Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT • COMMUNITY DEVELOPMENT Permit #: ELR2012 -00189 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/27/2012 Parcel: 25101 DA00101 Jurisdiction: TIGARD Site address: 13190 SW 68TH PKWY 110 Project: Stearns Lending Subdivision: VARNS ACRES Lot: 9 Project Description: Low voltage for fire alarm "8/28/12 REPRINT Add low voltage for Data Telecommunications" Contractor: POINT MONITOR CORP Owner: PACIFIC NW PROPERTIES LIMITED PA 7869 SW NIMBUS AVE STERN FAMILY LIMITED PARTNERSHIP BEAVERTON, OR 97008 STERN, HELEN R REVOCABLE TRUST 6600 SW 105TH AVE #175 BEAVERTON, OR 97008 PHONE: 503 - 627 -0100 PHONE: FAX: 503 - 627 -0110 FEES Description Date Amount Specifics:, Restricted Energy Permit 08/27/2012 $75.00 12% State Surcharge - Electrical 08/27/2012 $9.00 Type of Use: COM Restricted Energy Permit 08/28/2012 $75.00 Class of Work: ALT 12% State Surcharge - Electrical 08/28/2012 $9.00 Total Number of Systems: 2 Audio & Stereo: N Boiler Controls: N CCTV: N Clock Systems: N Data & Telecommunications: Y Fire Alarm: Y 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: N Total $168.00 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 9 - 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: 4 t ..ta. Permittee Signature: NA A I P 0. ( i�1'1 � 7 tv 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. 08/28/2012 08:46 5036270110 POINT MONITOR CORPOR PAGE 02 1•O1: 1)1 It V t',I: (1Nf.1 Electrical Permit A lication TVED Received Pmnh No.: ELR2012 -00189 City of Tigard Date); 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit: . Phone: 503.718.2439 Fax: 50,3 t 5,.1R6, 2012 Date Ready/By: f7 See Pale 2 for I 1. , r 1 interne': www.ti -or. tonline: 503.639.4175"�'l�`uU G Notified/Method: Supplementallarormatloe iterne www.tigard-or.gov , , [ t g 4A a . ;. c Y _ ] , } 4 ' ' ,,, 7�, il s :y.tr, � O r a , wx ' , ; ' � c ;, J , i „ r 1 `- r f 24 r ri h •:J,"4 - .i. 'i+La�t %.:V� r7 • ( x ilU t " ; r 4: f'E ci'11 , t yy JJ 1.(3 !" " T l f `- 1 ; I '� . '� rp r ' F n � r .F� o f I `�Y e r .4x . L :_.�.,A3 Ty; .u. _.,.,. .. i ti ( ..,f, N ;I „ { Y i -- - Please check all that apply (subm 2 beta of plane a / items checked below) ❑ New construction 0 Audi on a er 0 rep &cement ❑ Service Of leader aoo amps or more ❑ Building over three stories. 0 Demolition ❑ Other: where theavailable fa t at o volts or ❑ Meatus e n d bi boatyards. � �, ' : :� >,.._ <-+ r' yr� 's +z ,�.�.,'. t exceeds 10.000 � an t J(1 . , V , fl k � i r' 41 t 4,4 1 2 c r p ? �, ' ' ' ', . '' y P x ' 4 . i .. e 'r.o 7 T, "'"': less to wound. or exceeds 14.000 ❑ Commercial use agricultural Nf. tj,,JLi�J1I ",.,A,.4,1,._ .,alt, t- . 1 . v , [ i[, i , a ,, . �LL 4 ; r 'C " "; .....n` ❑ 1 and 2 - family dwelling IN Commercial /industrial ❑ Accessory building amps for all other installations. ❑ installation buildings. of 75 KVA or ❑ Fm pump. A o tam ❑ Multi family ❑ Master builder ❑ Other: ❑ Emergency system 'urger separately Jeri system Mas seem t ,ii ` �v,t +lit t �d r t . v r , 3, 12'ft ti <..., : r r ''.. V }T' .. :, -0r, 1 Ic w ti , " E " , - l- 2 ",..1_3" l "�7 7 i yy c l i 1 , f ' 17 r 7 r ` li :, _ ! e + r „1. :.. .. i ❑ Addition of new motor load of ❑ .. K. +, : ...� .,, [ ;, 10011P or more. occupancy' Job no.: Job site address: 13190 SW 68 Parkway ❑ Six or most residential units. ❑ Recreational vehicle parka. ❑ Health -care facilities. ❑ Supply voltage rbr more than City /State/ZIP: Tigard, OR 97223 ❑ Hazardous locations. 600 volts nominal, ❑ Semce or feeder 600 amps or mom. Suite/bldg./apt. no.: Project name: Stearns Lending , iy 2 { t, ., 1 r; i'-n. ••, m I J ana 2 . .∎ .- . - 1.2 -: « ,c �' ,°li. ,-, ;;,L,, ■ , '(: Cross street/directions to job site: 'n°ertation �minimirz2umw'rmO New residential single- or multi - family dwelling unit. includes attached garage. 1,000 sq. ft. or less 168.54 4 Subdivision: Lot no,: Ea. add'1500 sq ft, or portion 33.92 I Tax map/parcel no Limited id 75.00 El r T ,A�S�R'` 7 t �� 7 cM,�l ^ , cc �v` h S ' r; wllhd � " ft. Y 4`I � �7�1 'Iiv 1-4i 41 Z , f ,.. . ,. ` .' . : i� :r•.. ... .�.... , li §.,i t :,. ' Tr : ...� 1A!I ti1, 1 Limited energy, multi- family 75 Teledata residential with above :.. fl. III © Services or feeders Installation, alteration, and/or relocation 200 amps or less 100.70 2 , shat i ` {a v ? vti Ln t ry -1:101 + r r `f+�.,ll I f 15. .,;,_.a.,.„�, � � 1 a i ,, �l 201 amps to400amps 133.56 2 I, l ': t , ' T.- l Fal e . i: vl 'i � P.l,: r a ,..4s0 i :i4,w;_ n i! nat«4. ` . -t _ ^ , r �� i. >i. 'Cr ,-`.., „ . ,w . d tu,,., r { _4 401 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 /State/ZIP: relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 1 Owner installation: This installation is being made on property that T own which is not 201 amps to 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 extension, per panel Owner signature: Date: A. Fee for branch circuits with I (f�Y+'�r � .,.i 1 r ta.•� , . F.ti li hl Pw � } ` [+ l " ill . r. t-, A above service or feeder fee, 2 1{ t r $3 r l H t - r t,� j 7.42 h..l.. � ,d�, „ f .,m,,� su/_a, »,..t.. -a rr, .?� ,f ,. �..,, «f�.d .,�,D ,, � d,o. ,A PsCh branch circuit Business name: Point Monitor Corporation B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: Steve Bruns bunch circuit Each add'I branch circuit 7.42 2 Address: 7869 SW Nimbus Avenue Miscellaneous (service or feeder not included) City/State/ZIP: Beaverton, OR 97008 each manufactured or modular dwelling, service and/or feeder 67.84 2 Phone: (503) 627 - 0100 Fax:: (503) 627 - 0110 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E SBruns@PointMonitor.com eoaa Sign or outline lighting i.. 67 84 2 �r tJ '•1:tiAritl�Y + 1 :;g4q, a i l . . n �”' ;a L t ; r • 'q i ti P � 1 :.m t j l e ry Y `� ., ... r4,. ::rf �i... J .. :'.1 : a l ' .. h:i 9::, 1I1 ;4 ..,.......,. a c., t:..; , , t - ;.. :'>u ..n l al Av !:4 ?:.) rr r 11.,1 Signal circuit(s) or limited- Energy Business name: Point Monitor Corporation panel, alteration, or extension. 1 Page 2 75 2 Each additional in ` . on over allowable In an of the above Address: 7869 SW Nimbus Avenue Additional in pection (1 hr min) 66.25/ hr City /State/ZiP: Beaverton, OR 97223 Investigation (1 hr min) 66.25/ hr .1 Industrial plant (1 In min) 78.18/ hr Phone: (503) 627 - 0100 Fax (503) 627 -0110 Inspections for which no fee is 90,00/ hr s. - 'flail! listed Yr hr min CCB Lic.: 135901 Electrical Lic.: 34 -508CL Suprv. Lic.: . r,IVjc r1 ,..c.,-, .' ' r ' . _ ,..:::,.....q-: ' ?,r ;r ‘ ..,-,, _t, �r- :4,;!k 1 1 ±, ! 0 11 Suprv. Electrician signature, required: Subtotal: 75 Plan review (25% of permit fee): Print name: Date: State surcharge (12% of pe rnit fee): 9 Authorized signature: TOTAL, PERMIT FEE: 84 This permit applIcatlon expires If a permit Is not obtained within 180 - Print name: Date: days after it has been accepted as compkte. • Number of inspections allowed per permit. I :auildneemvtsAG„C- PennbApp.00c 07/0i /10 440-4615T(11 /05/COMM'EB 08/28/2012 08:46 5036270110 POINT MONITOR CORPOR PAGE 03 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: 1 i Y ! • P. v '1,;) N 4;t 1 • i �� w4��a �J`l 'k" $ : ;lyi`dCn 7 Fee for an residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems n Burglar Alarm n 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: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ® Data Telecommunication Installation n Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical El Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: 1 *No licenses are requited. Licenses are required for all other installations t:,BodchniAPormitsTLC•Pe mitApp.Aoc 07/01/10 08/28/2012 08:46 5036270110 POINT MONITOR CORPOR PAGE 01 14ig 7869 SW Nimbus Ave. Beaverton, OR 97008 Phone(503) -0100 Fax (503) 627 -0110 CORpOFlAT1ON FAX COVER PAGE TO: Shirley Treat FAX #: (503) 598 -1960 FROM: Steve Bruns - Point Monitor PRONE #: (503) 718 -2449 SUBJECT: Stearns Lending DATE: 8/28/12 PAGES: of ) + Cover Sheet 3 MESSAGE: Please add one limited energy circuit for Data Telecommunication Installation. I have included a permit application, and payment authorization. It should be $84.00 Thank you, Steve Bruns Point Monitor Corporation Visit us at http: / /www.pointmonitor.com CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 111 11 • COMMUNITY DEVELOPMENT Permit #: ELR2012 -00189 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/27/2012 Parcel: 25101 DA00101 Jurisdiction: TIGARD Site address: 13190 SW 68TH PKWY 110 Project: Stearns Lending Subdivision: VARNS ACRES Lot: 9 Project Description: Low voltage for fire alarm Contractor: POINT MONITOR CORP Owner: PACIFIC NW PROPERTIES LIMITED PA 7869 SW NIMBUS AVE STERN FAMILY LIMITED PARTNERSHIP BEAVERTON, OR 97008 STERN, HELEN R REVOCABLE TRUST 6600 SW 105TH AVE #175 BEAVERTON, OR 97008 PHONE: 503 - 627 -0100 PHONE: FAX: 503 - 627 -0110 FEES Description Date Amount Specifics: Restricted Energy Permit 08/27/2012 $75.00 12% State Surcharge - Electrical 08/27/2012 $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: Y 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: 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 a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: t. Permittee Signature: 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. Electrical Permit Application FOR OFFICE use oNLY ��/ Q III Received C��./ .„9 / � , o /O City of Tigard �' ' � Permit No.: �l1 `J � , Date /B • 13125 SW Hall Blvd., Tigard, OR 97 ' - '' Plan Revie C Phone: 503.718.2439 Fax: 503.598.1960 11 II rr C 20�� Date /B : Other Permit: T I G A R D Inspection Line: 503.639.4175 AU U Date Ready /By: ® See Page 2 for Internet: www.tigard - or.gov (��� Notified/Method: Supplemental Information TYPE OF WORK+' . . ' ! _ PLAN REVIEW ❑ New construction ® Addition /alteratiOn/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "I - ", "l - ", Job no.: Job site address: 13190 SW 68 Parkway IOOHP or more. occupancy. ❑ 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.: Project name: Stearns Lending ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: _ Description I Qtv. I Fee. I Total I • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4 Ea. add'I 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi - family 75.00 2 Relocate partial coverage initiation, and add notification to T1 Space residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation Fire Alarm 200 amps or less 100.70 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Ci /State /ZIP: Temporary services or feeders installation, alteration, and/or h relocation Phone: ( ) 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 to 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 extension, per panel Owner signature: Date: A. Fee for branch circuits with ® APPLICANT ❑ CONTACT PERSON above service or feeder fee 7.42 2 each branch circuit Business name: Point Monitor Corporation B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: Steve Bruns branch circuit Each add'I branch circuit 7.42 2 Address: 7869 SW Nimbus Avenue Miscellaneous (service or feeder not included) City/ State/ZIP: Beaverton, OR 97008 Each manufactured or modular 67.84 2 dwelling, service and/or feeder Phone: (503) 627 - 0100 Fax: : (503) 627 - 0110 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: SBruns @PointMonitor.com . Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited- energy Business name: Point Monitor Corporation panel, alteration, or extension. I Page 2 75 2 Each additional inspection over allowable in any of the above Address: 7869 SW Nimbus Avenue Additional inspection (I hr min) 66.25/ hr City/State /ZIP: Beaverton, OR 97223 Investigation (I hr min) 66.25/ hr Industrial plant (I hr min) 78.18/ hr Phone: (503) 627 - 0100 Fax: (503) 627 - 0110 Inspections for which no fee is 90.00 / hr specifically listed (' /: hr min) CCB Lic.: 135901 1.4 Lic.: 34 - 508CL Suprv. Lic.: L.At ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: • 71149t,p/P4 ° t o Subtotal: 75 Plan review (25% of permit fee): Print name: fikve G. H-f 6, te: g - /3 —12 State surcharge (12% of permit fee): _ TOTAL PERMIT FEE: 84 Authorized signature: This permit application expires if a permit is not obta d within 180 Print name: Date: days after it has been accepted as complete. Number of inspections allowed per permit. 1:\ Building \Permits \ELC- PermitApp.doc 07/01/10 440 -4615T(II /05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: 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 ® Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls Fl Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: 1 *No licenses are required. Licenses are required for all other installations 1: \Building \Permits \ELC- PermitApp.doc 07/01/10 CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT • COMMUNITY DEVELOPMENT Permit #: ELR2012 -00189 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/27/2012 Parcel: 25101 DA00101 Jurisdiction: TIGARD Site address: 13190 SW 68TH PKWY 110 Project: Stearns Lending Subdivision: VARNS ACRES Lot: 9 Project Description: Low voltage for fire alarm "8/28/12 REPRINT Add low voltage for Data Telecommunications" Contractor: POINT MONITOR CORP Owner: PACIFIC NW PROPERTIES LIMITED PA 7869 SW NIMBUS AVE STERN FAMILY LIMITED PARTNERSHIP BEAVERTON, OR 97008 STERN, HELEN R REVOCABLE TRUST 6600 SW 105TH AVE #175 BEAVERTON, OR 97008 PHONE: 503 - 627 -0100 PHONE: FAX: 503 - 627 -0110 FEES Description Date Amount Specifics:, Restricted Energy Permit 08/27/2012 $75.00 12% State Surcharge - Electrical 08/27/2012 $9.00 Type of Use: COM Restricted Energy Permit 08/28/2012 $75.00 Class of Work: ALT 12% State Surcharge - Electrical 08/28/2012 $9.00 Total Number of Systems: 2 Audio & Stereo: N Boiler Controls: N CCTV: N Clock Systems: N Data & Telecommunications: Y Fire Alarm: Y 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: N Total $168.00 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 9 - 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: 4 t ..ta. Permittee Signature: NA A I P 0. ( i�1'1 � 7 tv 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.