Permit (33) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
: a ' COMMUNITY DEVELOPMENT Permit#: ELR2018-00086
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/06/2018
T i i <<l t, g Parcel: 2S113BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 300
Project: Spec Space Subdivision: None Lot: None
Project Description: Limited energy: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 06/06/2018 $75.00
12%State Surcharge-Electrical 06/06/2018 $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 $84.00
Other Desc: Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR•52-001-0090. You may obtain a copy of the/rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: iAr /4 LA'4/ .i./ Permittee Signature: ` �/�[ �' /� �!
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE: Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Applicatio RE t E FOR OFFICE t'SI ONE\
City of Tigard 1 U N !y 101$ Received
a 13125 SW Hall Blvd.,Tigard,OR 97223 `' Date/B : / � � i��
71 ;, Plan Review
Phone: 503.718.2439 Fax: 503.598.. OF 'WARD Date/B : ` ; /
11
Inspection Line: 503.639.4175 �Ht Ready DateiB
T1CiART)' # gt gCl y Jarh: H See Page2for
Internet: www.tigard-or.gov {I ! ( Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
)il New construction 0 Addition/alteration/replacement Please check all that apply(submit/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
D Multi-family ❑Master builder amps for all other installations. buildings.
❑Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system: larger separately derived
Job##: Job site address:7632 SW Durham Rd ❑Addition of new motor load of system.
100HP or more. ❑"A""E" 1.2,'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 Suite 300 VSP 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 Qty. 1 Each I Total I *
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'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
Fire Alarm Device Relocates (with above sq.S.) 75,00 2
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
0
PROPERTY OWNER ® TENANT Renewable Energy 0 See Page 2
Services or feeders installationtalteration,and/or relocation
Name:Bridgeport Suite 300 VSP 200 amps or less 100.70 2
Address:7632 SW Durham Rd 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 2v
Phone:( ) 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 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
® APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,ar extension,per panel
A.Fee for branch circuits with
Business name:Point Monitor Corp. above service or feeder fee,
each branch circuit 7.42 2
Contact name:Brooke Williams B.Fee for branch circuits without
Address:5863 Lakeview Blvd.Suite 100 service or feeder fee,first
branch circuit 56.18 2
City/State/ZIP:Lake Oswego,OR 97035 Each add'lbranch circuit 7.42 2
Phone:(503)627-0100 Fax.: Miscellaneous(service or feeder not included)
( ) Each manufactured or modular
Email:bwilliams@poiutmonitor.com
dwelling,service and/or feeder 67.84 2
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
S -energy
Address:5863 Lakeview Blvd.Suite 100 pangel alteratinal osn,or eor xtension 21 See Page 2 I 2
Cit}/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)627-0100 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:bwilllams@pointmonitor.com Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is
CCB Lie.: 135901 Electrical Lie. 34508CLE Suprv.Lie.: 4460LEA specifically listed.Cs hr min) 90.00/hr
Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES
Subtotal:
Print name: Ben Breit Date: 6/5/18 0 Plan Review Required(25%of pennit fee):
State surcharge(12%ofpermit fee):
Authorized signatureTOTAL PERMIT FEE:
� This permit application expires if a permit is not obtained within 180
Print name: Ben Breit Date: 6/5/18 days after it has been accepted as complete.
— * Number of inspections allowed per permit.
I.BuildiagPernrils:ELC_PermitApp_ELR_ERE.doc Rev 06'1"+2015 440.4615T11I OS'CAMWER
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description Qty. Each I Total I
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
Audio and Stereo Systems*
15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
0 Burglar Alarm
25.01 to 50 kva 301.04 2
50.01 to 100 kva 552,26 2
0 Garage Door Opener*
:,100 kva(fee in accordance
55226 2
with OAR 918-309-0040)
0 Heating,Ventilation and Air Conditioning
Solar generation systems in excess 01 25 kva:
System*
Each additional kva over 25 7,42 3
0 * ,ioo kva—no additional charge 0.0 3
Vacuum Systems
Each additional inspection over allowable in any of the above:
Li Other. Each additional inspection is
66.25/hr
charged at an hourly(1 hr mm )
Inspections for which no fee is
90.00/hr
specifically listed(V*hr min)
ELECTRICAL PERMIT FEES
COMMERCIAL WORK ONLY:
Fee for each commercial system: $75.00 Subtotal(Enter on Page I):
* Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
n Audio and Stereo Systems
O Boiler Controls
O Clock Systems
Data Telecommunication Installation
Z Fire Alarm Installation
O HVAC
n Instrumentation
O Intercom and Paging Systems
O Landscape Irrigation Control*
O Medical
O Nurse Calls
O Outdoor Landscape Lighting*
O Protective Signaling
0 Other:
Total number of commercial systems: 1
*No licenses are required. Licenses are required for all
other installations
I.BuildtnglermasELCPermitApp_ELR_EFtEdec Rev 06,17 2015
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7632 SW DURHAM RD 300, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Electrical Limited Energy ELR2018-00086
Inspection Type: Inspector:
198 Low voltage final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor