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Permit
CITY OF TIGAR74D ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT Permit#: ELR2017-00161 T t GAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/25/2017 Parcel: 2S 112 DA01400 Jurisdiction: Tigard Site address: 15350 SW SEQUOIA PKWY 300 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 07/25/2017 $75.00 Type of Use: COM 12%State Surcharge-Electrical 07/25/2017 $9.00 Class of Work: ALT Total Number of Systems: 1 Audio&Stereo: 0 Boiler Controls: 0 CCTV: 0 Clock Systems: 0 Data&Telecommunications: a 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 $84.00 Other Desc: Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by callin 32.1987 or 1.801.1-..2344 Issued By: J/�`�CcfF 7 1 '' Permittee Signature: J OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATURE: Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. a tC � V FL Cy N W R A •t^U. � RLL U � � C O 0 o 0 0 o❑❑❑❑ ❑ ❑ ❑❑ O pC y FN NI 'Eli �. Q dao^ ax x° ���^o oa 3 ~�•U R� O �1 X o o F Q U o o w � to o ° U 'O. 00 00 O M. a � O 0 o 0 0 s" Q 7 O � 00 00 00 O O O bA p u O o M O N iR06 M O W Z W W W C a o 00 m CIO O ® C. c 7 x0 M c O O W) C h N x0 0. V1 C R R ewe "C co O O o E w=r w r A O R H d G O m u R § •° ° a 3$ R 3 ami aO a O 7 � L' G w� �� � 'O W O h •� •� VC" L d G O O �. .► 'O d iR. =� y" 4 -y y W wvxanou n�W�>n CU a � .y L. o 'v � .: � .y cL tea�++ ^❑�� >° ayi y LL �n G. u C. � a°'i W � a°'i w � fru+ •L 6� ti Cr N L � .0 y d � F R "' o L. V ' Hu .b'i 7 o ..s". '� R 7 10'2 CO U Vu N 7 O Hy O � O O r.. V V w O co d Ga Aa Ga C. 0 ti v $ 5, ro u C %• C> o 3 H v d 0 0 0 b > E u d o 0 o z GL R w tip m ^'� •-• Vl N N 7 FQ Q %n LCRI a � O 0 o 0 0 s" Q 7 00 00 00 00 O O p u ? O W Z W W W C a o k ° CIO ® r0 ..c ❑ c 0. 0. C R R ewe o E w=r w r A O H O u R § •° ° a 3$ W 3 ami aO a O 7 � L' w� �� � 'O W O h •� wvxanou n�W�>n CU s" Q 4za o k ° ..c ❑ O CU O � ti v M cl bo en en Q V U 0 a CL w ®❑ ®❑ y V � O o` � W •� w x cog � 'ti 'o � o a •�, aoi o Ra 3 � a FQ °' tmat °a Q: it IE 9 C N w � � Q � d•. � � �� O M a b � 7 y M a N � M O � � ® ❑ ❑ ❑ O cd L x ^�C �' O R y • y 0't7 Y RR+ '� • in 'O • W M1.. , r` v OO F _. }. ;° Q = cd E U Q U 1 U 0. w . , W < U Electrical Permit Application—City of Tigard Page 2-Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: AESIPErsateAL W0014 VA-w- P Descri tionMIIMMIIMMUTIENIEN Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 5.01 to 15 kva I. 133.56 _© ❑ 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 I. 301.04 _© ❑ Garage Door Opener* 50.01 to 100 kva 552.26 _© >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 II 7.42 _© ❑ 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 Ins tions for which no fee is �` r� ��+ �.� � .; r ��,;' zea;».> �rr3x+ ally 1 ed '/z n�� ■1900 r s.-cifi c ist hr mi i r,.. tt l • ra , M l 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: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ® Fire Alarm Installation ❑ HVAC ❑ 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 1:\Building\Permits\ELC_PermitApp_ELR ERE.doc Rev 06/17/2015