Permit (33) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
III
COMMUNITY DEVELOPMENT Permit#: ELR2018-00090
Date Issued: 06/13/2018
T I i;A R I7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST 380
Project: PrimePay Subdivision: ASHBROOK FARM Lot: 5
Project Description: Limited energy for fire alarm.
Contractor: POINT MONITOR CORPORATION Owner: PLAZA WEST OWNER LLC
5863 LAKEVIEW BLVD STE 100 BY CHIEF FINANCIAL OFFICER
LAKE OSWEGO, OR 97035 680 FIFTH AVE 20TH FL
NEW YORK, NY 10019
PHONE: 503-627-0100 PHONE:
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Restricted Energy Permit 06/13/2018 $75.00
12%State Surcharge-Electrical 06/13/2018 $9.00
Type of Use: SF
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
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 95,001-0;;I. You/",.y obtain a copy of the rules,
•r direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �.� r /L�/�". � " ' Permittee Signature: ff `e- t.'25,
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.
.
GREENED
Electrical Permit Application - - 1 OR OF P R'V 151 cysiby
III City of Tigard JUN 1 2 2018 Received - . ,
DateB : ilialill Pennit#:/ , )00--t)
13125 SW Hall Blvd.,Tigard,OR 972?-1,..„ Plan Review
' I • Phone: 503.718.2439 Fax: 503.598.4.9M Y OF TIGARD Date B : C=1:=1010 WM
Inspection Line: 503.6394175 BUILDING olvw)iN Ready Date/By. IIM lil See Page 2 for
1 IGARD Internet: www.tigard-or.gov 1.- -- , Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
CI New construction CI Addition/alteration/replacement Please check all that apply(submit a sets of plans v.'items checked):
Q Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition El Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 Floating buildings.
El I-and 2-family dwelling IS)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 0 Emergency system. larger separatelyderived
0 Addition of new motor load of system.
Job#: Job site address:9600 SW Oak St. 10011P or more. 0"A","E","1-2","1-3",
0 Six or more residential units. occupancy.
City/State/ZIP:Tigard,OR 97223 0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#:380 Project name:PrimePay 0 Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description 1 Qtv. I Each I Total 1 ,1
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'l 500 sq.ft,or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
Fire Alarm Device Relocate and Add (with above sq.ft.)
Limited energy,multi-family
75.00 2
residential(with above sq.ft.) _
.. Renewable Energy 0 See Page 2
0 PROPERTY OWNER kl? TENANT Services or feeders installation,alteration,and/or relocation
Name:PrimePay 200 amps or less 100.70 2
Address:9600 SW Oak St.SUite 380 201 amps 10400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard,OR 97223 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 10400 amps ,. 125.08 2
Owner signature: _Date: 401 amps to 599 amps 168.54 2
Branch circuits—new,alteration,or extension,per panel
4 APPLICANT 0 CON Cl PERSON A,Fee for branch circuits with
Business name:Point Monitor Corp. above service or feeder fee,
742 2
each branch circuit
Contact name:Brooke Williams B.Fee for branch circuits without
service or feeder fee,first
Address:5863 Lakeview Blvd.Suite 100 branch circuit 56.18 2
City/State/Z1P:Lake Oswego,OR 97035 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)627-0100 Fax: :( ) Each manufactured or modular
67.84 7
dwelling,service and/or feeder _
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
Signal circuit(s)or limited-energy
Address:5863 Lakeview Blvd.Suite 100 ci See Page 2
panel,alteration,or extension. 1 2
Each additional inspection over allowable in any of the above
City/State/ZIP:Lake Oswego,OR 97035
Additional inspection(1 hr mm ) 66.25/hr
Phone:(503)627-0100 Fax:( ) Investigation(I hr min) 90.00/hr _...,
Industrial plant(1 hr min) 78.18:hr
Email:bwilliams@pointmonitor.com .
Inspections for which no fee is 90.00/hr
CC13 Lic.: 135901 Electrical Lic.: 34508CLE Suprv.Lic.: 4460LEA specifically listed(V2 hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Ben Breit Date: 6/6/18 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
0,-- ..,, ........\----- __
TOTAL PERMIT FEE:
Authorized signature:' ----3----'6,e----......- This permit application expires if a permit is not obtained within 180
Print name: Ben Breit Date: 6/6/18 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:ElaildingTermas%ELC_PermitApp_ELR_ERE.doc Roc 0517 2015 140-4,515T(11,05/COMVEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
nescrietios I Qty. Each I Total 1
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 0(25 kva:
EI Burglar Alarm
25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
[1] Garage Door Opener*
>100 kva(fee in accordance
55/26 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
DVacuum Systems* ,100 k% –no additional charge 0.0 3
Each additional inspection over allowable in anyof the above:
ri
Other: Each additional inspection is
66.25/hr 1
charged at an hourly(1 hr ruin)
Inspections for which no fee is
90.00/hr
specifically listed(V5 hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
* Number of inspections allowed per permit
(SEE OAR 918-309-0000)
Check Type of Work Involved:
Ej Audio and Stereo Systems
E Boiler Controls
1-1 Clock Systems
• Data Telecommunication Installation
Fire Alarm Installation
• HVAC
EJ Instrumentation
EJ Intercom and Paging Systems
E Landscape Irrigation Control*
Ei Medical
• Nurse Calls
Lii Outdoor Landscape Lighting*
• Protective Signaling
O Other:
Total number of commercial systems: I
*No licenses are required. Licenses are required for all
other installations
Tennits ELC_PennitApp_ELR_ERE doe Rev 064"20 IS
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9600 SW OAK ST 380, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical Limited Energy ELR2018-00090
Inspection Type: Inspector:
198 Low voltage final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor