Permit q CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
• a COMMUNITY DEVELOPMENT Permit #: ELR2012 -00245
• T f CARD+ 13125 SW Hall Blvd., Tigard OR 97223. 503.718.2439 Date Issued: 10/30/2012 ; •,
Parcel: 2S113AB00600
Jurisdiction: Tigard
Site address: 16170 SW UPPER BOONES FERRY RD
Project: DOW AgroSciences Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 30
Project Description: (1) low voltage permit for upgrading access control system
•
Contractor: PROTEC INC Owner: PACIFIC REALTY ASSOCIATES LP
720 NE FLANDERS ST ATTN: N PIVEN
PORTLAND, OR 97232 -2763 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 235 -4000 PHONE:
FAX: 503 - 235 -0363
FEES
Description Date Amount
•
Specifics: Restricted Energy Permit 10/30/2012 $75.00
12% State Surcharge - Electrical 10/30/2012 $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: 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. 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 1 obtain a of the rules or direct questions to OUNC by calling 503.232.19877 or 1.800.332.2344.
Issued By: . / 15Lt , &4(& . d r' LL Kit Permittee Signature: Pti APP/ IC4fe
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.
•
OCT-29-2012 15:13 PROTEC INC P . 04/06
Electrical Permit Applicatio
. .
REC EIVED pRP,...- to 3°1 1?"--."11-4' I:I' I" 0,P en:i1PI.N.Crin::
City of Tigard
: -
13125 SW Hall Blvd.. Tigard. OR 9AA
• . Phone: 503.718.2439 Fax: 503.598.1966 c T . 2 9 2012 Date/B :
Inspection Line: 503.639.4175 Date Ready/By: Jun.: al See Page 2 for
Internet; www.tigard-or.gov NotiBcd/Mcdtod: I CO Supplemental Information
i • Ti g'... '..•.'i'' ':!. i 2 -t - 0 1 1q .. .• i,::Prifitt-'4* '... al!1 , il.. • El New construction 12:1 Addition/alte . r - g - 1 Please check all that apply (submit 2 sets of plans whtems chce - c e ow):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other where the available fault current 0 Marinas and boatyards.
.:::..;::;:::•;1';'..p.i'::: 0rOfttticisiggAgit.::_,;,.&4..=0:. exceeds 10,000 amee4 at ISO velig or 0 Floating buildinv.
less to ground, or exceeds 14,000 0 Commercial-use agricultural
0 1 - and 2-family dwelling El Commercial/industrial 0 Accessory building amps for all other instalkitions. building&
0 Multi-family 0 Master builder 0 Other: El Fire pump. 0 installation of 75 KVA or
,,,.,„.. larger separately derived system.
:..,;,!; iistotitort. • 0406,114VP.i4e' a Addition tif now motor load of CI
1001.1P or more. occupancy.
Job no.: 634 J Job site address: 16170 SW Upper Boone! Ferry Rd
0 Six or more residential units. 0 Recreational vehicle parlis.
City/State/ZIP: Portland. OR 97224 0 Hau, facilities. 0 Supply voltage for more than
- _______ , 0 linzurdous locations. 600 Volts nominal.
Suite/bldg/apt no.: Project name: DOW AgroSciences 0 Service or feeder 600 amps or more.
qvat..
Cross street/directions to job site: between SW 72' and SW Durham Rd D ..... m . a ... n llon ,_,...._ 1.22...1.......1 •
New residential single- or multi-family dwelling unit.
Includes attached garage. --
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. addl 500 sq. ft. or portion 33.92 I
fax map/parcel no Limited energy, residential
75,CiO 2
Pd41.-.•;;OF-$0;*4100toit016i,-ii..t0,':i:•:;:i:wf00ir...,141, (with above sq, f1-1
' Limited energy. multi-family 754
Upgrade access control system el fu %vial i abLem.ft1 0
Services or feeders installation, alteration, and/or relocation
200 amps or las 100.70 2
..:. ; . •• q
.. • • • ”, ...- kit i ... v .:.: .;;::i.i. 14.' : ", - ; , -0-- .v. . : - ..1-
' .. z.4.,.... ........)..1:,..:4:::,....,: 2 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/Statc/ZIP: relocation
Phone: ( ) Fax: ( ) 200 amps or less 59.36 I
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 to 599 amps 168.54 2
Branch circuits - new, alteration, or extension. per panel
Owner signature: Date: A. Fee for branch circuits with
i; -.'::''.,:,.."`V.1:.',.1.411:-.:4:NitatOlitair.:400.04.:::f:':,:::... above service or feeder fee,
each branch circuit 742 2
—.--.—.— .......
Business name: Protec Inc B. Fee for branch circuits withcfat
— service or feeder foe. first
56.18
Contact name: Heather Hill branch circuit
— Each add'I branch circuit 7,42 2
Address: 720 NE Flanders St Miscellaneous (service or feet leiumt iticludcd)__
— Each manufactured or modular
City/State/ZIP: Portland, OR 97232 67.84 2
dwelling. service ancVor feeder
--
Phone: (503) 235-4000 Fax: : (503) 235-0363 Reconnect only 67.84 2
— . Pump or irrigation circle 67.84 2
..
E-mail: heatherh@protecsecurity.com , -
Sign or outline lighting 67.84 2
: ; , ; . ..:...::: :I le : Signal eiretiiirs7Flimited-L-nergy i
Business name: Protec Inc. panel, idteration,or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 720 NE Flanders St Additional inspection (1 hr min) 66,25/ hr —
City/State/ZIP: Portland, OR 97232 Investigation (I hr min) 66.25/ hr
Industrial plant (I hr min) 78.18/ hr
Phone: (503) 235-4000 Fax: (503) 235-0363 Inspections for which no fee is
h
specificaly listed 0 hr min) 90.00/ r
CCB Lie.: 55414 1731;; Lic.: 3421501 Su . T ic.: f Le
. .. . ...
Subtotal: 75.00
Suprv. Electrician signature, required: (......,e_ ..‘ siej,-- Plan review (25% of permit fee):
_
—
Print name: Jack Chilson . Date: / - State surcharge (12% of permit fee): 9.00
_
Authorized signature: .
.#7 <C_ Date 10/26/12 TOTAL PERMIT FEE:
- 84.00
This permit application expires if a permit is not obtained within 180
Print name: Heather Hi 1
days after it ban boon accepted as complete.
:
' Number of inspections allowed per permit.
1;113uildinsTannits 1 ELC•PennitApp.cloc 07/01/10 440-4615T0 1/05/C011/WEB
OCT -29 -2012 15:14 PROTEC INC P.05/06
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES: : C7
- [ �f f?/If:�f1�-ie tarafi F'�r: ?' rA{:�5 :=?07t ICaii.:I
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:
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
❑ Firc Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
® Other Bess Control System
Total number of commercial systems: 1
*No licenses are required. Licenses are required
for all other installations
I: lnuildinglPoluitelELC •rmmitApp.dor 07 /01 /10