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Permit (45) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT Permit#: ELR2016 00228 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 T F R` Date Issued: 10/13/2016 Parcel: 2S101AD03200 Site address: 12909 SW 68TH PKWY 140 Jurisdiction: Tigard Project: US Investors International Project Description: Fire alarm. Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25,PT Contractor: POINT MONITOR CORPORATION 5863 LAKEVIEW BLVD STE 100 Owner: PACIFIC REALTY ASSOCIATES LAKE OSWEGO, OR 97035 ATTN: N PIVEN 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-627-0100 PHONE: FAX: 503-627-0110 503 624-6300 Description Specifics: Date Amount Restricted Energy Permit 09/21/2016 Type of Use: COM 12%State Surcharge-Electrical $75.00 Class of Work: ALT 09/21/2016 $9.00 Total Number of Systems: 1 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 Other Desc: Total $84.00 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 are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. s. Issued By: //L�.e�,L.�` ®,ii/ Permittee Signature: , r 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. • ectrical Permit A Iicatian „' FOR OFFICE:USE;ONI,y City of Tigard ^- Received IN :, 13125 SW Hall Blvd.,Tigard,O 1�1� 4 Date '13 : C rt `J.' Phone: 503?18 2439 Fax: 503. - :I 960 C; \,\ -- T l GA 1 Inspection 503.Line: 503,639.4175 C'L C , t ryaISSIMIIIIIIIIII Related Permit#t: /'-� Internet: www.tigard-or,gov �twv "cad Date'By: `e ; b Notified/Method: vQa21 —n��� 7 YFf1 {? 'V4 ais, 11M111-_ men reformation �pAe Su le El New construction ®Addition/alters t ' "� � - � P.L�41�i �'IEw1'V ❑Demolition 1!ement Please check all that apply sets of plans w items checked): Other: 0 Service or feeder 400 amps or more • 10 where the available fault current 0 Building over three dories. Y OF CONSTRUCTION -; exceeds 10,000 amps at 150 volts or 0 Mart Floating and boatyards. [] 1 and 2-family dwelling Ili Commercial/industrial 0 Ptmmerc -uebuildings. (_]Multi family0Accessory building less to ground,or exceeds 14.000 0 Master builder 0 amps forall other installations. Commercial-use agricultural Otherbuildings. TC38'511 �NF01tMATTt7 Fire Immix p, Job#: , 18B 1ON,.; Q Installation of I 5 rKVA or ived Job site address:12909 SW 68th Parkway QBmergencysystem' largerseparatetyderived Q Addition of new motor load of system. City/State/ZIP:Portland,OR 97223 Ir or more. 1:I"A", Fc"1-2","1-3", 0 Sixix oor more residential units, occupancy- 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#:140 Project name:US Investors Cross strect/directions to job site: QHa72r(IOUS locations. ❑Supply voltage&n more than Q Service or feeder too amps or more. 600 volts nominal. r '' "f,'E .S a @@ tiiniiii Subdivision: New residential single-or mulct family dw nt 8' Lot#: Includes attached garage, MEC Tax map/parcel#: 1,000 sq.IL or less al Ea.add'7 500 s . 168.54 DESC ItTPT1ON„OF l,WoRK' , ft.or portion 1.11 33.92 �Q es F'� A • Limned energy residential L with above s ft: ■ 75,00 M© r Limited enerBY,multi-family 111111111 „ El 'PRO'ERIN-'0A8/1'4'ERIIIIIIIIIIIIIIIIIIIIII"liIll :'' '::: , 'W; ; — .- --,- ,011 residential with above a,,ft.) III 75.00 3,.:fr �r `WANT ;„_ RenewableEnery, Name:US Investors 0 See Pan 2 � Services or feeders installation alteration and/or relocation Address:12909 SW 68th Parkway#140 200 amps or less imii 201 amps to 400 amps 100.70 _� City/State/VP Portland,OR 97223 401 amps to 600 amps 133.56 ��' 601 amps to 6 000 amps � 200,34 _n Phone:(503)320-5633 S 301,04 mull Over 1,000 amps or volts 55226 �Q Owner installation:This installation is being made onpropertyTemporary services or feeders installation,alteration,and/or relocation intended for sale,lease,rent,or exchange,according to R ,449,670,and 701.own which is 201 00 amps or less 11111 59:36 Owner signature: amps to 4013 amps 125.08 =© Date � 401 amps to 599 amps - 4 0APPLICACyT ”4.4; , dBranch circuits—new alteration or extensio, ,er,anal Business name:Point Monitor Corp. - :. � CUAYT�kCT`%PERSf)l� - .. ,. A.Fee for branch circuits with Contact name:Brooke Williams above branch or feeder fee —ii each racircuit Address:5863 Lakeview Blvd,Suite 100 B.Fee for branch circuits without service or feeder fee,first City/SMte/ZIP:Lake Oswego,OR 97035 branch circuit 56.18 Phone:(503)627-0100 Each llane branch circuit ��_E1 Maiscellaneous service or feeder not included Email: il bwtlliams@pointmonitor,cotn c dw ll n$,rsfervic and/or feederIII 67,84 - redm Cf)I�I2ACfiOR °�` Reconnect e i Rec act only 67.84 �n Pump or irrigation circle Business name:Point Monitor Corp. - 67,84 Emu Address:5863 Lakeview Blvd.Suite 100 Sign or outline lighting 67- Sinel, lie circuit(s)or l xtension. age 24 �© City/State/ZIP:Lake Oswego,OR 97035 ,anal,alteration or extension. ® See Page 2 �� Each additional ins,ection over allowable in an of the above Phone:(503)627-0100 Additional inspection(I hr min) - 60.00/hr ■ Email:bwilliams@pointmonitor.com Investigation(1 hr min) MI 9 Industrial plant(1 hr min) I 0,.x, 00/hr 11111111111 11111111 CCB Lie.: 135901 Electrical Lie.: 34508CLEInspections for which no fee is � Suprv.Lie.: 4460LEA s.ecificall listed '1,hr min III 90.00/hr . Suprv.Electrician signature,required: E1 ECTRLIvA1 P RMTf F.E: Print name: Ben Breit `" s.d' Date: 9/15/16 0 Plan ReviewSubtotal: Required(25%of permit fee): IIIIIIIMIIIM Authorized signature: N State surcharge(12%of permit fee): 9.00 TOTAL PERMIT FEE: 84.00 Print name: Ben Breit This permit application expires if a permit is not obtained within 180 Date: 9/15/16 days after It has been accepted as complete. r.Bugamg,Per,,,,1,':ELC_PennitApp ELR ERE,doe Rev 06 1"2015 " Number of inspections allowed 440-4615T(11 05'ColtIVVE13 per permit. Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: R1ESMENTIAL,WORK ONLY: At SelitDUtE Description 1 Qty. Each 1 Total I * Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 El Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: E Burglar Alarm 25.01 to 50 kva 301,04 2 50.01 to 100 kva 552.26 2 E Garage Door Opener* 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 I 7.42 I 3 Vacuum Systems* >100 kva-no additional charge 1 0.0 3 Each additional Inspection over allowable in any of the above: E] Other: charged at an hourly(1 min) Each additional inspection is 66.25/hr hr Inspections for which no fee is 0.00/hr specifically listed(V2 hr min) 9 tommigRe8;14JRK ONLY.;_ - ALECT111'ckt,PkRlT,MEge'%-1 Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: Ej Audio and Stereo Systems E Boiler Controls Clock Systems E Data Telecommunication Installation 2. Fire Alarm Installation E HVAC ED Instrumentation E Intercom and Paging Systems fl Landscape Irrigation Control* El Medical O Nurse Calls E Outdoor Landscape Lighting* O Protective Signaling O Other: Total number of commercial systems: I *No licenses are required. Licenses are required for all other installations Building,Pernatts EL('PermeApp ELR ERE doe Rev 06 1—2015