HomeMy WebLinkAboutPermit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
' 1 s - COMMUNITY DEVELOPMENT Permit#: ELR2014-00231
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/30/2014
Parcel: 2S 101 AD03200
Jurisdiction: Tigard
Site address: 12909 SW 68TH PKWY 160
Project: Michael O'Brien Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25,PT
Project Description: Adding(2)horn strobes and(3)strobes.
Contractor: STANLEY SECURITY SOLUTIONS INC Owner: PACIFIC REALTY ASSOCIATES
15495 SW SEQUOIA PKWY SUITE 100 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SE SEQUOIA PKWY#300
PORTLAND,OR 97224
PHONE: 503-968-3353 PHONE:
FAX: 503-968-3398
FEES
Description Date Amount
Specifics: Restricted Energy Permit 10/30/2014 $75.00
12%State Surcharge-Electrical 10/30/2014 $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: 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: 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 accor ith 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. ATTE N: Orego law r=•. -. you to follow the rules adopted by the Oregon Utility Notification Cen- Those rules ar- set forth in f..-13
952-001-001 through OAR 95 00 -0090. ou may obtain a copy of the rules or direct questions to OUNC by calling 503. .1987 or .800.3
jigIssued ' / / - - `�� Permittee Signature: ...111rarrA...de .,
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 1 FOR OFFICE USE ONLY
I
City of Tigard Vy: I Permit No.:
� g RECEW Date/By: i o � �/'� �! �1e IH—.�a3
• 13125 SW Hall Blvd.,Tigard,OR 97223 {1 1 201• Plan Review ' 23/
11 a Phone: 503.718.2439 Fax: 503.598.1960 T M 1 Other Permit:Date/By:
T I G A R D Inspection Line: 503.639.4175 r to Ready/By: Juris ee Page 2 for
Internet: w�tw.tigard-or.gov ,i a• tified/Method: Supplemental Information
TYPE OF WOR •��;�iii ' t 1 I, 1 PLAN REVIEW
❑New construction ® Addition/alteration/rep acement Please check all that apply(submit 2 sets of plans wiitems checked below)
❑Service or feeder 400 amps or more ❑Building over three stories.
ElDemolition ❑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
El I-and 2-111mily ds■clling ®Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑ Multi-familc ❑ Master builder El Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","E","1-2","1-3",
Job no.:8058328 Job site address:12909 SW 68th Pkwy I or more. uP�cY•
❑Six x o or r more residential units. ❑Recreational vehicle parks.
❑Health-care facilities. ❑Supply voltage for more than
City/State/ZIP:97224 440, ❑Hazardous locations. 600 volts nominal.
�h
Suite/bldg./apt.no. Project name: M%aloe,( J D on eN , ❑Service or feeder 600 amp,or more
FEE SCHEDULE
Cross street/directions to job site: uesrripum, 1 tit.. I Fee. I Total 1 *
Nos 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 0,; (with above sq.ft.)
Limited energy,multi-family 75.00 `
Add 2 llornStrobes and 3 Strobes to existing system residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
® PROPERTY" OWNER I ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name:Pactrust 401 amps to 600 amps 200.34 2
Address:15350 SW Sequoia Pkwy Ste 300 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP:Portland/0/2/97224 Temporary services or feeders installation,alteration,and/or
Phone:(503)624-6300 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 1 ❑ CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee, 7 42
Business name:Stanley CSS each branch circuit
B.Fee for branch circuits without
Contact name:Tim Hungate service or feeder fee,first 56.18 2
branch circuit
Address:15495 SW Sequoia Pkwy Ste#100 Each add'!branch circuit 7.42 2
City/State/ZIP:Portland/0/2/97224 Miscellaneous(service or feeder not included)
Each manufactured or modular 6784 12
4 Phone:(503)968-3300 Fax::(503)968-3398 dwelling,service and/or feeder
Reconnect only 67.84 2
0 E-mail: Pump or irrigation circle 67.84 2
1V�� CONTRA ` :..1. Sign or outline lighting 67.84 2
M Business name:Stanley CSS Signal circuit(s)or limited-energy See
panel,alteration,or extension. , Page 2 i5 2
I Address:15495 SW Sequoia Pkwy ste#100 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr L_
L City/State/ZIP:Portland/OR/97224 Investigation(1 hr min) 66.25/hr _
Phone:(503)968-3300 Fax:(503)968-3398 Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 161567 Electrical Lic.: 371054CL¢ Suprv.Lie.: 4783LEA specifically listed('4 hr mini
- lib/1 i ELECTRICAL PERMIT FEES
� Suprv.Electrician signature,required: fk
J Subtotal: )-7 7.
Print name: Ray Thiemeyer Da 10!2212014 Plan review(25%of permit fee):
.,`^1 State surcharge(12%of permit fee): f !.V
„.E Authorized signature: l 7_ TOTAL PERMIT FEE: '�
ai�l:
This permit application expires if a permit is not obtained within 180
Print name: Tim Hungate Date: 10/22/2014 days after it has been accepted as complete.
" Number of inspections allowed per permit.
l:'BuildingPermits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 440-4615T(11/05/COM/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 I Qty. I Fee _l Total .
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
ElAlarm 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 OAR918-309-0040)
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(I hr min)
Inspections for which no fee is 90.00/hr
specifically listed('A 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
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 05/21/2013
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12909 SW 68TH PKWY 160, TIGARD, OR, 97223
Commercial - Electricial Limited Energy
198 Low voltage final
PASS - No C of O
ELR2014-00231
Chip Barnett
Violation Summary:
Inspector Contractor