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Permit u CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT Permit #: ELR2013 -00177 T f G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/24/2013 Parcel: 2S112AA00600 Jurisdiction: Tigard Site address: 6713 SW BONITA RD 200 Project: Central Distribution Subdivision: MILLMONT PARK Lot: 49 Project Description: Low voltage for security system Contractor: E C COMPANY Owner: WALTON CWOR NELSON 13 LLC PO BOX 10286 BY CTMT - WALTON RE TAX PORTLAND, OR 97296 4678 WORLD PARKWAY CIR ST LOUIS, MO 63134 PHONE: 503 - 224 -3511 PHONE: FAX: 503 - 295 -3012 FEES Description Date Amount Specifics: Restricted Energy Permit 07/24/2013 $75.00 12% State Surcharge - Electrical 07/24/2013 $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: 0 Security Alarm: 1 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 ac • - - 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. ATT. TION: Oregon aw re•uires you to follow the rules adopted by the Oregon Utili enter. Those rules are set forth in OAR 952-001-0110 th •ugh OAR 952 -o s -00•1. • u may obtain a copy of the rules or direct questions to OUN or 1.800.332.2 44. Issue • By: 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. Jul. 23. 2013 7:29AM No.2990 P. 1 Electrical Permit Applica 1 l Ell/ED rtlii Orrlrl; I sr: ()NIA' City of Tigard Mil . 23 2013 Received . 7 Y, 63..k7 PermitNo.: jL./e. / -GOI77 11 n 13125 SW Hall Blvd.. Tigard, OR 97223 Plan Review R . Phone: 503.639.4171 Fax tfi9� {l 9r.I� A D Dare/13 : Other Permit 6 ,,, 5 —ODO N. T I C: C R D I Line: 503.639.4 i I �.Jf 11 M l! D°tt Ready /Oy; f See Page 2 for Internet: www.ngard - or. iIJJLDJNG DIVI Norintdndethod: Supplelnenial Information ::—._ ,�.(,�r :7, .'.:.. u d,•:•.1U5.`7�Sf -��??_ _:___ 1'"...::i� /Si1:9)� ^. .. "' _ r_= _ f'`�":. w Sz:, ❑ New construction ) Addition/alteration/replacement Please check all that apply (submit a sets of plans w/items checked below): O Service or feeder 400 amps or more O Building over three stories. ❑ Demolition ❑ Other: where the available fault current l7 Marinas and boatyards. ° '• •F i -•' -r — "' `.. , ._._:.. - • ,• - -"� ' >, exceeds 10,000 am s °i 150 volts ar ❑ Ft°adn bwldtn s. . ii.. -ter: ia:ro ... I -end 2 -famil dwelli less to ground, Or exceeds IJ,000 ❑ COmmereial•nse agricultural El y ng I commercial/industrial ❑ Accessory building amps for all other insrallations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑Fin: pump. ❑ Installation of 75 K'VA or ar.._: _r v ;.: - -.. . - 5 •, —. -� -----, _- _ ['Emergency system. larger separately derived system. • E i Qgr o .: . . ! oL 6 . : Tri .- ___ ❑ Additionofnewmotorloadof • ❑ , . u loner ormore. lobno.: 75010 Job site address: 6713 Bonita Rd. -f 0 no IJ Six or m ore rasiden0al awn. ❑ Rtcreuheation al vehicle parks. City /State/ZIP: Tigard OR 97224 ❑Health -care facilities. ❑Supplyvoltageformorethan ❑Plata Maus locations. 600 volts nominal. Suite/bldg.apt. no., 0/ ) I Projeet P CC--$1 b - _❑ Sctviceoe feeder 600ampsormore. Cross slreet/directions to job site: CENTe L Ti , r/2, S 44.77 o , — � - -. — ,- p n , ti:r _ rIption I Qtr. I Pen . I Toml I New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq. A. or leas 168.54 4 — Tax map/parcel no.: imit d e er sq sident n 33.92 1 .7 — � > a6 _ — .ta31 By. 75.00 2 -` — _ �� 1��G�� -- — - - - - -�— L (with above s . lI aJ � 0 x ` ` -` Limited energy, multifamily Install Security System residential (withabovesq.fit 75.00 2 Services or feeders Installatlonolteratlon, and /or relocation 200 amps or less 100.70 2 _— _ — A rp 01E ; . -d ;' s T,_= -= R g — _ 4- 201 amps Io 400 amps 133.56 2 — — 401 amps to 600 amps 200.34 2 Name: 601 amps in 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Temporary services or feeders Instalhtllon, alteration, and/o City/State/ZIP: relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not - -- intended for sale, lease. rent, or exchange, according to ORS 4 47, 449, 670, and 701. 401 amps l0 599 amps 168.54 2 Branch circuits — new, alteration, or extension, er panel Owner Signature: Date; A. Fee for branch circuits with =� rp t .? - v _ "� rebore service or feeder fee, 7.42 2 — t - _ •^ — I �' �- '�`-�' —` �'�'— = s each branch circuit Business name: EC Comp any B. Pee far branch circuits without service or feeder fee, rtrsi 56.18 2 Contact name: Kathy Kelley branch circuit • Each add'I branch circuit 7.42 2 Address: PO 13ox 102 8 6 Mllseellaneous (service or feeder not Included) Each City /State/ZIP: Portland OR 97296 dweIi g,servicecdormfeder 6784 2 r dwelling. service endlor feeder Phone :(503) 224 -3511 I Fax::(503) 295 -3012 Reconneclonly 67.84 2 — Pump or irrigation circle 67.84 2 E - mail: ka thyk@e e - c - co . com Sign or outline lighting 67.84 2 =— ._ . ..... 4 . ° =. % s.i3wGFTr Signal circuits) or limited- energy 7 5 . 0 O Business name: EC Company Panel, alteration orerlension. Pane 2 2 Each addllional inspection over allowable In any of the above Address: PO Box 10 2 8 6 Additional inspection (] hr min) 66.25/ hr Investigation (I hr min) 66.25/ hr City/State/LIP: Portland, OR 97296 Indastrielplant(lhrmin) 7s.ls/ Phone :(503) 224 -3511 I Fax: (503) 295 -3012 • Inspectionsforwhichdofeeis specif cally listed (.5 hr min 90.00/ hr CCBLic.: 49 737 O i LPlectrica ' .. 6- 1 Suprv. :2 1y — _ — rPr r rnr..R m_Rf -<« x : / Subtotal: 7 5 00 �•^ Suprv. Electrician signature, required; ! plan review (25% of permit fee): _ . Vw Print name: Ron Coffman I Date: 7 / 18 /2 013 State surcharge (12%of permit fee): 9 . 0 0 TOTAL PERMIT FEE: 8 4 . 0 0 AudlOrized signature: This permit application aspires ira permit is not obtained within 1110 days after It has been acceplcd as complete. Print name: Anna Ide t t Date: 7 / 18 / 2 013 t • Numberofinspeclions LlAtrildlnePeominELC•PmtulApp.doc 07/01 /10 440•I61ST(I1/05 /COM /WEB Jul. 23. 2013 7:29AM No. 2990 P. 2 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: rl[tt .0. reaStL. ter;::: = M= .FA Pee 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: t, ? Fee for each commercial $75.00 system (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 Total number of commercial systems: _ *No licenses ate required. Licenses axe required for all other installations Dmldin&Pei sEELC.PenmtAOp,doc 07.01/10