Permit ,
i m n CITY F TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
° ' COMMUNITY DEVELOPMENT PERMIT #: ELR2008-00034
TI 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/8/2008
- - PARCEL: 2S101 BD -00100
SITE ADDRESS: 07650 SW BEVELAND RD 200 ZONING: C -G
SUBDIVISION: BEVELAND CORPORATE CENTER LOT: JURISDICTION: TIG
PROJECT: PAYCHEX
Project Description: Add card reader to access control system.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: ' AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA /TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: ACCESS CON X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PNWP LLC #2 RFI COMMUNICATIONS & SECURITY
PO BOX 2206 25977 SW CANYON CREEK RD. #E
BEAVERTON, OR 97075 WILSONVILLE, OR 97070
Phone: NA Contact #: PRI 503- 682 -9900
FAX 503- 682 -9500
Reg #: ELE 34- 174CLE
FEES LIC 67147
Description Date Amount
[ELPRMT] ELR Permit 2/8/2008 $75.00
[TAX] 12% State Surch 2/8/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: 4 `w A Permittee Signature: _ /a ' (4-.
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'N: 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.
-- 02/ 7/ 2 0 08 1 3: 3 3 5 0 3 6 82 5 0 0 RFI PAGE 01
.
Electrical Permit AtpicaiiiE
C E IV E 0
ZF!7 i■ . .,Y4 i. .4 . ,:A! , '': 7 4'. , , ' i''';..t;K; ;.' ' ' , '61. , , '■■:'-'',,,i'.k:q.j'4','Ir.Cd:ti,',''''.:,.4..,:'.i:'?.67.:1 ZN(."
, ' '7.,P'7 , : ' City of Tigard
EB - 7 2008 Received
Date/13 ar ANZW7111111 er IIII
ii 1,,.25 SW Hall Blvd., Tigard, OR 974t3 Plan Rcvic -
!. Phone: 503.6394171 Fax: 503.28 190 Datc/B : Other Permit;
."1'1"r,'-` :::',131 Inspection Line: 503.639,4175 UITY OF TIGARD 1)ate Ready/By: (a See Page 2 for
i,,,i2,, Internet! www.tigarcl-or.gov ,
: 4w ILDING DIVISION 61°IediM8thml: Supplemental Information
1 U 7 7i'j':,; ' ....''. , 4' 7 i . " 7 '. , ' i i 1 :: : ;1 1 :100 , 44 . '?10K7i!tf;14 ''i;": O‘T'' , 1;k...ill illo..
Please chock all that apply (submit a scts of plans w/items checked below):
El Nev constructor) El Addition/alteratiOn/replacement
0 Service or feeder aon amps or more 0 Building over three stories.
0 Demolition I:1 Other: where the available 11)011 entreat 0 Marinas and boatyard.
1 .1$,1'1, , itierX01 1 .,■;ll il.:q04, Ik'' exceeds 10.000 amps n t t50 volts nr 0 Floating buildings.
leas to grcrand, or exceeds 14,000 0 Commercial-use agricultural
0 1- and 2-family dwelling El Commercial/industrial 0 Accessory building amps for all other institutions, buliaings.
12 Multi-family 0 Master builder 0 Other; 0 Fire pump. El Irtstanation of 75 KVA or
' '^ Wi' Ivo In—" .r.,-:v. 0 Emcrgcncy iptcrn. tallier sermareiy derived system.
'i l 9 ; 141 `114CR I M: . 0 C :'iiAlrk, 0 Addition ofncw motor load or
00HP m
Job no.: 080018 Job site address: 7650 SW Beveland St 1 more.
9 Six ar more residenti eCtiptiney,
al units.. Cl 0 Recreational vehicle parks,
City/Statc/ZIP: Tigard, OR 97223 1:1 Health-care facilities. 0 Supply voltage for more than
0 liantrdous locationS. , 600 volts nominal.
Suite/bldg,/apt. no 200 Project name: Paychex El Service or feeder 600 amps of more.
cross street/directions to job site: SW 72nd o.crt .ttan k . Fee, Tfitnt Mil
New residential single- or multi-family dwelling unit
Includes attached garage.
Subdivision: Lot no.: i ,0009q. R... or less 145.15 4
Ea, addl 500 sq. R. or portion 33.40 I
Tax map/parcel no.: Limited energy. residential .11
75.00 El
hi:A'VN "- rit,M06.. ;.:',.,.' ,,..'.c:. '''.jili ''AeN with
Limited energy, rmilti•family
Add card reader to access control system residential (with above sq. 7500 rja,_
Services or feeders installation alteration and/or relocation
200 amps or less 110,30
II
lDIFO:.1m '..'; ' ' ;;:: ''ip i'."'" 6 ?,..14',N.:.'.4::";::' ox' 1:-11 4...T..: 201 twos to 4 00 amps II 106.85
.• .'-r " " ";.'',',, 'a,. , :, , .„ ,.:,.: ' .:...- !,... '; .-.' vs';i'':; :::. ',, Pi;op:-::,.;,.i.„;q:q .,... . „ . ......r tn .:1 :,;
Name: ' Yr( cop 1---I.- 'i:. 401 amps to 600 amps 1111111ESIller
601 amps to 1.000 amps 2.40.60 2
Address:
7 Q. &7 c )...a 0,0 - Over 1.000 amps or volts 454.65 2
City/State/ZIP: - .....1
91, Tempo:rary services or feeders installation, alteration, and/or
_ 2 4 1 , c„crg_---re) relocation
Phone: ( ) 102111111111111111=11. 200 amps or less 66,85 1
s s .30
Owner installation: 'This installation is being made on property that I own which is not 201 amp to 400 amp 100 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449. 670. and 701. 401 amps to 599 amps 133.75 2
Branch circuits — new alteratio or extensio er (met
Owner sigiature: Date: ,--t.--
A. Fee fir branch circuits with
cq '" W..: ilVM1Vo?Ni is ,..i :7 :-, ' ''''' above service or tcdcr fec,
6.65
cash branch circuit
Business name: 8. Fee for branch circuits
without service or feeder fee.
Contact name: 46.85
.first branch circuit
Address: Each addl branch circuit = 6.65 II
...._
wit!5ceitnneons (service or feeder not included
City/State/21P: Bach manufactured or modular 90.90
dwellin,a. service and/or feeder
Phone: ( ) Fax: • ( )
Reconnect only 66.85
Pump n irrigation circle 53.40
'',P, OfIgt sign or outline lighting 51.40
usiness name; RFT.
Signal circuit(s) or li mitcd
B
energy :panel. alteration. or
Address: 25977 SW Canyon Creek Rd, Suite E extension. Describe: Page 2
City/State/ZIP: 'Wilsonville, OR 97070 Each additional inspection over al/owable in any or the above
Per inspection 62,50
Phone: (503) 682-9900 Fax: (503) 682-9500
■ InVeStigitiOn per hour (1 hr min) 62.50
CCB Lie.: 67147 n ,
°. EZEZEEMM:11 Industrial plant per hour 73.75
,, ,.:0.iFr.,. , .'r , ' 1, 13,t:! 4, '. :k'' ,... .,41.'.
Suprv. Electrician signature. required: /71r
Subtotal: 75.00
Print name: Dean Reece Date: 2/7/08 Plan review (25% of permit fee):
State surcharge (12% of permit Cue); 9.00
Authorized signature: / / 2 1 TOTAL PERMIT FEE: R4..00
I:=IMIE Dam: 217/08 This permit application expires if a permit it nm obtnino within UM
days after it has been accepted as campictc-
',' Number of inspections annwed rtCr parrnit.
7:111ufldhleermi1s 1 EIC-ParrntApp.doc 05/73AX1 44n-461 FR Ilioscomtwurl