The URL can be used to link to this page

Permit (13) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT ' COMMUNITY DEVELOPMENT Permit#: ELR2016-00044 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/07/2016 Parcel: 1S 135DA03500 Jurisdiction: Tigard Site address: 11481 SW HALL BLVD 100 Project: HCC Subdivision: METZGER ACRE TRACTS Lot: 19 Project Description: Audio and stereo system for video conferencing. Contractor: EMPOWER DIGITAL SOLUTIONS INC Owner: BECKAL LLC 1271 NE HWY 99W STE 415 7100 SW GABLE PKWY MCMINNVILLE, OR 97128 PORTLAND, OR 97225 PHONE: 503-928-6018 PHONE: FAX: FEES Description Date Amount Specifics: Restricted Energy Permit 03/07/2016 $75.00 12%State Surcharge-Electrical 03/07/2016 $9.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 0 Audio&Stereo: 1 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 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 ar set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma •• -'n a cop of the rules or direct questions to OUNC by calling 503.23 8 or 0 344. Issued By: /�`'�i` • i •ermrttee 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. El�etrical Permit Application �I , OR (>1,1 II I. t SF ONl,1 $ City o/`TigQard Received Got. n _ ✓ b �/W Permit a: • 13125 SW Hall Blvd.,Tigard,OR 9722 LQ\ DPlan�eview �� r-�1,� Phone: 503.718.2439 Fax: 503.598.1960 ^^� ate/By Related Permit It: j —.tali) I T I G A R p Inspection Line: 503.639.4175 \` •eady Date/By: Juris &1 See Page 2 for Internet: www.tigard-or.gov , #�� a ,� ethod: ? Supplemental information TYPE OF WORK �, � c. 0/0 PLAN REVIEW ❑New construction ®Addition/alteration/real ' Please check all that apply(submit 2 sets of plans w/items checked): i 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. ❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations_ buildings. ❑Multi-family ❑Master builder ❑Other: 0 Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: 1876E Job site address: 11481 SW Hall Blvd. 100HP or more. ❑"A","F. "1-2""t-3 City/State/ZIP:Tigard,OR 97223 ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:Hall Corp.Ctr video conf 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description f Qty. I Each I Total i ' New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential Installation of a video conferencing system (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft) Renewable Energy ❑ Sec Page 2 ® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: Hall Corporate Center 200 amps or less 100.70 2 Address: 11481 SW Hall Blvd 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Tigard,OR 97223 601 amps to 1,000 amps 301.04 2 Phone:( ) 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 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Empower DFigital Solutions,Inc. above service or feeder fee, 7.42 2 each branch circuit Contact name:J.L. Koch B.Fee for branch circuits without service or feeder fee,first Address: 1271 NE Hwy 99W Ste 415 56.18 2 branch circuit City/State/ZIP:McMinnville,OR 97128 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(509)773-2106 Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:jerry@empowerdigital.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Empower Digital Solutions,Inc. Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: 1271 NE Hwy 99W Ste 415 panel,alteration,or extension. ® See Page 2 75.00 2 City/State/"LIP:McMinnville,OR 97128 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(509)773-2106 Fax:( ) Investigation(l hr min) 90.00/hr Email:jerry@empowerdigital.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lie.: 195629 0.11310 Electrical Lie.: CLE290 Suprv.Lie.: 994LEA specifically listed(9r hr min) `��/hr 1 ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: `>-. / /` �-E'�— ` Subtotal: 75.00 Print name: J.L.Koch Date: 3/4/16 0 Plan Review Required(25%of permit fee): ccc��_ ,/ State surcharge(12%of permit fee): 9.00 Authorized signature: D- �-- `t- >JC..c TOTAL PERMIT FEE: 84.00 This permit application expires if a permit is nut obtained within 180 Print name: J.L.Koch Date: 3/4/16 days after it has been accepted as complete. `Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Qtv. I Each I Total ( • Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: s 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: I Burglar Alarm 25.01 to 50 kva 301.04 2 I Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance 552.26 2 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 TI Vacuum Systems* >100kva—noadditional charge 0.0 3 Each additional inspection over allowable in any of the above: ri Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(h hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 • Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ® Audio and Stereo Systems Boiler Controls I Clock Systems (1 Data Telecommunication Installation Fire Alarm Installation I I HVAC riInstrumentation n Intercom and Paging Systems Landscape Irrigation Control* H Medical Nurse Calls Outdoor Landscape Lighting* H Protective Signaling I ( Other: Total number of commercial systems: 1 *No licenses are required. Licenses are required for all other installations 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 11481 SW HALL BLVD 100, TIGARD, OR, 97223 Commercial - Electrical Limited Energy 198 Low voltage ﬁnal PASS - No C of O ELR2016-00044 Jeff Grove Violation Summary: Inspector Contractor