Permit • rt CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT Permit #: ELR2013 -00130
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/12/2013
TIGARD Parcel: 2S 114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD E86
Project: Tigard High School Subdivision: 1993 -078 PARTITION PLAT Lot: 2
Project Description: Audio and video system for library.
•
Contractor: POINT MONITOR CORP Owner: TIGARD - TUALATIN SCHOOL DISTRICT
7869 SW NIMBUS AVE 6960 SW SANDBURG ST
BEAVERTON, OR 97008 TIGARD, OR 97223
PHONE: 503 - 627 -0100 PHONE:
FAX: 503 - 627 -0110
FEES
Description Date Amount
Specifics: Restricted Energy Permit 06/12/2013 $75.00
• 12% State Surcharge - Electrical 06/12/2013 $9.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio & Stereo: Y 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: 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 ugh OA 52 -00 90. You may obtain a copy of the rules or direct questions to OUNC by calling 50 ' .1'87 or 1.800.332.2344.
41 1111111M ".'s Issued B : Permittee Signatu / � ✓ �.�i��,7 //,
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.
06/11/2013 16:47 5036270110 POINT MONITOR CORPOR PAGE 01
Electrical Permit Application RECEIVED F., ...... 1: ( t: o' i .1
CI of Tigard Received Permit No.: e
11
Ty Tigard OR 97223 JUN 1 1 2013 Da1e/B �—+� U I i s •
13125 SW Hall B lvd, Ti Plan Review
a Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ()titer Permit:
i t t:. I . Inspection Line: 503.639.4175 CITY OFTIGARD Date Ready/By: Jens: ® See Page 2 for
7 ,,� Intt y e net: www.tigard-or.gov s f , '\ , , O Notified/Method: - T - .� Supplemental Information
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❑ New construction ® Addition/alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
1:: Demolition ❑Other.
0 Service or feeder 400 amps or more ❑ Building over three stories.
where the available fault current ❑ Marinas and boatyards.
' ms, At_ t• 98.,,,:,45 A 4tx1tv ; :rf,,.R r :...,, e m:. e n •r•5y
c ,r� , . • •,e ,` r L > r t .• ., r 1 , a'f r •I t: - exceeds 10.000 amps at 150 volts or El Floating buiidin
. :2a � :i 14i,it+wcu;l :exse:4 , :,l:tw ,_+:Iri4L -I.,, 'nee. _ y n:� oaks: :&IJ! -ro I c ',4lt 8 gs.
less to ground, or exceeds 14.000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ® Commercial /industrial El Accessory building amps (br all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other ❑ Fire pump. ❑ Installation of 150 KVA or
+ •r- err, ,r •r7r v r- . t. �, m `:.T C >•. r z rr r . ++ ❑ Emergency system. larger separately derived system. ��r G'".I.; , 7f° '.: x gr. 1 1 , '. a , . }5 ::,. ww ii . rr l,. I . u ge Y Y3 rgtr sap lY Ystem.
i Y . + t . 1. , i I V i c rr ,c Sj ,'{ r• 4 t�( J '
..,�.• .,rt, , ,404 Af :n,;lti{ .4,7 :1t. tip. -, : ^ _w �,.t.: i i � • tit ,,(-- Al.rt�, .. 1u -: .' ❑A ddition of new motor load o ❑ "A", "F..., "1-2", "1.3.,
Job no.: Job site address: 9000 SW Durham Road IOO or more. occu
El Six o or r more residential units. ❑ Recreational vehicle parks.
City /StatelZ1P: Tigard, OR 97224 ❑ Health-care facilities. ❑ Supply voltage for move than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: Tigard HS - Library O Service or feeder 600 amps or more.
nV -. n - Y p , ..�.� w �,1�9, I jy.re( . : :
1 laNNV- jpp �+tvi'.u ^.tiRanc' Zvi j F.,s,:,,i•I5 H•Y 1
:L t (. I b.
Cross street/directions to job site: ngerlptba
•- r., Qly. Fee. Total •
New residential single- or multi- family dwelling unit.
Includes attached garage.
- 1,000 sq. ft. or less r 1 68.54 4
Subdivision: I Lot no.: Ea. add'/ 500 sq. ft. or portion 33.92 1
Tax map /parcel no.:
's7 t `.-� ..tw+ +v,r. :.•n mm^a .nn�r¢r.+rv+' ^_m'; :� r, , r-- .,.,.. t...• -, Limited energy, residential 7
wz? n•. t 5.0(1 2
O .: r, �t ryl+:•!!1�,.4:•. - et rgriZ , :.:- t' :' t is f+pilt,4 a5ltc�.s vi¢if Z. . 71,tr i'+' 111,'�'� }is:% :kllikP µ (with above sq. ft.)
""' ^�' `° Limited energy, multi - family 7 5.00 FT
(1) Limited Energy - A/V System residential (with above sq. ft.)
Renswable Energy Inlet Page 2
Services or feeders installation, alteration, and/or relocation
y a R+R ^ S: `. tl r1 -tt; +' °'>" 200 or less 100.70 2
t` 77, i ts. + 7;1 _ , }. , ?'t' , ; 1riF iIT' (r
f t : i "-h, '' ".;iii ' .. 11 . l', j!! 1 ,� t! ` :
. , ..x,:.. �,'17Z..VLI.a:[. c:.,- �•i..,.. ,l,If?S w, ,., ,.�.,� .6'!l!!' '.. rl-,.:•,: 'n :rr "s"isJ,ti 'r'6 '�� �.. Ii...' . +
201 amps to 400 amps 133.56 2
Name: 401 amps to 600 amps 200.34 2
Address: 601 amps to 1,000 amps 301.04 2
City/State/ZIP: Over 1.000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
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 125.08 2
intended for sale, least, rent, or exchange, according to ORS 447, 449, 670, and 701.
401 amps to 599 amps _ 168.54 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
}+ Frk' R'i: lit, 'M ^c fcp>:1„ :' t•- 1U�:,s "1' - .IV
,�} i.. c l:ir � i '��(,'+�� tt"'t :^ , r r c, , • , `� � A. F ee for branch circuits with
:WNW:, 1?li, tri17.2�: ,,4ift: I y :A i'!:-?F1 +3i•+�....:417,E v :� r,,,:�,:•i)r.' �, 1 1 above •
serv or feeder fee,
Business name: Point Monitor Corporation each branch circuit 7'42 2
B. Fee for branch circuits without
Contact name: Steve Bruns service or feeder fee, first
branch circuit 56,18 2
Address: 5863 Lakeview Blvd., Suite 100 Each add'/ branch circuit I I 7.42 2
City/State/Z1P: Lake Oswego, OR 97035 Miscellaneous (service or feeder not Included
Each manufactured or modular
67.84 2
Phone: (503) 627 -0100 I Fax: : (503) 627 -0110 dwelling, service and/or feeder
Reconnect only 67.84 2
E -mail: SBruns®PointMonitor.com Pump Sj(' ' , t
_ r d, ^ p o -r Pump or irrigation circle 67.84 2
! M !!71.7 1 e io .F 1 . 7.7 I rl I I4�{ . Vs7.I tt�t.itr 1
. � fl . �i ' .( } %: i^; u+} )llf�ila�a- 1,.; :�•)cC1!1'!+l� }° ��;t :�`�
. i' Sign or Outline lighting 67.84 2
Business name: Point Monitor Corporation Signal circuit(s) or limited- energy 1 See 15.00
panel, altenttion, or extension, Page 2 2
Address: 5863 Lakeview Blvd., Suite 100 Each additional Inspection over allowable in any of the above
Additional inspection (1 hr min) 6625/ hr
City/State/ZIP: Lake Oswego, OR 97035 Investigation (I hr min) 66.25/ hr
Phone: (503) 627 -0100 Fax: (503) 627 -0110 Industrial plant (I hr min) 78.18/ hr
� speexions for which no fee is 90.00/ hr
CCS Lic.: 135901 Electrical Lic.: 34 -508CL uprv. Lic.: yl�4o ' ✓specifically listed CA hr mint
Suprv. Electrician signature, required: d i ( y�. :.usay. +le:':; •`; :;'
Subtotal: 75.00
Prim name: Ben Breit Date: 6/11/13 Plan review (25% of permit fee):
Stale sur iiatge (12% of penrtit fee): 9.00
Authorized signature: .vt✓� TOTAL PERMIT FEE: 84.00
This permit application expires if a permit it not obtained within 180
Print name: Steven M. Bruns Date: 6/11/13 days atter It has been accepted as complete.
• Number of inspections allowed per permit,
1 :\ auwW6talPcrmits\ELC_PcrmitApp KLR ERE.doe Rey 03f11/2013 440.44t3T(11 /COM/W25
06/11/2013 16:47 5036270110 POINT MONITOR CORPOR PAGE 02
Electrical Permit Application – City of Tigard •
Page 2 – Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees: �k
q. ... .._ .., t. �; ;.�_ y, , .ys �xu�•t,( M • ?I' ✓' y bI , r; - . .t� • •I: ,.. ,� ., •1.,.r •v.,�...M :,���. `'• `�FY�1.,.
!� .>��t, J,i,,,�,�:�•,;:..�b.' 'q �h t L �' �, e,:..F • . , id� ` ° :'�E:'��.. 4: �rx1 �f :. l� � .... _ . , . 7 .';, :i_x..He.,.n.:e.�e.:..f39�
Fee for all residential systems combined. $75.00 °ncipa °"'. Fee Tan1 •
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133,56 1 2
1:1 Audio and Stereo Systems* 15.01 to 25 kva 200 2
Wind generation systems In excess of 2S kva:
• ❑ Burglar Alarm 25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva (fee in accordance with 552.26 2
OAR 918-309-0040)
❑ Heating, Ventilation and Air Conditioning
Solar generation systems In excess of 25 kva:
System*
Each additional kva over 25 7.42 3
El Vacuum Systems* > 100 kva - no additional charge 0..0 3
Each additional inpection over allowable in any of time above:
❑ Other: Each additional inspection is 6625/ hr 1
char at an ho urly (1 In min)
inspections fbr which no fee is 90.00 / hr
ifical listed %x hr min
dr .. .: . , �.•• ,.., ti,. ^µsr. :,t�CyS'!I21t8t!$ ;� 'Y... �x. :�Cr :1.: �...,,,.,• :;;�u� ^4•r.,.....ij ?�...}._.; �y._.... '/�G;' i� :4
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918- 309 -0000) Plan review, if required (25% of permit fix);
State surcharge (12% of permit fee):
—
Check Type of Work Involved: TOTAL PERMIT FEE;
This permit application expires If ■ permit Is not obtained within 180
❑ Audid Stereo Systems days after it has been accepted as complete.
o and y em • Number of inspection allowed per permit.
n Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
El Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems: 1
*No licenses are required. Licenses are required
for all other installations
l : \Oaildint Petmits\2tC PermilApp ELR ERE.dec Rev 03/21,2013