Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
111 i COMMUNITY DEVELOPMENT Permit#: ELR2014-00050
Date Issued: 03/18/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718 2439 Parcel: 2S101DC04601
Jurisdiction: Tigard
Site address: 7409 SW TECH CENTER DR 145
Project: ACS Subdivision: TECH CENTER BUSINESS PARK Lot: 2
Project Description. Low voltage for fire alarm
Contractor: FIRE SYSTEMS WEST INC Owner: WPC TIGARD LLC
600 SE MARITIME AVE#300 307 LEWERS ST 6TH FL
VANCOUVER, WA 98661 HONOLULU, HI 96815
PHONE 360-771-7835 PHONE.
FAX 503-289-2208
FEES
Description Date Amount
Specifics: Restricted Energy Permit 03/18/2014 $75 00
12%State Surcharge-Electrical 03/18/2014 $9 00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 0
Audio&Stereo. 0 Boiler Controls- 0
CCTV: 0 Clock Systems: 0
Data&Telecommunications 0 Fire Alarm 1
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 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 ATTENTI 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 rough OAR 952-001-00 You may obtain a copy of the rules or direct questions to OUNC by calling 503 2 19 r 1 800 332 2344
� DIssued B • � Permrt A �tee Signature: �'��Q
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 Applicatia_ VFI) Received FOR OFFICE USE ONLY
IIICity of Tigard ECI pate/By: 02 I �,� Permit No.: ea -ro 5j`6
13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review
Phone: 503.718.2439 Fax: 503.598.19t5�B Z014 pate gy.
Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or gov CITY �(1 Notified/Method: Supplemental Information
TYPE O0"4I f `I.li4. i PLAN REVIEW
❑New construction ❑Addition/alteration/replacement
Please check all that apply(submit 2 sets of plans w items checked below):
0 Service or feeder 400 amps or more ❑Building over three stories.
❑ Demolition 1Othcr: , ( ' 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
❑ I- and 2-fancily dwelling ["L'ommercialiindustrial ❑ Accessory building am s for all other installations. buildings,
❑ Multi-family b Master builder ❑Other: pump. 0 Installation of 150 KVA or
❑� e
anergency system. larger separately derived system.
JOB SITE 1NFUR\I.\TION .0I) l.t)( Al, ION ❑Addition of new motor load of ❑"A" "E" "I.2" "I-I'
Job no.: Job site address: --A.4.0 -r 100HP or more. occupancy.
7eJ 1 C (Q-f�� ❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:''r' ❑health-care facilities. 0 Supply voltage for more than
I CDA�-� ❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: /C{5-- Project name: ❑Service or feeder 600 amps or more.
4 • -FEE SCHEDULE O ,•`R
Cross street/directions to job site: C.7 Description I Orr. I Fee. Total •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq.f.or less 168.54 4
Ea.add'!500 sq.ft.or portion 33.92 1
Tax map panel no.: Limited energy,residential
DESCRIPTION OF WORK (with above sq.ft.) y 75.00
hh Limited energy.multi-family 75.00 2
Del-!1(0 Q k)0N - ( - ' .cl t-t ' �� /M Suh44 residential(with above sq.ft.) -
6M1� Renewable Energy ❑ See Page 2
'" / .- tr 0 f' Q 4- P U (••,(-, c f4 ( t3..) Services or feeders installationialteration,and/or relocation
❑ PROPERTY OWNER ❑ TENANT 200 amps or less - 100.70 2
201 amps to 400 amps 133.56 2
Name: 401 amps to 600 amps 200.34 2
Address: 601 amps to I,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: 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 1 own which is not 701 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
Owner signature: Date: _ Branch circuits—new,alteration,or extension, 1 GikAPPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
7.42 2
Business name: c`` i1 each branch circuit
��'� ! '`��� � '�`r� _ B.Fee for branch circuits without
Contact name: ht42K _<A4 e Etc service or feeder fee,first 56.18 0
�^ branch circuit
Address: CP0 0 se NI I'D tit e ��ad i� Each add'I branch circuit a 7.42 2
City/State/ZIP: �6 Miscellaneous(service or feeder not included)
1( C C)um rC "J R Each manufactured or modular 67 84
-7 $ n(S p,35 ( ) dwelling,service and/or feeder
Phone:C-66 O) ! / Fax: : I
Reconnect only 67.84
E-mail: M A-Z_C S c)F-l((.e-5 y5 ,LS lllr,j ■e qti-■ Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name: 5 P44,6 Signal circuit(s)or limited-energy
panel,alteration,or extension. / See en
Page 2 2
Address: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
City/State/ZIP:
1 �} Investigation(I hr min) 66.25/hr
Phone:( ) Fax:( 4L 114 D`1 f ��1 Industrial plant(1 hr min) 78.18/hr -
Inspections for which no fee is 90.00/hr
CCB Lic.: LIS M Electrical Lic.: 37_ 655 uprv. Lic.: 'r, Jo, Lc specifically listed(',hr min)
ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required: Subtotal: 754-
Print name: 5��� _ Date: 2 ld Plan review(25%of permit fee): ---�'
' l State surcharge(12%of permit fee): PC
Authorized signature: ,/ TOTAL PERMIT FEE: TLi•Uv
�, ���
This permit application expires if a permit Is not obtained within 180
Print name: Date:
` � 0 day's after it has been accepted as complete.
Number of inspections allowed per peril.
I:nuilding'Petmits EL('.PermiiApp..ELR ERE.doc Rev 05 21 2013 44a-1615T1 I I.05'C'OM'WEB
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 f Qts. I Fee l Tonal 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
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm -
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
OAR 918-309-0040)
❑ Heating, Ventilation and Air Conditioning -
* Solar generation systems in excess of 25 kva:
System*
additional kva over 25 7.42 3
TI 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 6625/hr
charged at an hourly(I hr min) •
Inspections for which no fee is 90.00/hr
specifically'listed 1!5 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.
n Boiler Controls
n Clock Systems
n Data Telecommunication Installation
n 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
for all other installations
I:Building Permits ELC_PermnApp_ELR_ERE.doc Rev 05 21 2013