Permit (15) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT Permit#: ELR2019-00004
T rGARO 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/07/2019
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 300
Project: Point Development Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Fire alarm permit:Adding(3)and relocating(2)notification appliances. Affidavit submitted.
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: 503-624-6300
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Restricted Energy Permit 01/07/2019 $75.00
12%State Surcharge-Electrical 01/07/2019 $9.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems:
Audio&Stereo: Boiler Controls:
CCTV: Clock Systems:
Data&Telecommunications: Fire Alarm:
HVAC: Instrumentation:
Intercom/Paging: Landscape/Irrigation:
Landscape Lighting: Medical:
Nurse Calls: Protective Signal:
Security Alarm: Other: 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 OA 52-001-0090. You 'n a co. • . -s or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: - Permittee Signature: �tl
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 r-r%r"7') 1 r-I—it
tot L,4, r- ' ' 4 r""!—.1 FOR 01 F1( 1 ( SE ON 1.l
City of Tigard Received t
Date.B : ALTAMEMIIIMEIMIMMI
_
ii 13125 SW Hall Blvd.,Tigard,OR 97221A N 3 2019 Plan Review
; 2 Phone: 503.718.2439 Fax: 503.598.1960 Date/B : EMSTINIMIMEI
Inspection Line: 503.639.4175 cm! c',..- ,-,r.,/,,,,F.ID Ready Date/By: 0 See Page 2 for
1 i c.,A t.D Internet: www.tigard-or.gov , ,. -- ,-,„..„- Notified/Method: ULM," Supplemental Information
BUILDgNU ij ,h,) ,....iN
,7' "ins7.-;'1,!;','r ',,T!:2-..,', '.., ' TYPE OP,-WOW ,:,';'.:M.7:1-7,,,C,.:,,, :', ' ', ''''''
(83 New construction El Addition/alteration/replacement Please check all that apply(submit 1 sets of plans w,items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition E3 Other where the available fault current 0 Marinas and boatyards.
aitObitittilt,CONSnaterION ' .-T-t 1 ',' exceeds 10,000 amps at 150 volts or 0 Floating buildings.
0 1-and 2-family dwelling Egl Commercial/industrial 0 Accessory building less to ground,or exceeds 14.000 0 Commercial-use agricultural
amps for all other installations. buildings.
El Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 instaibtion of 150 KVA or
,.10IAtj*itkakfitrad 6 Igkit..06116.14. -1-!Y,W,-.3Z,:f.:c4; 0 Emergency system. larger separately derived
0 Addition of new motor load of system.
Job#: Job site address:6650 SW Redwood Lane 100HP or more.
0 Six or more residential units. occupancy.
City/State/ZIP:Tigard,OR 97224
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#:300 Project name:Point Development 0 Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
- . -
Cross street/directions to job site: .,..' - 1-014cHibPJLE, ...,.
Description I Qty. I Each I Total I New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
Ea.addi 500 sq.ft.or portion 33.92 1
W.P.4:,•.7.141:i.i ., ',, D'Es .elui,11100000e...! tiff.51. ,:-.'' .. Limited energy,residential
75.00 2
(with above sq.ft.)
Fire Alarm Devices
Limited energy,multi-family
75.00 2
residential(with above sq.ft.)
n iititirk Alvimu.,-, - ,i.t p , ---iD--ttt4-m/.-- .. Renewable Energy 1:1 See Page 2
--, _ . ', -Q.— ....,. > .. .- 4M,4' , - - ' Services or feeders installadonLalteration,and/or relocation
Name:Point Development 200 amps or less 100.70 2
Address:6650 SW Redwood Lane#300 201 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:( ) 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
::,--- ''27:;123I APPLICANT
m,,doisiTAct rams _:, BranchFeefocribrrcanuieths-ci new,alteration,thor extension,per panel
A
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: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 Fax::( ) Each manufactured or modular
67.84 2
dwelling,service and/or feeder
Email:bwilliams@pointmonitor.com
Reconnect only 67.84 2
CONTRACTOR SPump or irrigation circle 67.84 2
Business name:Point Monitor Corp. Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address:5863 Lakeview Blvd.Suite 100 panel,alteration,or extension. 0 See Page 2 I 2
Each additional inspection over allowable In any of the above
City/State/ZIP:Lake Oswego,OR 97035
Additional inspection(I hr mm ) 6625/hr
Phone:(503)627-0100 Fax:( ) Investigation(1 hr min) . 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:bwilliams@)pointmonitor.com
Inspections for which no fee is
90.00/hr
CCB Lie.: 135901 Electrical Lie.: 34508CLE Suprv.Lie.: 4460LEA specifically listed('A hr min)
ELECTRICAL
Suprv.Electrician signature,required: - ,_...„ Subtotal: -7,57;aL
PERMIT FEES
Print name: Ben Breit Date: 1/3/19 0 Plan Review Required(25%of permit fee):
, State surcharge(12%of permit fee): ;I,‘" --
--=-
Authorized signature: rd...._7 --- -""•.......-5tZ3 TOTAL PERMIT FEE: il '-4-1--
-
This permit application expires if a permit is not obtained within 180
Print name: Ben Breit Date: 1/3/19 days after it has been accepted as complete.
" Number of inspections allowed per permit.
I.BuilduigTermitt ELC_PennilApp_ELR_ERE.doc Rev 06,1"2015 440.4615T(11105'COM,WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL RRI Y EE_SCHEDULE :' a
yr; '
ptian
Fee for all residential systems combined: $75.00 Destr1Q" Each" TotalRenewable 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
0 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 an of the above:
❑ Other: Each additional inspection is 66.251 hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is
specifically listed 'A hr min) 90.001 hr
Subtotal(Enteron 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
n Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
Cl Instrumentation
❑ 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:Building\PermitsELC_PennitApp_ELR_ERE.doc Rev 06'1'2015
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6650 SW REDWOOD LN 300, TIGARD,
OR, 97224
Record Type: Record ID:
Commercial - Electrical Limited Energy ELR2019-00004
Inspection Type: Inspector:
198 Low voltage final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor