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Permit (186) 1-' '''? I ..' Ei CITY OF TIGARD ©�/q ELECTRICAL RESTRICTED ENERGY PERMIT l s COMMUNITY DEVELOPMENT Permit#: ELR2018 00148 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/04/2018 Parcel: 1 S 135AD01303 Jurisdiction: Tigard Site address: 8920 SW OAK ST Project: Oak Street Apartments Subdivision: ASHBROOK FARM Lot: 13 Project Description: Low voltage for CCTV,access,data telecommunications,and fire alarm. 5-30-19 REPRINT correct site address. Contractor: WILLAMETTE VALLEY SECURITY Owner: OAK STREET AGS LLC PO BOX 1563 10100 TRINITY PKWY 5TH FLOOR SHERWOOD,OR 97140 STOCKTON,CA 95219 PHONE: 503-244-5273 PHONE: FAX: 503-625-6144 FEES Description Date Amount Specifics: Restricted Energy Permit 09/04/2018 $300.00 12%State Surcharge-Electrical 09/04/2018 $36.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 4 Audio&Stereo: 0 Boiler Controls: 0 CCTV: 1 Clock Systems: 0 Data&Telecommunications: 1 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: 1 Total $336.00 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 52-00 -I'90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. M9i° C.moi Issued By: � '' r 2�J"�� Permittee Signature: CI'iJ � T 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. I � ,3 CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 2. `' COMMUNITY DEVELOPMENT Permit#: ELR2018-00148 -f[ A6 D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/04/2018 Parcel: 1 S135AD01303 Jurisdiction: Tigard Site address: 8900 SW OAK ST Project: Oak Street Apartments Subdivision: ASHBROOK FARM Lot: 13 Project Description: Low voltage for CCTV,access,data telecommunications,and fire alarm. Contractor: WILLAMETTE VALLEY SECURITY Owner: OAK STREET AGS LLC PO BOX 1563 10100 TRINITY PKWY 5TH FLOOR SHERWOOD, OR 97140 STOCKTON, CA 95219 PHONE: 503-244-5273 PHONE: FAX: 503-625-6144 FEES Description Date Amount Specifics: Restricted Energy Permit 09/04/2018 $300.00 12%State Surcharge-Electrical 09/04/2018 $36.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 4 Audio&Stereo: 0 Boiler Controls: 0 CCTV: 1 Clock Systems: 0 Data&Telecommunications: 1 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: 1 Total $336.00 Other Desc: Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may -obtai. = - .e rules or direct questions to OUNC by calling 503.232. 7 or 1.800'32. -4. Issued By:. /�-:.,L - __ Permittee Signature: 9LV �� L G OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATURE: Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. C --Electrical Permit Application City of Tigard r Received llate'13y: %/� _it'0777— !'collo a 13l25SW(faitt3lvd.-Tigard,OR 9" { Plan Resew a"`i �� L% f+y$ 1111 w _.......__, Phone: 503.718.2439 Q 1 Date By Related Permit i:: Email: Tigart1BuildingPennits+rTigard-or.gos >G ,Ready()wily: to , TtG;�1:D e � ,�, ® Srel'ake-for Inspection Line: 503.63).4175 Internet: xew li gard-or+ + otifted Method.b t st^_�,Y�'�a�` '7' .r. "' i � Supplemental Information TYPE OF WOR ( ,`1%.1 Ot i"cji iCt'`�' ti }�� PLAN REVIEW l New construction �❑Addition./alteritit f t 1 y�Vtle Please check all that appy(submit 2 sets of pinus u alems clocked). 0 Demolition ❑Oilier: �✓c 0 Service er feeder 4!10 amps nr more ❑Building ewer three stories. ________ where the asaRuth ult current ❑'slarinas and boatyards. _ CATEGORY OF CONSTRUCTION exceeds 10 non amps at 150 volts or 0 Floating buildings ❑ i-and 2-family dwelling 0 t'omine'rcial%industrial 0 Accessory building lets to ground.or exceeds 14010 01 Munk:lend use agricultural amps for all 'tttcr ItE5I3ll3il4sfl buildings ` Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Gmergen.y system larger ceparately derived Q ❑Addition of new motor load of system Job#: Job site address: 8q 00 r�/�A' Ifii3MNmore.nmore. City/'State:ZIP: ripf e-_ a ,Z,3 ❑Six or more residential units. occupancy. ❑ V ❑Health-care care facilities. Recreational seined.parks Suite/bldg./apt.#; Project name: OAX "A tw0— Hazardous h,cauons. ❑Supply voltage fur more than °Service or feeder 600 amps in more. 69°volt,tnsntinat Cross street/directions to job site: FEE SCHEDULE Description J.._Qty.__i Each._...I... Tota!_..._l._'. New residential single-or multi-family dwelling unit. Subdivision: Lot 11: Includes attached garage. 11100ft.or less 158.54 4 Tax map/parcel#: _ Tax _ Ga add'!5(4 sq,ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy.residential L ;S.Oi) 2 17 ^ r (with!hove sq.ft.) ` • I !< /t 1...eell d Limited energy,multi-family residential(with above sq.R.) ;5'OO PROPERTY OWNER Renewable Ene_mv ❑ See Page 2 -T ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: —, 201)amps or less I 00.70 2 Address' 201 amps to 40(1 amps 133.56 5 a 401 amps to(XII)amps 200_34 2 CityiStateIZll: __..___.._.__...._____._..._.._..............___..__.___.. h0 i arnp s M 1 oo i amps 301.0d 2 Phone:( ) Over 1,(X)0 amps or colts 552.26 Email: —4 Temporary services or feeders installation,alteration.and/or relocation Owner installation:This installation is being made on property that I own which is not 20(1 amps or less 59,16 i 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: 4ti 1 amis to 599 amps 168.54 2 gAPPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension, er panel A.Fee for branch circuits with Business name: 1 U aMrve scrim or feeder fee, A�C� �a� »C each Match circuit 7.42 Contact nano: UU P>ntil�l✓1 ii.Fee for branch circuits without I Address: ?. e)(3.4 ta 151c 3 service or feeder fee,firstrfirstt branch circuit 5t+.1>S 2 City/State/ZIP: iS f�oa 1Al9 �' it/ Each add'l branch circuit _v 7,42 2 • Miscellaneous(service or feeder not included) Phone:�'b5 ) Zt' 3 `.__.___..._...tue..___._..._...._.._. 'L�� L 7 Each manufactured or modular Email: �vS tl,t vs 2 , G�rNtl dweliin ,service and or feeder 67.84 2 _.._. Reconnect only 57.84 CONTRACTOR Pump or irrigation circle (7,84 2 Business name: Mcioa 3 ettitiza.4 lighting 67.84 5 slit.. � J•r�• Sign or outline Signal circuit(%)nr limited-cntrgy 2 Address: T•0 s 1 15/ 3 panel,alteration, extcnsim. age 1, 2 City/State/ZIP: Slur tNoeA lI or O1� al-1 O Each additional inspection over allowable in any of the above Additional inspection i l hr min) 66.25'hr - Phone:(50 ------- 31 2yy 52.73 Investigation t 1 hr mm) (8)00 ht Email: W us ea,v e Li .tesi Industrial giant(l hr min) 78.1% hr V Inspections 1M which no Ice is .).._._.____._._._.....—._.._...__._.__ 13 Le .0/)-IiiCCB Lie.: G� Q 1?,2 Electrical Lie.: '3$/fSL/ Supe v. Lie. ..'�t')�G( /' specifically listed(! hr mint_._._....._._.......- _ Suprv.Electrician signature,required: � ` EI.EC?RICA!. PF,t2M111T FEES �j — SuhUMal: J(• '' • • Print name: Date: !,v_/ 0 Plan Review Requirlxl f 25"a of permit fee): State surcharge(12%of permit fee) W;, ' Authorized signature: TOTAL PERMIT FEE: 336.---- R. (� This permit application expires If a permit is not obtained within lino Print name: ' K ! Date: C7—/^leo days after it has been accepted as complete. r )�� ��� , • Number of inspection;allowed per permit t� t.•nuiidint(-Pennrs,F`LCPermit:liy+frt.R FRU dor Rr:10'76-'617 340.46t5'4ti-OS+C1M1 Witt 1 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: 575,00 ° riptmn 1 '' Foch Total Renewable electrical enern•systems:. Check Type of Work Involved: k�.a r1«5 ( 11)0.:'0 1 1 5 01 hi l5kva Audio and Stereo Systems* 15.(o1025 ktia L'tt0„x; Vrind generation systems in excess of 25 Its a: 0 Burglar Alarm 5.41 to 50kva 7,01,04 40.01 to 1110 kva S'2 2(t Garage Door Opener* - 1011 ksa(fee in accordance s53,56 with OAR 9It+309-00tui n I• Ieating,Ventilation and Air Conditioning Solarg eneration systems in excess of 25 ktia: System* Etch additional kca over 25 7.02 ; ❑ Vacuum Systems* =-100 kc t no additional charge (t 1 ( Each additional inspection over allowable in any niche above: O• ther Inch additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) _._........_... ...,.. �______. { Inspections far cshich no fce is ":1,00 hr specifically fisted('-:hr min) COMMERCIAL WORK ONLY: f }l- ELECTRICAL, PERMIT FEES Fee for each commercial system: $75.00 Subtotal(L nIe un hags 1) (SEE OAR 918-309-0000) Number of inspections allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls f l C• lock Systems X.Data Telecommunication Installation X_FFire Alarm Installation ❑ I-IVAC n Instrumentation I I Intercom and Paging Systems n Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* O Protective Signaling IX Other: G e I A- / j e”- Total number of commercial systems: *No licenses are required. Licenses are required for all other installations t.•Huildetg'Permits'.EI C_Permn App I•I,R fRl.dac Rev 10 203017 I