Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
a COMMUNITY DEVELOPMENT Permit#: ELR2013-00239
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/30/2013
Parcel: 2S 101 AD00800
Jurisdiction: Tigard
Site address: 12550 SW 68TH AVE
Project: Heintzberger/Payne Subdivision: WEST PORTLAND HEIGHTS Lot: 26
Project Description: Installation of low voltage for access system.
Contractor: PROTECTION ONE ALARM MONITORING Owner: BHKZ LLC
15500 SW 72ND AVE 12600 SW 68TH PKWY
PORTLAND, OR 97224 PORTLAND,OR 97223
PHONE: 503-624-0244 PHONE: 503-546-4151
FAX:
FEES
Description Date Amount
Specifics: Restricted Energy Permit 09/30/2013 $75.00
12%State Surcharge-Electrical 09/30/2013 $9.00
Type of Use:
Class of Work:
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: 0 Other: 1 Total $84.00
Other Desc: Required Items and Reports(Conditions)
This permit is ' • • • the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done '• accordance with app• ed 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. • TENTION: Oregon law r-.uir- ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-'4 1-0010 through OAR 952-001-01:r. You ma • I tain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
I--ued By: k "g ,447[/(4£ 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.
•
Electrical Permit Application FOR OFFICE USE ONLY
Received , Permit No.:
III City of Tigard Date : �,` �� 6C212 A)/3—(20,,23y
" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /� .�Aq�/��,8
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit:�o��
Inspection Line: 503.639.4175 Date Ready/By: kris: HI See Page 2 for
T I G A R D Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
•
El
construction Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items 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 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 Z 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.A
❑Addition of new motor load of ❑"A","E","I-2","I-3", .
Job no.:/j(3i ii L Job site address: /2 ,s--5,0 S p �` Q Six or or more residential R occupancy.Recreational J � 6 D '�]!J� ❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: 4 y ❑Health-care facilities. ❑supply voltage for more than
f o/t�� Nr( /7 2 Z3 ❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: Project name: -�► ❑Service or feeder 600 amps or more.
//e e/;,4e4,r� /24.rnc 1r C o FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I 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 75.00 2
DESCRIPTION OF WORK (with above sq.ft.)
ALI G C e.SS s lr/�l•-• Limited energy,multi-family 75.00 2
Si residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
❑ PROPERTY OWNER TENANT 200 amps or less 100.70 2
t / {� 6 201 amps to 400 amps' 133.56 2
Name:�/7/e4 (2E�e27 fit / 3 y�e 6 C O /pc, 401 amps to 600 amps 200.34 2
Address:/L c S— S',..., - Ai 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: / m/2T7'/'q.v . .( 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 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 2
Owner signature: Date: Branch circuits—new,alteration,or extension,per panel
❑ APPLICANT ❑ 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: service or feeder fee,first
branch circuit 56.18 2
Address: Each add'I branch circuit 7.42 2
City/State/ZIP: Miscellaneous(service or feeder not included)
Each manufactured or modular
67.84 2
Phone:( ) Fax: :( ) dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail: Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name: /� 7 ,�.� OA.)
Signal circuit(s)or limited-energy See �^fP
(J /� c i°K y- panel,alteration,or extension. j Page 2 /� 2
Address: f 35— 2 S/ c.n r /0/ Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
City/State/ZIP: t!a i..,2 e"t Cc /`t� S C‘0 y L/ Investigation(1 hr min) 66.25/hr _
Phone:(,Sod) i/Q 3 Z 9 2 a Fax:( ) Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 44 Ilu-szs— Electrical Lic.: 34 at Suprv. Lic.:3c('7 LC-J specifically listed(/i hr min)
ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required: Subtotal: 75-ov
O 9 30 / Plan review(25%of permit fee): —'
Print name:�� j Date: 3
Fa tJ a�- State surcharge(12%of permit fee): 4 9.4'4)Authorized signature: TOTAL PERMIT FEE: 4 gc/•ov
This permit application 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.
I:\Building\Permits\ELC PermitApp_ELR_ERE.doc Rev 05/21/2013 440.46t5T(11/05/COM/WEB
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
12550 SW 68TH AVE, TIGARD, OR, 97223
Commercial - Electricial Limited Energy
199 Electrical final
2013-12-05 (null)
ELR2013-00239
PASS - No C of O
Violation Summary:
Inspector Contractor
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined ... $75.00 Description I Qty. 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
111 Heating, Ventilation and Air Conditioning OAR918-309-0040)
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >IOOkva—noadditionalcharge 0.0 3
❑ Each additional inspection over allowable in any of the above:
Other: Each additional inspection is
charged at an hourly(1 hr min) 66.25/hr
Inspections for which no fee is 90.00/hr
specifically listed(%hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
State surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
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 inspections 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
21 Other 74c c e S s
Total number of commercial systems: /
*No licenses are required. Licenses are required
for all other installations
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