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Permit CITY OF TIGARD COMMUNITY DEVELOPMENT ELECTRICAL RESTRICTED ENERGY PERMIT Permit#: ELR2013-00226 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/10/2013 TIGARD Parcel: 1 S135BA00102 Jurisdiction: TIGARD Site address: 10124 SW WASHINGTON SQUARE RD Project: Strada Street Food of Italy Subdivision: OAKBURG Lot: 9 Project Description: Audio/stereo,data telecommunications,fire alarm and security system for TI of new Italian fast-food restaurant. Contractor: POINT MONITOR CORP Owner: PPR SQUARE TOO LLC 5863 LAKEVIEW BLVD SUITE 100 PO BOX 847 LAKE OSWEGO, OR 97035 CARLSBAD, CA 92018 PHONE: 503-627-0100 PHONE: FAX: 503-627-0110 FEES Description Date Amount Specifics: Restricted Energy Permit 09/10/2013 $300.00 12%State Surcharge-Electrical 09/10/2013 $36.00 Type of Use: Class of Work: Total Number of Systems: 4 Audio&Stereo: 1 Boiler Controls: 0 CCTV: 0 Clock Systems: 0 Data&Telecommunications: 1 Fire Alarm: 1 HVAC: 0 Instrumentation: 0 Intercom/Paging: 0 Landscape/Irrigation: 0 Landscape Lighting: 0 Medical: 0 Nurse Calls: 0 Protective Signal: 0 Security Alarm: 1 Other: 0 Total $336.00 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 0 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2 C�3v44. / Issued By: ��e— Permittee Signature: OW r9�� / '¢"7O AV 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 603.639.4175 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. 09/05/2013 11:53 5036270110 POINT MONITOR CORPOR PAGE 03 CEIVED Electrical Permit Applica �� l i;lt-ill l lc is il'1)N1:y City of Tigard E 5 2013 Received =,r� 3 g Dates : /0 e.-M Permit No.:E 2�� ea 13125 SW Hall Blvd.,Tigard,OR 972Y3 Plan Review ■ Phone: 503.718.2439 Fax! 503 I FTIGARD Dat : : Other Permit: 4upv7„3-0o137 I !+ Inspection Line: 503.639.4175 Date Ready/By: fuels: I See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Informadoo -f Y 21r '04tr cn .� v�'� � r M"'S.. T (t'F�c�' f(�... + 1F 4 �7 far P:v t i'�{�l ilk' ; + ar. +"""'"t*t f4 r'ter' d r eSe4q SJ i'+t. h��r4" ETE..^Kai;�r." li:S.3:Zia;..'�5I71,„�}.7e±i,.1.k�"','!Sri. Y�iwS,`_1_rr.�i i.,.71a��,#i}: 1 .�'l7 1vil;u�,rr!7,521' .. fri HIM.7 ❑New construction ®Addition/alteration/replacement Please Cheek all that apply(submit a sets of 021714 w/items checked below): 0 Service or feeder 400 amps or more O Building over three stories, ❑Demolition ❑Other where the available fault current ❑Marinas and boatyards. :. ,t�^a L ""''^` '. -r- '7'n i l'E r[ i 4'" ;,2 ' 4" {' °1. exceeds 10,000 amps at 150 volts or ❑Floating buildings.�ry� i� z 1t1;I r 4'k red # , ' Be�'4#�ii;;.,�i,� ,-1,-...�!,F 'ty�.�lq!c'n.te tatu..d'dCrmor!l.eh�Ai f,.:,,d,h.,�. .....7s.,.tew'L!.�'cnS:y.i.�l t F,�t,..�+r]:.1;.[: tees ground,or eaCetlds IA, 3 ('r0 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 150 KVA or - _.,, s rarra r,tcr�-¢ 1u r a 1tc,,Ntr Jr'ra+.u! `?W41^� „l =r q.4y x r j t IC rtl-4044 ern, ❑Emergency system. larger separately derived system. .aa. .i1, t..,..ef,, .�N.:... 11Ii.Pd...,t-:r...a.tili`c4..tA:a:,..,.. ...f,f,,... J4n4t:lJr4,n +4.# !14rCXal 4t..,tape. 0 Addition of new motor load of ❑"A" "E„ "1_2„ "1-3", Job no.: lob site address: 10124 SW Washington Square Roa IOOHP or mote. occupancy. ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP:Tigard,OR 97223 ❑Health-care facilities. ❑Supply voltage for mom than ❑Hazardous tomtio03. 600 volts nominal. Suite/bldg./apt.no.: Project name:Strada-Washington Square I:3 Service or feeder 600 amps otrfN'more, ac�yu Ti.ggb1 1.}1'C .'.�,.r..:J. i".4-LL T1"..a1,1W4 li.,'"7.u.+r. Y 1 t�.e Cross street/directions to job site:SW Greenburg oaerlpnoa qty Pee. Total • New residential single-or multi-family dwelling unit. includes attached garage. Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4 Ea.add'1500 sq.ft.or portion 33.92 I Tax map/parcel no a r Limited energy,residential ntial •r r ' [T 4 Z e g #?ii1 x ,' r t r sl 1- hytt 1 +�),#(s : (with above sq.ft.) 75.00 2 • ":.t ,. ant.6mnr emi: 4i:4404iiiwi ,�..,ar.,4ix4;4; ,A.v.l�4,1t.-y 9,g.4 a464: Limited energy,multi-family 75.00 2 Audio,Teledata,Security and Fire Alarm Installations residential Swim above 9.ft) Renewable Energy -ID Ste Page 2 Services or feeders Installation,alteration,and/or relocation ,h .n, x r nArnm4_ i7 ^i7P z s ie ( r n '' U V a , 1"a 'r kr 200 amps lees 100.70 2 : .; '''''" ,:.t''" . ' - .' , ' '' : '.- ' 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 Ci /State/ZIP: Over 1,000 amps or volts 552.26 .7, h Temporary services or feeders Installation,alteration,and/or Phone:( ) I Fax:( ) relocation 200 amps or less 59.36 I Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,lease,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, panel " JN t fa C� f r x' } 1 i li( r "x . K ik� vw r,ti r• { r�„• t,_l ' A.Fee for branch circuits s. .. ?;E:;:l,,.�T .r._n `e..ipMa.?.. : ,L:i1 �a ", 7 ✓ 2 ,..,vc-te.r.�n 7.caa. � above service or feeder fee, Business name:Point Monitor Corporation eaeb branch circuit 7.42 2 B.Fee for branch circuits without Contact name:Ben Breit service or feeder fee,first 56.18 1 ^ b Address:5863 Lakeview Blvd,#100 Each add'l branch circuit 7.42 , 2 City/State/ZIP:Lake Oswego,OR 97035 Miscellaneous(service or feeder not included) Each manufactured or modular 67,84 2 Phone:(503)627-0100 I Fax: :( ) dwelling,service and/or feeder - - Reconnect only 67.84 2 E-mail: benbreit @pointmonitor.com I Pump or irrigation circle 2 1 M R)ll+ EZ r!t: F7 M .N s pGf fN i i ?r G � " 6a U grid(' Sign or outline lighting 67.84 2 •Business name:Same as above Signal circuit(s)or limited-energy 4 SeO 300.00 panel,alteration,or extension. Page 2 2 Address; Each additional inspection over allowable in any of the above ili/ Additional inspection(1 hr min) 66.25/hr City/State/ZIP: Investigation(1 hr min) 66.25/hr Phone:( ) Fax:( ) Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: 135901 Electrical Lie.:3 ._,9j$CLauprv.Lic.:'y66 LC' speepeally listed('/i hr min) 90.00/hr wiii.xia4 S airi + bu „Mr a li;.;o 41a: Suprv.Electrician signature,requir : Subtotal: zAe , Oa Print name: Bert Breit De ate: 9/4/13 Plan review(25%of permit fee): State surcharge(12%of permit fee): .36, ,p v Authorized signatures ' - TOTAL PERMIT FEE: 33(o p'() Print name: Ben Breit Date: 9/4/13 This permit application it has expires e ,, permit a not o obtained withle 180 days after it has been accepted as complete. • Number of inspections allowed per permit. l:',Huiidio¢IPormite\ELC_PamitApp_ELR ERE.doc Re,0512 1/2013 440-4613T(I1105'COM/WE8 09/05/2013 11:53 5036270110 POINT MONITOR CORPOR PAGE 04 Electrical Permit Application--City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees:t� ) Renewable Energy Permit Fees: t ..:�1 :�_ 1ME 1L.. -,.. �.y°,ri„r, .,1 ,:d;k-�.,1: " ll td, '„-B! '.��.�" `hF4 ..,�' '. ✓` .. }r �,, ,,{{���gjlI¢; ,77��� ,• w:ar..i,ti..'. 1 {•u�'wr A"• . ',,..r��st3,•W�.uFVml y.��d�B:1L?!�'��11159: Fee for all residential systems combined ... $75.00 naerlorton Qty. Fee Total • Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.0110 so kva 301.04 2 ❑ Garage Door Opener* 50.01 to 100 kva 552,26 2 >100 kva(foe in accordance with 4 552.26 2 ❑ Heating,Ventilation and Air Conditioning OAR 918-309-0040) System* Solar generation systems In excess of 25 kva: Each additional kva over 25 7.42 I 3 El Vacuum Systems* +100 kva—no additional charge 0.0 3 ❑ Each additional inspection over allowable in any of the above: Other: Each additional inspection is charged at an hourly(I_hr min) 6.25/hr 1 d inspections for which no fee is 90.001 hr -... icai listed(V hr rain 571111,., ��i 7 I.Q,'!"r v.PI! �° r t r N . ng ..TTiawv. ) Fee for each commercial system $75.00 Subtotal; 300.00 (SEE OAR 918-309-0000) Plan review,if required(25%of permit fee): State surcharge(12%of permit fee): 36.00 Check Type of Work Involved: TOTAL PERMIT FEE: 336.00 This permit appikatlon expires if a permit is not obtained within 180 ® Audio and Stereo Systems days after it has been accepted as complete. • Number of inspections allowed per permit. n Boiler Controls ❑ Clock Systems ® Data Telecommunication Installation ® Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls El Outdoor Landscape Lighting* ❑ Protective Signaling ® Other Security System Total number of commercial systems: if *No licenses are required. Licenses are required for all other installations 1:\nuildin5\Pomesl£I.0 retalitApp_ELR ERE.00e RerOS/2L/2013 09/05/2013 11:53 5036270110 POINT MONITOR CORPOR PAGE 01 OHM � 5863 Lakeview Blvd.,Ste.100 i© Lake Oswego,OR 97035 AJi?Ialriir (503)627-0100 CORPORATION FAX(503)627-0110 FAX COVER PAGE TO: , ottt-1 ! FAX#: 5b, 5-41 t� ` ( FROM: 1,3 ryas Le_ 1� . PIONE#: SUBJECT: _yj�` Cam^.,. DATE: k c l 3 PAGES: (3)+Cover Sheet MESSAGE: -k/"\i"- 101-‘ mmirAnzairmvirig, wsi ter.. 7 1 / ■ . 1[11 74iitA.14 • ■ o /01A S';rely, :ine Ilalderman Point Monitor Corporation 1/icit i is at httn•I/wnnuw nnintmnnitnr rnm