Permit I CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
�. COMMUNITY DEVELOPMENT Permit #: ELR2013 00308
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/27/2013
T [ c; A Ft. D g Parcel: 25101 DC04000
i l i a Jurisdiction: Tigard
Site address: 7500 SW TECH CENTER DR 120
Project: JFC International Subdivision: TECH CENTER BUSINESS PARK Lot: A
Project Description: Security sytem.
Contractor: TYCO INTEGRATED SECURITY LLC Owner: WALTON CWOR SOUTHWEST 12 LLC
6305 ROSEWOOD ST SUITE A BY CTMT - WALTON RE TAX
LAKE OSWEGO, OR 97035 4678 WORLD PARKWAY CIR
ST LOUIS, MO 63134
PHONE: 855 - 201 -1482 PHONE:
FAX: 503 - 675 -4412
FEES
Description Date Amount
Specifics:
Restricted Energy Permit 11/27/2013 $75.00
12% State Surcharge - Electrical 11/27/2013 $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 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 ma obtain a copy oft es or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Li �- Permittee Signature: c
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.
11111 CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
1:. COMMUNITY DEVELOPMENT Permit#: ELR2013-00308
TIGARD ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/27/2013
Parcel: 2S 101 DC04000'
Jurisdiction: Tigard
Site address: 7500 SW TECH CENTER DR 120
Project: JFC International Subdivision: TECH CENTER BUSINESS PARK Lot: A
Project Description: Security sytem.
Contractor: TYCO INTEGRATED SECURITY LLC Owner: WALTON CWOR SOUTHWEST 12 LLC
2815 SW 153RD DR BY CTMT-WALTON RE TAX
BEAVERTON, OR 97006 4678 WORLD PARKWAY CIR
ST LOUIS, MO 63134
PHONE: 503-469-7206 PHONE:
FAX: 503-469-7114
FEES
Description Date Amount
Specifics: Restricted Energy Permit 11/27/2013 $75.00
12%State Surcharge-Electrical 11/27/2013 $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 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: Perms -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.
Nov 25 2013 04:09PM Tyco Integrated Security 503-675-4412 page 2
RECEIVED
Electrical Permit Application 1 1(112 (IFFI( [1 l'SE O\1.):
City of Tigard NOV 2 5 2013 Received / .• I Permit No.: E4e, I _ 0
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598. Date/B : Other Permit:Mr- `p 1 s.c (o-7,
i l., ,lc li Inspection Line: 503.639.4175 ci tY OF TIGARD Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISIO' Notified/Method: NM Supplemental Information
TYPE OF WORK PLAN REVIEW. •
❑New construction ,NAddition/alteration/replarement Please check all that apply(submit 2 sets of plans whims checked below):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSIRUCI•1ON exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑ I-and 2-family dwelling Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family Master builder 0 Other: El Fire pump. ❑Installation of150KVAor
JOB SITE INFORMATION AND LOCATION ❑Emergency
ofn em. larger separately d1. system.
❑Addddition of new motor load of ❑"A","E',"1-2","1-3",
Job no.:83-28133-1 Job site address:7500 SW TECH CENTER DR 1001Pormore. occ upaacy.
❑Six or more residential units, ❑Recreational vehicle parks.
City/State/ZIP:TIGARD OR 97223 ❑Health-care facilities. El Supply voltage for more than❑Hazardous locations, 600 volts nominal.
Suite/bldg./apt.no.: I Project name:JFC INTERNATIONAL ❑Semee or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description 1 qty. l Fee. I Total I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 1
Tax map/parcel no.: Limited energy,residential
DESCRIPTION OF WORK (with above sq.fl.) 75.00 2
Limited energy.multi-family 75.00 2
SECURITY SYSTEM residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
❑ PROPERTY OV6'NER f ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 snips 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 volts 55226 2
City/State/ZIP: Temporary services or feeders installation,alteration,and/or
Phone:( ) I Fax:( ) relocation
200 amps or less 59.36 I 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 1 2
Owner signature: Date: Branch circuits—new,alteration,or extension,per panel
❑ APPLICANT I ® CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
7.42 2
Business name: each branch circuit
B.Fee for branch circuits without
Contact name:TERRY KAWAHARA service or feeder fee,first 56.18 2
branch circuit
Address: Each add'I branch circuit 7.42 2
Ci /StatelZlP: Miscellaneous(service or feeder not included)
ty Each manufactured or modular
dvtelling service and/or feeder
67.84 2
Phone:(503)894-2640 I Fax: :( )
Reconnect only 67.84 2
E-mail: Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name:TYCO INTEGRATED SECURITY Signal circuit(s)or limited-energy I See 75.00
panel.alteration.or extension. Page 2 2
Address:6305 ROSEWOOD ST SUITE A Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
City/State/ZIP:LAKE OSWEGO OR 97035 Investigation(1 hr min) 66.25/hr
Phone:(855)201-1482 I Fax:(503)675-4412 .Industrial plant(1 hr min) 78.18/hr
// Inspections for which no fee is 90.00/hr
CCB Lie.: 197010 Electrical Lic.: CLE322 ✓ Suprv.Lic.: 1199LEA v specifically listed(Sc hr min)
' ELECTRICAL PERMIT FEES.
Suprv.Electrician signature,r: �• /.4 /. Subtotal 75.00
Print name: LELAND SLAUGHTER Date:
Plan review(25%of permit fee)
��� �S��3 - State surcharge(12%of permit fee): 9.00
Authorized signature: TOTAL PERMIT FEE: 84.00 V
- This permitapplication expires if a permit is not obtained within 180
Print name: Date: • days after it has been accepted as complete.
` Number of inspections allowed per permit.
1:lBuilding\PermitsIELC_PermitApp EIR_ERE doc Rev 05/2112013 440-46157(11/05/C OM/WEB
Nov 25 2013 04:09PM Tyco Integrated Security 503-675-4412 page 3
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK-ONLY:. . sG
Fee for all residential systems combined $75.00 Deetription I (2q. I Fee I Total I
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 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 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance with 552.26 2
❑ Heating,Ventilation and Air Conditioning OAR 918-309-0040) _
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 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
charged at an hourly('hr min)
Inspections for which no fee is 90,00/hr
specifically listed(%,hr min)
COMMERCIAL:WORK ONLY:. . . . . • •_: .E>ECrmCAL, FEES.,: . .
Fee for each commercial system $75.00
Subtotal: 75.00
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
State surcharge(12%of permit fee): 9.00
Check Type of Work Involved: TOTAL PERMIT FEE: 84.00
This permit application expires if a permit is not obtained within 180
❑ Audio and Stereo Systems days after it has been accepted as complete.
Number of iospoctions allowed per permit.
❑ 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 SECURITY SYSTEM
Total number of commercial systems: _
*No licenses are required. Licenses are required
for all other installations
I:1 Buildin 81Permas\ELC_PamitApp_ELR_ERE doc Rev 05121/2013
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7500 SW TECH CENTER DR 120, TIGARD, OR,
97223
Commercial - Electricial Limited Energy
135 Low voltage
2013-12-10 00:00:00
ELR2013-00308
PASS
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7500 SW TECH CENTER DR 120, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Electricial Limited Energy ELR2013-00308
Inspection Type: Inspector:
198 Low voltage final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
r
Inspector Contractor