Permit (84) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
Permit#: ELR2017-00196
COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/13/2017
ja r [•DParcel: 25101 B D00200
Jurisdiction: Tigard
Site address: 8001 SW HUNZIKER RD
Project: Tigard Distribution Center Subdivision: None Lot: None
Project Description: Fire alarm.
Contractor: OMLID AND SWINNEY FIRE PROTECTION Owner: TIGARD DISTRIBUTION CENTER LLC
157 S 47TH ST 4800 SW MACADAM, STE 120
SPRINGFIELD, OR 97478 PORTLAND, OR 97239
PHONE: 541-741-1775 PHONE:
FAX: 541-741-0347
FEES
Description Date Amount
Specifics: Restricted Energy Permit 09/13/2017 $75.00
12%State Surcharge-Electrical 09/13/2017 $9.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems:
Audio&Stereo: Boiler Controls:
CCTV: Clock Systems:
Data&Telecommunications: Fire Alarm:
HVAC: Instrumentation:
Intercom/Paging: Landscape/Irrigation:
Landscape Lighting: Medical:
Nurse Calls: Protective Signal:
Security Alarm: Other: 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 rules or direct questions to OUNC by calling 503.232.119987 or 1.800.332.2344
Issued 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 i i--;
d FOR OFFICE USE ONLY
i!' City of Tigard DateB: ,r' Permit 4: - - ,.0
:
Il
- 11 13125 SW Hall Blvd.,Tigard,OR 97223 (��J
Phone: 503.718.2439 Fax: 503.598.1960 SEP 1 3 t l hte/B view Related Permit 4: J" 1 7 -abp it
Inspection Line: 503.639.4175 Ready Date/By: Juris H See Page 2 for
Ti GARP, Internet: www.tigard-or.gov it .1'1"N:iit' ethod: Supplemental Information
W� � ' ei -`�a-� ���--�,"' s u`��"e u: s=.R �) � � lA y � s ��, "~ `'{ �4d a M�' Wh4�'u3,�,Il
�t e w; to��- - P ax a'S-�"'_: 9 �. 'P,�,�" $J��, ,fr ' i, t �1: � i ,r f»: �s A ✓„d .,"1, .iif:; is t r�
❑New construction ®Addition/alteration/rep acement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
iia l ", "„Li'l,, t�3 p y` i:,',1101:0110 MI" + 2 i511 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 0 Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
sag,Z1c,VINtsi";!,c,.1 :71*.:,,, ,,9*7.0,14.9c41,i A 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address:8001 S.W.Hunziker Street 100HP or more. ❑"A","E",`°t-2", `i-3",
City/State/ZIP:97223 ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Tigard Distribution 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:SW Wall Street '^ " i ,' ' N E ilk,,=
Description I Qty. I Each I Total I
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'I 500 sq.ft.or portion 33.92 1
� � w , � « �s, K
�r � « .ter u = r�, Limited energy,residential
(with above sq.ft.) 75.00 2
Addd fire alarm panel and devices to eprate from Security/fire combo panel Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
'i < � t � �� m r 9
1 Renewable Energy 0 See Page 2
s , , �' ���,- �� 4 - F, L �4� _ , -. V . 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
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 I
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
. r �a�� ,wit :g , ^' ' !_ Branch circuits-new,alteration,or extension,per panel
m �'�� e� =a �� � 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'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: Reconnect only 67.84 2
wa „ri,,,;i,.t2vr Pump or irrigation circle 67.84 2
Business name:Western States Fire Protection Sign or outline lighting 67.84 2
Address: 17500 SW 65th Ave Signal circuit(s)or limited-energy cc 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)407-0279 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:William.Stewart@WSFP.US Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 104570 Electrical Lic.: CLE108 Su rv.Lic.: 2525LEA s�eclfically listed(%2 hr min)
Suprv.Electrician signature,required: iji. •j `� F Subtotal:
Print name: William T Stewart I Date: 9-13-17 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: ,,,/i /6-' �! .7 -- ...-4. TOTAL PERMIT FEE: gds
This permit application expires if a permit is not obtained within 180
Print name: William T Stewart Date: 9-13-17 days after it has been accepted as complete.
- * Number of inspections allowed per permit.
C\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Paget,—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Description
Fee for all residential systems combined: $75.00I Renewable
Qty. eeeh Total
electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
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 552.26 2
with OAR 918-309-0040)
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
H 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 listedda(%2 hr min)
ft
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
❑ Clock Systems
❑ Data Telecommunication Installation
® Fire Alarm Installation
n 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
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015