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Permit
finns fi CITY OF TIGA IFS' 13 . fELECTRICAL RESTRICTED ENERGY PERMIT • p COMMUNITY DEVELOPMENT Permit #: ELR2013 -00058 r _ Date Issued: 03/18/2013 T IGARIJ' 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S101 CB00500 Jurisdiction: Tigard Site address: 12670 SW HALL BLVD, BLDG# 3 Project: Canteen Vending Subdivision: 2007 -064 PARTITION PLAT Lot: B Project Description: (1) low voltage for security 3/18/13 REPRINT to correct ASI information 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: N Security Alarm: Y 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 5 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 23 " ` 1988 ,1. 7 !' f 1 Issued By: • C'C..t:. Permittee Signature: ©/y V 1 Lt ` -�Tiv�1 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 Sound Security Inc. No. 3240 P. 1 Electrical Permit Application ��r FOR OFFICE 115E ONLY III City of Tigard RECEIVE) nr r 31,g fl '3 S f PermitNo.: GL120701 acoS6 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ' I. Phone: 503.718.2439 Pax: 501598.1960 I D at�°y Other Permit: / �a013 - Qop I' I Ci r1 Il L) Inspection Line: 503.639.4175 8 2 13 Date Ready/By: 10 ''i', 0 Soo Page 2 for Internet: WWW.ligard- or.gov Notified/Method: / la' Supplemental Information OFTICARD TVPE OF rli.I 1..'REVIEK� O C n ISION Please ch eck all that apply (submit 7, sets of plans wfitems checked below): ❑ New construction ® Addition/alteration rep em 0 Service or feeder 400 amps or mom ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. . , ;C/►TEGOIY4' OF CONSTRUCTION _ exceeds 10,000 amps at 150 volts or ❑ Floating buildings. dwelling less to ground, or exceeds 14,000 ❑ Cornmereial -use agricultural ❑ l- and 2-family g El Commercial/industrial ❑ Accessory building amps for all other inslallaiions. buildings. ❑ Multi- family ❑ Master builder ❑ Other: 0 Fire pump. ❑ Installation oty5 KVA or JOB SITE INFORbfATION, aITD LOCATION ❑ Emergency system, larger separately derived system. 0 Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "13 ", Job no.: P130034 I Job site address: 12670 SW Hall Blvd loots? or more, occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: Tigard, OR 97223 ❑ Health -are facilities. ❑ Supply voltage for more than . ❑ Hazardous locations. 600 volts nominal. Suitc/bldg. /apt. no.: A I Project name: Canteen Vending ❑ Service or feeder 600 amps or more. - FEE SCHEDULE • Cross street/directions to job site: Drrrdprtan I otr. I Fee. T Tool I • New residential single- or multi- family dwelling unit, Includes attached garage. Subdivision: I Lot no.: 1,000 sq. 0 . orless 168.54 4 Ea. add'I 500 sq, ft, or portion 33.92 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION •OF WORK (with above sq. ft) 75.00 2 Limited energy. multi- family 75.00 2 Installation of intrusion, access control and cameras for security residential (with above sq. lt.) Services or feeders itstallation,,altcralion, and/or relocation 200 amps or less 100.70 2 ❑ PROPERTY ,OWNER . I • : • ❑ TENAN'1' •', 201 amps to 400 amps 13156 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 _ 532.26 2 Temporary services or feeders installation, alteration, and /or City /State/ZIP: relocation _ Phone: ( ) I Fax" ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on properly that I own which is not 401 amps l0 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits— new, alteration, or extension, per panel Owner signature: Date: , A. Pee for branch circuits with above service or feeder fee. ❑ APPLICANT ::� ; ' : ❑ .CONTACT PERSON . each branch circuit 7.42 2 Business name: B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: branch circuit • - Erich add'] branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) - Each manufactured or modular City/State /ZIP: dwelling, service and/or feeder 61.84 2 Phone: ( ) I Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E -mail: Signor outline lighting 67.84 2 • ' • • :' :.. =._., CONrRAtTOR _ . , r . . Signal eircuil(s)orlimited-energy Business name: Sonitrol Pacific panel, alteration, or extension. I page 2 75.00 2 -- Each additional Inspection over allowable lit any of the above Address: 8220 N Interstate Ave Additional inspection (1 hr min) 66.25/ hr Investigation (1 hr min) 66.25/ hr City/ State /ZIP: Portland, OR 97217 lndustril plant (1 hr min) 78.18/hr Phone: (503) 223-5822 I Fax: (503) 973 4773 Inspections for which no fee is 90.00/hr specifically listed (h hr min) CCD Lie.: 53535 I Electrical Lic.: 26370CLE I Suprv. Lic.: 3567LEA ELECTRICAL PERMIT. /)v Subtotal: 75.00 Suprv. Electrician signature, required:, 1„ -Z" , "`" Plan review (25% of perntit fee): Print name: Gordon Ducctte 3/15/13 State surcharge (12% of permit fee): 9.00 TOTAL PERMIT FEE: 84.00 Authorized signature: This permit application expires ifa permit is not obtained within 180 days after it has been accepted as complete. Print name: Ann C Moore Date: 3/15/13 • Number of inspections nilowed per permit. t:wuadingWannirs\FLGnem,it App. d 07/01/10 140- 1615rp1 ros/COM/WEB Mar, 15. 2013 9:37AM Sound Security Inc. No. 3240 P. 2 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* ❑ cleating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* El 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 El Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation El Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Li ❑ Protective Signaling ® Other Security Total number of commercial systems: 1 *No licenses are required. Licenses are required for all other installations T: BuIIdInsU erMil 5LC- PermilApp.dac 07/01/10