Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
s COMMUNITY DEVELOPMENT Permit #: ELR2012 -00278
T I C; A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/18/2012
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 198
Project: Computeration Subdivision: 1996 -048 PARTITION PLAT Lot: 2
Project Description: Installation of additional intrusion security device.
Contractor: SONITROL PACIFIC Owner: PACIFIC REALTY ASSOCIATES
8220 N INTERSTATE AVE ATTN: N PIVEN
PORTLAND, OR 97217 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 223 -5822 PHONE: 503 - 624 -6300
FAX: 503 - 973 -7773
FEES
Description Date Amount
Specifics: Restricted Energy Permit 12/18/2012 $75.00
12% State Surcharge - Electrical 12/18/2012 $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: N
Security Alarm: Y 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. ATTENT • • . •regon taw requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -00 i through OAR 952 -00 ' ' ' 90. You may obtain a copy of the rules or direct questions to OUNC by calling 50 32.1987 or 1.800.332.2344.
e
Issue • By: ����' Permittee Signature. L'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.
Dec. 17. 2012 4:41PM Sound Inc. No. 2700 F.
Electrical Permit Application EIVu FOR OFFICE USE ONLY
I � '
City of Tigard ^ , P No.:
e e./By: i A / � / ¢ (� fL 4,P /./ -D° T F
• ° 13125 SW Hall Blvd., Tigard, OR 97223 Review
Phone: 503.718.2439 Fmc: 503.598.1960 DEC 17 .0 I 17t1e/By: Other Perii t.
TI c ; n It Inspection Line: 503.639A175 Dale Ready/Ey: runt, El See Page 2 for
Internet: www.tigard- or.gov CITY OF TIC • i Notificd/Medtod: Supplemenial lnformation
-
... ,4: • r�a1 Q>� wtU1 PLAN REYIE '
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans %%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 ' s y exceeds 10,000 amps at 150 volta or 11 floating buildings.
� - less to ground, or exceeds 14,000 ❑ Commercialaso agricultural
❑ 1 - and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. Cl Installation of 75 KVA or
=' • ❑ Emergency system_ larger separately derived system.
3013 S Erl�r0 � IAIION AND LOCA�CIQ , '� .• ❑ Addition of new motor load of 0"A ", "E ", "1.2 ", "1 -3 ",
Job no.: P120169 Job site address: 15350 SW Sequoia Pkwy 10t1HP ormore. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Portland, OR 97224 CI Ilealrh -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: 198 Project name: Conlptiteratlon, Inc. CI Service or feeder 600 amps or more.
FEE SCBEj3ULL
Cross street/directions to job site: Description I our. I Fee. I Total 1 •
New residential single- or mutt%- family dwelling unit,
Includes attached garage.
Subdivision: Lot no.: 1,000 sq, ft, or less 168.54 4
— En. a ld' 1 500 sq. R. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
d.` :- )<SSCR>I,P - TiON OF WORK : ' 4 (with sq 75,00 2
r. ., w ith above ft. )
' Limited energy, mult !amity 75.00 2
Installation of addI intrusion security device. residential (with above N. R.)
Services or feeders Installation, alteration, and/or relocation
contact. 200 amps or less 100.70 2
❑ PROPERTY OWNER . w. �:a1'Wt.• ❑ TENANT •r' 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name: 601 amp, to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
City/State/ZIP:
Temporary services or feeders installation, alteration, and /or
ty relocation
Phone: ( ) Pax: ( ) 200 amps or less 59,36 1
Owner installation: This installation is being made on property that I own which is not 201 amps l0 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps l0 599 amps 168.54 2
Branch circuits w new, alteratlon ex tension, per panel
Owner signature: Date: A. Yee for branch circuits u•it /r
N.-.:4 v I 0 CON,iTACT PERSON above service or feeder fcc, 7.42 2
each branch circuit
Business name: B. Fee for branch circuits trirhor,i
service or feeder fee, first
' Contact name: branch circuit 56 2
Eachadd'I branch circuit 7.42 2
Address: Miscellaneous (service or feeder not included)
Ci /State/ZIP: Each rnanufactured
ry 67.84 2
dwelling, service and/or feeder
Phone: ( ) Fax: : ( )
Reconnect only 67.84 2
Pomp or irrigation circle 67.84 2
E -mail: _ Sign or outline lighting 67.84 2
"....:,;. CONTRA O)t n ,. o- Signal circuit(s) or limited -energy •
Business name Sonitrol Pacific panel, alteration, or extension. I Page 2 15 ' � 2
Each additional inspection over allowable in any of the above
Address: 8220 N Interstate Ave Additional inspection (1 hr min) 66.25/ hr
City /State /ZIP: Portland, OR 97217 Investigation (t hr min) 66.251 hr
Industrial plant (1 hr min) 78.18 / hr
Phone: (503) 223 -5822 Fax: (503) 973 -7773 Inspections for which no fee in 90 / hr
specifically listed (Si hr min)
CCB Lie.: 53535 Electrical Lie.: 26370CLE I Suprv. Lie.: 3567LEA = �. ; ' ..ELECTRICAL PERMIT FEES..
- Subtotal: 75.00
Suprv. Electrician signature, required: Plan review (25 %ofperlitfcc):
Print name: Gordon Ducette Date: 12/17/12 State surcharge (12% of permit fcc): 9.00
Authorized signature:
41" TOTAL PERMIT FEE: 84 -00
- Ills permit application expires if a permit is not obt ained within IRO
days after It has been accepted en complete.
Print name: Ann C Moore Date: 12/17/12 • Number of inspections allowed per permit.
:\ Building \Perrnitr\OLC- PcrmitApp.doc 07/01/10 440.46157(11105/COMAVED
Dec. 17. 2012 4:42PM Sound Security Inc. No. 2700 P. 2
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT PEES:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other: _
`,COMMERCIAL WORE pNLv ;5=ii r`
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
Other Security
Total number of commercial systems! 1
*No licenses are required. Licenses are required
for all other installations
1;1nuildinBTamiLAELGPumiiApp.dx 07/01/10