Permit (54) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
Permit#: ELR2017-00112
11111: �� COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/07/2017
T4 t3� T � g Parcel: 2S113AC01201
Jurisdiction: Tigard
Site address: 7331 SW BRIDGEPORT RD
Project: Ways and Means Oyster House Subdivision: COUNCIL VIEW ACRES(LOTS 1-20) Lot: 18
Project Description: Low voltage for fire alarm.
Contractor: T&L COMMUNICATIONS INC Owner: BV CENTERCAL LLC
PO BOX 87387 ATTN: FRED BRUNING
VANCOUVER, WA 98687-7387 7455 SW BRIDGEPORT RD
TIGARD, OR 97224
PHONE: 360-737-9725 PHONE:
FAX: 360-737-9648
FEES
Description Date Amount
Specifics: Restricted Energy Permit 06/07/2017 $75.00
12%State Surcharge-Electrical 06/07/2017 $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. ATT I:: • ••n law re•uires you to follow the rules adopted by the Oregon Utility Notificatio• n-r. ,ose rules are set forth in OAR
952-00 .010 through OAR 9 ' 0. -009. Yo ay obtain a copy of the rules or direct questions to OUNC by calling 563.b". L, or .8,10•3.12 ,4.
Is ued By: '‘# ,
Permittee Signature: _I
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 A I I lic s CEIg FOR OFFICE LSE oyl.v
yReceived �.' n
City of Tigard Date/B : 6 9-5/rt Permit#:TRK ji7-40//
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
II Phone: 503.718.2439 Fax: 503.5 Related Permit#:
M '02 5 2017 Date/B
Inspection Line: 503.639.4175 Ready Date/By: Juris: ® See Page 2 for
TIC ARD Internet: www.tigard_or.gov Notified/Method: Supplemental Information
- 0 *, R '.
❑New construction ®Additi o ', 0 I'-ft -Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition 0 Other:
where the available fault current ❑Marinas and boatyards.
CAI'EGO t OF l b` RVC I(ly exceeds 10,000 amps at 150 volts or 0 Floating buildings.
1-and 2-family dwelling ®Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
❑
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
.TOB SITE,INF(RMATION AN)11 LOCAFION ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address:7331 SW Bridgeport Road 100HP or more. 0"A","E","1-2","1-3",
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#:J3 Project name:Ways&Means Oyster House 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: ' . rm ,� `? ''
Description y_.._ Each �1' Total },.I..�*
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 (.4Tax map/parcel#: Ea.add'l 500sq.ft.or portion 3 92
- a;
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 Qty. I Each I Total l
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
n Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
n Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑ 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:
❑ 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('/z hr min)
COMMERCIAL WORK ONLY:
ELECTRICAL PERMIT`FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
3 * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
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
❑ 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
1:/Building\Permits\ELC_PermitApp_ELRERE.doc Rev 06/17/2015
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7331 SW BRIDGEPORT RD, TIGARD, OR,
97224
Record Type: Record ID:
Commercial - Electrical Limited Energy ELR2017-00112
Inspection Type: Inspector:
198 Low voltage final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor