Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
111 COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00048
TIGARD DATE ISSUED: 3/4/2008
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S136DC-04400
SITE ADDRESS: 11945 SW 70TH AVE ZONING: C -G
SUBDIVISION: DARTMOUTH SQUARE LOT: 030 JURISDICTION: TIG
PROJECT: DARTMOUTH SQUARE
Project Description: Installation of low voltage for access control. Job No. P070313
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:
DARTMOUTH SQUARE, LLC SONITROL PACIFIC
7165 SW FIR LOOP # 100 8220 N. INTERSTATE AVE.
TIGARD, OR 97223 PORTLAND, OR 97217
Phone: Contact #: PRI 503 223 - 5822
FAX 503- 973 -7773
FEES Reg #: ELE 26- 370CLE
LIC 53535
Description Date Amount SUP 3567LEA
[ELPRMT] ELR Permit 3/4/2008 $75.00
[TAX] 12% State Surchai 3/4/2008 $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 se • • • OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503.246.: •99 or 1.801i. 32
Issued = : : aI r � ��� ,t , Permittee 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: 11. - DATE:
LICENSE NO:
Call 503. • 39.4175 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.
y '1 . '
• Electrical Permit Application FOR OFFICE USE ONLY
lvl k 1, Loo Received 3 s 0 E? 2 _ a � D
City of Tigard Date/By: r! Permit No.: ( . Q
111111 n 13125 SW Hall Blvd., Tigard, OR 97223 ,,,. o Ian Review
C " 1 r` Other Permit:
P 503.639.4171 Fax: 503.598.1960 ��' �' ''���?� ateBy:
Inspection Line: 503.639.4175 i,.�F.tr . r. A "'' °f'r -:I ead � lure ® See Page 2 for
TIGARD p (S • - / C Supplemental Internet: www.tigard- or.gov Notified/Method: (y Su lementalinformation
TYPE OF WORK PLAN REVIEW
❑ New construction ® Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ 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
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -3 ",
70th 100HP or more. occupancy.
Job no.: P070313 Job site address: 11945 SW 70 Avenue
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: Dartmouth Square, LLC ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description 1 Qty. 1 Fee. 1 Total 1 •
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
p Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
Limited energy, multi- family
Installation of Access Control. 75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City /State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 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
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: Sonitrol Pacific Signal circuit(s) or limited -
energy panel, alteration, or
Address: 8220 North Interstate Avenue extension. Describe: 1 Page 2 75 2
City /State /ZIP: Portland, OR 97217 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 223 -5822 Fax: (503) 973 -7773 Investigation per hour (1 hr min) 62.50
CCB Lic.: 53535 Electrical Lic.: 6 -370CL Suprv. Lic.: Industrial plant per hour 73.75
�� (�_ J `/` � A ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required:
a q o,� Subtotal: $75.00
Print name: Co f� tM� C�ttt� Date: 2 .25 •03- Plan review (25 °/n of permit fee):
State surcharge (12% of permit fee): 9
Authorized signature: TOTAL PERMIT FEE: 84
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
' Number of inspections allowed per permit.
1: \ Building \Permits \ELC- PermitApp.doc 05/23/06 440- 4615T( 1 1/05 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008.00048
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/4/2000
Phone: (503) 639 -4171 ° r
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' "'I —
INSPECTION WORKSHEET FOR DATE: 11/612008 TIME: 7:OOAM PAGE: 50
SITE ADDRESS: 11945 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: DARTMOUTH SQUARE LOT #: 030 TYPE OF USE:
PROJECT NAME: DAR TMOU IN SQUARE
DESCRIPTION: Installation of low voltage for access control. Job No. P070313
OWNER: PHONE #:
CONTRACTOR: SONITROL PACIFIC PHONE #: 503 - 223 -5822
// -7- it
Inspection Request Scheduled For: Date: 11/6/2008 Pour Time:
Code # Inspection Description —Confir mf Contact # Message
199 Electrical final 077704-01\
\ 503- 223-5822 Y
Corrections /Comments /Instructions: `-° X Z.1
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PASS) ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G-- i*N3 LL Date: It 111 Phone #: (503) 718- .2-q96