Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
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COMMUNITY DEVELOPMENT Permit #: ELR2013 00059
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/18/2013
Parcel: 25101 CB00400
Jurisdiction: Tigard
Site address: 12700 SW HALL BLVD B
Project: TCTPI LLC Subdivision: 2007 -064 PARTITION PLAT Lot: B
Project Description: (1) low voltage for access control /protective signaling
Contractor: SONITROL PACIFIC Owner: TCTPI LLC
8220 N INTERSTATE AVE 4260 GALEWOOD ST, STE A
PORTLAND, OR 97217 LAKE OSWEGO, OR 97035
PHONE: 503 - 223 -5822 PHONE:
FAX: 503 - 973 -7773
FEES
Description Date Amount
Specifics: Restricted Energy Permit 03/18/2013 $75.00
12% State Surcharge - Electrical 03/18/2013 $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: 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 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 95 -0 001- 00090. You may obtain acopyy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �ry
Issued By: UV(�[.�i Cf"t�l Ll�f Permittee Signature: (/ti V (ARM]
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.
Mar. 15. 2013 9 : 37AM ' RECEIVEDnc. No. 3240 P. 4
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Electrical Permit Appliatio tlu llrrt( l: usi: ONLY
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City of Bard 8 2013 Da� . 3 /1 gt 3 Permit No.: _ - 00 0.5"‘
,71 n 13125 $W B oll Blvd., Tigard, 0� Plan Review
. �� TI Gq[ZD Other Permit:
Phone: 503.718.2439 F ax: D ale / By:
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(A R u inspection Line: 503.639.417 G DIVISION Date Ready/By: Jaru _ 121 Sec Page 2 for
Internet; www.tigard-or.gov Notified/Method: - I 1( Supplemeniallnforma
.. .. TYpY; O F WORK :. ..PLAN 'REVIEW . •
❑ New construction El Addition/alteration/replaeement Please check all that apply (submit h 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 lJ Marinas and boatyards.
•• 1. _ . •`; . , `• = . CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 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: 0 Fire pump. ❑ Installation of 75 KVA or
roll. SITE INFORMATION AND LOCAT70N'. '. LIEmergency larger separately derived system.
L] Addition of new motor load of ❑ "A ", "B", "1 -2 ", "1 -3 ".
Job no.: P130040 Job site address: 12700 SW Hall Blvd lOOFiI'ormore occupancy.
❑ Six or morn residential units. L] Recreational vehicle parka.
' 13 Health -care facilities. ❑ Supply voltage for mom than
City/Slate/ZIP: Tigard, OR 97223 (
❑ Haaardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: B Project name: eantee,n - vc tdtng .c L7 Service or feeder 600 amps or more.
FEE SCHEDULE..:
Cross street/directions to job site: Ptieriotron I Qti. I Pee. ( Total I
New residential single or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. R. or less 168.54 4
Ea. add'l S00 sq. ft or portion 33.92 1
Tax map /parcel no.: Limited energy, residential 75.00 2
• . OF WORK (with above sq. R.)
• Limited energy, multi- fhmily 75.00 2
Installation of intrusion and access control devices for security residential (with above sq. R.)
_ Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
D 'PO* krir O V NER • I ...' Q 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/State /ZIP: relocation _
Phone: ( ) Pax: ( ) 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, perpanel
Owner signature: .. _ Date: A. Fee Ibr branch circuits with
above service or feeder fee.
CI APPLICANT
❑ CONTACT PERSON 7.42 2
each branch circuit
Business name: B, Pee for branch circuits without
- • service or feeder fee, first 56.18 2
Contact name: branch circuit _ _
Each add'l branch circuit 7.42 2
Address: ltilscellalleous (service or feeder not Included)
Each manufactured or modular
City /State /ZiP: _ dwelling. service and/or feeder 67.84 2
Phone: ( ) I Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E -mail:
Sign or outline lighting 67.84 2
• .. • • _
CONTRACTOR Signal circuits) or limited -energy .
1
Business name: Sonitrol Pacific panel, alteration, or extension, Paget 75 2
Each additional inspection over allowable In any of the above
Address: 8220 N Interstate Ave Additional inspection (1 hr min) 66.25/hr
City/State/ZIP: Portland, OR 97217 investigation (1 hr min) 66,25 /hr
Industrial plant (I hr min) 78.18/ hr
Phone: (503) 223 -5822 Fax: (503) 973 -7773 Inspections for which no fee is 90 hr
specifically listed (15 hr min)
CCB Lic.: 53535 filectrical Lic.: 26370CLE I Suprv. Lie.: 3567LEA • ELECTRICAL PERMIT :FEES • •
Su; 75.00
Suprv. Electrician signature, require atzat Plan review (25% of permit it fee);
Print name: Gordon Ducette Date: 3/15/13 State surcharge (12% of permit fee): 9.00
TOTAL PERMIT FEE: 84.00
Authorized signature: This permit epplteation expires If a permit Is not obtained within ISO
Print name: Ann C Moore I Date: 03/15/13 a days after it has been accepted as complete.
Number of inspections ailorved per pennll.
l; ofldlpglpermlmsltit „C- PernitApp.doo O1IUTIte 440 -4615T(11/O5 /COMWF.n
Mar. 15. 2013 9:38AM Sound Security Inc. No. 3240 P. 5
, Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
REsibl.... i .. O.rr.. - _.... - -- • 1
Fee for 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 fot 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
❑ Outdoor Landscape Lighting*
® Protective Signaling
•
El Other Access Control
Total number of commercial systems. 1
*No licenses are required. Licenses are required
for all other installations
1:10uaainsTermitaLC- Pamiuyp.doa 07/01/10