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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 3111 _ . • COMMUNITY DEVELOPMENT Permit#: ELR2008-00113 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/12/2008 TIGARD © Parcel: 2S101AB01600 tom/ Jurisdiction: TIG Site address: 7405 SW BEVELAND RD Project: S.M., LLC OFFICE CONVERSION Subdivision: Lot: Project Description: Installing low voltage alarm and data systems. 2/19/2015: REPRINT permit to reinstate for final inspections. Contractor: SELECTRON INC Owner: S2M LLC 7225 SW BONITA RD 7405 SW BEVELAND TIGARD, OR 97224 TIGARD, OR 97223 PHONE: 503-639-9988 PHONE: 503-636-4580 FAX: 503-684-4357 FEES Description Date Amount Specifics: [ELPRMT]ELR Permit 05/12/2008 $150.00 [TAX)12%State Surcharge 05/12/2008 $18.00 Type of Use: COM Hourly Reinspection-Restricted Energy 02/19/2015 $90.00 Class of Work: Hourly Reinspection 12%Surcharge 02/19/2015 $10.80 Total Number of Systems: 2 Audio&Stereo: Boiler Controls: CCTV: Clock Systems: Data&Telecommunications: X Fire Alarm: HVAC: Instrumentation: Intercom/Paging: Landscape/Irrigation: Landscape Lighting: Medical: Nurse Calls: Protective Signal: X Security Alarm: Other: Total $268.80 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 0•R•52,001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Q Issued By. r jr t —— Permittee Signature: 64/I/ '//6�L'/e'�ri�l 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. 51 �� CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00113 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/12/2008 PARCEL: 2S 101 AB -01600 SITE ADDRESS: 07405 SW BEVELAND RD ZONING: SUBDIVISION: SM, LLC OFFICE LOT: 018 JURISDICTION: TIG PROJECT: S.M., LLC OFFICE CONVERSION Project Description: Installing low voltage alarm and data systems. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA /TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 2 Owner: Contractor: S2M LLC SELECTRON INC 7405 SW BEVELAND 7225 SW BONITA RD TIGARD, OR 97223 TIGARD, OR 97224 Phone: 503- 636 -4580 Contact #: PRI 503- 639 -9988 FAX 503- 684 -4357 Reg #: ELE 26- 497CLE FEES LIC 64341 Description Date Amount SUP 974LEA [ELPRMT] ELR Permit 5/12/2008 $150.00 [TAX] 12% State Surch 5/12/2008 $18.00 REQUIRED ITEMS AND REPORTS Total $168.00 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:/ `, -- ittee 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'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. Electrical Permit Application \ FOR OFFICE USE ONLY R eceived City of Tigard i �.-' � Date/13 : v; "iv - Permit No.: — . _UU • I . a 13125 SW Hall Blvd., Tigard, OR 2d%a i Ob Date/By: Plan Review �_+, -�� Phone: 503.639.4171 Fa: 503.5 8.1960 1 �O Other Permit: �y�� �� tt5 "`�� n T 1 GARD Inspection Line: 503.639.4175 M� Date Ready /By: Juris ® See Page 2 for Internet: www.tigard- or.gov .''kG,I yyam'''�' 44otified/Method: Supplemental Information a tai' , t , a9C.. , r 'TYPE KR : 'TYPE I r 4�. ... ,. P REVIEW " • n % r e p l ac ement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ New construction ❑ Addition /alteratio ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. g CATEGORY OF CONSTRUCTION ' - *' 4 exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or El Emergency system. larger separately derived system. .• - - - "JOB ", SITE-; INFORMATION ANDD -LOCATION „ , : , , - . ❑ Addition of new motor load of ❑ °A ", "E ", "1 -2 ", "1 -3 ", "") 100HP or more. occupancy. Job no.: Job site address: -� - ' f ?.2 f X c" / 6C U � L 11'34 �,y� ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: '/G en 2 Z4 02 / o ? 2 Z 2 , ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE`: Cross street/directions to job site: Description I Qty. I Fee. j Total New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 _ ; a , , ; . _ . - 'DESC RIPTION' OF WORK - (with sq. ft.) : , . with above s ft. Limited energy, multi- family AL 441 ,- ,O C 4 L63 residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ,; `0 PROPERTY OWNER � - - ,, , ❑,= TENANT , } - 201 amps to 400 amps 106.85 2 � s1 Name: � r n' " 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: - 6..p f S E / L/fryt,e1 Over 1,000 amps or volts 454.65 2 City/State /ZIP: 7—/64 an ,72 L L?, Temporary services or feeders installation, alteration, and /or / relocation Phone: (S 4 j 6 ...6/ 0 Fax: (5 q t / ' / Z / 200 amps or less 66 85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 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, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with '°:. ®'APPL � ' ❑ .CONTACT. PERSON - above service or feeder fee, 6.65 2 each branch circuit Business name: .5 -- i/ ivl [ . L B. Fee for branch circuits Contact name: � 1J � S without service or feeder fee, 46.85 2 first branch circuit Address: ? ?$ St� Z-V62.4 Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: /6 4� Each manufactured or modular 90.90 2 S D7, u dwelling, service and /or feeder Phone: ( 6 7‘ 7 Fax: : ( ) Reconnect only 66.85 2 E -mail: /, i / ByLg 7 ,9k2.- iltiL --C -0,(,01/ Pump or irrigation circle 53.40 2 • _ „ n - _;' CONTRACTOR, - • ° ,, • _ Sign or outline lighting 53.40 2 . _ / ��� Signal cpa al teration, or or limited - Business name: �� yy LL�/l� � energy panel, al � ��� � ) e ms„ tom'"` extension. Describe: , Page 2 / — 2 Address: Cwt/ City/State /ZIP: (7t/ /�/ Gl e q 7 ? - e) --e l Each additional inspection over allowable in any of the above pp � / Per inspection 62.50 Phone: (5 -) r... *--" Z� r "l l0� Fax: ( ) Investigation per hour (I hr min) 62.50 CCB Lic.: 6 Y3 �/ Electrical Lic.: X1 _ LA 7 -'P '- Lic.: 9 7 if c6-44 Industrial plant per hour 73.75 1 /`� ` ELECTRICAL PERMIT :FEES,” - Suprv. Electrician signature, required: Subtotal: ° ' t ' Plan review (25% of permit fee): ,f! �� Print name: Date: State surcharge (12% of permit fee): f - °'- Authorized signature: ( ' TOTAL PERMIT FEE: ( G d — This permit application expires if a permit is not obtained within 180 Print name: 7 ,44 e...es2.W S' / 1 Date: 51;27.4 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440 -46t 5T(11/05/COM /WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information , LIMITED ENERGY PERMIT FEES: L,RESIDENTIAL4WORK'ONLY , ti ,_. a , ,1 Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* n Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* n Other: .. COIVIMERC .WORK *-a7: - m 77- . ' t Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls n Clock Systems X Data Telecommunication Installation n Fire Alarm Installation ❑ HVAC n Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* Protective Signaling • ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I \Building\Permits\ELC- PermitApp doc 03/23/06 CITY OF TIGARD BUILDING DIVISION ' � � _, PERMIT #: ELR200t3- 011'113 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/12/2008 Phone: (503) 639 -4171 p�' Inspection Requests (24 Hrs.): (503) 639 -4175 -��!�i INSPECTION WORKSHEET FOR DATE: 5/14/2008 TIME: 7:04AM PAGE: 45 SITE ADDRESS: 07405 SW BEVELAND RD CLASS OF WORK: SUBDIVISION: SM, LLC OFFICE LOT #: 018 TYPE OF USE: PROJECT NAME: S.M., LLC OFFICE CONVERSION DESCRIPTION: Installing low voltage alarm and data systems. OWNER: 52M LLC, PHONE #: 503 - 1580 CONTRACTOR: SELECTRON INC PHONE #: 503633 -99t)8 Inspection Request Scheduled For: Date: 5/14/2008 Pour Time: Code # Inspection Description Confir�t Contact # Message 135 Low voltage 06 -01 503. 670 -5216 Y \ "^ \K. Corrections /Comments /Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 5::• Nte{ Date: 61,10 Phone #: (503) 718- _1,A9L1/4_ Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 7405 SW BEVELAND RD, US Building/Com/Electrical Limited Energy/NA 198 Low voltage final PASS - No C of O ELR2008-00113 Chip Barnett Violation Summary: Inspector Contractor