Loading...
Permit (21) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 14, u COMMUNITY DEVELOPMENT Permit#: ELR2017-00140 T E A jg D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/29/2017 Parcel: 1 S 1260000300 Jurisdiction: Tigard Site address: 9591 SW WASHINGTON SQUARE RD B10 Project: Victoria's Secret Subdivision: None Lot: None Project Description: Low voltage for burglar alarm. Contractor: SIMPLE SECURITY Owner: PPR WASHINGTON SQUARE LLC PO BOX 80577 PO BOX 847 PORTLAND, OR 97280 CARLSBAD, CA 92018 PHONE: 503-574-2254 PHONE: FAX: 503-245-2998 FEES Description Date Amount Specifics: Restricted Energy Permit 06/29/2017 $75.00 Type of Use: COM 12%State Surcharge-Electrical 06/29/2017 $9.00 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: 0 HVAC: 0 Instrumentation: 0 Intercom/Paging: 0 Landscape/Irrigation: 0 Landscape Lighting: 0 Medical: 0 Nurse Calls: 0 Protective Signal: 0 Security Alarm: 1 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 a ! -gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0.10 through OAR ° 2-00 ..'.. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / Issu.. By: Permittee 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. Electrical Permit Application uoR 01:1:1(1., 11;Oy1 , City of Tigard RECEIVED Received Q g Date/B : i/ „A O Permit#: 6_12_9,0/ 7,.Of) a • 13125 SW Hall Blvd.,Tigard,OR 97223 v 11111 Plan Review C Phone: 503.718.2439 Fax: 503.598.} •! 2 9 2017 Date/B : Related Permit#: Inspection Line: 503.639.4175 1 ReadyDate/By: Anis: TIGARD ® SeePage2for Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OF TIGARD TYPEf4)ffNG DIVISION PLAN REVIEW ❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ID Other: 0 Service or feeder 400 amps or more ElBuilding over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived o Addition of new motor load of system. Job#: Job site address: rj I "�(A) U'.Jr pc� ,- ,;4-77,(. j;/,'?r C-l00HP or more. ❑«A„ «E» «1.2» «1 3„ City/State/ZIP: 1-1' / i' 0 Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: i3—j(2 Project name: CI;L.,L 4-Lk {,t,(0;4-- 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 I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Ea.add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 a (- e, 1 s\t- A i G^-f \, (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 0 PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 100.70 2 Address: 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 Phone:( ) 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 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 0 APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,Per panel A.Fee for branch circuits with Business name: above service or feeder fee, 7 42 2 each branch circuit Contact name: B.Fee for branch circuits without Address: service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: S—j ()Vie, ,cef ‘i, I A) C--- Sign or outline lighting 67.84 2 p s� J Signal circuits)or limited-energy See Page 2 2 Address: 0 I) i) 17L) 7 ') panel,alteration,or extension. City/State/ZIP: l� /} ( �� Each additional inspection over owable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: IS—Z,0 i ` Electrical Lic.: 9 ( specifically listed 'V hr min) 90.00/hr J 7���� (�.. Suprv.Lic.:'311 >��,):,',/,': (.� Pe Y ( ELECTRICAL PERMIT FEES Suprv.Electrician signature,r -="` Subtotal: Print name:At l/ .4,,,,i/ 1j? ? {?j. Date: -;---1.--?--I -7 0 Plan Review Required(25%of permit fee): Ij" ✓ State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PennitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONL `. FEE r✓ n EE Description I Qty I Each I Total *: Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less 100.70 2 Check Type of Work Involved: 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: ❑ 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 El Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ 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(Y2 hr min) © ERCIAL WORK ONLY . : ,i4444'.E? ,w.. e RFs 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 El Clock Systems El Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC El Instrumentation El Intercom and Paging Systems El Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* El Protective Signaling Other: 6-1,1..50...„, Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9591 SW WASHINGTON SQUARE RD B10, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Electrical Limited Energy ELR2017-00140 Inspection Type: Inspector: 198 Low voltage final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor