Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
I . COMMUNITY DEVELOPMENT Permit #: ELR2013 -00101
T E GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/08/2013
Parcel: 25101 DC04603
Jurisdiction: Tigard
Site address: 7405 SW TECH CENTER DR 100
Project: HR Specialties Subdivision: TECH CENTER BUSINESS PARK Lot: 2
Project Description: (1) low voltage for installation of intrusion security and access control devices
Contractor: SONITROL PACIFIC Owner: WPC TIGARD LLC
8220 N INTERSTATE AVE 307 LEWERS ST 6TH FL
PORTLAND, OR 97217 HONOLULU, HI 96815
PHONE: 503 - 223 -5822 PHONE:
FAX: 503 - 973 -7773
FEES
Description Date Amount
Specifics: Restricted Energy Permit 05/08/2013 $75.00
12% State Surcharge - Electrical 05/08/2013 $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: 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 obtain a copy of the rules or direct questions to OUNC by calling 503.2332 /
19 �/ r1 8 7 1.800.332.2344.
/ '4-
1 I r
Issued By: td 1_J_ Permittee Signature: ON '-T! �-/ Ct'i L l v
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. 7, 2013 3:37PM Sound Security Inc. No. 3544 P. 2
Electrical Permit App licati FOR OFFICE USE ONLY
CEIVED R eceived
City of T i g a r d 7 3 s i Pem titNo.: ve _a-Vl 3- o0I0
DDate/By: 5 � /
i' ° 13125 SW llall 13lvd., Tigard, OR 97g23 y O /11 3 Plan Review P
dO 13-
M Phone: 503.718.2439 Fax: 503.$98a4b 7 L u DateB O Permit: la y: U 60,
l' I 6 r1 It n Inspection Line: 503.639.417$ • Date Ready/By: lung 10 See page 2 for
Internet wwtv.tigard- or.gov CITY OFTIGARD Notified/Method: 1 VO I Supplemental Information
- - • • • TYPE G D, IISION _ -
❑ New construction IF,I Addition /alteration /replacement Please check all that apply (submit 2 sets ofplaes w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition D Other:
►vitere the available Paull current ❑ Marinas and boatyards.
, . . CATEGORY OP 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 El Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: 0 F pump. ❑ Installation of 75 KVA or
IU)<I' S IiCE.1NEOR)tiIAT10N AND.:1sdCAT10N,. ,' 0 Emergencysystem. larger separately derived system.
.. ❑ Addition of tea motor load of ❑ "A ", "E ", "1.2 ", "1.3 ",
fob no.: P130059 Job site address: 7405 SW Tech Center Drive 10011Pormore. occupancy.
, ❑ Six or more re units. ❑ Recreational vehicle parks.
City/Slate /ZIP: Tigard, OR 97223 ❑Health - care facilities. ❑ Supply voltage for more than
❑ Hazardous locations, 600 volts nominal.
Suite/bldg. /apt. no.: I Project name: Human Resource Specialties ❑ Service or feeder 600 amps ormore.
FEE SCHEDULE .
Cross street/directions to job site: nncrtptlon I Oro. I ra. I Tout
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'I 500 sq, ft. or portion 33,92
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OP WORK (with above sq. ft.) 75.00 2
- Limited energy, multifamily 75.00 2
Installation of intrusion security and access control devices . residential (with above sq. ft.)
Renewable Energy ❑ See Page 2
Services or feeders installation and/or relocation • -; `RROPERTY OWNER. I . • •❑ TENANT .• , 200 amps or less 100.70 2
• 201 amps to 400 amps 133.56 2
Name: 401 amps to 600 amps 200.34 2
Address: 601 amps to 1,000 amps 301.04 2
Over L000 amps or volts 552.26 2
City/State /ZIP: Temporary services or feeders Installation, alteration, and /or
Phone: ( ) Fax: ( ) ^rdoeation
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
Owner signature: Date: , Branch circuits - new, alteration, or extension, per panel
�- A. with ❑ APPLICANT . 1 . t ;;CONTACT PSItSO_ N: Fee for branch circuits above service or feeder tee,
7.42 2
Business name: each branch circuit
B. Pee for branch circuits ud►honr
Contact name: service or feeder fee, first
branch circuit 56,1S 2
Address: Each add'I branch circuit W 7.42 2
City/State /ZIP; Miscellaneous (service or feeder not Included)
Each manufactured or modular 67.84 2
Phone: ( ) Fax : ( ) dwelling service and/or feed
Reconnect only 67.84 2
-
E-mail: Pump or irrigation circle 67.84 _ 2
._ ' . CONTRACTOR ., Sign or outline lighting 67.84 - 2
Business name: Sonitrol Pacific Signal circuit(s) or limited- energy
panel, alteration, or extension. 1 Page 75 2
Address: 8220 N Interstate Avenue Each additional inspection over allowable in any of the above
Additional inspection (I hr min) 66.25/hr
City /State /ZIP: Portland, OR 97217 Investigation (1 hr min) 66.25/hr
Phone: (503) 223 -5822 f Fax: (503) 973 -7773 industrial plant (1 hr min) 78.18/hr
L Lspections for which no fee is
CCI3 Lic.: 53535 I Electrical Lie.: 26370CLE Suprv. Lie.: 35671,EA specifically listed (14 hr min) 90.00/ hr
`' :' :ELEGI'1tICAL PERI1l1T :FEES .
Suprv- Electrician signature, required: #1...t),,,... Subtotal: 75.00
Print name: Gordon Ducette Date: 5/7/13 Plan review (25% of permit fee):
--- Slate surcharge (12% of permit fee): 9.00
Authorized signature: TOTAL PERMIT FEE: 84.00
This permit application expires if a permit is not obtained wAlbta 180
Print name: Ann C Moore Date: 517/13 days otter it has been accepted as complete.
• Number of inspections allowed per permit.
r:I Building1PumllstELCJermirApp _o4o913.0oa 440-16151(11!05 /COr1/WEB
May 7.:; 2013 3:37PM Sound Security Inc, No. 3544 'P. 3 •
' for all other installations
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*
n Other:
[ COMMERCIAL.w,O ONLY: •
Fee for each commercial system $75,00
(SEE OAR 918 309 - 0000)
Check Type of Work Involved:
n Audio and Stereo Systems
❑ Boiler Controls
n Clock Systems
❑ Data Telecommunication Installation
n Fire Alarm Installation
n HVAC
n Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
Ei Protective Signaling
® Other security & Access Control
Total number of commercial systems: 1
*No licenses are required. Licenses are required
T:lBuildin Wermia\ELC PermiJApp O40913.doc