Permit (71) TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
CITY O F permit#. ELR2018-00056
. COMMUNITY DEVELOPMENT DatPermit#: 04/16/2018
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 0416/2Ol8 400
T Ea�4 it Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 350 Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project: Academy Mortgage
Project Description: Fire alarm.
Owner: PACIFIC REALTY ASSOCIATES
Contractor: POINT MONITOR CORPORATION gTTN: N PIVEN
5863 LAKEVIEW BLVD STE 100 15350 SW SEQUOIA PKWY#300
LAKE OSWEGO, OR 97035 PORTLAND, OR 97224
PHONE:
PHONE: 503-627-0100
FAX: 503-627-0110
Date Amount
Description
04/13/2018 $75.00
Specifics: Restricted Energy Permit 04/13/2018 $9.00
12%State Surcharge-Electrical
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 0
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 Total $84.00
Security Alarm: 0 Other: 0
Required Items and Reports(Conditions)
Other Desc:
ork will
This permit is issuedrsubject to thev regulations plan . his permit will in the
exp re if workMunicipal
not started withinf 180 days Specialty
issuance, orand
ifall
work is suspendedlaw.
for moreythe 180
be done ance with aroreqed plan P
days.2ATTENTION:through
Oregon law require You tobtainoa copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
fication Center. Those rules are set forth/ in OAR
952-001-0010 through OAR 952-001-0090. may 4447'
i � ��� ��� _ A
W/ Permittee Signature: ,V �/
Issued By: _
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
Date:
OWNER'S SIGNATURE:
CONTRACTOR INSTALLATION ONLY
Date:
SIGNATURE OF SUPR.ELEC'
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 ApplicatioWErFIVPP FOR OFFICE USE ONLY
City of Tigard Received '
Date B I ;�►,. s II
a 13125 SW Hall Blvd.,Tigard,OR 97223 APR 19, 2018 Plan Review ' iS,r /r I �� /110C Phone: 503:718.2439 Fax: 503.598.1960 �` DateiB : Related Permit#:
Inspection Line: 503.639.4175 Ty r a: Ready DateBy: furs: ]3 See Page 2 for
TIGARD Internet: www.tigard-or.gov � I IS i ttw"r 4^fit Notified,`Metlwd: Supplemental Information
„ ,, ,TYPE'OI WO 1 t Vi "p�''
r.LA1VillsE v,WW„
El New construction ®Addition/alteration/replacement Please check all that apply(submit,.sets of plans w'items checked):
0 Service or feeder 400 snips or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION -" i. exceeds 10.000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building less to ground,ar exceeds 1x.000 ❑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!1NFORMATION;AND;LOCATION ❑Emergency system- larger separately derived
❑Addition of new motor load of system.
Job 4: Job site address:6650 SW Redwood Lane 100HP or more. ❑ a^,`E^,`1-2", `I-3".
CitylState/ZIP:Tigard,OR 97224 ❑Six or more residentialunits. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.4:350 Project name:Academy Mortgage ❑Hazardous locations, 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: - . .a .FEE SCHEDULE_'.'
neserioitan I Ore. 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 4:
Ea.add'I 500 sq.ft.or portion 33.92 t
DESCRIPTION OF WORK'!, Limited energy,residential
(with above sq.ft.) 75:00 2
Eire Alarm Notification Devices Limited energy,multi family
residential(with above sq.ft.) 75.00 2
i y Renewable Ener• 0 See Page 2
0 PROPERTY OWNER. ° C..'',TENANT' Services or feeders installation,alteration,and/or relocation
Name:Academy Mortgage 200 amps or less 100.70 2
Address:6650 SW Redwood Lane Suite 350 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Cit};'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 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
Branch circuits—new,alteration,or extension,per panel
0'APP>r.I6ANT '; "' ❑ eONTACT PERSON: iii , A,Fee for branch circuits with
Business name:Point Monitor Corp. above service ar feeder fee, 7.42 2
each branch circuit
Contact name:Brooke Williams B.Fee for branch circuits without
Address:5863 Lakeview Blvd.Suite 100 service or feeder fee,first 5618 2
branch circuit
City/State/ZIP:Lake Oswego,OR 97035 Each add.'branch circuit 7.42 2
Miscellaneous(service or feeder not included)
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
p„ k . CONTRACTOR I4! h 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 r, See Page 2 I 2
Address:5863 Lakeview Blvd.Suite 100 panel,alteration,or extension. g
City/Skate/ZIP:Lake Oswego,OR 97035 Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:(503)627-0100 Fax:( ) Investigation(I hr min) 90.00/hr
Email:bwilliamseipointmonitor.cotn Industrial plant(1 hr min) 73.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 135901 Electrical Lie.: 34508CLE Suprv.Lic.: 4460LEAspecifically, listed(/s hr min)
-'r 1 ' :° ',y,ELECTRieAI:PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Ben Breit Date: 4/11/18 0 Plan Review Required(25%of pennit fee):
State surcharge(12%of permit fee):
Authorized signature( ` TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Ben Breit Date: 4/11/18 days after it has been accepted as complete.
Number of inspections allowed per permit.
I.Building Permits-ELC_PermitApp_ELR_ERE.doc Rev 06 7`-2015 440-46151(1 105 COM WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORKKK'ONLY: ;i, ,: 4'M _ FEE:sCHEDUL
Description I Qty. I Each I Total
Fee for all residential systems combined: $75.00 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 200.34 2
Wind generation systems in excess of 25 kva:
n B• urglar Alarm 25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
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
C Vacuum Systems* ,100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
C Other: Each additional inspection is 66.25/hr
charged at anhourly(1 hr min)
inspections for which no fee is 90.00/hr
specifically listed('4 hr min)
COMMERCIAL WORK(Jl\ILY. ' a
'; ' )ELECTRIICALwPEi MIT FE1S
subto
Fee for each commercial system: $75.00 allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
r- A• udio and Stereo Systems
C Boiler Controls
(l Clock Systems
+❑ D• ata Telecommunication Installation
►1 Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
C Landscape Irrigation Control*
El Medical
• Nurse Calls
❑ Outdoor Landscape Lighting*
E Protective Signaling
C Other:
Total number of commercial systems: 1
*No licenses are required. Licenses are required for all
other installations
It Building Permits.ELC_PermitApp ELR_ERE,doc Rev.06 I"3015