Permit " CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
111 COMMUNITY DEVELOPMENT Permit #: ELR2013 -00164
TIGARD 13125 SW Hall Blvd.. Tigard OR 97223 503.718.2439 Date Issued: 07/10/2013
Parcel: 2S 101 AD03200
Jurisdiction: Tigard
Site address: 12909 SW 68TH PKWY 120
Project: Meridian Group Subdivision: WEST PORTLAND HEIGHTS Lot: 9 -25, PT
Project Description: Low voltage for intrusion alarm in Room 100 /Reception.
Contractor: SONITROL PACIFIC Owner: PACIFIC REALTY ASSOCIATES
8220 N INTERSTATE AVE ATTN: N PIVEN
PORTLAND, OR 97217 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 223 -5822 PHONE: 503 - 624 -6300
FAX: 503 - 973 -7773
FEES
Description Date Amount
Specifics: , Restricted Energy Permit 07/10/2013 $75.00
12% State Surcharge - Electrical 07/10/2013 $9.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio & Stereo: 0 Boiler Controls: 0
CCTV: 0 Clock Systems: 0
Data & Telecommunications: 0 Fire Alarm: 0
HVAC: 0 Instrumentation: 0
Intercom/Paging: 0 Landscape /Irrigation: 0
Landscape Lighting: 0 Medical: 0
Nurse Calls: 0 Protective Signal: 1
Security Alarm: 0 Other: 0 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 th OA 2- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling I.. .1987 or 1.800.332.2 44.
Issued By: - ,l7GG� Permittee Signet
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.
Jul. 8. 2013 9:15AM Sound Security Inc. No.3846 P. 2
E le
•
ctrical Permit Application I /c3 OFFICE USE ()NIX Ci Tigard Ti and RECEIVE R ceivrd .. 2 n �1 ? y
8 eeie/13 7 /0 /3 Permit 'No.: Ei £ f5`—ocv
i ° 13125 SW Holt Blvd., Tigard, OR 97223 JUL O 2 3 plan]tcriea
Phone: 503.718.2439 Fax: 503.598.1960 1) at ug y _ OiherPermii:
.1.1c; Inspection Line: 503.639,4175 DateRcadyBy: lyric ei See Page 2for
. Internet: www.tigard- or.gov p� CITYOFTIC�►R�! Notified/Method: Supplemental Information
TYPE OF WON PLAN REVIEW
❑ New construction ® Addition /alteration/replacement Please check all that apply (submit 2 acts of plans w /itoms checked below):
0 Service or feeder 400 amps or morn 0 B over three 0105100.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF 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 E Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 150 KVA or
JOB SITE INFORMATION. AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition ofircw motor load of 0 "A ", "E• ", "1.2 ". "1-5 ".
Job no.: P130093 I Job site address: 12909 SW 68 Parkway 100HP or more. occupancy,
❑ Six or more residential units. CI Recreational vehicle parks.
City /State /ZIP: Tigard, OR 97223 ❑ Healthcare facilities. ❑ Supply voltage for more than
❑ 1lazardous locations, 600 volts rulmina),
_Suite/bldg./apt. no. :JA9 "(: I Project name: lfei1cIian Group ❑ Service or feeder 600 amps ormore,
TEE SCHEDULE
Cross street/directions to job site:
Description I Ow. I F. I Tout I
New residential single- or multi - faintly dwelling unit,
Includes Attached garage.
Subdivision: Lot no.: 1.000 sq. fl. or less I 168.54 1 4
Tax map/parcel no Ea. add'I 500 sq. R. or portion 33.92 1
Limited energy. residential 75 00 2
DESCRIPTION OF WORK . sq. (with above sq ft.)
Limited energy, multi- family 75.00 2
Installing intrusion security to the first floor Lam- Ra0".4 /QD� residential (wish above sq. ft)
Renewable Etter: 0 See Page 2
/ Services or feeders installalionolteralion , and/or relocation
-
❑ PROPERTY OWNER . I • ❑ TF,MNT : 200 amps or less 100.70 2
Name:
201 amps to 400 amps 133.56 2
- 401 amps to 600 amps 200.34 2
Address:
601 amps In 1,000 amps 301.04 2
City /State /ZIP: Over 1,000 amps or volts 552.26 , 2
_ Temporary services or feeders installation, alteration, and/or
Phone: ( ) 1 Fax: ( ) relocation
200 amps or less 59.36 I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.01 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
❑ APPLICANT I ❑ CONTACT' A. Fee for branch circuits with
above service or feeder fee,
Business name: each branch circuit 7.42 2
A. Fee for branch circuits without
Contact name: service or feeder fee, first 56,18 2
branch circuit
Address: R Each add"' branch circuit 7.42 2
' /State /ZIP; r Miscellaneous (service or feeder not included)
Each manufactured or modular 67.84 2
Phone; ( ) Fax; ; ( ) dwelling, service and/or feeder
E -mail; Reconnect only 67.84 2
Pump or irrigation circle . 67.84 2
CONTRACTOR' Sign or outline lighting 67.84 2
WEI
° siness name: Sonitrol Pacific Signal circ►til(s) or limited - energy 1 See 75
panel, auetati or imite sin. Page 2
Address: 8220 N Interstate Avenue Each additional Inspection over allowable in a ny of the above
City /Stale /LIP: Portland, OR 97217 Additional inspection (1 ltr min) 66.25/llr
Investigation (1 hr min) 6625/ hr
_ Phone: (503) 223 -5822 I Fax: (503) 973 -7773 _ industrial plant (1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lie.: 53535 Electrical Lie.: 26.370CL Suprv. Lie.: 3567LEA specifically listed (551ir main) 90.00/ hr
Suprv. Electrician signature, required , ELECTRICAL PERMIT FEES
�,.�1.i1. . .� ' /�r • Subtotal: 75.00
Print name: Gordon Ducette Date: 07/08/13 Plan review (25% of permit fcc): {
State surcharge (12% of permit fee); 9.00
Authorized signature: TOTAL PERMIT FEE: 84.00
Print name: Ann C Moore Dare: 07/08/13
This p ermit applleatlon expires if a permit is not obtained Itithin 180
days ohm- II has been accepted as complete.
• Number of inspections allowed per permit.
i :13uiiding\Permi∎ELC_PernitApp Er.R Pal.doo get' 05/21/2013 440.4615T(11/QS /COMIWEB
Jul. 8. 2013 9:15AM Sound Security Inc. No.3846 P. 3
Electrical Permit Application — City of Tigard
Page 2 — Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
f RESIDENT IALWORK ONLY: — - -- FEE SCHEDULE
Fee for all residential systems combined ... $75.00 De=rdptka I gar - l S'ee I - rout I • •
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 7 100.70 2
5,01 to IS kva 133.56 2
❑ Audio and Stereo Systems*
15.01 to 25 kva 200.34 2
❑ Burglar Alarm _ Wind generation systems in excess of 25 kva:
25.01 10 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva (fee in accordance with
CI Heating, Ventilation and Air Conditioning
OAR 918- 309-0040) 552 26 2
System* Solar generation systems In excess of 25 kva:
Each additionnl k-va over25 7.42 3
❑ Vacuum Systems* >100 kva— no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑
Other: Each additional inspection is 66.25/ hr 1
charged at an hourly (1 hr min)
Inspections for which no fee is
s�xci fical� listed ('r4 hr min) 90.00/ br
COMMEYtCIAL•WORIK ONLY • ELECTRICAL(. PERMIT FEES
Fee for each commercial system $75.00 Subtotal: _
(SEE OAR 91009 -0000) Plan review, if required (25% of pennit fee);
Slate surcharge (12% of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
❑ 'Ibis permit opplltalion aspires if a permit is not obtained within I80
Audio and Stereo Systems dada after It has been accepted es complele.
• Number of inspections allowed per permit.
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
❑ Medical
Nurse Calls
❑ Outdoor Landscape Lighting* •
•
® Protective Signaling
❑ Other
Total number of commercial systems: I
*No licenses are required. Licenses are required
for all other installations
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