Loading...
Permit (2) IIIIICITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT li COMMUNITY DEVELOPMENT Permit#: ELR2019-00221 TIGARID 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/26/2019 Parcel: 2S115BA00100 Jurisdiction: Tigard Site address: 16200 SW PACIFIC HWY N Project: Planet Fitness Subdivision: None Lot: None Project Description: Low voltage for fire alarm. Contractor: M&E ELECTRIC Owner: TECOLOTE RESOURCES INC 15708 NE 81ST AVE KELLY'S LEGACY LLC, ET AL VANCOUVER,WA 98662 BY HESSLIN HOLDINGS INC 23421 SOUTH POINTE DR STE 270 LAGUNA HILLS, CA 92653 PHONE: 360-573-0459 PHONE: 503-764-7595 FAX: FEES Description Date Amount Specifics: Restricted Energy Permit 12/26/2019 $150.00 12%State Surcharge-Electrical 12/26/2019 $18.00 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: 2 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 $168.00 Other Desc: Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to f ow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA 001-0090. You may o i 'a copy o rules or direct questions to OUNC by calling 503.2 . 87 or 1.800.332.2344. ,,.� Issued By: Permittee Signature: / � ////� -" OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale lease or rent. OWNER'S SIGNATURE: Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. RECEIVED EC-1 8 2130 Electrical Permit Application OF TIGARD C Washington Goanor,135 N.to AV,Suite 3S hMS 12.}I "3, ' uR 't124,DIVA f��2a?�/ - 1.itn Phone:S€}3 db-34?Ui lutbi g cu.was lu tnac ur tas .. ._ tnntle$t3on Requests St13-S4ti-3G99twww,eo v#ashtngtan ar Fr �,7 r f ,ti4 - ems• `, ._, iv,-,, s ,-.,:u,a --- dieivn?attcrarianlrepleeeme€st ❑f ti- Pteresccheekan gpply 0 Service or tinder Eke(!aims 0 Hantdous kw-giant ;. .., f ,, 131 [ or more where theevallebte® vieserfea She arme' $ski canrrrt exceeds 0Building over-three stories L i 7 anti 2 aersly dwelling orrmtercidilindusirnl E3 Accessory bud ddig 10.ttt;tl:umpsat ISflwits ar0Idari and heely:e F.t i x'a -Fsnrii, Q muter builder lrsxtogra.tn&orescrxaia . _ .0 Oilier i 4,i3?Q amps co al tether Ftootkap buiitling• , vg a r bt t 0 C55tri niavni- a w .,f .s s 'I.'" 'L Tire tatrp $$ uktitral i.., bt Job no.: Job ad$es5 r Ll V/ Tire primp CI in idiag5 of 154 KVA or al = [ 6w.etgcacy system ;,pend*derived system CatytstatarL1P:�-�-- Addition of n n'ata' f /��e� Ql' 7�2 °l� taattal+Frpare CI A". ., � � rr Suit tbid .l qp„ ( Pttrjectnastte: 1 ❑ Sixarrat ettWtintrialt 0 Aecaeetedmitvehicleptaktt . �i ?' r` 0 Health-ears facilaiso © S"— - entrap five tnorc than Cross streetldsaeetions to job site: voile uan n T t Subdivision: 1 Lot no.: as .tea Tax mrpipared no.: �s tt 3.ata! , ;t.t}tt ',Si tM'Iess td7.itti I .�, .. ,4 t iC.. i c%ltay-v -,., a^a midi 500 su.a,orparnon '_.� de do t i um c , , moo 2 i With Above ft.) -- r 4 r14' " Limited s;eer rnrzi##`-fly up.,`^•; ,, resideptsal.wt$at5ut�.F .g6 2 Neti ; ,'� Address: ' Zt3tl sXtta'Ytxa - tQ7OCR ,' . 1201 drops to 4.00 a ipi. r °&t se Z. CityiStatect1P_ I Cant says so SOO amps 2td.40 al--2 #'htutet Email: &AA Amps to 1,000 amps _ i ;at,rst , -t)wncr Insca' ,o:TMa tnmtEsarars s5 behY,g made em:ts:-2' i or faroLOW M;. or volts 6b2 IRt _ 2 a e l immediate i Yhw rzotlec[Y mtud hti Ate Jrtz a rritmbcr :jre sm. „t,y s , i„,-, Y fy. pruperty+s rax wmadcd Car 511k,"°4/41K"'VX't[3RS i79-54°(11 awl ;:ki , 1..g ,.' l�'•� Owner signature: Dm : 2fs6 or kas b-oo mil - r. "`• y �' 3 x i , . acid amps io dptt i €A DifNM /y� _,.,..., � <, . -._ �"^.. ant amps€tr 599 aa�s BFd.tqmon 2 Business nun a 42` / 4/c' ./2I4!. 'it N ra"sa ..ss t _ ., - e I ,F foe breath e'usruts mil* Comfier inure; ewe onset rn femur fee, i eSD Address: — I each branch cittcalt 2 _.. . H,Fee far Mane,eirctiite off Ctttyd5tateZdP; mead*aeriteai feeder s 07.On Fee first breach circuit a i Phone. 1 branch circuit 9:5ta -" hi Each frs.Lnul`eette;da.,r matins; t icy ,.. -&� t ' i •. dr'y ' r `, d'R'ti insg„=vied, tB ftedzr 1 € t 3,5° 2. • ' '' ,teaxtnut onax i ; 107,00 I 'Business name: 71 ( lf.,r-4r iC` C't3C" ti h4 r l,7d y i Pnmpar im a€tcm cirele i to-Go ; 2 Address: /''Oe' a /,.a ': ! '2" ,c ,.' ,--- signuroutimelighting idlein t 2 Ci ISea2d%tk: Signal_arw:i e r limited- :s..,. b g.,`f5./0 '''' /t mm P.:a: *.. ener'AY peri act c4;m Email: / metrnamt.Describe: afli de �i'Ir? r1 / t•c. .dia (;•icr 7'r ie-Vy� 74 I i 2 Phelan 36.0 iv c/7 ire °colic.no.: ., .t'zd7' ,k" E °_" , r=.:a y `...s ..m a ., s' '' I'cr incpet.tc r 4i?aAp Electrical Be,nrr.. j-.s. c- City as nsctee kt_o L It' ,,L'° i imresd tiott Pee ism Supervising electrician 7 ir/IZ v ti�3 ga t • 11 S' Cher S7 dice ntrtd; /ff �P,, '�+.:." • rU I! !2Z c?.s i'���?".I:+`1� �5"' ''" $ ."`' iL "2"�$ "d;�"f fi bu. Print'' : ;IR ei cr. �I� {� S*sht".41 5ra v. b Plan review-t 25r„° o permit foe) Artttxrvixcd 44P3ture: s Skate ^(1244 fPm)fee.) Print name: -. . ) �J mow'` _ TOTAL PERMIT FEE s . "7i_.,t4'/ -,. I Date: ,, ,,r� ' 3 "...penult arppttca don*slpirt%if a por�dt tt cot obtained titsriaitner:1#,signing this application,the p applicant acknawleef s agree,s rrkthhr ttai asps alto a hies been merged se campdi io that they have obtained any rurluirea permission far the pl ugo.ed work,J3°ttrtt the property 'Nvr.'M't s t...•s`"""4 per r,,c Electrical Permit Application-City of Tigard Page 2-Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: • Descripties • Babb Total *Fee for all residential systems combined: $75.00 Renewable electrical energy aysternai 5 kvas Check Type of Work Involved: or Iea 100.70 2 sel to 15 kve 113,56 2 Li Audio and Stereo Systems* 15 01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: Ej Burglar Alarm 25.01 to 50 kva 301.04 2 30,01 to 100 kva 552 26 2 Garage Door Opener* >too kva(fee m scconianm 552.26 2 with OAR 918-309-0)40) E Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kvat System* Each additional kva over 25 7A2 3 El Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional Inspection over allowable In an oldie above: Li Other: Each additional inspection is charged at an hourly(I hr min) 66'251hr Inspections for vrnicb no fee 90.00/hr . ificall listed hr tom •'''',15t:;t41:::.; 111,,T:il ; . Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): Number*limped:ions allowed per permit (SEE OAR 918-309-0000) Check Type of Work InvoWed: 7 Audio and Stereo Systems E Boiler Controls El Clock Systems 1-1 Data Telecommunication Installation Alarm Installation HVAC Li Instrumentation 1- Intercom and Paging Systems r"-- Landscape Irrigation Control* 7 Medical Nurse Calls Li Outdoor landscape Lighting* ri Protective Signaling El Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other Installations