Loading...
Permit _ 4• CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT N I ° : COMMUNITY DEVELOPMENT Permit #: ELR2009 -00266 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/18/2009 Parcel: 2S101AD03200 Jurisdiction: Tigard Site address: 12909 SW 68TH PKWY 400 Subdivision: TIGARD TRIANGLE CENTER Lot: 0 Project: Silkin Management Project Description: FEES Owner: PACIFIC REALTY ASSOCIATES Description Date Amount ATTN: N PIVEN, 15350 SW SEQUOIA PKWY Restricted Energy Permit 08/18/2009 $75.00 #300 12% State Surcharge - Electrical 08/18/2009 $9.00 PHONE: Contractor: BRINKS HOME SECURITY 8080 SW CIRRUS DR BEAVERTON, OR 97008 PHONE: 503 - 641 -0287 FAX: 503 -641 -0960 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 $84.00 Intercom /Paging: N Landscape /Irrigation: N Landscape Lighting: N Medical: N Required Items and Reports (Conditions) 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 OAR 952 - 001 -0100. 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: �Zrri.�_ Permittee Signature: .0 , / O/ /UN 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 603.639.4176 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. *08/13/2009 18:25 503641 RECEIVED BRINKS HOME SECURITY PAGE 01/02 ' *, Electrical Permit Application, roll? OI' I• i(:I, Iasi•: ()NIA City of Tigard AUG 1 4 2009 Received �6 PermitNo.: 13125 SW Nall Blvd„ Tigard, 0' P l Q / j O D /31 1. Phone: 503,639.4171 Fax: t • . • �� TIGF Other Pe rms it , .r.1 c, \ RI) i � Inspection Line: 503,639,417 ` 1 G DIVISION Datc RcadyB i sec Pace 2 for • Internet www.tigard- or.gov Notified/Method: W J Supplemental information 5,:Y. ( , :••L ^.^I VN . i .' 4 ,,.., `. , :54 - — ti:! .` ,:',: fir .!^ . 'i..: .:��y �(!':• ,. } i�_rT y7 a•, . ...).,..< I� a, "�-� :.i,' r . 'r�r" , `� . -. '. en �.J"A;Fa:.r" r ate':. :�{ -s. .Nr'•1:i %''rr.i. i. FF,:. ( •.S.pp ���/y�y�yAp F°W v'3 <r ...;. .- ;; ^14 � S•a, t � Y .,. J ,> . -f. �.W: '.Y � a ��l' .IYy.� •'�}��•{}1I'��r _ •''T�:- !ww "�I.'Z� r . 7`.�r�� t.,�, � R. L •: 1.:.:. .I • ' e _ r : �a1MiiL • w: \.e' t —ti ,',� '. e r .. n.,•. " ' ll.•' %i}i' F:,:.. �i'T l.a. .� .�. Ti'��' ' •. �'� -, '1"'+ - ..t. New construction ❑ Addition /alteration /replacement Please check ail that apply (submit 1 sots of plans w /items chocked below); ❑ Service or feeder 400 amps or more CI quild in over three stories, ❑ Demolition ❑ Other: where the available fault current ❑Marinas and boatyards. (+ ;A!• 2 ` . 3 :', 1 : < -'','w1 . Oi'r • i}.d t ;.,y_-a- l r q (qr Itir• _ . a 'n : 1V.4.r :y :.�,` .. C�_`:: ., < :.; exceeds 10,000 at 150 volts or ❑ Floating building less to ground, or exceeds 14,000 O Commercial -use agricultural fl 1- and 2- family dwelling 74 Commercial /industrial, ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump, ❑ installation of 75 KVA or rk•,'z . , v r , '. - •.;r ",rrc :- r..- T.,,�. _, r ❑ Emergency system, larger separately derived system. • S :: "i'SF.. '. i54' 4 I ` ^! ' ,r ,I,417 ?!1\'rli1 1",G ,, ,, A A, - ... -. 1'il'A:illXil: st :• ✓ ,. '.• i Pw:�s. .;'%'r!:.., •ts.L•�..: • n zn ,i- M.�e:,. ...+•�i. oN- -t�•.r "nrrrt- �.�ex.• ,- :!3a"; : �' : , rtr•. © Addition of new motor load of �1 "A" •, E", « 1.2 •• , « 1.3 •. Job no.:90834236 Job site address: 12909 SW 68th Parkway 100F1Pormore. occupancy. — ❑ Six or more rcsidentinl emits. ❑ Recreational vehicle parka. City /Statc/ZTP: Tigard, Oregon 97223 O Nenithtome fnoilitics, ❑ Supply voltage For more than i] Naznntons locations, 600 volts nominal. Suite/bldg. /apt,no.: 40 Project name: Silken Management Group iI Service orfeeder ` F mp r ; 4 � ?' 1 . Cross street/directions to job site: SW 72nd IIJU - • • � f ah. roe. T Toast Y New residential ainglc- or multi- family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1.000 sq. ft. or less 145.15 r 4 Ea. add•l 500 sq. Ti. or portion 33.40 1 Tax map /parcel no.: r i � Limited energy, resident /y 2 , .1,4 � '� < <I S, M 't�..::%' �'� f • ,'+'.• 00 i- • tw;;:. , , 15t a1 _1!� r: "' '^: «';' ':=i,wo..,r r: (with above so. R) 5, 7 Limited energy, multi - family LV Alarm System 75.00 2 residential (withabove, ft, Services or feeders insta on nnd/or relocation c*^;:�7 r ti ,. . , rte , ; �,... ,.. ,. � • : {: < 200 amps or less 80.30 2 fi. ,, tt i 1 `�' "frr ' ' 'i. �' • ': �w` d2� 201 amps to 400 am 106. _ n , , , , v,Y ®,r 4 .,w. utM'• •,.., e �'il t ai« -,h !, A"x. 4 n ... e , V, - p • p� 2 • N ye: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1.000 amps or volts , 1 454,65 2 City/Statc/ZIP: Temporary services or feeders installation, alteration, and /or relocation • Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1 i 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, r panel _ Owner signature: _ Date: A. Fee for branch circuits with t ;!:,, e,5 :; ` . '. yKM,. J�7rj.iuc.. 7,.�q.�"< :, `.r !! i :)'.: V -',4 .., :% ti ., ;: Orr above servo cc •or feeder fee, 6.65 2 ; �:.' � �r r r''�J` � ., . � . • '. : i - P• ' �',�t�' ; p�';;,;. ; ..r, e. .; •.' ' Business name: each branch circuit , B, Pee for branch circuits Courses name: Josh Wood wit service or feeder fo e, 46.85 2 _ _. • first branch circuit Address: Each addi branch circuit 6.65 2 Miscellaneous (service or feeder not Included) City /State/ZiP: Each manufactured or modular ( 5 03) 7 -1 S ], Q i Fax: dwelling, service and /or feeder 90'90 2 Phone: I ( ) Reconnect only 66.85 2 E - mail: Pump or irrigation circle 53.40 2 r:AiiL',u `tit., 4:4` "; C�.E? =?' :; :7,i1 °V i - " 5;1.'rli,pY. :r: . :-, i'' i'` ';:t ?, u �.. ..aa`•; - .,.., #r,,. 1V''L�A�T�f1R `: , , � .,�•. e. , '� '� =� . Sign or outline lighting 53.40 2 '^ e d — ° g curity y - Signal circuit(s) or limited - Business namc:.� 4w3R ���� energy panel, alteration, or Address: 5080 SW Cirrus Drive extension. Describe: / ! Page 2 2 2 City/State/ZIP: Oregon, 97008 Each additional inspection over alltwableinan off the above Per inspection 62.50 Phone: (503 ) 641 - 0287 I Fax: ( 503)641-0960 Investigation per hour (1 hr min) 62,50 1 CCB Lie.: 44421 / Electrical Lic.34 1 /54 . Lie...32131 A s' industrial plant per liour 73.75 Suprv. Electrician signature, required �":` `x }�?�a: ".:'i'a0g r' � , it � I ��� ,: " ~' +•• 'rsf?;� '- tw t ti /'�u Liz....._ . Subtotai; b75, 06 � ' Print name: Kevin Gary Tucker Date: 8 -14-09 Plan review (25% of permit fee): State surcharge (12% of permit fee): Q, d 0 Authorized signature: TOTAL PERMIT FEE; T 'i ' ID Print name This permit application expires it a permit Is not obtained within 180 Dttte. days after it has been :mooted as cnmple, . et Numbcr of inspections allowed per permit. t;Vtrr:Id: «al eonittVn,C- PermitApp.doc 05/23/06 440 4515T(I I/05/COM/W®