Permit (13) y, CITY OF TIGARD 3 ELECTRICAL RESTRICTED ENERGY PERMIT
11111 rl F/ / ip%`oa
. COMMUNITY DEVELOPME Permit#: ELR2016-00162
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/05/2016
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 200
Project: Spec Space Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Low voltage for fire alarm. 8/3/2016: REPRINT permit to correct suite address from 240 to 200.
Contractor: POINT MONITOR CORPORATION Owner: PACIFIC REALTY ASSOCIATES
5863 LAKEVIEW BLVD STE 100 ATTN: N PIVEN
LAKE OSWEGO, OR 97035 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-627-0100 PHONE: 503-624-6300
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Restricted Energy Permit 07/05/2016 $75.00
12%State Surcharge-Electrical 07/05/2016 $9.00
Type of Use: COM Misc Administration Fee 08/03/2016 $45.00
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 $129.00
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 OAR�/ 952-090. 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: x ,r / Permittee Signature: AiV)e:/-(Y 77o
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.
CITY OF TIGARDIli ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT Permit#: ELR2016-00162
IGA.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/05/2016
-F
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 240
Project: Spec Space Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Low voltage for fire alarm
Contractor: POINT MONITOR CORPORATION Owner: PACIFIC REALTY ASSOCIATES
5863 LAKEVIEW BLVD STE 100 ATTN: N PIVEN
LAKE OSWEGO, OR 97035 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-627-0100
PHONE: 503-624-6300
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Restricted Energy Permit 07/05/2016 $75.00
12%State Surcharge-Electrical 07/05/2016 $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 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 9 -001-0090. You ma •• '• • -. o the rules or• - t questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /,�= -,00 - Permittee Signature: (-late0C`f Iic
Ad—
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 Application FOR Ol I It ►: I SI 011.1
City of Tigard RECEIVED Received
Date/B : , - - °A Permit#: (IL-2. •/6-00 1P2-
.71 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review
II Phone: 503.718.2439 Fax: 503398.1 MN N 2 3 2016 Dates : Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: Auris: is See Page 2 for
II('A1:I)
Internet: www.rigani-or.govNotified/Method: Supplemental Information
,�_,
y OF 1 CARD
TYPE " tl#NG MIISION PLAN REV1EW
❑New construction ®Additio r : teration/replacement Please check all that apply(submit:✓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 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps et 150 volts or 0 Floating buildings.
121-and 2-family dwelling ®Commercial/industrial ❑Accessory building tens to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
1:1 Multi-family 0 Master builder
0 Other: °Fire pump. 0 Installation of 150 KVA or
JOB 517:11.INFORMATION AND LOCATION ❑Emergency system. larger separately derived
0 Addition of new motor load of system.
Job#:18804 Job site address:6650 SW Redwood Lane 100HP or more. 0"A","E","1-2","1-3",
City/State/ZIP:Portland,OR 97224 ❑Six or more residential units. eey
❑Health-care facilities, ❑Recreational vehicle parks.
Suite/bldg./apt.#:240 Project name:Pacific Corp.Center#240 ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Oty. I Each I Total I
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
DESCRIPTION OF WORK Limited energy,residential 75.00 2
Fire Alarm-notification devices (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy
0 PROPERTY OWNER; I ® TENANT 0 See Page 2
Services or feeders hrat;allation,alteration,and/or relocation
Name:Pacific Corp.Center 200 amps or less 100.70 2
Address:6650 SW Redwood Lane#240 201 stops to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Portland,OR 97224 601 amps to 1,000 amps 301.04 2
Phone:(503)320-5633 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
APPLICANT ) CONTACTPERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Point Monitor Corp. above service or feeder foe,
7.42 2
each branch circuit
Contact name:Brooke Williams B.Fee for branch circuits without
service or feeder fee,first
Address:5863 Lakeview Blvd.,Suite 100 branch circuit 56.18 2
City/State/ZIP:Lake Oswego,OR 97035 Each add']branch circuit 7.42 2
Miscellaneous(service or feeder not included) _
Phone:(503)627-0100 Fax::( ) Each manufactured or modular 67.84 2
Email:bwilliams®pointmonitor.eom dwelling,service and/or feeder
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Point Monitor Corp. Sign or outline lighting 67.84 2
Address:5863 Lakeview Blvd.,Suite 100 Signal circuit(s)or extension.
energy ,-, See Page 2 75.00 2
panel,alteration,or
City/State/ZIP:Lake Oswego,OR 97035 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)627-0100 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:bwilliams®pointmonitor.com Industrial plant(1 hr min) 78.18/1u
Inspections for which no fee is
CCB Lic.: 135901 Electrical Lic.: 34508CLE Suprv.Lica: 4460LEA specifically listed('4 hr min) 90.00/hr
c / ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required : Subtotal:
Print name: Ben Breit Date: 6/23/16 0 Plan Review Required(25%of permit fee):
e State surcharge(12%of permit fee): 9.00
Authorized signature! ` TOTAL PERMIT t 84.00
This permit application expires If a permit Is not obtained within 180
Print name: Ben Breit Date: 6/23/16 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(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
REcIDENTO i .. FEESCi*PIIE
/
Dscrtpton
I Qty. I Each ) Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less 100.70 2
Check Type of Work Involved:
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
❑ Garage Door Opener* >100 kva(fee in accordance
552.26 2
with OAR 918-309-0040)
El 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 '%hr min)
Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 • 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
❑ HVAC
El Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1.Building\Pamits\ELC_PermiIApp_ELR_ERE.doe Rev 06/17/2015