Permit ,1 > �' ,( ��,.. -i ELECTRICAL RESTRICTED ENERGY PERMIT
IN , ', 2 .;; ; r COMMUNITY DEVELOPMENT Permit #: ELR2010 -00054
TIGARD ". 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/31/2010
{ l r t Parcel: 2S102AA03903
Jurisdiction: Tigard
Site address: 8861 SW COMMERCIAL ST
Subdivision: Lot: 0
Project: LTS Computer
Project Description: Install security equipment
Owner: FEES
NW URBAN DEVELOPMENT INC Description Date Amount
PO BOX 230307 Restricted Energy Permit 03/31/2010 $67.84
TIGARD, OR 97281 12% State Surcharge - Electrical 03/31/2010 $8.14
PHONE:
Contractor:
SONITROL PACIFIC
8220 N INTERSTATE
PORTLAND, OR 97217
PHONE: 503 - 223 -5822
FAX: 503 - 973 -7773
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio & Stereo: N Boiler Controls: N
CCTV: N Clock Systems: N
Data & Telecommunications: N Fire Alarm: N
HVAC: N Instrumentation: N Total $75.98
Intercom /Paging: N Landscape /irrigation: N Required Items and Reports (Conditions)
Landscape Lighting: N Medical: N
Nurse Calls: N Protective Signal: N
Security Alarm: N Other: N
Other Desc:
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 O 952- 001 -01 0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: - Permittee Signature: oti / °L /e�% / 0"i
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 an inspection that business day.
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.
MAR -31 -10 10:35 AM SONITROL— PORTLAND 9737773 P.03
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Electrical Permit A ppl i e t� n'i „ , 'i` - < . r'' u 4
� t r , e'l . i v p * .'(1 1)1.1.1(1 i 1 i; l il s ;.1 t , l i
• Received
7 Y d vt
City of Tigard RCC1VEd Pm" No
.40
n Hlvd., r �t g 1 . 2010
— r / /0 .___ • a /e ?wo - 00 S
Tigard, MAR 3 /
Illi ® I'horta 13125 SW I Ia: 503.639.4171 Fax; 5!)3..59!(. l9/ t Plan Review / - — -
>) gate /13y: Other I gnu �OD -15V
v `' ins action 1_inc 51)3.639.4175 C p y y -- T j 0 Sec Page 2 for `
t t , rN ;l t P t.s !` � +.,? I Il �� Date Rcad /[3 �: 1ur� C3
t Internet; www.tigtud- or.gov I 1 rum r .1 _ Notified/Method: �S upplrmentat Infurmatiun
Ill E,_ rntt)'lf'lf o .__-..__.. ......
_ TYPE OF WORK PLAN REVIEW
❑ New construction ❑ Addition /alteration /replacement Please check 1111 that apply (submit i sob of pinni w /IICma checked below) V
0 Service or feeder 400 amps or rim: ❑ Building over three glories,
[] Demolition �r Other:
where the mailable fault eulrem
{ 7' 0 Main and boatyards
_ CATEGORY OF CONSTRUCTION/ mortis 1(1,01!0 amps at 150 volts la Flouting buildings.
r - less to gtuuml, or exceeds 14,000 ❑ Commercial -use agricultural
El 1- and 2- family dwelling XC :ommcrcfztUindustrial ❑ Accessory building amps for all other installation; buildings.
❑ Multi- family ❑ Muster builder ❑ Other: ❑Fire pump 0 Inslnilationof75
JOB SITE JNFORRIATION AND LOCATION ��- 0 Gmetgency system. larger separately derived system.
-- Q Addit 0f new motor !tact of �' A" ' L•" "I " 1 . 3 " '
Sob no : Job site address IQ01fP or more. nccnpuncy.
s py _ 1 . 88(( s � Corn _ 1
❑Six or more reiidenri, l units. ❑ R ementnel vehicle perks,
City /State /L11' l cm= .7 � ❑ 11eallh -cure Facilities ❑ Supply voltage for morn than
. -,_,._ __ 9__ - — ❑ 11 Mil(Iuus locrnions. 600 "0118 nominal, ¢
Suite /bldg. /apt. net,: Oa I project name: L ❑ Service or feeder 600 amps w more.
- - -- - -- ----- -- -- • ...c ��..1 - i
Cross street /directions to job site: Description -- Si • F.., �.. ?;, '[�1
FEE SCHEDULE
"' New residential single- or multi -famil y y dw'ellin unit. i
_ __ Includes altarhed garage. 7168 . i
. -- __..--- .....,...._. -_
Subdivision - - Lot no.: I,a1n sq. n or le - - -- -- s4 ��`
._. _ ._
-- .,`..` - -- -- — E. edd'I 500 sq. 0 or portion 33.92 I i
Tax map /parcel run.: �- Limited energy, residential 67.84 2
17E:S(:RIPTION OF WORK lwiihnbovc_c ft
' - . - Limited energy, multi - family 67.N4 2
�_ 1 e1 � t (°� Q _ residential (with above s9J1,1_ i
*' 1� .__ R c� ' Services or feeders Instxllatlnn, niteratiun and /or relocation
200 amps or lens 100.70 2
- W.�_ OWNER 0 201 amps to 4(111 utnps — _ - 133, 56
CI PROPERTY O _ __ _ p
"' - 401 amps to 600 maps 201).34 , 1
Name: _ _ ,._ 1 i.
6
__... — -- ...�k.....,......_._. (11 amps to 1,000 amps 301 04
Address' Over 1,000 amps Or volts 552 26
City /Sluts /Z1 -- _. - _ - ..__
200 _ .. — _.-- --- .___._.-- _ - - r. I Temporary services or feeders Installation, alteration, and/or
Phone ( > Pax: ) p . — �' -- 1..
am x or Ics. 59 36 I
.,- -.. -- --_ ,...... ,- ....___.. -. ---- .__.... -- 101 amps to 4U(1 amps 125 08 2
Owner Installation: This instillation is being made on property that I own which is not 401 amps to 594 Imps 168.54 2 ?
intended for sale, lease, rent. ur exchange, according to ORS 447, 449, 670, and 701. - - — ;
Branch circuits. new, alleratlon !r extension, Per panel
. ,..... - ..__-__._ _____- _ -__.. . -!
Owner signature: __- . -.. Chile: ____ -- A. fee file branch circuits with
0 APPC.1CANr ❑CONTACT PERSON above service or fcrdcr tic, 7.42 2
, "! -i _ car!( branch circuit
Business name : B Fee fur hnmch ciieuits a'Hh
- --- -....... ..- ......... _........ .._.._..._.........,......,..__ — service or rCCACr rCC, first
Contact name: circui -- _ 36.18 2
tech add'1 branch circuit 7 42 2 i
(inch mnnutnetured or feeder iciudedL __
Al iseella lre U us ce or not n
Address:
City /Stall' /1,11': red or mudul "r 67 a4 2
Phone: (�- _)..__ v __— - - -�'ax ( ) Recnect only irrigation l
circle - — - 6 7.84 2 `
E-mail!
Sign S i o o n circuit(s) ting __
r outline ligh 67,N 2
Signal 'euil(s ilr limited-energy
CONT' ' :TOR " - -
_......_.
.__
Business name,
• _and alteration, or extension. ,— _ Page 2
Qnl �.. r
. —. Each additional inspection over allowable In an ' of the above
Address: 'L ? A $ Additional Inspection 11 hr min) — 66.25/ hr 'Mill
CI[ ' /Stale / " /.IP. i o 1 .._ Induntr uI plant hr m - 78.18 / hr
} r�`� (� - - - r - - ( 50,3,q--)-... LS Cin
Investigation
fur which 1 l no fee is - �Y6625/hr
Phone: cid'S. Scan. IFax:
,7 ill -1 + _ `� ins , . 90 (l0/ hr
specifically listed (/8 hr min)
' 1 CCR Lie.: 65 " 1ectrical LiC._at3i ' '�5'frprv_Lie.: _ ELECTRICAL PERMIT FEES i
f ���p
stbur
Suprv. Electrician signature required: - ----- _.---- - - - - -_ ..! D
Plan review (25% orpermit fee).
Prim nal Date: .State surcharge (12 %of perm!! ice) TOTAL, , y
L PERMIT FIT: 7s.q j
�'. y r : , r •11 r . ,. .. , _._
- _ This permit application explret, era penny i8 not obtained within 184
J c, I Dale; days after It has been accepted as tnmplele.
Print ltd f:
1•e..'7[ In �__.- _— __.._.1. 1 1 .�� • Number of inspections allowed per wring.
1.Wupdt', ermilx114:- 1.ennuAppdue inglitILI 440.11615'11 11105/('OM,'WFII .i
MAR -31 -10 10:36 AM SONITROL -PORTLAND 9737773 P.04
t
Electrical Permit Application - City of Tigard f
Page 2 - Supplemental Information
LIMITEI) ENERGY PERMIT FEES:
RgSIDENTIAL WORK ONLY: •
Fee for all residential systems combined $67.84
Check Type of Work Involved:
0 Audio and Stereo Systems*
❑ Burglar Alarm
Q Garage Door Opener*
❑ heatin Ventilation and Air Conditioning System*
❑ Vacuum Systems*
Other:
f`, Q1VihMERCIAL WORK ONLY:
Fee for mit commercial $67.84
system • 1,
(SEE OAR 9I R- 309 -0000) I k
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler (.•:ontrols •
❑ Clock Systems
❑ DataTelecommunication Installation 1 •
Fire Alarm Installation
❑ IIVAC
❑ Instrumentation
. LJ Intercom and Paging Systems •
Q l..andsc:ape Irrigation Control*
Medical
❑ Nurse Calls
❑ Outdoor Landscape 1.ighting*
•
}
❑ Protective Signaling
(:)then d-t 4 W` ,wv L "..
"Total number of commercial systems: 1 F'
*No licenses are required. Licenses are required
for all other installations
miVdingJ omilK1P' f'¢ m 10,01 /09 �.