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Permit
CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 111II - COMMUNITY DEVELOPMENT Permit#: ELR2017-00174 Date Issued: 08/23/2017 TEC Ft. i 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101AB03100 Jurisdiction: Tigard Site address: 12115 SW 70TH AVE Project: Red Rock Center Subdivision: 2012-009 PARTITION PLAT Lot: 3 Project Description: Building C-Low voltage for fire alarm Contractor: POINT MONITOR CORPORATION Owner: TIGARD TRIANGLE PARTNERS LLC 5863 LAKEVIEW BLVD STE 100 18187 SIERA DR LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97034 PHONE: 503-627-0100 PHONE: FAX: 503-627-0110 FEES Description Date Amount Specifics: Restricted Energy Permit 08/23/2017 $75.00 12%State Surcharge-Electrical 08/23/2017 $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 $84.00 Other Desc: Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules ar set forth in OAR 952-001-0010 through OAR 952-001-00;$. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.33 344. Issued By: /44 74'4- 4- Permittee Signature: J 1 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 FOR OFFICE ISE ONL1 City of Tigard RECEIVED Received: ci fG A Permit#: LQo20l 7_ee/7 1,I1N iii Date/B 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review _ Phone: 503.718.2439 Fax: 503.598W, 7 2017 Date/B : Related Permit#: Inspection Line: 503.639.4175 r":1"1 Ready Date/By: Juris: ® See Page 2 for I I C,A R DNotified/Method Supplemental Information � :. �: Internet: wwwtrg�� °�;g°v r � :��GII::4" fs. .,3t, a.. 5,iv�,t 714' 'wFr" kI,.. ®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 stones. ❑Demolition 0 Other: where the available fault cursent ❑Marinas and boatyards. 1 ` i - exceeds 10,000 amps at 150 volts or 0 Floating buildings. '�s' �t�` 4r,w t �� Tess to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or '"-.5:::1'f,1,2;4741;:,„': nv i; ' _ 0 Emergency system. larger separately derived �--" `moi ' sw. '" ❑Addition of new motor load of system. Job#: Job site address: 12115 SW 70th Ave. 100HP or more. ❑"A","E","t-z","l-3", ❑Six or more residential units. occupancy. City/State/ZIP:Tigard,OR 97223 ❑Health-care facilities. ❑Recreational vehicle parks. ❑Hazardous locations. 0 Supply voltage for more than Suite/bldg./apt.#: Project name:Red Rock Center 600 volts nominal. ❑Service or feeder 600 amps or more. Cross street/directions to job site: ns, . :.° Description Qty. Each Total New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 ''''44711M-01:11:71 '. f# #_: Limited energy,residential 75.00 2 (with above sq.ft.) Fire Alarm Notification Devices Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 t i ,,, .' :It' , t 4 Services or feeders installation,alteration,and/or relocation Name:Red rock Center 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Address: 12115 SW 70th Ave. 401 amps to 600 amps 200.34 2 City/State/ZIP:Tigard,OR 97223 601 amps to 1,000 amps 301.04 2 Phone:( ) 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 $ i ' t� ,.. , .� t :, s - ,, BA.Fee franchor bcirh cuits—circuits new,alterationwith ,or extension,per panel x x.... 7.71$01074,14 , t ._... ranc 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 service or feeder fee,first 56.18 2 Address:5863 Lakeview Blvd.Suite 100 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 Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:bwilliams@pointmonitor.com Reconnect only 67.84 2 y.- ;f +i": , t' Ntt:*:. ; Pump or irrigation circle 67.84 2 Business name:Point Monitor Corp. _Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ® See Page 2 1 2 Address:5863 Lakeview Blvd.Suite 100 panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP:Lake Oswego,OR 97035 Additional inspection(1 hr min) 66.25/hr Phone:(503)627-0100 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email:bwilliams@pointmonitor.com Inspections for which no fee is 90.00/hr s ificall listed 'h hr mm CCB Lie.: 135901 Electrical Lic.: 34508CLE Suprv.Lic.: 4460LEA r > 1 s t Suprv.Electrician signature,required: - � _/ Subtotal: 75.00 Print name: Ben Breit i Date: 8 /17 _ 0 Plan Review Required(25%of permit fee): / State surcharge(12%of permit fee): 9.00 TOTAL PERMIT FEE: 84.00 Authorized signature: This permit application expires if a permit is not obtained within 180 Print name: Ben Breit Date: 8/3/17 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 440-4615TQ l/OS/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: X '® Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less 100.70 _© Check Type of Work Involved: 5.01 to 15 kva 111. 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 - 301.04 _© 50.01 to 100 kva 552.26 _© ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040 III 552.26 —© ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 11. 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 II66.25/hr —� chat-led at an hourl 1 lir min Inspections for which no fee is ■ 90.00/hr —. s -cificall listed 'h hr min °'1`'k 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 O Clock Systems ❑ Data Telecommunication Installation ® Fire Alarm Installation ❑ HVAC O Instrumentation O Intercom and Paging Systems O Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls O Outdoor Landscape Lighting* ❑ Protective Signaling O 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 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12115 SW 70TH AVE, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Electrical Limited Energy ELR2017-00174 Inspection Type: Inspector: 198 Low voltage final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor