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Permit (91) iv INCITY OF TIGARD ELECTRICAL PERMIT '' COMMUNITY DEVELOPMENT Permit#: ELR2016-00190 TEGRD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/04/2016 , Parcel: 2S112DA01400 Jurisdiction: Tigard Site address: 15350 SW SEQUOIA PKWY 240 Project: Financial Planners Northwest 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: FAX: 503-627-0110 FEES Quantity Description Date Amount Specifics: 1 ea Restricted Energy Permit 08/04/2016 $75.00 1 ea 12%State Surcharge- 08/04/2016 $9.00 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $84.00 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. ATT Tli - pFeg law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001- 10 through OAR 952- 1- 90. Y. ay obtain a copy of the rules or direct questions to OUNC by calling 503. . 987 or 1.800.332.234,. Issue By: 1) 0 /r I i (7 Permittee Signature: '' i'jrI, / C�� 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. � 1 t Electrical Permit Application FOR OFFICE I N1:o\lA City of Tigard Received M !3125 S W Hail Blvd.,Tigard,OR 97223 • Dsrp/8 : i/swam Permit q: �L��!6 /90 • Phone: 503.718.2439 Fax; 503.598.1 960 Plan Review - Linc; 503.639.4175 Ready y; Related Permit 4:,4N9-4/4—00/35--- InspectionePas I I r nit 1 1 •, Ready Date/By Jurix, t! :f1 www.tigard-or.gov r ® See for Notifite/Method Page 2 WWW xr JL; I ," °� ` '� "` � r �M+� SuPAlemental Information � � ' � ,...,.�ui+y,a•,. �... New construction ®Addition/alteration/replacement Please check all that apply submit 2 Sets of plans w items checked): 0 Demolition ❑Other ©Service or feeder 400 amps or more ©Building over three stories. " "'1 ":' a"1�a; �'°�u�) r v _� , t f � ,t,-0t�f 1, a F nq YI; where the available fault current . ,wA, a� �. Mr i..A:w i dw cMf.nTw�,l„r uW b: x,', r .„?;. ❑Marinas and boatyard El ,.M'^, exceeds io,000 amps at 150 volts or 01'toaring bonding. 1-and 2 family dwelling ®Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-0use agricultural Multi-faintly El Master builder Other: amps for alt Othrr insralletinng. .: [� buildings. '. � ;, . ,c,i; rr;, 1�'"r�wyn �,� �•a,e` ��,'�" r, i. a mIy � :. Fire pump. ❑Installation oflSUKVAnr Emerg"CY stem. to* Job#: largersrAaratcly derived Job site address: 15350 SW Sequoia Parkway 1-1— clition dof x new motor toad of system. Cit /StateJZlP:Portland, 'Om nt'ormore. 0••A”"E^ "1-2","1-3 y OR 97224 ❑Six or tonic residential units, occupancy. Suite/bld ./a t.#:240 D Wealth-carr facitinei. 0 Recreational vehicle parks, P Project name; Financial Planners NW 0 Hazardous locations, 0 Supply voltage for more than Cross street/directions CO job Site: 0 Service or feeder 600 amps or more. 600 volts nominal, veCG„w.�o-. .n.uM.k1�'i' PE rr�•l;lli� ! „�,:.,rj.R'r.,. rsommgmerima Subdivision: — New residential single-or multi-ffaaumiilly dwelling unit. Lot#: Includes attached garage. #: 1,000 sq.Ii.or less Tax i map/parcel r. :w�, v r 68..4 f 111 F "XS',' o r,. i a, ry ,w rw t ' If '+ y�� e,, Ea.add'l 500 sq.ft,or portion 33.92 +�Wr,3r ;� ;1,u, t �,w.,�w.w�r.��.isWr:O� r � � / dl��a�� e Notification devices 1-invited nergy,rosidcntial 1111 With above-..ft. 75.UU -- „.. Limited energy,MON-family residential with above- .ft. 75.00 • Yuri SRernveiwceasbolrEneedrginstallation, alpteraSteieonp,ad2o r relocationName.Financial Planners NW 200 amps or less 100,70 2 Address: 15350 SW Sequoia Parkway 201 amps to 400 amps 133.56 2 City/State/LIP:Tigard,OR 97224 401 amps to 600 amps 200.34 Phone:(503)307-2105 - ...m 601 amps to 1,000 amps 301 U4 Jax:( ) Over 1,000 amps or volts Email; 552 .11i 13 Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or fess intended titr salt,lease,rent,or exchange,according to ORS 447,449,670,and 70159.36 Owner'signature 2Ol amps to 400 amps 125.08 2 Date 401 amps to 599 amp sTM, i..el .. , - 111112 2i ' ry , 2zw,` i; s 11ntkl7wRranehcircuits—n w,aiteratlon,orexteASiort, er and gy .11:µ , A. ce for branch circuis wuhBusiness name: Point Monitor Corp. above service or feeder the, Contact name:Brooke Williams each branch circuit 7.42 Address:5863 Lakeview Blvd.Suite 100 B.Foe for branch Circuits without service or feeder fee,first City/State/ZIP:Lake Oswego,012 97035 branch circuit 57.421111 5 Each add'1 branch circuit 7 42 ) Miscellaneous service or feeder not included Phone:(503)627-0100 Fax:;( Each Email bw1111atnsC poiritlnpnitor.COm manufactured or modular dwelling,service and/or feeder 67.84 —� t�°'``"W' RecOancct only 67.$4 Business name: Point Monitor Corp Pump or irrigation circle 67,84 Sign or outline lighting 67.84 11111 Address:5863 Lakeview Blvd.Suite 100 Signal circuit(s)or limited-energy panel,alteration,or extension. ® See Page 2 I 2 Each additional ins ection over allowable in an of the above City/State/71P:Lake Oswego,OR 97035 Phone:(503)627-0100 Additional inspection(1 hr min) 66.25/hr 11111 Fax:( ) Investigation(1 hr min) Email:bwilliams 90.00/hr Email: _ @ pointmonitor.cona _ Industrial plant(1 hr min) - 78.18/hr CCB Lie.: 135901 1 Electrical Lie.: 34508CLE Suprv. Lie,; 4460LPA Inspections for which no fix is s crttcah fisted %a hr mm ■ 90.00/hr Suprv. ••� Electrician signature,required: �— z.:clam, • frd; f fir' Print name; Ben Breit = _ Subtotal; 75.00 Date: 7/27/16 D Plan Review Required(25%of petioli fee): Authorized signature: State surcharge(12%of permit tee): 9.00 TOTAL PERMIT FEE: 411111 :- 0 Print name: Ben Breit This permit application expires If a permit is not -- Date: 7/27/16 days after it has been accepted as etd within 1 80- I:,laciminkreennes,Ft,C PormitA ELR t3it6.doc Rev • Number ofiraepectionsallowedperpcmtit. PP-. _ 04�1720 l5 440-4A I;'1'(r l!65rCUM,WES TO 39dd 6OdHOO dOlINOW INIOd OTTOLZ9E09 O1 :LO 9TOZ/8Z/L0 Electrical Permit Application--City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Fee for all residential r r i i,F,�^'li lTIZ ..�.,:,.;.r .u� '� .t p „ (� r,,, . . f J o i Pecrinri0„ Qtr. IEach r Total I • systems combined: S75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.50 2 n A• udio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems In excess of 25 kva: n Burglar Alarm 25.01 rU 50 kva 301.04 2 LI G• arage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance 552.26 2 with OAR 918-309.0040) n Heating,Ventilation and Air Conditioning Solar generation systems in excess Of 2s kva: System* w . Each additional kva over 25 7.42 3 n Vacuum Systems* >100 kva no additional charge 0.0 3 Each additional ins tion over allowable in an'of the above: nO• ther Each additional inspection is charged at an hourly(1 hr min) 66.25/hr I ----^ Inspections for which no fee is 90.00!hr specificall,listed,/ cn V!hr n) 4„ Fee for?AO?commercial system: $75.00 Subtotal(Enteron Page 1): (SEE OAR 918-309-0000) Number of inspections aupwed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems n Boiler Controls ❑ Clock Systems n Data Telecommunication Installation ® Fire Alarm Installation ❑ HVAC ❑ Instrumentation n Intercom and Paging Systems ❑ Landscape irrigation Control* n Medical n N• urse Calls n Outdoor Landscape Lighting* n P• rotective Signaling n Other. Total number of commercial systems: 1 *NO licenses are required. Licenses are required for all other installations J'h61QLnr.Permits ELC Porm5App ELR ERF..doc Rev 06,17,261S ZO 39Vd 8Odd00 dOlINOW INIOd 0TT0LZ9E05 017:L0 9T0Z/8Z/L0