Permit ► I i
1
'�� ELECTRICAL RESTRICTED ENERGY PERMIT
CITY OF TIGAR
1111 0 .;. r ' . COMMUNITY DEVELOPMENT Permit #: ELR2013 -00114
Date Issued: 05/23/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S1136A00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 350
Project: Logs Network Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: Access control system. 6/24/2013: REPRINTED to correct suite address.
Contractor: GLOBAL SECURITY & COMMUNICATION Owner: PORTLAND SW CENTER LLC
3212 MAIN ST BY FELTON PROPERTIES INC
VANCOUVER, WA 98663 ATTN: FELTON, MATT
520 SW 6TH AVE, STE 610
PORTLAND, OR 97204
PHONE: 360- 693 -1900 PHONE:
FAX: 360 - 906 -9692
FEES
Description Date Amount
Specifics: Restricted Energy Permit 05/23/2013 $75.00
12% State Surcharge - Electrical 05/23/2013 $9.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio & Stereo: Boiler Controls:
CCTV: Clock Systems:
Data & Telecommunications: Fire Alarm:
HVAC: Instrumentation:
Intercom /Paging: Landscape /Irrigation:
Landscape Lighting: Medical:
Nurse Calls: Protective Signal:
Security Alarm: Other: Y Total $84.00 j
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: Permittee Signature: 1.4/ /. '2 _ / e '¢ 77D " .
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.
rt CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
C • - COMMUNITY DEVELOPMENT Permit #: ELR2013 -00114
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/23/2013
Parcel: 2S113BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 300
Project: Logs Network Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: Access control system.
Contractor: GLOBAL SECURITY & COMMUNICATION Owner: PORTLAND SW CENTER LLC
3212 MAIN ST BY FELTON PROPERTIES INC
VANCOUVER, WA 98663 ATTN: FELTON, MATT
520 SW 6TH AVE, STE 610
PORTLAND, OR 97204
PHONE: 360- 693 -1900 PHONE:
FAX: 360 - 906 -9692
FEES
Description Date Amount
Specifics: Restricted Energy Permit 05/23/2013 $75.00
12% State Surcharge - Electrical 05/23/2013 $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: 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 52- 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: Permittee Signature: 10/ mo/04iee9-7704 /
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. 22. 2013 1:27PM � No. 8714 P. 1
Electrical Permit ApplicatioiRELEIVED FOR ()HACK (ISt: ONLY
City of Tigard aY , n a%a .5 3 ,177 Penni,N �/3 � //y
i • 13125 SW hall Blvd., Tigard, OR 9722 2 2 2013 Plan Revie v OtherPem» f(�,�� O �'
I N I Ph one; 503,718,2439 Fax: 503, 598,1960 Date/By. 3" Q/
TIGARD
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: kris: B See Page 2 for
Internet: www.tigard or.gov UILDING DIVISION N°ufied/Method. /�� I Supplemental Information
.. , .. TWE •OF',:W ;; .i l:i s ;::::. P .AN REV ':, - =
❑ New construction ® Addition /alteration/replaCement Please oheok all that apply (submit a seta of plans w /items checked below):
['Service or feeder 400 amps or more ❑ Building over three stories.
12 Demolition ❑ Other:
where the available fault current 0 Marinas and boatyards,
% =` :-' r"-%-i- CATEGORY. OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
'y; less to oun, or exceeds , •
❑ 1 and 2 - family dwelling ® Commercial /industrial Accessory building e` d d 14.000 d Commercial agricultural
❑ r3' g amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. p Installation of 75 KVA or
�� = ID E ergeney system. larger separately derived system.
..., ... ... .: S:. _ca �: ^ , ' i; � ❑Addition of new motor load of 0"N'. "E "1-2", "1.3•
Job no.: 4114 Job site address: 7632 SW Durham Road 1001i? or more. occupancy.
lD Six or more residential units. ❑ Recreational vehicle parks.
•
City/State/ZIP; Tigard Or 7224 ❑ Health -care facilities, ❑ Supply voltage for more than
^ ❑ Hazardous locations. 6 volts nominal.
// Suite/bldgJapt no.: ' c) 0 t/ Project name: Logs Network ❑Service or feeder 600 amps or more.
'' S''';i ,FEE-;SCREDULE . .., :
Cross street/directions to job site: bescrtorion I Qty, I Fee. I To wn I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 _ 4
Tax map /parcel no„
Ea. add'l 500 sq. ft. or portion 33.92 1
Limited energy, residential 2
; ,•.,, . 75.00
. - ;:: .. `DESCREPTION DF :W.QR1f ` „ ,c, `r, •_ ,, :`• , : ,... ; ; (with above sq. ft.)
^L' r ::. , , . - . . Limited energy. multi - family
Access Control System residential (with above sq. ft.) 75,00 2
Renewable Energy;•. •.. ❑ See Page 2 '
Services or feeders installation, alteration, and /or relocation
OWNER - 0 PROPPROPERTY . ::'` ' 200 amps or less . _ .. 100.70 2
❑ TENANT ..,
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 1,000 amps or volt • 552,26 2
City /State /ZIP: Temporary services or feeders installation, alteration, and/or
Phone: (• ) Fax: ( ) relocation
200 amps or less 59.36 1
Owner installation: This installation is being made on property that X own which is not 201 amps to 400 amps I25.08 2 -
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168s4 2
Owner signature: Date: _ Branch circuits — new, alteration, or extension, per panel
%� I1CAT' T' ;f ``: •, v `V.11'., f _ '• �:� A Cf PERS4UT A. Fee for branch circuits with
r: -.. . , . ..,,., ..: - above service orfecderfee,
Business name: Global Security each branch circuit 7.42 2
B. Fee for branch circuits without
Contact name: Jeff Isaak service or feeder fee, first 56.18 2
branch circuit
Address: 3212 Main St Each add'/ branch circuit 7.42 2
City /State /ZIP: Vancouver Wa 98663 Miscellaneous (service or feeder not included)
Each manufhctured or modular 67.84 2
Phone: (360) 693 - 1900 • Fax: : (360 - 9) dwelling service and/or feeder
Reconnect only 67.84 2
E -mail: jeffi @global4sec Pump or irrigation circle 67.84 2
c;CQ2�"1�,� Og Sign outline lighting 67.84 2
. ..��'� ": ii.` ... - - .,,: .. ,- , .,`.'tom ... �r... .. • .-� i�� Sl n0Y0
Business name: Global Security Signal Circuit(s) or limited energy 1 75.00
panel, alteration, or extension. Page 2 2
Address: 3212 Main St Each additional inspection over allowable in any of the above •
Additional inspection (1 hr min) 66.25/ hr
City /State /ZIP: Vancouver wa 98663 Investigation (1 hr min) 6625 / hr
Phone: (360) 693 - 900 Fax: (360) 906 - 9692 / Industrial plant (1 hr min) 78.18/ lir
Inspections for which no fee is
y CCB Lie.: 69705 ✓ / Y V Electrical Lic,: 26 - 711CL Suprv. Lic.: 3635LEA s. cifitnu listed (5 hr min 90.00/ hr
;..,
Suprv. Electrician signature, required: ,..v =` " "? FEES
Subtotal: 75.00
Print name: Kirk Tipp Date: 3 Z r/ 3 Plan review (25% of permit fee):
State surcharge (12% of permit fee); '0'.00
Authorized signature: i �� TOTAL PERMIT FEE: 84.00'
This permit application expires if a permit is not Dined within 19
Print name: Jeff Isaak hate: 5/20/2013 • days after it has been accepted as c ptete
' Number of inspections allowed per permit.
t:1Building\Permits1ELC PumitApp 040913.doc 440 15I5T(11 /05 /COM/VPB
May. 22. 2013 1:27PM No. 8714 P. 2
for all other installations
Electrical Permit Application — City of Tigard
Page 2 — Supplemental Information
Limited Energy Permit Fees:
`RESIDENTIAL ,RYOItI�'�NLYs - ; . _. _. .
Fee for all residential systems combined .. 575.00
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 system 575.00
(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
® Other Access Control
Total number of commercial systems: I
*No licenses are required. Licenses are required
I: \BuildingTemiits\ELC_PermitApp_040913.doc