Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
FES n' COMMUNITY DEVELOPMENT Permit#: ELR2017-00044
Date Issued: 03/07/2017
T-(GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 200
Project: NuScale Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Fire alarm system.
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
Description Date Amount
Specifics: Restricted Energy Permit 03/07/2017 $75.00
12%State Surcharge-Electrical 03/07/2017 $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 952-001-0090. You may obtain ac. a rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
- 411 '
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Issued By: v��—/� _ ____.1,-.--,.-- Permittee Signature: -!.= �G/. .-i
p ar-
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 App 1 �h ° s FOR 01-VI( LSE ONE)
L I . ',4 .... t ay t� r Received
City of Tigard Date It : f ill" EMILIMMIBM
. II 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
d Phone: 503.718.2439 Fax: yQ .1961 ,i
Date/B
Inspection Line: 503.639.4175'r
Ready Date/By: See Page 2 for s�
11"ARD Internet: www.tigard-or.gov Notified/Method: NMI Supplemental Information
—A 9 .d �5 kk
T bit ORtc -
PLAN REViE'W ,..
®New construction ® ktidn/aatiojldselt, Please check all that apply(submit 2 sets of plans w'items checked):
❑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 QF.CONSTRUCTION. . .-., , exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 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
.rot wit 1NFomviAT10 AND.`I tic-j ON , i, -, 0 Emergency system. larger separately derived
Job#: I Job site address:6650 SW Redwood Lane ❑ 0011 ion of new motor load of system.
IOHP or more. ❑"A""E»,"1-2""1-3»
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
��
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#:200 I Project name: �/e /Yti3Cti 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: -3tEEsetup SLE 5
Description I Qtr. I Each ... Total 1 *
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.fl.or less 168.54 4
Ea add'l 500 sq.ft.or portion 33.92 1
__ .. 47: . '::):-71 Limited energy,residential 75.00 2
Notification Devices (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
0 See Page 2
Renewableor Energy
l% R e �.:, ' •°,70.1,x,--,
" � - Services feeders installation,alteration,and/or relocation
Name:NuScale Expansion 200 amps or less 100.70 2
Address:6650 SW Redwood Lane#200 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard,OR 97224 601 amps to 1,000 amps 301.04 2
Phone:( ) I 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 i 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, ,l F ry Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Point Monitor Corp. above service or feeder fee,
7.42 2
each branch circuit
Contact name:Brooke Williams B.Fee for branch circuits without
service or feeder fee.first
Address. 3ea8 2
• �rancTi circuit
City/State/ZIP:Lake Oswego,OR 97035 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)627-0100 Fax::( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:bwilliams@pointmonitor.com 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 Iter tions)or limited-energyx es . ® See Page 2 1 2
panel,alteration,or extension.
Each additional inspection over allowable in any of the above '
City/State/ZIP:Lake Oswego,OR 97035
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(I hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 135901 Electrical Lic.: 34508CLE Suprv.Lic.: 4460LEA specifically listed(�/:hr min) _
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: 75.00
Print name: Ben Breit Date: 1/17 0 Plan Review Required(25%of permit fee):
i State surcharge(12%of permit fee): 9.00
Authorized signature: .. ._,„_.., --P-...... .ve
TOTAL PERMIT FEE: 84.00
I This permit application expires if a permit 1s not obtained within 780
Print name: Ben Breit Date: 3/1/17I days after it has been accepted as complete.
JJ * Number of inspections allowed per permit.
I:BLLOdinl;Pmniis ELC_PennitApp ELR_ERE.doc Rev 06 r 2013 440.4615T(11.05/COM WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined: $75.00 Description I oty. I Each coralI
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 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑ 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(I hr min)
Inspections for which no fee is
specifically listed(h hr min 90.00/hr
COMMERCIAL � ONLY. m][l7 x I .iC 'F r`
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): 1
* 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
V1 HVAC
❑ Instrumentation
O Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems: 1
*No licenses are required. Licenses are required for all
other installations
I.Buddini,Permits:ELC PermitApp_ELR_ERE.doc Ree 06 1'2015
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6650 SW REDWOOD LN 200, TIGARD, OR,
97224
Record Type: Record ID:
Commercial - Electrical Limited Energy ELR2017-00044
Inspection Type: Inspector:
198 Low voltage final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor