Permit w j ELECTRICAL RESTRICTED ENERGY PERMIT
t ,. I r' i li- .1iWi CITY OF TIGARD
„t COMMUNITY DEVELOPMENT Permit #: ELR2010 00092
is Date Issued: 05/20/2010
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 parcel: 2S101DD00101
Jurisdiction: Tigard
Site address: 6975 SW SANDBURG ST 330
Subdivision: Lot: 0
Project: Bon Appetit
Project Description: Security equipment.
FEES
Owner: Description Date Amount
WESTON INVESTMENT CO LLC
2154 NE BROADWAY, STE 200 Restricted Energy Permit 05/20/2010 $67.84
PORTLAND, OR 97232 12% State Surcharge - Electrical 05/20/2010 $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: Y 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 AR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling Y 503.246.6699 or 1.800.332.2344.
Issued By: Mr Permittee Signature: /970,4/ e`er, 67--" ,, .
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.
MAY -19 -10 10:55 AM SONITROL- PORTLAND 9737773 Review
P -01
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Eke rival Permit A licat'siLL - r� ry , t r�<' r' >I I ; i� l t ,l tr.11.,t" ,.
t r ee n'�'N 1 ?. ~', �' '1d �ir.u4' f," n'�1T... M. 1. . d $. . a tt ' .
City of Tigard
r i i � � t _ Received Pcnnu No. �'Lk,� /f� .a '22 1N " , ' gard,OR 97223 Plus
7:7_,V10 Other Peanut: YJ
13125 SW Hail 111vd Tigard, r �
fie a R Phone, 503.639 4171 Fax: 503.598. IIViiQY 19 2010 1)ntc /By. r
i I i. Inspection Line: 503 639.4175 I)ni Ready/fly: Jur 91 See Page 2 for
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A,+isU )Illdrllel. www.tigard- or,gov -' OF TI( ARD Nntifieti/Mcthitd' __ -- 1 / l '
: ru y! Supplemental !denudes 4
, ... _ -- TYPE ° I TI J; I NIG n ISION P1,AN REVIEW ,,,..,8: • 1. ❑ New ConStrucliun ❑ Addition /u terullOnireplaccmcnt
Please 41.:4u1, all thin apply (submit j sell of plans w /items checked below),
❑ Service or feeder 400 amps or more 0 Building over three stories,
❑ Demolition Other: br@e where the available fault current ❑ Marinas and boatyards.
exceeds 1 0 , 000 amps at 150 volts or ❑ Floating buildings.
CATEGORY OF CONSTRUCTION `
less to ground, or exceeds 14,000 C7 Comnurctul•'w0 agricultural # , }
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building amps I'M all usher iusrullations. buildings.
Fire r e pump, C: Ins t,
❑ Multi-family Mastro builder ❑ Other: Installation of 75 KVA or
❑ r= n,crge.rry s}stem. lwµer 'cyarately derived system. S i
JOB SITE INFORMATION AND LOCATION ❑ Addition ut' now motor load of f] "A" "E" "I.2" "1•.3
100)11' or more occupancy.
Job no.: Jo site address: x or more residential units. ❑ Recreational vehicle parks. : (
I0 oo,o T = - X1 Stec) Sa b ,Sd o.
City /SlBle /%I (': __. { ' er , � 6414015 � 0 Hcnith•cara 131ri1itics. ❑ Supply voltage for more than
Haanrdmrs raeilonb 600 volts nominal. Suite /bldg,lupl. slat. O Project rt.rmc' f� ❑ Scrvire or (cedar 1)00 imps or more j
_- _� FEE SCHEDULE '. te,
job .q iiiips 1 �Tti. 1 Fee. 1 TRIO '
Cross strerl /dircrlions to ob �IW' • . D New residential s ingle or multi - family dwelling unit.
Includes alluded flange. P a
1,000 s R or less 168 � ' i
Subdivision: Lot no.: -- --
_ --- - ._........ ... _ .,. - -- — Fes AM' 500 sga
m ___ It. or portion 33 92 ■ • f
. Tux map /parcel no.: L.imiteil vii igy, re sidential
wuh It .) 67 84
1 ' DESCRIPTION OF WORK _,..L,._,_ ot s . _.� ._,. - - .. --
Limited energy. multi - fondly 67 84 2 i
I residential (with above sq. h.)
k S ervices or feeders installation, eItrrnlion, and/or relocation t
200 amps or less 100 70 a
T • CI PROPERTY OWNER ❑ TENANT 201 amps ____to •100 amps - _ 13156
Name: - 401 amps to 600 amps 2 00 3 ¢
- -- -
..- „- -_... .- ...._.._..... .._....___.-- .__.._._- ......._. __. 601 amps to 1,00(1 amps 301.04 . 1
Address: Over 1,000 amps or volts 552 26 F
.,.m
- - - -,• : . 7 .... _..._._- ----- ----- -- - -- --- -- Temporar services or feeders Installation, alteration, and /or P
City /State / %I1 : relocation
Phone: ( ) ( ) 200 amps or less _- �-- _ 59 36 I
l'ax:
201 amps to 400 amps 125.08 2 I t
Owner Installation:: This is being midi; on property that 1 own which is not 401 amps to 599 Ib8.54 �� S
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670. and 701.
Branch circuits - new, alteration, ar extension, i r .heel
Owner signature: _ - -_-. „,,sate: - _---- ..--. -._- A. Fee rot branch circuits u'irh
.1 ... 1' 0 APPLICANT __.- I] CONTACT PERSON above service or feeder fees - 7,42 .111 J
each branch circuit 1
Business slink: 13. Fee for brunch circuits n',IMi ui
service or feeder fed, fast 56, l8 111111
Contact sa branch circuit
-- _- _- ....___.- ..-_ -..... _.- _...____. _- -- Each add'1 branch circuit 7.42 E
Address: l►liscella or feeder not
City/State/ZIP.. included
_ _a ��
/State /ZIP, Each manufactured or modular 67 84
tY dwellin , service And/or feeder
Rhone: ( ) Pox:: ( ) Reconnect only 67.84 ?
- -- -- -- Pump or irrigation circle 67.84 mum , ; t ,
E - mail: _ ,___ . Sign or outline ine lighting 67.84 writ `,
CONTRACTOR . _
� ! _ _ , S ignal circuits) or limited - energy .•” t Business narnc i a panel, alteration, or extension L Pu'e 2 D .
_..._ how . 11 14 ) > •� _.._ F.aeh a dditi o nal inspection over allowable in any of the a ..eve '
Address: • t c Additio in (1 hr murt) 66.51 hi 1.
� 2 = = I Vi e n te �._ _ _ _.._. T
Clly /Sttltl' /Z!P �� ; r�'-•7 1 / Invcshgauun (I hr anon) 66.25 / hr �� 1
_._.___.._._. Industrial plant (1 hr min) - - 7A I e/ hr f
Phone: ) .. Pax; (503 I _ i 3 Inspacuons !or whkh 110 fad IS
0ll/ r
- specifically listed (% hr min)
CC13 Lie.: '5 3535 1r.)c t rical I.ic.:A -3 76 - S. •v, I.ie. :3 547 _ EL CTRICAL PERMIT FEES : . .r?i>''
Subtotal: .1
Suprv, Cileclrici signature Fe rcd__�� 42 7 .. - !!! /C / / //.' plhri review: 1259aoFr.rniit fee). - _
Print name t • r .. ,._ - , �/.. f Date: S. 1 rj/ / ') _ - Mute surclwrge (12so I ice). �. t� ! ;3'
TOTAL PGRW7 PEP.. •
1 .
Authorize si n 111.1 ' / t• -- -° .,,.._ - - - - _ -- -•-
, , i This perrnir eppllrellun expires irn permit is nut uhtainc within 1140
days after It ha• been accepted as complete, r
Prin name s — _ s Dale: JD • Nundbr of inspections allowed per permit t
. 1.( Building 9 10'01 44u- 41.1 51 1 1 1 /05 /COMVEn I ;
MAY -19 -10 10:56 AM SONITROL— PORTLAND 9737773 P.02
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Electrical Permit Application - City of Tigard r
Page 2 Supplemental Information
LIMITED ENERGY PERMIT FEES: ,' l
°It S D1INTIAL WOR ONLY: l
Fee for a residential systems combined ... $67.84
:
Check Type of Work Involved: 1
❑ ' Litho and Sureu Systems* d.
•
gg 1
10 - . filar Alarm 4
• Garage Door Opener* ,1.
❑ I!eating, Ventilation and Air Conditioning System* t
❑ Vacuum Systems*
0 (Other: }
. OORK ONLY:
Fee for each com crcial $67.84
. system
AR 918
Check Type of Work Involved:
0 Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
•
❑ Data' Telecommunication Installation
❑ hire Alarm Installation
❑ IIVAC
❑ Insirumcntmi n
• Q intercom and Paging Systems
i
.
❑ 1.andst'ape Irrigation Control*
i
Q Medical
❑ Nurse Calls
' ❑ Outdoor 1,andscahc Lighting*
0 Protective Signaling n
Other L .G Z-�7'g--- 4 ' -gr1
4i i - - - - ------- :
JOt>i1 number of commercial systems: -f ,_ .
t
*No licenses are required. Licenses arc required 4
for all other installations
pAUildtntNma, C•l ,Lin 1A l da IU,U1 f