Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
2 COMMUNITY DEVELOPMENT Permit#: ELR2020-00069
Tf GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/07/2020
Parcel: 1 S 136DA02500
Jurisdiction: Tigard
Site address: 11090 SW 68TH PKWY
Project: Red Rock Creek Commons Subdivision: RED ROCK CREEK COMMONS Lot: 1
Project Description: Fire Alarm, Data Telecommunications, CCTV,Two-Way Communications,and Access Control systems.
Contractor: POINT MONITOR CORPORATION Owner: COMMUNITY PARTNERS FOR AFFORDABL
5863 LAKEVIEW BLVD STE 100 HOUSING
LAKE OSWEGO, OR 97035 6380 SW CAPITOL HWY, STE 151
PORTLAND, OR 97239
PHONE: 503-627-0100 PHONE: 503-293-4038
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Restricted Energy Permit 06/12/2020 $75.00
12%State Surcharge-Electrical 06/12/2020 $9.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 5
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: 2 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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
- f n
Issued By: � �� � Permittee Signature: `f�` �.'/-/°Z `�i 1-2e/1\
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.
El,•trical Permit Application l o or i i •:1.1SEONLY
City of Tigard ' Pemul e
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Date/BY. "f}
II
e 13125 SW Hall Blvd.,Tigard,OR 9022 '^^ y {r G ��` d�G/ �I 3 Y GC C. r��
p Plan Review
Phone: 503.718.2439 Fax: 503.598.19 Related Permit*: . :.)., -a
Inspection Line 503.639.4175 MAY 1 2 2020 y !-1`ti1c de c-L s C. i
']" yy11[ Ready DateJny: / ff hear: @1 See Page 2 for
IC,: I Internet: www.tigard-or.gov Notified/Method: /l,(/�s� ;�, j,,i f- Supplemental Information
TYPE OF Y OF TIG",F�n /� /
®New construction er I(l c menl ' PLAN REVILpW
❑Addition/altera ants replacement Please check all that apply(submit 1 sets of plans w/items ehh•lnd):
❑Demolition Other: ❑Service or feeder 400 imps or more 0 Building over three stories,
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building ices to ground,or exceeds 74,000 0 Commercial-use agriculmral
amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: ❑Firepump. ❑Installation of150KVAor
3013 3IT'E INFORMATION AND LO4-T1ON - ❑E nergency riatem. larger separately derived
Job#: Job site address:6650 SW Redwood Lane. ET Addition of new motor load of
300HP or more. system.❑
City/State/ZIP:Tigard,OR 97223 ❑six or more residential rats. occupancy.
❑Health-care facilities. ❑Recreahaaal vehicle parka.
Suite/bldg.apt.if: Project name:Red Rock Creek Commons ❑Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:IrWY 99&SW 68th PKWY FEE SCBED1:LE
Description I Qtr. f Each 1 Total 1 •
Subdivision: New residential single-or multi-family dwelling unit.
Lot#: Includes attached garage.
1,000 sq.IL or less - 168.54 4
Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
75.00 2
Fire Alarm Panel and Devices (with above sq.ft.)
Limited energy,multi-family 1 75.00 1 2
resideatial(with above sq.R.)
_4 PROPERTY OWNER Renewable Energy 0 Sec Page 2
E'TENANT Services or feeders Installation,alteration,and/or relocation
Name:RED ROCK CREEK COMMONS 200 amps or leas 100.70 2
Address: 11090 SW 68th PKWY 201 amps to 400 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
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 ® coNTAcr PERSON Branchcircuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Point Monitor Corp. above service or feeder fee, 7.42 2
each branch circuit
Contact name:Kyle Gardner B.Fee for tranch circuits without
Address:5863 Lakeview Blvd.Suite 100 service or feeder for first branch56.18 2
circuit
City/State/ZIP:Lake Oswego,OR 97035 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not Included)
Phone:(503)627-0100 Fax::( ) Bach manufactured or modular
dwelling,service end/or feeder 67.84 2
Email:kgardner@pointmonitor.com Reconnect only 67.84 2
CONTRACTOR ' Pump or irrigation circle 67.84 2
Business name:Point Monitor Corp. Sign or outline lighting y 67.84 2
Signal circuit(s)or limited-energy
Address:5863 Lakeview Blvd.Suite 100 LEI Sec Page 2 5 2
panel,alteration,or extension.
City/State/ZIP:Lake Oswego,OR 97035 Each additional Inspection over allowable in any of the above
Addititmal inspection(1 hrmin) 66.25/hr
Phone:(503)488-9788 Fax:( ) Investigation(1 brmin) 90.00/hr
Email:kgardner@pointlnonitor.com Industrial plant(I hymn) 76.18/hr
Inspections for which no fee is
CCB Lic.: 135901 Electrical Lie.: 34508CLE Suprv.Lie.: 3352LEA specifically listed(A brinier) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Mark Higgins Date: 5/12/2020 0 Plan Review Required(25%of permit fee):
a�s .a State surcharge(12%of permit fee):
Authorized signature: /r. TOTAL PERMIT FEE:
This permit application expires If a permit is not obtained within 180
Print name: Mark Higgins I Date: 5/12/2020 days after it has been accepted as complete.
* Number of inspections allowed per permit.
1N3ui1dinalPe nas1ELC_PamitApp_ELR ERE.doc Rev 06/172015 440-46157(11/05/COM/waa
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
SCHEDULE
IFESIDENTIAL WORK ONLY: FEE SC
e I Qty. I Each I Total
Fee for all residential systems combined:
$75'00 Renewable ble 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:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 toloo 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
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66,25/hr
charged at an hourly(I hr min)
Inspections for which no fee is 90.00/hr
s r-cificall listed '%hr min
. o„�:; f L�a:dt F �+�+ . .'.,<r« ra tI M ,-,a
COMMERCIAL WORK ONLY, v
$75 00
Fee for each commercial system: Subtotal(Enter on Page I):
* Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
n Boiler Controls
❑ Clock Systems
® Data Telecommunication Installation
® Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
® Other: CCTV,TWO-WAY COMMS,ACCESS
Total number of commercial systems: 5
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELC PermitApp_ELR_ERE.doc Rev 06,17/2015