Permit (82) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
' ' COMMUNITY DEVELOPMENT Permit#: ELR2016 00028
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/17/2016
Parcel: 25101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 440
Project: Spec Space Subdivision: VARNS ACRES Lot: 9
Project Description: Low voltage for fire alarm. Combining suites 440 and 450 into one suite:440.
Contractor: T& L COMMUNICATIONS INC Owner: GK TRIANGLE CORPORATE PARK III L
PO BOX 87387 ATTN KBS REALTY ADVISORS
VANCOUVER,WA 98687-7387 P 0 BOX 28270
SANTA ANA, CA 92709
PHONE: 360-737-9725 PHONE:
FAX: 360-737-9648
FEES
Description Date Amount
Specifics: Restricted Energy Permit 02/17/2016 $75.00
12%State Surcharge-Electrical 02/17/2016 $9.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio&Stereo: 0 Boiler Controls: 0
CCTV: 0 Clock Systems: 0
Data&Telecommunications: 0 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: 0 Other 0 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 acco • - 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. ATT ION: Oreg• law requires you to follow the rules adopted by the Oregon Utility Notificati•• ter. Tho - rules are set forth in OAR
952-001-0' 0 through OAR 9 -1' -1190. You may obtain a copy of the rules or direct questions to OUNC by calling 5, •8 or r a c..2344.
Issu d By: K. / „/�/�//////\/0 Permittee Signature: t VA1•�AI. AI ( 11 A.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.
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.
Electrical Permit ApplicatioRECEIVE FOR OFFICE USE ONLY
City of Tigard Recei
Date/ea 176 Mr Permit#: ELp_ /&—660 sC
, - ■ 13125 SW Hall Blvd.,Tigard,OR 9722'r'w' 17 2 01
Plan Review Related Permit#:
Phone: 503.718.2439 Fax: 503.598.1960 Date/
Inspection Line: 503.639.4175 YY 1 I A Ready Date/By: funs: ® See Page 2 for
T I G ARD Internet: www.tigard-or.gov CITV i V Ut %AHD Notified/Method: Supplemental Information
,- r,k .A il D t" 1it -"fw a xN ,,:PLAN REVWW ";a " '' ''.
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition 0 Other: where the available fault current ❑Marinas and boatyards.
k. . : „ "w '' '�,? OF I CONSTRUCl'ION- - . ..?'-':':;;::-1-'-',7::'1'''1'.4e1:''''- exceeds 10,000 amps at 150 volts or ❑Floating buildings.
O 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
IF 'i, s f , s° ❑Emergency system. larger separately derived
.'• ° t a TIE1I'>°Aril}"LOCATIUN ., ;
❑Addition of new motor load of system.
Job#: 1 Job site address: 13221 SE 68th Parkway 100HP or more. ❑"A","E","1-z","1-3",
City/State/ZIP:Tigard,OR 97223 ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#:440/450 Project name:Triangle Corporate Center ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: �Q4�„ (§706--&-e-- 7°_.7 777, �� '.-..,L14747:1 i t R ` ,
``-�� II__�_�_ � �°�:-� rev. -'';
Description IQty "1 Each I Total
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
Ea.add'l 500 sq.ft.or portion 33.92 1
lVtrgv„4 r 44 ,,, ii* S O1 TO*)RK ..r=K '; . . Limited energy,residential
75.00 2
Fire Alarm Tenant Improvement (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
r :
0PROPERTY OWNER. .01 TENANT
Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
❑ CONTACT PERSON° a Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:T&L Communications,Inc. above service or feeder fee,
7.42 2
each branch circuit
Contact name:Larry Bushaw B.Fee for branch circuits without
serAddress:PO Box 87387 branchce i feederstfee,first 56.18 2
branch circuit
City/State/ZIP:Vancouver,WA 98687 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)737-9725 Fax: :(360)737-9648 Each manufactured or modular 67.84 2
dwelling,service and/or feeder_
Email:office@tl-communicatoins.com Reconnect only 67.84 2
it"n si y.a M`R- knItc,CO RACTOR"`° - Pump or irrigation circle 67.84 2
Business name:T&L Communications,Inc. Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ® See Page 2 75'x° 2
Address:PO Box 87387 panel,alteration,or extension.
City/State/ZIP:Vancouver,WA 98687 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(360)737-9725 Fax:(360)737-9648 Investigation(1 hr min) 90.00/hr
Email:office@tl-communications.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 67787 Electrical Lie.: 37-428CL Suprv.Lie.: 684LEA specifically listed(/z hr mm)
r" 3+~,' ELECTRICAL PERMIT;FEES.
Suprv.Electrician signature,required: Lz / ,J Subtotal cA
rSj•
Print name: Larry Bushaw Date: 2/16/2016 0 Plan Review Required(25%of permit fee): -- -
State surcharge(12%of permit fee): ?,CO
i
Authorized signature: `CL.oJV64TOTAL PERMIT FEE: O(,/,t
This permit application expires if a permit is not obtained within 180
Print name: Larry Bushaw Date: 2/16/2016 days after it has been accepted as complete.
Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(1 I/05/COM/WEB
-
Electrical
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Description QtY. I Each Total I *
combined: Renewable '"•_
Fee for all residential systems $75.00 Renwelectrical 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 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ GarageDoor Opener* >100 kva(fee in accordance 552.26 2
with 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
❑ 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 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(V2 hr min)
Ed`PERMITEEs
.. CO.�.1-'I .� ..,., 0, .0' `X•i4� .*.11F" ° ,�� � sr,s. .. _ ..
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
y • Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
® Fire Alarm Installation
O HVAC
O Instrumentation
O Intercom and Paging Systems
O Landscape Irrigation Control*
O Medical
O Nurse Calls
❑ Outdoor Landscape Lighting*
O Protective Signaling
❑ Other:
Total number of commercial systems: 1
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13221 SW 68TH PKWY 440, TIGARD, OR, 97223
Commercial - Electrical Limited Energy
198 Low voltage final
PASS - No C of O
ELR2016-00028
Jeff Grove
Violation Summary:
Inspector Contractor