Permit '. ' CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
Ph
g: COMMUNITY DEVELOPMENT Permit #: ELR2012 -00250
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/05/2012
Parcel: 2S112AC01600
Jurisdiction: Tigard
Site address: 14975 SW 74TH AVE
Project: Meyer Sign Co Subdivision: FANNO CREEK ACRE TRACTS Lot: 17
Project Description: (1) low voltage for installation of intrusion security devices
Contractor: SONITROL PACIFIC Owner: SKOURTES, JOHN & JACKIE
8220 N INTERSTATE AVE 17010 SW WEIR RD
PORTLAND, OR 97217 BEAVERTON, OR 97007
PHONE: 503 - 223 -5822 PHONE:
FAX: 503 - 973 -7773
FEES
Description Date Amount
Specifics: Restricted Energy Permit 11/05/2012 $75.00
• 12% State Surcharge - Electrical 11/05/2012 $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: N
HVAC: N Instrumentation: N
Intercom /Paging: N Landscape /Irrigation: N
Landscape Lighting: N Medical: N
Nurse Calls: N Protective Signal: y
Security Alarm: N Other: N Total . $84.00
Other Desc: Required Items and Reports (Conditions)
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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 copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800,332.2344.
Issued By: 44.141eii d K,. �I Permittee Signature: 0A A Dkie i'T U .
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:
i
LICENSE NO.
-, Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
T his 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.
Nov. 1. 2012 12:58PM Sound Security Inc. No.2426 P. 1
Electrical Permit Application FOR OFFICE USE ONLY
Received
City of Tigard Data/B9: .1 I e• 1( PemlitNo.; eta A94' ,,.SD
131
...... 25 SW Hall Blvd., Tigard, 0 U!VUTp Plan Review
Phone: 503.7182439 Pax: 503.9. nate/fy: Other Permit;
z K
i Ic,ARD Intcmet NOV 0 1 2012 N oI I iRed/Meibpd; ? S BI See Page 2 far
pplemcotollnrerntallon
. :i : :: 4 ;• . . . , 4''1''P)E PF Tn754 .. 4 ae.Fl..ro. -Jy.a! '. «F ._.,. A VE:: li V g - ".
❑ New construction ® Addition/ > 1bN Please check all that apply (submit 2 sets of plans %v/items checked below):
tuv t ri _ '� 0 Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other; where the available fault current ❑ Marinas and boatyards.
CATEGORY:'OF. CONSTRUCTION :,: ,=? r ... w- :'''<• exceeds 10.000 amps at 150 snits or ❑ Floating buildings.
dwelling - less to ground, or exceeds 14,000 ❑ Commerciel•us. agricultural
❑ 1 - an 2- �iI711
y g El Commercial/industrial i2 Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ID Fire pump. 0Installation of 75 KVA or
--- f1� ❑Emergency system. larger separately derived system.
JOB SITE ;INFORMATION D ICOC11T;t0 - ' ti `y `�` .: - . D Addition of new motor bad of 0 "A••, °B••, "14", " 1 4",
Job no.: P120146 I Job site address: 14975 SW 74 Ave Six or more rest occupancy,
0 Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: Tigard, OR 91224 OFlealth•care facilities, ❑ Supply voltage for more than
['Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: I Project name: Meyer Sign Co El Service or ieder 600 amps or more.
'
Cross street/directions to job site: aerrdptIoa I Ole. I Frn T
I ot al I •
New residential single- or multi- family dwelling unit,
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. 0. or less 168.54 4
PA- ndd'l 500 sq. R. or portion 33.92
Tax map /parcel no.: Limited energy. residential
' DESCRIPTION 4)1+' WORK : = (with above sq. It) 75.00 2
Limited energy, multi 75.00 2
Installation of Intrusion security devices residential (with above sq. R.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
. ,y. ❑ P- ROP.ERT3 OVgi Rl" ,} _ ,I :C ; TENANT 201 amps 10 400 amps 13156 2
401 amps to 600 amps 200.34 2
Name: - . 601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and/or
City/State /ZIP: relocation
Phone: ( ) I Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not A01 amps to 599 amps 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits -- new, alteration, or extension, per panel
Owner signature: Date: A. Pee for branch circuits with
;❑S APPLICANT i ® CONTAC i1I t iNp ` A, above service or feeder fee 7.42 2
each branch circuit
Business name: Meyer Sign Co 13. Fee for branch circuits wilhour
service or feeder fee, first 56.18 2
Contact name: Denny Meyer branch circuit
Each add'I branch circuit 7.42 2
Address: 15205 SW 74' Ave Miscellaneous (service or feeder not included)
City /State/ZIP: Tigard, OR 97224 Each manufactured or modular 67.x4 2
dwelling, service and/or feeder _
Phone: (503) 650 -8200 Fax: : ( ) Reconnect only 67.84 2
_ Pump or irrigation circle 67.84 2
E -mail: mary ®martin- bros.com Sign or outline lighting 67.84 2
. ',CONTRACTOR" � Y' ; ! '- ` "'s ''' E . -. si circuits) or limited -energy
Business name: Sonitroi Pacfllc panel, alteration, or extension. I Page 2 75.00 2
c-Ls .^ `L C - f t`. / r : t : / Each additional inspection over allowable in any of the above
Address: 8220 N Interstate Ave 1 Additional inspection (I hr min) 66.25/ hr
City/State /ZIP: Portland, OR 97217 Investigation (1 hr min) 66.25/hr
Industrial plant (i hr min) 78.18 / hr
Phone: (503) 223 - 5822 14 ( Fax: (503) 973 - 7773 Inspections for which no fee is
r� r ( � 7s ecifcally listed (4 hr mint 90 .E hr
CCB Lic.: 53535 t J Electrical Lie.: 26370CLE Suprv. Lie.: 3567LEA .... -A, mem Ycalegoifl"I ']?E0.t.:; :,-
Suprv. Electrician signature, nature required: Subtotal: 75.00
p ,4II Plan review (25% of permit fee):
Print name: Gordon DuCene I Date: 11/1/12 State surcharge (12% of permit fee): 9.00
TOTAL PERMIT PEE: 84.00
Authorized signature: This permit application expires if a permit is not obtained within 180
days eller It has been accepted as complete.
Print name: Ann C Moore I Date: 11/1/12 • Number of inspections allowed per permit.
1: 1Bu ild ',nglPrrmi,slrtLC- P«rnitApp.doo 07/01/10 44IH615r(11l05/CON/tvEn
Nov. 1. 2012 12:58PM Sound Security Inc. No. 2426 P. 2
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT PEES:
,;;> BSIDENTIA. .:0N'I:t _
Pee for all residential systems combined ... $75.00
Check Type of Work Involved;
E l Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
COMMERC_Il ONLY; ;
Fee for each commercial $75.00
system
(SEE OAR 918 - 309 -0000)
Check Type of Work Involved:
El Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
El Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems: 1
*No licenses are required. Licenses ate required
for all other installations
:430diagermes■6LC- PemmhApp,doc 07ro1/10
To: Page 1 of 2 2012 -11 -02 15:24:46 PDT 15035366513 From: Caitlin Horsley
RECEIVED
NOV 0 5 2012
FAX COVER SHEET
CITY (?FTIGAItD
TO BUILDING DIVISION
COMPANY
FAX NUMBER 15035981960
FROM Caitlin Horsley
DATE 2012 -11-02 1524:24 PDT
RE SolarCity Permit
COVER MESSAGE
Caitlin Horsley I SolarCity I Phone: 503.956.0610
Fax: 503.536.6513 I chorsley @solarcity. com< mailto:NAmistrong @SolarCity.com>
www.SolarCity.com <http: //www.solarcity.com/>
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