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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT Permit#: ELR2017-00019 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 02/01/2017 TIC;;�I<.f) g Parcel: 1S126DC00900 Jurisdiction: Tigard Site address: 9570 SW GREENBURG RD Project: Greenburg Apartments Subdivision: LEHMANN ACRE TRACT Lot: 5 Project Description: Building 4-Low voltage for fire alarm&data. Contractor: INTEGRATED WEST TECHNOLOGIES LLC Owner: RES-OR TIGARD LLC 38751 DUBARKO RD 730 NW 107TH AVE STE 400 SANDY, OR 97055 MIAMI, FL 33172 PHONE: 503-476-2106 PHONE: FAX: 503-826-0926 FEES Description Date Amount Specifics: Restricted Energy Permit 02/01/2017 $150.00 12%State Surcharge-Electrical 02/01/2017 Type of Use: COM $18.00 Class of Work: NEW Total Number of Systems: 2 Audio&Stereo: 0 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: 0 Other: 0 Total $168.00 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 throuh OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. CIII /� Issued By: Permittee Signature: 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 I OR OH F I( I 1 SI, 0\1 1 CityofTigard DatRece/ft : 7 p� e _ 7 / ,� Date/B : 3 / / Permit#: �,• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review I Phone: 503.718.2439 Fax: 503.598.1960 Date/13 : Related Permit#: `"4�/ar_et" Inspection Line: 503.639.4175 Ready Date/By: Jwis: la See Page 2 for 1 1. Internet: www.tigard-or.gov Notified/Method: Supplemental Information karti .,:T:,• x'x y '7W. _,ri7:11' ±; , mi's $ # k F ::;:5'"V11 .; 33 M-VP:: , F,..{ ❑New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition 0 Other: ❑Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. .•`V_WE, ..' 10 , 00# O) t. ^ exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Multi-family ❑Master builder 0 Other: amps for all other installations. buildings. �.} t # ❑Fire pump. 0 Installation of 150 KVA or ��'. .. �.. Y,;s$ .zz (a, " �� ',p i` x,+ 3,y,� a. 13" a isS9 ,,l e. 3 " v SSA. „, y a � ., , � �, ,, �,,,�������; 0 Emergency system. larger separately derived Job#: /-,7 D ❑Addition of new motor load of system. Job site address: `y Jcc) lamp or more. ❑"A","E","1-2","1-3", City/State/ZIP: exvri 0 1 ❑Six or more residential units. uPa / / --7A,9 ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: 4/ I Project name:6,6�,�, pd ❑Hazardous locations 0 Supply voltage for more than Fs f ❑Service or feeder 600 amps or more. 600 volts nominal Cross street/directions to job sit .2-1-a L/ Description f Qty. Each Total + / r-'-e-- 6 u"9 New residential single-or multi-family dwelling unit. Subdivision: I Lot#: r- Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 a Ea.add'1500 sq.ft.or portion 33.92 1 =fit : ,.fi .. . ,:-''.� .� :1( i ,gar 3 rx.F , : a - �.�:'�.._m_„ ,. �, ,�� � ,.m. , ,�„�7 ,�._�� Limited energy,residential 75.00 2 L ) 1� , LI, 't s_�-, (with above sq.ft.) / bou, Limited energy,multi-family 75.00 2 residential(with above sq.ft.) '';::::!1-‘:,,-,4110:0:::–N, r g R4"da .,.0 s'. ;fir: Renewable Energy ❑ See Page 2 Y " 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 Email: 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 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 t - r E:�i d , z} - ii t Branch circuits–new,alteration,or extension,per panel ' A.Fee for branch circuits with Business name: , rv...etn Ljc..4, .rweetlt:,,..,,,c , above service or feeder fee, 7.42 2 each branch circuit Contact name: B.Fee for branch circuits without Address: service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax::( ) Each manufactured or modular Email: dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 ,, C©NT „QR,` . - ", . _, Pump or irrigation circle 67.84 2 Business name el £ Jr '4 ' lel Sign or outline lighting 67.84 2 r Tia / Signal t(s)or limited-energy sd See Pa e 2 2 Address: �7-75/ Dc�.b coy k a ,e) panel,alteration,or extension. g City/State/ZIP: ��( O Each additional inspection over allowable in any of the above r� .... „.7e.„17 h J/ e�k �7 Additional inspection(1 hr min) 66.25/hr Phone:vv3 ) "(�� 0//OG I Fax:(5'03 )5? Ga 6, 116, 8 Investigation(1 hr min) 90.00/hr Email: / Industrial plant(1 hr min) 78.18/hr /r 7 c f e..)41 q fr , 6,0,4-,t , Inspections for which no fee is CCB Lic.:/-75–//5— Electrical Lic.: C f7 p T 7�(f'� specifically listed('/2 hr mini 90.00/hr r! Suprv.Lic.: 1 y : . ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: � .*– � ),(1:#1, Subtotal: Print name:(1X,4/is ,...),,, fer6 Date:a 1///7 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Pe mits\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: F$:: 7c. x.; s4.1 Y 'i„ ice', ",�„ .��-. .. '` .'.. • Totrl Description Qty. Each 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) ❑ 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 6625/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr s.-ificall listed('h hr mm itla „sT v <, t ,i:, .lt<, � aaf r3Y: 4a, x ! z� 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 NC Data Telecommunication Installation a Fire Alarm Installation ❑ HVAC ❑ 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\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9570 SW GREENBURG RD, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Electrical Limited Energy ELR2017-00019 Inspection Type: Inspector: 198 Low voltage final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor