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Permit (144) CITY OF TIGARD' 31... '.•71 ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT Permit#: ELR2017 00046 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/08/2017 Parcel: 2S112DA01400 Jurisdiction: Tigard Site address: 6650 SW REDWOOD LN Project: PacTrust Subdivision: 1996-048 PARTITION PLAT Lot: 2 Project Description: Low voltage for fire alarm Contractor: POINT MONITOR CORPORATION Owner: PACIFIC REALTY ASSOCIATES 5863 LAKEVIEW BLVD STE 100 ATTN: N PIVEN LAKE OSWEGO, OR 97035 15350 SW SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-627-0100 PHONE: FAX: 503-627-0110 FEES Description Date Amount Specifics: Restricted Energy Permit 03/08/2017 $75.00 12%State Surcharge-Electrical 03/08/2017 $9.00 Type of Use: COM Class of Work: ALT 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 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 acc 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 ION: Orego law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set orth in OAR 952-001-001 through OAR 95 -0 - 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198719. or 801.800.33 Issued B Permittee Signature: �/J��fG 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. RucTlvv,,I), Electrical Permit Application FOR OFFICE USE("LA Raeied � 1ty Of Tigard t /�p 8 Date/By: - - Permit#: C.00/7-62 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review _ Phone: 503.718.2439 Fax: 503.594.1 ,x 1 3,44_, Date/By: Related Permit#: �f 7 � Inspection Line: 503.639.4175 "r-i > 4 i r? '' ReadyDate/By: Juris: T 1 G A K D Internet: www.tigard-or.gov , „r a, ; • Notified/Method: Supplemental See Pent 2 fnr �f 1()� 5� Information ®New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): O Demolition ❑Other ❑Service or feeder 400 amps or more ❑Building over three stories. where the available fault current `g c,r' ; r r s �,� s 7 � ,�t ❑Marinas and boatyards. '„w,a,s yrt,x, �,) r �a x`. 1°y twt exceeds 10,000 amps at 150 volts or ❑Floating buildings. ❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-ase agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder El Other: ❑Fire pump. 0 Installation of 150 KVA or ,. Ai;y, 'C` lvSs 4v�G ' ''''a t` ' , t' , r 0 Emergency system. larger separately derived Job#: Job site address:6650 SW Redwood Lane ❑Addition of new motor load of system. 100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#:240 I Project name:Pac Trust Building 240 ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more 600 volts nominal Cross street/directions to job site: i lam.,.:414, 3 ;s Description Qty, Each � Total New residential single-or multi-family dwelling unit. Subdivision: I Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 i - .r r •,f,-,..;1$34,!?4:1;,,,,,;"46, , i Limited energy,residential 75.00 2 Notification Devices (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) i ,} g /• S � P s`: V . �•- • • 44 , Services oer Eneedregs installation,alteration,aand2/or relocation Name:Pac Trust Building 240 200 amps or less 100.70 2 Address:6650 SW Redwood Lane#240 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Tigard,OR 97224 601 amps to 1,000 amps 301.04 2 Phone:( ) I Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 1 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 iiginiti:I.: t,, ' , 7 Branch circuits—new,alteration,or extension,per panel "" " `' " '' � " A.Fee for branch circuits with Business name:Point Monitor Corp. above service or feeder fee, 7.42 2 each branch circuit Contact name:Brooke Williams B.Fee for branch circuits without or teener tee,nrst ATdiess:5863 Lakeview Blvd.Suite 100 branch circuit 56.18 2 City/State/ZIP:Lake Oswego,OR 97035 Each add'1 branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)627-0100 I Fax: :( ) Each manufactured or modular Email:bwilliams@pointmonitor.com dwelling,serviceand/or feeder 67.84 2 r Reconnect only 67.84 2 ifteltr .:a:'- �' ' 4 o t< - ( ��'� �" ' � � ����� t ,��`,'' Pump or irrigation circle 67.84 2 Business name:Point Monitor Corp. Sign or outline lighting 67.84 2 Address:5863 Lakeview Blvd.Suite 100 Signal circuit(s)or limited-energy ® See Page 2 1 2 panel,alteration,or extension. City/State/ZIP:Lake Oswego,OR 97035 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)627-0100 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bwilliams@pointmonitor.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 135901 Electrical Lic.: 34508CLE Suprv.Lic.: 4460LEA ..s.ecifically listed('Yz hr min) T Suprv.Electrician signature,required: � Subtotal: 75.00 Print name: Ben Breit Date: 3/8/17 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): 9.00 Authorized signature: TOTAL PERMIT FEE: 84.00 This permit application expires if a permit is not obtained within 180 Print name: Ben Breit Date: 3/8/17 days after it has been accepted as complete. * Number of inspections allowed per permit. 1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-46151(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: I ES,,. 5r 1`rs 3 w* �SNiMi .,a... wkItffi.r,..+z.,.r, ,ra„r uw - Fee for all residential systems combined: $75.00 nescrt,eon Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less MI 100.70 _© 5.01 to 15 kva 133.56 _El ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 _© Wind •eneration s stems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva - 301.04 _© ❑ Garage Door Opener* 50.01 to 100 kva 552.26 _© >100 kva(fee in accordance with OAR 918-309-0040II 552.26 —© ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 1.11 7.42 _© ❑ Vacuum Systems* >100 kva—no additional charge 1.110.0 _© Each additional ins•ection over allowable in an of the above: ❑ Other: Each additional inspection is ■ 66.25/hr —� char ed at an hourl 1 hr min Inspections for which no fee is g s� iS 1 1 � a m ..�= f 00� cal fisted '/� II ..' .,, ,,w,,.c, -,✓a «Ae>.. ,: +r ���a k+l0/hr Fee for each commercial system: $75.00 Subtotal(Enter on Page 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 — IIVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: 1 *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR ERE.doe Rev 06/17/2015 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 6650 SW REDWOOD LN, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Electrical Limited Energy ELR2017-00046 Inspection Type: Inspector: 198 Low voltage final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor