electrician si ature, required: i I , .
-.d / / I 1
_ •'.1 '
Plan review (25% of peMlit fee):
_
Print name: fordo 0 ette Date: 5/11/12 State surcharge (12% of permit fee): 9.00
,
_
TOTAL PERMIT FEE: 84.00
Authori211, e: -4 This permit application expires if a permit is not obtained within 180
days alter It has been accepted as complete.
Print name: Les i. Erickson Date: 5/11/12 • Number of inspections allowed per pennit,
lAllaildicilPecmileEL : .. itApp.doc 07101M 4404615TO I/Os/COM/WEB
May. 11. 2012 12:42PM Sound Security Inc. No. 1435 P. 3
, Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT PEES:
`�RESIDEN'T`IAL:WO,�:ONI:�Y'`� "`' � .' ��''�•�
Fee for au residential systems combined , , . $75.00
Check Type of Work Involved;
❑ Audio and Stereo Systems*
❑ Burglar Alarm
0 Garage Door Opener*
❑ Healing, 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;
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
LI Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
■ Protective Signaling
❑ Other
Total number of commercial systems: j_
*No licenses are required, Licenses are required
for all other installations
t: lamld 'meemitalELC.PenoitApp.doo 07/01 /10