Permit (82) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
C.:. ' COMMUNITY DEVELOPMENT Permit#: ELR2017-00227
R 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/24/2017
Parcel: 2S113AB01400
Jurisdiction: Tigard
Site address: 7358 SW DURHAM RD
Project: Coram Subdivision: None Lot: None
Project Description: Data telecommunications and access control systems.
Contractor: INNO4 LLC Owner: PACIFIC REALTY ASSOCIATES LP
15 BROAD ST ATTN: N PIVEN
BOSTON, MA 02109 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 877-496-4666 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Restricted Energy Permit 10/24/2017 $150.00
12%State Surcharge-Electrical 10/24/2017 $18.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 2
Audio&Stereo: 0 Boiler Controls: 0
CCTV: 0 Clock Systems: 0
Data&Telecommunications: 1 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: 0 Other: 1 Total $168.00
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 obtain a cop of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
•
Issued By: Permittee Signature:
>N4h
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
. .: rolz orrlcl: t;sl:o11.N
City of Tigard Received c
13125 SW Hall Blvd.,Tigard,OR 97223 Date/B : U�t'f' / Permit#: G ``� _/y}
0 Phone: 503.718.2439 Fax: 503.598.1960 ; s .1 /'j Plan Review ✓✓`��
Date/B : Related Permit#:Jur `/ �r .A Al)T I G A R D Inspection Line: 503.639.4175 Ready Date/By: s:
Internet: www.tigard-or.gov Cff A�. IG •JS Information
See Pent 2 n
Supplemental
TYPE OF Wllffl
ILDING DIVISION PLAN REVIEW
❑New construction (Addition/alteration/replacement 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.
0 Demolition ❑Other:
where the available fault current 0 Marinas and boatyards.
CATEGQRY OF CONSTRUCTION
0-Commercial/industrial exceeds 10,000 amps at 150 volts or 0 Floating buildings.
El1-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.
0 Multi-family 0 Master builder 0 Other:
0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 7 3.S 0 Emergency system. larger separately derived
Job#: I Job site address: 0 Addition of new motor load of system.
-S Stvi J( z14 A Al Zi 100HP or more. ❑ A„ `E> `<l_2„ `1.37
, oz._ Six or more residential units. occupancy.
/L.4L,14,D c� 0 `772`7(
City/State/ZIP:
o Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: I Project name: C..o;ZA.Li 0 Hazardous locations. 0 Supply voltage for more than
Cross street/directions to job site: ❑Service or feeder 600 amps or more. 600 volts nominal.
FEE SCHEDULE
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
DESCRIPTION OF WORK Ea.add'l 500 sq.ft.or portion 33.92 1
Limited energy,residential
ADD d1/E-71DPS A AiD 4a-6.55 ti (with above sq.ft.) 75.00 2
DIZOn� Limited energy,multi-family
r residential(with above sq.ft.) 75.00 2
0
PROPERTY OWNER I 0 TENANT Renewable Energy 0 See Page 2
Name:
Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
City/State/ZIP: 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Phone:( ) I 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 1 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
0 APPLICANT- , 0 CONTACT PERSON Branch circuits—new,alteration,or extension, er panel
Business name: / A.Fee for branch circuits with
5t be,/ 40 service or feeder fee,
Contact name: each branch circuit 7.42 2
B.Fee for branch circuits without
Address: service or feeder fee,first
branch circuit 56.18 2
City/State/ZIP: Each add'l branch circuit 7.42 2
Phone:( ) I Fax::( ) Miscellaneous(service or feeder not included)
Each manufactured or modular
Email: dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
CONTRACTOR
Pump or irrigation circle 67.84 2
Business name: i,j.tj0L1- 1.-1—C— Sign or outline lighting 67.84 2
Address: S Signal circuit(s)or limited-energy
`� ST panel,alteration,or extension. 0 See Page 2 Z. 2
City/State/ZIP: ---&"e„i G%li Each additional inspection over allowable in any of the above
` � Additional inspection(1 hr min) 66.25/hr
Phone:( 7) `. /( . , I Fax:
Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
Sv �,via' L r1 g ! L .. CLO,e1 Inspections for which no fee is
CCB Lic.: 6, I Electrical Lic.: L/3 I Suprv.Lic.:3`3c4k.f%l specifically listed(%hr min) 90.00/hr
Suprv.ElecMcian signature,required: -�--7 ELECTRICAL PERMIT FEES
,u c `✓
Subtotal:
,v2
Print name: !! v i hH 71Date: /U/LL//�7. 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
IPrint name: I This permit application expires if a permit is not obtained within 180
I Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_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:
w nx SCHEDULE
'
• '` pt.. Each Total
RESIDEI�I IA WORK ONLY: r. ., ,.
Description � Qty. I ac
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
❑ 15.01 to 25 kva 200.34 2
Audio and Stereo Systems*
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
>100 kva—no additional charge 0.0 3
n Vacuum Systems*
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('/hr mm)
ELECTRICAL IPERMIT"FEES`
COMMERCIAL
,- M 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
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
[❑ Outdoor Landscape Lighting*
. ective ign.
ISZIOther: 45 efivvivci
Total number of commercial systems: z-
*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:
7358 SW DURHAM RD, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Electrical Limited Energy ELR2017-00227
Inspection Type: Inspector:
135 Low voltage rough-in Jeff Grove
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor