Permit (271) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
° COMMUNITY DEVELOPMENT Permit #: ELR2013 -00145
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/26/2013
Parcel: 2S 102AB01900
Jurisdiction: Tigard
Site address: 9450 SW TIGARD ST
Project: Northstar Subdlvlsion:RTH TIGARDVILLE ADDITION, AMENC Lot: 56
Project Description: Burgler alarm.
Contractor: PHILLIPS ELECTRONICS Owner: ALLRED LIMITED PARTNERSHIP
3247 NW 29TH AVE PO BOX 23144
PORTLAND, OR 97210 TIGARD, OR 97281
PHONE: 503 - 222 -5083 PHONE:
FAX: 503 - 227 -4992
FEES
Description Date Amount
Specifics: Restricted Energy Permit 06/26/2013 $75.00
12% State Surcharge - Electrical 06/26/2013 $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: 0
HVAC: 0 Instrumentation: 0
Intercom /Paging: 0 Landscape /Irrigation: 0
Landscape Lighting: 0 ' Medical: 0
Nurse Calls: 0 Protective Signal: 0
Security Alarm: 1 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 a copy of the rules or direct questions to OUNC by calling 503.232.1987
4A/ � 232.1987 or 1.800 332 2344. ,, /
Issued By: Permittee Signature: J'G / 70 ' �/
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sate, lease or rent
OWNER'S SIGNATURE: Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Call 603.639.4176 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.
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Electrical Permit Application in 011 List; UNIX
2
City of Tigard JUN 4 2013 Received
Date/B ; - Z.5 Ma 111 I Penni N w L/20 3
Iv- q 13125 SW Hell Blvd.. Tigard, OR 97 ? p f OF TIGARD —
- _II Phone: 503.718.2439 Fax: 503.5i4 Delmar Other Permit:
T I G A RD inspection Linm 503.639.4175 U LDINTO DIVISION Mut MaY/Eir -
Internet: eAvw.tigard-or.gov Notified/Method: - I 1 . 11 r_rup thin
4 .■ . '"? ,: l s 'l,.. '' ,'F''',-",:'.=' "..-, :".. ; ', „.,' 91'.,WORk.. ...,...` .... ;''4 -.., F ' ItEYIEW..c
0 New construction Addid Wel terationireplaccment Please check ad that apply (submit 1 sots of plans weans checked below):
0 Service eT Rinke 400 amps or mare 0 Building over dune stories.
0 Demolition 0 0 er: - Mime the available fault current El Marinas mid boatyards.
.i-4 .,- ciiirg itii!OF - 1 CONST.RUCTIOS:L - 7' : - . - ';' ','..:: ;;‘ ‘ - i: - ;c,i??-'4'. c 10.000 amps III ISO volts or 10 Floating buildinp .
has to ground, or exceeds 14,000 Comramcial-ute
0 1- and 2-Farnily dwelling CommerciaVindusOial in Accessory building 0 agricultural amps for all other inetallinions. 1 buildinga
0 Multi-family 0 Master builder 0 Other. 0 Fire pump. 0 butalletlon of 75 KVA or
Mrger sepamtely derived system.
.HIBITIMINE ;ION ' '-. .. , ' BAgmdd=f53111
na:m load of I:i "A", "fr. "1-1"."1-3".
Job no.: I Job site address: 'Ngt) co - riyaktfireet., IDOH1 or mons.
0 Six or more realdential uni 0 te. occupancy.
Recreational vehicle parks.
MY/State/VP: Ap- 97.2-.2-.1 0 Healthcare facilitieu. 0 Supply yowls far mcn than
. 0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt no.: Project name: A , _. ‹,s- 0 Semite or Iberia 600 amps or more,
';•-- .V', , - r. - '',-:::::. :- • '' FEE ;SCHEDULE - 4 71 : ' .. ••.!''';'''' .... l' „
Cross street/directions to job site: !P2n .11 Immo mf! e• •
Now residential single- or mold-Dunk dwelling unit.
... Includes attached garage.
. -
Subdivision: I Lot no.: 1,000 sT 1. or Ins , 168.54 4
fia. add'I 500 sq. ft. or portion 33.92 1
Tax map/parcel no.:
Limbo:dime:ay, residential 75.00 2
'■ , • • l ' - "";' .' - !DESCRIPTION OF 'WORK7r.:..: - . :::.- ... . ..; , '-.. t. rxr.; :.-_- _ (vith abovo sq. 8.) .
Limited mow, muhi.family
75.00 2
/3616 f1/1/5410.4'73 Cal 14.4 ?caw] _s° 1,,u)up 414.4- mairlmnial (with above sq. 11.) ,
Services or feeders installationolteradon, and/or relocation
200 amps or less _ 100.70 2
F... '.
-- CV;PitOPEIrri " .... .-' :'1" - .- -' ., : '
1 ' . ,i M ....TEI4, ...; ::?y ''', -,. '.; 201_amps to 400 amps 133.56 2
..'..
Name: 401 amps to 600 mops 200.34 2
- 601 amps to 1,000 amps 301.04 2
.
Address: Over 1,000 amps or volts 552.25 2
• Temporary services orfeeders InstaliitiOn, alteration, and/or
City/State/ZIP: rsior.etion
Phone: ( ) I Fax: ( ) 200 amps or Ices 5936 r 1
a
Owner installation: This installation is being made on property that I own which is not 201 Olin to 400 amps 125,08
intended for sale, lease, rent, or exchange, according to ORS 447,449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits — new, alteration, or extengowspanel
Owner signature: Date: _ A. Fee for branch circuits with
0 ,ippap, :!.‘.: , ,'":7 - :I : -.: , . a PERSON ': ' ': above service or feeder fix%
each branch circuit 742 2
Business name: :. Foo fbr branch circuits without
- - . service or feeder Om, first 56.18 2
Contact name: branch circuit
' Each add'i branch cirCuit 7.42 2
Address: MIscellaneousiserviee or feeder not included) _
Each manufactured ormodidar 67.84 2
City/State/ZIP: _ derailing. service and/or (cedar
__ .
Phone: ( ) I Fax: : ( ) Reconnect only 67,84 . 2_
- Pump or Irrigation circle 67.84 2
E
Sign or outline lighting 67.84 2
. - . , ..
.., , .':•.: , --: '1.: :..' - - . : .ZONTRACTOR.;;. ,: :... , • '' .. C:' ,. .:•irl , ;I'll.. ; • i - • ''; ., ging eireui(s) or iljoired.onergy j
rancl. alteradon. °rind:mien, ( Paso 2 7 1 S ---
Business name: Master Alarm LLC dba Phillips Electronics
- Each additional laspecdon ova allowable In any of the above 2
Address: 3247 NW 29th Avenue Additional iiummtlon (I hr min) 66.25/hr
Investigation (1 hr m10)
City/ • . — State/ZIP: Portland OR 97210 _ 6615/hr
_ Indushial plant (I hr min) _ 78.18/hr
// Phone: (503) 2224083
CCEI Lie.: 125364 Fax: (503) 227-4992 Inspections fbr which no the is 90.00/ hr
specifically listed PA hr min)
_
I Electrical Lic.: 26213CLE 1 Suprv. Lie.: 6 te , :zN,';."..','44' ..:. !.. 7..
SUbIaitik ,S P60
Suprv. Electrician signature, required: .
Plan roviow (25% of permit fee): -
Print name: j s Date; / / 3 State surcharge (131) ofpermit fee): r• )
TOTAL PERMIT FEE: . pf._roa 17
Authorized signature:
This permit application expires If o permit is not obtained within 160
days flotebete eceepted as complete.
-
Print name: I Date; • Number of l allowed ved
permi
1A0s1dinstrerentunaLC-rerwMpp.deo 07/01110 440-46151111/051COMMB
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Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: • '' .• .FEE' SCHE IULE
Fee for all residential systems combined...,, , $75.00 4tre. s ty. Th. Tesat
•
Renewable electrical energy systems:
Check Type of Work Involved: 9 kva or leas 100.70 2
5.01 to 15 icva 133,56 2
❑ Audio and Stereo Systems*
15.01 to 25 kva 200,34 2
❑ Burglar Alarm _ Wind generation systems In excess of 25 kvo:
25.01 to 50 kva _ 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 love (fee In accordanca with
552.26 2
❑ Heating, Ventilation and Air Conditioning OAR 91 8309.0040) _
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
❑ Vacuum Systems* ricokva- noadditionalcharge 0.0 3
❑ Other: Each additional Ineptttlon over allowable in any of the above:
Each additional inspection is 66,25/ hr 1
chit ed at an hourly (1 hr min)
inspections fbr which no fca Is 90,00/hr
COMIV�RCL4L WORK ONLY:
specifically llstedSlS hr min)
'`, ; ` &:,,.. •'.Er:E TRICAE: PERMIT' FEES
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918- 309 -0000) Plan review, if required (25% of permit fee);
State surcharge (12% of permit fee):
Check Type of Work Involved: TorAi. PERMIT FEE:
This permit application expires Ira permit 1s not obtained within Ian
❑ Audio and Stereo Systems days alter it hut bean accepted as complete.
• Number of inspections allowed per penult.
p Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
p rotective Signaling
❑ Other
Total number of commercial systems: (_
*No licenses are required. Licenses are required
for all other installations
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