Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
• COMMUNITY DEVELOPMENT Permit#: ELR2015 00185
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/13/2015
Parcel: 2S 101 DA01700
Jurisdiction: Tigard
Site address: 7130 SW FIR LP
Project: FTDI Subdivision: 72ND BUSINESS CENTER Lot: 7
Project Description: Low voltage for data
Contractor: TELEDIGIT INC Owner: FUTURE TECHNOLOGY DEVICES
PO BOX 22287 INTERNATIONAL LTD
PORTLAND, OR 97269 7130 SW FIR LOOP
TIGARD, OR 97223
PHONE: 503-722-8084 PHONE: 503-726-5416
FAX: 503-722-9914
FEES
Description Date Amount
Specifics: Restricted Energy Permit 08/13/2015 $75.00
12%State Surcharge-Electrical 08/13/2015 $9.00
Type of Use: CMS
Class of Work: ALT
Total Number of Systems: 1
Audio&Stereo: 0 Boiler Controls: 0
CCTV: 0 Clock Systems: 0
Data&Telecommunications: 1 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 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• : : • .w require you to follow the rules adopted by the Oregon Utility Notifi -tion Center. Those rules are set forth in OAR
952-001-00 • rough OAR 952-00 00•s. ••u may obtain a copy of the rules or direct questions to OUNC by calling I .1987 or 1.800.3 2. '44.
Iss ed By: 16,. ■ 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.
Inspections Required for Permit No.: c�2 (c —C-6)/S'c
IVR Code Type Permit Description IVR Code Type Permit Description
01 BUP Building—structural 07 SIT Site Work
02 ELC Electrical 08 SWR Sewer Connection
03 ELR Restricted Energy 09 FPS Fire Protection
04 MEC Mechanical 10 RER Re-Roof
05 MST Master—residential combination 11 CMS Commercial Manufact.Structure
06 PLM Plumbing 12 SFM Single-Family Manufact.Structure
1 Req'd Code I Inspection Description J Req'd I Code t Inspection Description
Building(structural) Inspections Electrical Inspections
205 Footing 105 Underground/slab cover
210 Foundation walls 110 Temporary electrical service
215 Footing drain 115 Electrical service
220 Slab 120 Electrical rough-in
225 Post/beam structural 125 Wall cover
230 Underfloor insulation 130 Ceiling cover
240 Exterior shearwall k- 135 Low voltage rough-in
242 Interior shearwall 140 Sign installation
245 Firewall 145 A/C or heating unit circuit
250 Roof nailing 150 Hot tub/spa/pool
255 Wtr proofing basement walls 195 Misc. inspection
260 Tilt-up panel 198 Low voltage final
265 Masonry 199 Electrical final
270 Reinforcing steel(rebar)
275 Framing Mechanical Inspections
_ 280 Insulation _ 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling _ 615 Mechanical rough-in
289 Approach/sidewalk 620 Hydronic piping
295 Misc. inspection 625 Duct work
299 — Final inspection 630 Fire damper
635 Smoke detector shutdown
Fire Protection System Inspections 640 Exhaust hood
905 Sprinkler underfloor/slab _ 645 Grease duct test
907 Sprinkler hydro test 695 Misc. inspection
910 Sprinkler rough-in/test 699 Mechanical final
915 Fire alarm rough-in
920 Suppression trip test Plumbing Inspections
995 Misc. inspection 305 Plumbing underslab
998 Alarm final 310 Crawl drain
999 Sprinkler final 312 Backwater valve
315 Post/beam plumbing
Site Work Inspections 320 Plumbing rough-in
405 Excavation 322 Shower pan
410 Fill 330 Water service
415 Grading 335 Rain drain
420 Sprinkler supply lines 340 Storm sewer
495 Misc. inspection 345 Culvert/catch basin
499 Final inspection 350 Septic tank
395 Misc. inspection
Erosion Control Inspections 399 Plumbing final
750 Initial erosion control
752 LIDA on-site facility inspection Sanitary Sewer Inspections
755 Regular erosion control 505 Sanitary sewer
_ 797 _Final LIDA inspection 585 Misc. inspection
798 Final erosion control 599 Final inspection
Manufactured Structure Inspections
810 MFG-Structure set-up
899 _ MFG-Structure final
I:\Building\Forms\Inspection Cards\AOP Insp Card By Case\InspCard_All_061814.docx
Electrical Permit ApplicatigiEC EI jVEJ) FOR OFFICE USE ONLY
City of Tigard Received � � PemiS: LLt dtil�CO/d S-
IN
• 13125 SW Hall Blvd.,Tigard,OR 974M( 1 3 7 5 Plan Review /
a Phone: 503.718.2439 Fax: 503.598. Date/B ; Related Permit#: _ —66,099 •
Inspection Line: 503.639.4175 r f'i !yL ly Ready Date/By: Juris: ® See Page 2 for
I I t i\f:I) Internet: www.tigard-or.gov C l'V vP l IGA�R/D Notified/Method: Supplemental Information
TYPE HtJf li nJVilitm, PLAN REVIEW
❑New construction .. Addition/alteration/replacement Please check all that apply(submit 2 sets of plans is items checked):
❑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.
❑ 1-and 2-family dwelling ErCommercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
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
Job#: J Job site address: 7 l3d 513.-) I=� �,1 ❑Addition of new motor load of system.
t I OOHP or more. ❑"A","E","1-2" "1-3"
❑Six or more residential units. occupancy.
City/State/ZIP: 034&D ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: I Project name: Ft D 1 ❑Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: S t>J a Za 4- lit e, Loo f) FEE SCHEDULE
Description I Qt.. I Each i Total I
New residential single-or multi-family dwelling unit.
Subdivision: . I Lot#: Includes attached garage.
1,000 sq.ft.or less 1 68.54 4
Tax map/parcel#:
Ea.add'l 500 sq.ft.or portion 33.92 I
DESCRIPTION OF WORK Limited energy,residential
,44-r� �' (with above sq.ft.)
75.00
J Limited energy,multi-family 75.00 1
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
❑ PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) i Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
❑ APPLICANT I ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: above service or feeder fee.
7.42
each branch circuit
Contact name: B.Fee for branch circuits without
service or feeder fee,first 56.18
Address:
branch circuit
City/State/ZIP: Each add'I branch circuit 7.42 _
Miscellaneous(service or feeder not included)
Phone:( ) I Fes: : ( 1 Each manufactured or modular 67.84
Email: dwelling,service and/or feeder
Reconnect only 67.84 '
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: i.e.Ac 0 i r rt f tJC_- Sign or outline lighting 67.84 _
Signal circuit(s)or limited-energy
Address: cab- ibc.Sv b.Qr k o o panel,alteration,or extension. l ee Page 2 1 2
City/State/ZIP: oR p u p ��a, Each additional inspection over allowable in any of the above
e Additional inspection(I hr min) 66.25/hr
Phone:( -5 ) 1A'a, — p 4)Fax:( ) CS 3 - $$6 1 Investigation(1 hr min) 90.00/hr
Email: SN,.. 6 Tele O L bit-I A)c_ t' �-o tyt/' Industrial plant(1 hr min) 78.18/hr
q�q bit- for which no fee is
1/ O O 3- i 14/�z 4 11ti(5 •t✓1 specitically listed(' hr min)
90.00/hr
CCB Lia: 1t! I Electrical Lic.: '",�'t Sutrv.Lie.: C-�
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: • •■ - *�� Subtotal:
Print name: J��Q �41 lip Date: -�= �i l3)/� 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature:
1111.. ,,) TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: NV., e5 Ay% l..) Date: t/3/IS days after it has been accepted as complete.
* Number of inspections allowed per permit.
L,Building\Permits,ETC_Permit App_EL'_ ' . 'ev 06,17'2015 44046151(1 1/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLYMEL
Fee for all residential systems combined: $75.00 SCHEDULE
D
.QQ escription � Qt . I Each � Total
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less _ 100.70
5.01 to 15 kva 133.56
n Audio and Stereo Systems* 15.01 to 25 kva 200.34
Wind generation systems in excess of 25 kva:
Burglar Alarm 25.01 to 50 kva 301.04 2
I 50.01 to 100 kva 552.26 _2
Garage Door Opener* >100 kva(fee in accordance 552.26
with OAR 918-309-0040)
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
n Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
n 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(':hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system:ONLY:
$75.00 Subtotal(Enter on Page 1 1:
(SEE OAR 918-309-0000) * Number of inspections allowed per permit.
Check Type of Work Involved:
Audio and Stereo Systems
❑ Boiler Controls
Clock Systems
Data Telecommunication Installation
❑ Fire Alarm Installation
HVAC
❑ Instrumentation
n Intercom and Paging Systems
n Landscape Irrigation Control*
Medical
Nurse Calls
Outdoor Landscape Lighting*
n Protective Signaling
n Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
l:Building\Pmnits\ELC_PermiiApp_ELR_ERE.doc Rev 06/17/2015