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Permit
�z CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT p11111 COMMUNITY DEVELOPMENT Permit#: ELR2017-00045 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/08/2017 T[Ca,1 E�. Parcel: 2S112DA01400 Jurisdiction: Tigard Site address: 15350 SW SEQUOIA PKWY 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 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. ATTENTIO ' •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set fort, in OAR 952-001-0010 t, ough OA' 952-0r -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 987 or 1.800.33 // I Issued Bk .1 irr LII Permittee Signature: 4 ) / 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 '' -� 'R f , 1FOR OFFICE USE ONE) City of Tigard DeB d 3A Penn": , 5 2o/ 7-v Y41`A 11111 m 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 8 2(117 Plan Review 11Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: G,o 10/7—aexpi/ Inspection Line: 503.639.4175 ., ,, y w ReadyDate/By: orris: T I( A K I) Internet: www.ti and-or. ov �. ,,,..g,,,,/ a , a' ' k,` 5 S See Page 2 fnt g g �_ : Notified/Method: Supplemental Information ®New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. „ t,r;,`" ;;„r¢ �' exceeds 10,000 amps at 150 volts or ❑Floating buildings. 0 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or x„ lr ,u, � � "�;- r ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 15350 SE Sequoia Parkway 10011P 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.#:241 I Project name:Pac Trust Building 241 ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more 600 volts nominal Cross street/directions to job site: 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 �u Ea.add'1500 sq.ft.or portion 33.92 1 •��° � � � +. *attw�''' Limited energy,residential 75.00 2 Fire Alarm Notification Devices (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) t t Renewable Energy 0 See Page ;' i '` ta..� � � Services or feeders installation,alteration,and/or relocation Name:Pac Trust Building 241 200 amps or less 100.70 2 Address: 15350 SE Sequoia Parkway#241 201 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 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 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 2 ` Branch circuits—new alteration or extension per panel 1, •` ` ' 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 Address:5863 Lakeview Blvd.Suite 100 servrce irieea=r i e rust 56.18 2 branch circuit City/State/ZIP:Lake Oswego,OR 97035 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)627-0100 I Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email:bwilliams@pointmonitor.com Reconnect only 67.84 2 : ,,, , ,',z.,rn r t, et a ,• w 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 0 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 neo fee is 90.00/hr CCB Lic.: 135901 Electrical Lic.: 34508CLE I Suprv.Lic.: 4460LEA a secificall listed /z hr min Suprv.Electrician signature,required: Subtotal: 75.00 Print name: Ben Breit I 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. I:\Building\Permits\ELC_PermitAppELR_ERE.doc Rev 06/17/2015 440-4615T(Il/OS/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: ' �. x. ,3 . - Desemtlon vii®®© Fee for all residential systems combined: $75.00 Renewable electrical energy systems: .11 Check Type of Work Involved: 5 kva or less 100.70 _© 5.01 to 15 kva III 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 _© 50.01 to 100 kva 552.26 _© ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040 ■ 552.26 _© ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 _© El Vacuum Systems* >100 kva—no additional charge - 0.0 _© Each additional ins•ection over allowable in an of the above: ❑ Other: Each additional inspection is ■ 66.25/hr —� charted at an hourl 1 hr min) Inspections for which no fee is ■ 90 00/hr —. s. ctficall listed '/hr min 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: El Audio and Stereo Systems El Boiler Controls El Clock Systems El Data Telecommunication Installation Fire Alarm Installation HVAU El Instrumentation El Intercom and Paging Systems El Landscape Irrigation Control* El Medical El Nurse Calls El Outdoor Landscape Lighting* El Protective Signaling El Other: Total number of commercial systems: 1 *No licenses are required. Licenses are required for all other installations 1:\Building\Permits\ELCPermitApp_ELRERE.doc Rev 06/17/2015