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Permit (85) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT Permit#: ELR2017-00155 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/25/2017 T[ � '� Parcel: 1S134AD06201 Jurisdiction: Tigard Site address: 10450 SW NIMBUS AVE RA Project: Spec Space Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 3 Project Description: Low voltage for fire alarm Contractor: POINT MONITOR CORPORATION Owner: ROBINSON,JERRY CHRISTOPHER TRUS 5863 LAKEVIEW BLVD STE 100 ROBINSON, MICHAEL WILLIAM LAKE OSWEGO, OR 97035 HANSON, RONALD D ET AL 203604 EAST FINLEY RD KENNEWICK,WA 99331 PHONE: 503-627-0100 PHONE: FAX: 503-627-0110 FEES Description Date Amount Specifics: Restricted Energy Permit 07/25/2017 $75,00 12%State Surcharge-Electrical 07/25/2017 $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 R 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. Issued By: Permittee Signature: /'1��� � ^� 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 ApplicAE1FOR OFFICE LSE owl. X City of Tigard V Received Date/By: 7,/e//7 n permit#: c'"R— C 7 /56-- 514 - 13125 SW Hall Blvd.,Tigard,OR 99496 1 Plan Review /'"YSaQ/ f15 Phone: 503.718.2439 Fax: 503.5 0 Date By: Related Permit#:, f" Inspection Line: 503.639.4175 Ready Date/By: 7uris: ® See Page 2 for TI 6A Rn C T�� /// Internet: www.tigard-or.gov CITY OF f�ARp Notified Method: 7�// Supplemental Information it b n ���.� ..,t "� '. � ,.. �.x ,u� ..,. ,.,..�"3• �. ,: � a� A a.,; Ari"�', ,k� t ." ®New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. ❑ " fafi�ly t1 ? exceeds 10,000 am s at 150 volts or Floatin buildin s g g 0 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building s.o 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 ' t P r ' «. ❑Emergency system. larger separately derived rz c<� lei.. �", ..n . ._..�.„. �« ,�,��., ., Job#: Job site address: 10450 SW Nimbus Ave. ❑A 0HP o of ore.motor load of system. 100HP or more. ❑"A”"E" "1-2" "1-3" City/State/ZIP:Tigard,OR 97223 ❑Six or more residential units. occupancy. 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#:Bldg.Rk I Project name:Scholls Businesss Center 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: .;" . r a f Iff_ Description Qty. Each Total New residential single-or multi-family dwelling unit. Subdivision: I Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 , Ea.add'l 500 sq.ft.or portion 33.92 1 t: ti Limited energy,residential (with above sq.ft.) Fire Alarm 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 i Renewable Energy ❑ See Page 2 7:31il a,« :'*1" " * . . ." _ «.j -..=y-,.t.. ' .-, Services or feeders installation,alteration,and/or relocation Name:Scholls B.Center-Bldg R-Elevator 200 amps or less _ 100.70 2 Address: 10450 SW Nimbus Ave.Bldg.R 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Tigard,OR 97223 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 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 rs; Branch circuits—new,alteration,or extension,per panel , .. u,� ,.�s x ", ., 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 Address:5863 Lakeview Blvd.Suite 100 branch circuit 56.18 2 City/State/ZIP:Lake Oswego,OR 97035 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)627-0100 I Fax: :( ) Each manufactured or modular 67.84 2 Email:bwilliams@pointmonitor.com dwelling,service and/or feeder _ � , _ .". � ,i Reconnect only 67.84 2 4,-,;:..: '., „!r, €T ;«,_.� 1. '�r,;:i.:,. , r 'i 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 iern or extension. E1 See Page 2 1 2 panel,alteration,or extension. 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/hr Inspections for which no fee is 90.00/hr CCB Lic.: 135901 Electrical Lic.: 34508CLE Suprv.Lic.: 4460LEA s'-cificall listed '%hr min M�l i"p r to Suprv.Electrician signature,required: _ Subtotal: 75.00 Print name: Ben Breit I Date: 7/13/17 0 Plan Review Required(25%of permit fee): I State surcharge(12%of permit fee): 9.00 N TOTAL PERMIT FEE: 84.00 Authorized signature: �E This permit application expires if a permit is not obtained within 180 Print name: Ben Breit Date: 7/13/17 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(l l/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: s kva or less 100.70 _© 5.01 to 15 kva 133.56 _© ❑ Audio and Stereo Systems* 15.01 to 25 kva - 200.34 _© Wind eneration s stems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva I. 301.04 _© 50.01 to 100 kva 111 552.26 _© El Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040 ■ 552.26 —© El Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 IM 7.42 _© El Vacuum Systems* >100 kva—no additional charge I. 0.0 _© Each additional ins•ection over allowable in an of the above: El Other: Each additional inspection is ■ 66.25/hr —� char•ed at an hourl 1 hr min Inspections for which no fee is ■ 90.00/hr —. s. cificall listed 'A hr min .y^ ix...".. ,; c`�`';a..., 'xS`... .. ... ,,.:.xL . ... ,.,z- - .w ,r "k'TM t<•. ' 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: El Audio and Stereo Systems ❑ Boiler Controls El Clock Systems El Data Telecommunication Installation ® Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems El Landscape Irrigation Control* ❑ Medical El 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:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10450 SW NIMBUS AVE RA, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Electrical Limited Energy ELR2017-00155 Inspection Type: Inspector: 198 Low voltage final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor