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Permit (51) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT !PI • IF COMMUNITY DEVELOPMENT Permit#: ELR2017-00229 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/31/2017 TIGARD Parcel: 2S 1136A00400 Jurisdiction: Tigard Site address: 7632 SW DURHAM RD 300 Project: Spec Space Subdivision: None Lot: None Project Description: Fire alarm. Contractor: POINT MONITOR CORPORATION Owner: PORTLAND SW CENTER LLC 5863 LAKEVIEW BLVD STE 100 BY FELTON PROPERTIES INC LAKE OSWEGO, OR 97035 ATTN: FELTON, MATT 520 SW 6TH AVE, STE 610 PORTLAND, OR 97204 PHONE: 503-627-0100 PHONE: FAX: 503-627-0110 FEES Description Date Amount Specifics: Restricted Energy Permit 10/31/2017 $75.00 12%State Surcharge-Electrical 10/31/2017 $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 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 calling 503.232.1987 or 1.800.332.2344. Issued By: / • Permittee Signature: -1/114 /9-7) /Cr —�7i),'lr' 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 (. ,� iVr c ,_ FOii OFFICE FOSE ONLI City of Tigard !ie ' � �/�y ,+' DatelB % �i `ennit /� � !9i2 72/111 u 13125 SW Hall Blvd.,Tigard,OR 97223 0CT 2 # 2 01 r w I Phone: 503.718.2439 Fax: 503.598.19604 Date/B : Related Permit#.:1 -2..C.,20/7 (i9/,C vit.. Inspection Line: 503.639.4175 CITY (t" 1 i(s,`+, 1, Ready Date'By: turns: Eft See Page 2 for I t D i( ar,,Klieg Notified/Method: Supplemental Information Internet www.tigard-or.gov t i {QHa TYPE OF WORK PLAN REVIEW ►,1 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. ❑Demolition 0 Other: 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 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system, larger separately derived 0 Addition of new motor load of system. Job#: Job site address:7632 SW Durham Rd. 100HP or more. ❑"A""E "1-z""1-3" City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#:300 Project name:Bridgeport Center 300 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 oty. I Each ( Total 1 * 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'1500 sq.ft.or portion , 33.92 1 DESCRIPTION OF^WOE Limited energy,residential Fire Alarm Notification Devices-relocate only (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) 0 PROPERTY OWNER 1 ENANT Renewable Energy ❑ See Page 2 Services or feeders inatallationsalteration,and/or relocation Name:Bridgeport Center 300 200 amps or less 100.70 2 Address:7632 SW Durham Rd.Suite 300 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Tigard,OR 97224 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 5936 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 Branch circuits—new,alteration,or extension,per panel ® APPLICANT; I ,' ❑ CONTACT PERSON A.Fee for branch circuits with 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 edd'l branch circuit 7.42 2 Miscellaneous(service or feeder not induded) Phone:(503)627-0100 Fax::( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email:bwilliams@pointmonitor.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Point Monitor Corp. Sign or outline lighting 67.84 2 Address:5863 Lakeview Blvd.Suite 100 Signalaclterationt(s), or extension. ® See Page 2 1 2 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:bw(Iliams@pointmonitor.Com Inspections for which no fee is 90.001 hr CCB Lie.: 135901 Electrical Lic.: 34508CLE Suprv.Lic.: 4460LEA specifically listed('hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: elm..: ,, Subtotal: 75.00 Print name: Ben Breit Date: 10/27/17 0 Plan Review Required(25%ofpemrit fee): State surcharge(12%of permit fee): 9.00 (� �� TOTAL PERMIT FEE: 84.00 1./Authorized signature:\ ` r This permit application expires if a permit is not obtained within 180 Print name: Ben Breit Date: 10/27/17 days after it has been accepted as complete. * Number of inspections allowed per permit, I,Building.Permits ELC_PermeApp_ELR ERE.doc Rev 06 I'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 ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 Description Qty. I Each I Total Renewable 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 20034 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 0 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 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed ch hr min) COMMERCIAL WORK ONL t: VL 'PERmirr FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) ' Number of inspections allowed per permit. Check Type of Work Involved: ❑ A• udio and Stereo Systems ❑ B• oiler 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 Ree 06 1-2013 CITY OF TIGARD MECHANICAL PERMIT Permit#: MEC2017-00856 II COMMUNITY DEVELOPMENT Date Issued: 10/31/2017 -f[Cate D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S104CB03500 Jurisdiction: Tigard Site address: 13188 SW ASCENSION DR Project: Haima Subdivision: HILLSHIRE WOODS Lot: 81 Project Description: (1)wood burning fireplace,(1)log lighter,and gas piping for(1)fireplace and(2)barbecues. Contractor: JD HILL CONSTRUCTION INC Owner: HAIMA, CHAD M&NATALIE E 17700 SW SHAWNEE TRAIL 13188 SW ASCENSION DR TUALATIN, OR 97062 TIGARD, OR 97223 PHONE: 503-612-7854 PHONE: FAX: FEES Specifics: Description Date Amount Log Lighter(Gas) 10/31/2017 $23.32 Type of Use: SF Wood Fireplace/Insert 10/31/2017 $23.32 Class of Work: ALT Type of Const: Chimney/Liner/Flue/Vent 10/31/2017 $23.32 Occupancy Grp: Fuel Piping 10/31/2017 $14.15 Stories: 12%State Surcharge-Mechanical 10/31/2017 $10.80 Minimum Fee Adjustment-Mechanical 10/31/2017 $5.89 Fuel Fuel Types: Natural Gas Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. r Issued By: ignature: iigriM ,0,04,.Zifele Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicati r , FOR OFFICE USE ONLIii_ ' Cityof Tigard A g „e L i r P.--i Received Date/By: to 31 i7 d, � �Permit No.: 1 ` o,$ M 13125 SW Hall Blvd.,Tigard,OR 97223 3 Plan Review Other Permit: ■. Phone: 503.718.2439 Fax: 503.598.1960 (} 2017 Date/By: _V l -/ TI G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: Id See Page 2 for Internet: www.tigard-or.gov GIG Y kaor a._,,4'`" A Notified/Method: ^}�_ Supplemental Information „,. 1,J I L .g �4't 5*y0'.; ., fin. r > :_ T��OF woR( ri; COMMERCIAL FEE* SCHEDULE - SE CHECKLIST P Mechanical permit fees*are based on the value of the work ❑New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. �, Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: ., Air conditioning 46.75 Job site address: / 3/ g 5k) ,4S4 Cl,-vl j;p4/.1 d,:y Z Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 77 L y,-,�, V'7 7 3 Furnace 100,000+BTU(ducts/vents) 54.91 / Heat pump 61.06 Suite/bldg./apt.no.: Project name: CA es.c `1[ �M.1_ Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 9 /,),/ Residential boiler(radiator or f/�//l e-G 710 E- 1/- .4 S e i-44 6 i-G2 v- e tJ'� hydronic) 23.32 t'` Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: 23.32 Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTIOT+I`OF VVOl*= • 'rGas fireplace/insert 33.39 ., •*, ti. � - � `" /� • �� " Flue vent for water heater or gas 33 5... l 00 i3U it-' . .oG/.1/'/„4.e fireplace 23.32 itr Log lighter(gas) ` 23.32 ?-3,3 / /O0 / ' 6 i-f'/� Wood/pellet stove 33.39 Wood fireplace/insert I 23.32 23.-3) Chimney/liner/flue/vent / 23.32 73 l> O er: 23.32 '` PROPRT] WNI1t „` p TN `� , Environmental exhaust and ventilation: i� Range hood/other kitchen Name: C.�l� �e 11'1 equipment 33.39 Address: `' / 3/ j Skf l cew, 5-1,-e),...-7 0✓ ,,J e Clothes dryer exhaust 33.39 City/State/ZIP: 7!/ C� t (��/l''1 C 722_3 Single-duct exhaust(bathrooms, / toilet compartments,utility rooms) 23.32 Phone:A 7/) S-,3-D2 5- Fax:( ) Attic/crawlspace fans 23.32 6 " Other: 23.32 �A(PPI;ICANT; - NG°l,C'I"❑ t� PERSON a, Fuel piping: Business name: . -b _.,/;4,1 C 0/S,9e v G .,jyl -„2.-.--,,e____ $14.15 for first four;$4.03 for each additional Contact name: ,-'"j Furnace,etc. �-.-�' ( Gas heat pump Address: J 7 `7 0 v 6u) ,5 A,,,,IA,�i /// -',=� Wall/suspended/unit heater City/State/ZIP: ''7"U c ` ,`/ � 1 ?70 b 2_ Water heater Phone:(3.-03) Fax::( ) Fireplace / /�l lc-.5/L �� Range E-mail: . b evek 6q 7/1_// �2''jn.✓f Barbecue ON � 'CONjtsACTOR ,+ Clothes dryer(gas) Other: Business name: J (.4)., 1' )(1p vi_.4.6✓..,2 'c ?t,?. _7'44a.- I'MECHANICAL PERMIT EES*, Address: 1 7 7 / v S hi 3,h 0 ti,' „62 ,,..`,t „ Subtotal 1L(. !i U C l<_11-,-I/1 © / G Minimum permit fee($90.00) eJ .. j City/State/ZIP: LG 1 Plan review(25%of permit fee) - Phone:(5-03) .2 y 9_/Q/ p Fax:( ) State surcharge(12%of permit fee) 10.. --i CCB lic.: 7 7 D 7 TOTAL PERMIT FEE I/60 Al This permit application expires if a permit is not obtained within 110 �,1� days after it has been accepted as complete. Authorized signature: ✓�!/0 �L' * Fee methodology set by Tri-County Building Industry Service Board Print name: e -tie, J , 'LA ;L\ Date: /d/ 3/ /f 7 I:\Building\Permits\MEC_PermitApp_040113.doe 440-4617T(I1/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Pemlits\MEC_PermitApp_040113.doc 2