Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT Permit #: ELR2012 -00022
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/03/2012
Parcel: 2S115BA02600
Jurisdiction: Tigard
Site address: 16230 SW PACIFIC HWY
Project: Tigard Townw Square Subdivision: 2004 -015 PARTITION PLAT Lot: 2
Project Description: Install radio communicator to monitor existing system. Panel in riser room located behind Biscuits Cafe. Job No.
190
Contractor: PROTEC INC Owner: SN PROPERTIES PARTNERSHIP
720 NE FLANDERS ST 1121 SW SALMON ST
PORTLAND, OR 97232 -2763 PORTLAND, OR 97205
PHONE: 503 - 235 -4000 PHONE:
FAX: 503 - 235 -0363
FEES
Description Date Amount
Specifics: Restricted Energy Permit 02/03/2012 $75.00
12% State Surcharge - Electrical 02/03/2012 $9.00
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: `(
HVAC: N Instrumentation: N
Intercom /Paging: N Landscape /Irrigation: N
Landscape Lighting: N Medical: N
Nurse Calls: N Protective Signal: N
Security Alarm: N Other: N Total $84.00
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 OAR 952 - 001 -0090. You may obtain a • • • . - rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
/ 1
Issued By: i _ _ Vii_ _ _ P ermittee Signature: J � � s, / �� / -a
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.
Can 503:639. 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.
FEB -03 -2012 0:19 PROTEC I � E \• P.01/04
Electrical Permit Application �a , 1.01; tit i tt I I SI t, \l•\
City f Tigard Received AcnnitNo.:
ty o \ti Datel6 : ._ : - a as
13125 SW Hall Blvd., Tigard, OR 9 % Plan Review
I ` Phone: 503.718.2439 Fax: 503.598.1.960 .Q Other Permit:
t� r Date/B
I I ,.. I t Inspection Linc: 503.639,4175 �(� elar°` ., r mate Ready /13y; Jens. , See Page 2 for
Internet: www.tigard- or.gov O'(� 0� , Notified/Method; �� ' fied /Method; Supplemental information
4'pc ^.r : �!!':�irM� r : I• ''' » -� n „� u r, • P �r. �, v� r .a ai., .,q , fi r' q .r r . , r .. ,I 1 7 ^ 'q 1
h r, 2.1 fc =t }'7 & �(u ;,�, I �I I�rfi ' "1� ` I � ' w P r P 4 I r .;1,'"q,"0 r
' � "A: n�.e' %!* .N, i IP.t4Oti; . : ii�1' ,' L.. •MA t , 7 It "� GtW 41. :.4r . ;J• ,��1.1&WI ,4kp'iiM 1 , ' • " i , #' C i �c atk "uua UMW' P f : iltu Ylryr
❑ New construction Addition/alteration /rr\IBCCment Please check all that apply (submit 2 sets of plans w /items checked below):
0 Demolition Othcr: El S ervice or feeder 400 amps ur more EJ wilding over dirge stories.
t...l here the available I':ault current ❑ Marinas and boatyards,
mom_ ���.�, R .: z . i v :�..r � "....�.�..� ,:..n..,��.. -. „.. y ��...
� ;,. �,..„ � . ,,...� . ... .. ,.,.�"c +�; a::r. r. .
":.,_: � „
C1 .'I. e y7 1:���4 'µ,1�;4,1+RlI t'� llli�' �'4�1i T'�!IA FU d . , l �Ii� }�kl I: 1 d1+��5P i . ,,,.,, . ' , I , i p „ V ? , exceeds 10,000 onlp8 a7 150 walla nr ❑ t' "IOQtln6 buildings.
less to ground, or exceeds 14,1700 0 Commercial -use agricultural
❑ I - and 2 -family dwelling El Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: 0 Fire pump. 0 Installation of 75 KVA or
1i '' l iNl k' m c a ,' Pt ?I {?fir � q � n a e � / le l'IF' � I. , i , f 1 ' ' ❑ ,i; F:tner n O f ne em. larger separately derived ystem,
rn 6. sus , � . „ C 71 ;. � ^ill E�r��w TIE nr$� sir �� 1 "��., a s �. Xh J ., 6 .a. 4 sfi d ? k ❑ Addition of new motor load of ❑ „ " „ " 1-; " ,
Jo. no.: 190 Job site address: 16230 SW Pacific Hwy 100H' or more, occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City . - ”: Tigard, OR 97224 El Health -care facilities. 0 Supply voltage for more than
-- - W El Ra u'dois locations, 600 volts nominal.
Suite/bldg. /apt- no -: Project name: Tigard Towne Square I ❑ r Service or feeder 600 am Amore. h - r
.. .. 'i Yill `ii��!a'l:'dii'! Ili t'1 `.; • i C ?4N� isT. 1NT ll' 'lal:{ialif l hi'�i'�C:ri'i .isii ii ly ,
"
Cross street/directions to job site: South of SW Durham Rd
D escr i ption N I „' �
I qtr. I n ee. � Teal :
New residential singla- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq, ft. or less 168.54 14
--- ' Be. add'1 500 sq. ft. or portion 33.92 I
Tax mop /parcel no.:
s';p ;l i lt'prt "c' 7'. • h , h i , . -,- i �; g�me :c,• , p.; y r ,sot 3Y,' .',
Limited energy, residential 75.00 2
1 yy i 1. ;;- Ij i I j' L ,{ k . ,; tyl (with above s ft.
: �I : . ^.61i�):�1�'�i'�r.lpl:c9VC�� � E IIG49�dv�", �: rb:'' I�a .X}�'S.;:R:..7'If�lr , °'"'•- x.71+1 ?'�� -Ip' i ' 4�7i'; ���„ I' �¢ �E' ���l�tk ,;y�117'��' ( Q� )
Limited energy, multi - family 75,00
Install radio
.. communicator to monitor existing fire alarm system. residential with above s9. IL)
PCL C -% Le:444 ./16 t A A ; 1 6 S 2 00 mp s or less 10070 ?
or feeders installation, alteration, and /or relocation
t.vt C� . 2 amp.
j.Flr;tt:'�:'ny'r3.:. u, l' '• ilil ? , 7 .q...1;�s''tap'I ; ila :1 , ;i ,, a. 1” 1 , ..,4�, �:ii N�, r''. %li; 201 . -, 2
d 4 i 1, g li II . ( I, 1 �;t I. 1 �, . Id , l i r t ' _U l amps to 400 amps 133.56
� .�' i' ;:jr)I I.+,�, ' � t a �;7T�° �`d�a� , �ii e' i�' ��� ��ili��. w� �UW4����I d ti . Zl 'Ii;lifull�t�Iil� "{��;,.�1;�
Name:
401 amps to 600 amps 200,34 2
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
City /State /ZIP: Temporary services or feedera installation, alteration, and /or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 59.36 1
Owner installation: This installation is being made on property that 1 own which Is not 201 amps to 400 amps 125 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670. and 701. 401 amps to 599 amps 168,54 W 2
Branch circuits— new. alteration, or extension, per panel
Owner signature: Date: , A. Fcc for branch circuits with
.pi' a':r' ;'i �'`a'1•' p V �' I '-�Ji I "" P'" - - air A ? nre ,p ,, � �;, •': above service or tastier roe,
P [ ;�i l� >?� 1 �i� ,k 5wn gy +p�jYp� i e 4 i"+ y��ydI� b'.. ¢ ; 4 1i . uu
' i I. .14 .,'•Y3i t, li 1, 7 . l .1� l hi1'.:1 ! ( IC3V'1rwtilV,.uLJ�Allvufi Wla , „!, a ai,�ill�'ak',�
each branch circuit 7,42 2
Business name: Protec Inc. B. Fee for branch circuits without
Contact name: Heather Hill — service circuit
fee, first
56.18 2
Each add'I branch circuit I 7.42 I 2
Address: 720 NE Flanders S t Miscellaneous (service or fee not included)
City /State /ZIP: Portland, OR 9 7232 Each manufactured or modular 67.84 2
dwelling, service and/or feeder
Phone: (503) 235 - 4000 Fax :: (503) 235 -0363 - Reconnect only 67,84 —.....1 2
Pump or irrigation circle 67.84 2
E -mail: heatherh @protecsecurity.com
11
ir ' wit. `'p'i'. i
° s 1 .'�u U ''!!i�' > P��f�",q�7� ^ 3', ���. L p t Sign or outline lighting 67.84 2
la 'k.il �Il$.t. "',�tdl: ,!r, eiif�9 ° '.,n,.l .'. ' :2 " 1 ' ti10 137SJ► ti' h1i�;i.;V:W Signal circuit(s) III) ltod- energy
Business name: Pratec Inc. panel, alteration, or extension, I Page 2 75 2
.. Each additional inspection over allowable in any of the abov
Address: 720 NE Flanders St Additional inspection (1 hr min) _ 66.25/ hr
City /State /ZIP: Portland, OR 97232 tnvestigatinn (1 hr min) 66.25 / hr
Industrial plant (1 hr min) 78.18/ hr
Phone: (503) 235 -4000 Pax: (503) 23540363 Inspections for which no fee is
s • cificall listed (1/2 hr min) 90.00/ hr
CCB Lic.: 55414 Electrical Lic.: 34215CLE rv. Li ;;' 14, ,� �;I �^,� ^°�w , r , , -
�� p ' /O.?3R �': i sA.:'fii ;I= s:'k(r'at�.(2:'
tic
Suprv. Electrician signature, require I'Y Subtotal: " y
� _ .Purl review (25c,6 of permit fee):
Print name: Jack Chilson Date: 2-2- / State surcharge (12% of permit fee): 9
Authorized signature: TOTAL PERMIT 1'E : 84
-- --- _ This hermit application expires If permit Is not obtained within 180 . Print name: Heather Hill • pate: 2/2/12 days after it has been accepted as complete,
T • Number of Inspections allowed per permit.
I: Iliulldina \Permits■ELC- PermitApp,doc 07/01/10
440-451 'T(1 I/051COM/1'Y[B'