Permit •
CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
�F'!! F' COMMUNITY DEVELOPMENT Permit #: ELR2013 -00109
T [G'ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/20/2013
. Parcel: 2S 101 DC04603
Jurisdiction: Tigard
Site address: 7405 SW TECH CENTER DR 100
Project: HR Specialties Subdivision: TECH CENTER BUSINESS PARK Lot: 2
Project Description: Low voltage for data
Contractor: CHRISTENSON ELECTRIC INC Owner: WPC TIGARD LLC
111 SW COLUMBIA ST, STE 480 307 LEWERS ST 6TH FL
PORTLAND, OR 97201 HONOLULU, HI 96815
PHONE: 503 - 419 -3300 PHONE:
FAX: 503 - 419 -3695
FEES
Description Date Amount
Specifics: Restricted Energy Permit 05/20/2013 $75.00
12% State Surcharge - Electrical 05/20/2013 $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: y 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: 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 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 •87 or 1.800.332.2344.
Issued Permittee Signature:
•
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 -16 -2013 THU 10:53 AM CHRISTENSON ELECTRIC, INC FAX NO, 95034193695 P. 01
Electrical Permit Application RECEIVE 1 FOR OFFICE USE ONLY /� q
Receive) Permit No.: za.a0, -ea -t' /
City of Tigard MAY 16 2013
Received 5 /49 i 3 �
1 a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit:
11. • Phone: 503.718.2439 Fax: 503.598.1960 Datr/By
Inspection Line: 503.639.4175 CITY OFTIGARD Date Ready/Bp nark: IEI See Page 2 far
TI G A Ii D Internet: www.tigard- or.gov BUILDING DIVISIONN0tified/Method Supplemcnhrl Information
. TYP - , ..
OIt WORK
, ..' � ,, PLAN RF.VIEV1! k ' : �,? : '
Please check all that apply (submit 3 sets of plans whims checked below):
0 New construction ® Addition /alteration/rcplacement 0 Service or feeder 40u sips or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current 0 Marinas and boatyards.
exceeds
oq amps at 150 volts or ❑Flouting buildings,
CATEGORII. QF CONyTRUCTiON less to ground. or exceeds 14,000 ❑ Commercial-Ise agricultural
❑ 1 and 2 family dwelling ® Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
The p ump . ❑ Installation of 75 KVA or
❑ Multi 0 Master builder ❑Other: larger se amts/ derived s stem.
❑ Emergency system. S P Y Y
`' JO13: SITE:, INFORMATION.AND LOCATION , .. .. 0 Addition ornaw motor lond ❑ "A ", "E ", "1-2", "1.3"
10011P or more. occupancy.
Job no.; 63155 Job site address: 7405 SW TECH CENTER DRIVE 0 Six or more residential units. ❑ Recreational vehicle pouts.
Q Healthcare facilities, 0 Supply voltage for more than
Ciry /State /2TP: TIGARD, OR 97223 0 Hazardous locations, 600 volt nominal
Suite/bldg. /apt. no.: Project name: HUMAN RESOURCES 0 Service or feeder 600 amps or more.
. : - FEE .SCITEDULE . '
Cross street/directions to job site: CHARLIE 503 -419 -3353 _ Dtiel4FNan i Qry. I Fm I Total
New residential single- or multi - family dwelling unit.
Includes attached garage.
Lot no.: 1,000 sq. (I. or lass 16854 4
Subdivision: Lot ndd'l 500 sq. ft. or poitinn . 33,92 1
Tax map /parcel no.: _ Limited energy, residential 75.00 2
' • 'DESCRIPTION OF .WORK; ; (with above sq. 0)
1 invited energy, multi family 75.00 2
CAT 6 LOW VOLTAGE CABLING residential (with above sq. R.)
Renewable Ener_ p See Page 2
s_
Services or feeders Installation, alteration, and /or relocation PROPERTY OWNER:'.' J - ❑ •
TENANT:- 200 amp or less 100.70 2
.. 0 — 201 maps to 400 amps 133.56
Name: 401 amps to 600 amps 200.34 2
Address: 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 M=12
City/State/ZIP: Temporary services or feeders Installation, alteration, and /or
relocation
Phone: ( ) ( ) 200 amps or less 59.36 1
Owner installation: This installation is being made. on property that 1 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 161154 2
Owner signature: _ Date: Branch circuits- new, alteration, or extension, per panel
C ONTACT, A. Fee for brunch circuits with
❑ APPLICANT :.. J ❑ PERSON above service or feeder fee,
7.42 2
each bnmch circuit
Business name; CHRISTI;NSUN ELI CCRIC 13. Fee far branch circuits without
Contact name: SUZi FLOWERS --- service or feeder fee, first 56.18 2
branch circuit ,_-
Address: Each add'I branch circuit - 7,42 2
Miscellaneous (service or feeder not Included)
City /State /ZIP: Each manufactured or modular 67.84 2
503 419 - 3695 dwelling. service and/or feeder
Phone: (503) 419-3354 Pax:: ( ) Reconnect only 67.84 2
E -mail: suii,flowersechrlstenson.com Pump or irrigation circle 67.84 2
CONTRACTOR • • Sign or outline lighting • 67.84 2
Signal circuit(s) or limited- energy 1
Business name: CHRISTEN SON ELECTR _panel, alteration, or extension. Pape 2 2
Address: 111 SW COLUMBIA, SUITE 480 Each additional inspection over allowable in any of the ahoy
Additional inspection (1 hr min) 66.25 / hr
City /State /ZIP: PORTLAND, OR 9720] - . , Investigation (1 hr min) 66.25/ hr
Phone: (503) 419 - 3354 F . : ( .3) 419 - 3695 - _ industrial plant (1 hr min) 78.18/ hr
Inspections for which no fee is 90.00/ hr CCB Lic 458 Electrical Lic.: 26 - 1 Sup Lie.: 52155 s. ecificall listed 'f, hr min)
rr - ELECTRICAL PERMIT IMES
Suprv. Electrician signature, required: Subtotal: 75.00
Date: 5/] 6/] 3 Plan review (25% of permit fee):
Print name: ROBERT BRUENE State surcharge (12% of permit fee): 9.00
Authorized signature: TOTAL PERMIT FEE: 84,00
This permit application expires it a permit Is not obtained within I ti)I
Print name: Date: days after it hes been accepted es cunlpletc.
Number of inspections allowed per permit,
1:\nuitdhlgWermit \ieLC 'enniulpp 04nM'13.doc 440 I /05 /L"Owwea
. '"------ ' (40 5 r /9--ce-r-----
MAY -16 - 2013 THU 10:54 AM CHRISTENSON ELECTRIC, INC FAX NO. 95034193695 P. 02
for all other installations
Electrical Permit Application — City of Tigard
Page 2 — Supplemental Information
Limited Energy Permit Fees:
RESIDENTIAL WORD 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*
❑ Other:
COMMERCIAL WORK ONLY: .
Fee for each commercial system $75.00
(SEE OAR 918 -309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
El Data Telecommunication Installation
❑ Fire Alarm Installation
• HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other _
Total number of commercial systems:
*No licenses are required. Licenses are required
Imulidins\r m mu-c_ .nApp_0409
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7405 SW TECH CENTER DR 100, TIGARD, OR,
97223
Commercial - Electricial Limited Energy
199 Electrical final
05/29/2013 00:00
ELR2013-00109
PASS - No C of O
Violation Summary:
Inspector Contractor