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Permit (20) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 1 '= COMMUNITY DEVELOPMENT Permit#: ELR2019-00098 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/05/2019 �I � • ' Parcel: 2S112DA01400 Jurisdiction: Tigard Site address: 15350 SW SEQUOIA PKWY 150 Project: Financial Investments Subdivision: 1996-048 PARTITION PLAT Lot: 2 Project Description: Installing(7)fire alarm notification devices for TI. 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 06/05/2019 $75.00 12%State Surcharge-Electrical 06/05/2019 $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 ' -. :-nded for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center.' Those rule are set forth OAR 952-001-0010 through OAR 952-001-0090. You may obtain a cop oLthie rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332. 4 / Issued By:4,200'7.2-1.,e--" t Permittee Signature: t� � OWNER INSTALLATION ONLY `f .- �� / 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 ► FOR OFFICE USE ONLY 1,111 City of Tigard Received Date/B : ' ��` (,;D min k,..t .\i, permit#:E%L \G--U j, ® 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 2 3 2019 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#: lettk...r k, 1 Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: Juris: ® See Page 2 for TIC A K D Internet www.tigard-or.gov Notified/Method: Supplemental Information DOI PING DIVISIO „fI,ff '".-' , . ..' . h' .r. fliett OF.,Wa s,. .`fr' ,, " x 4 ., :d'TW' ' . . . „If . .,„a ❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ❑Other: , where❑Service or feeder 400 amps or more ❑Building over three stories. e ble current 0 s 1, .: .. ,. , .'' TEGOIt 4t..N..x rCONSTRIJCTION, , n. ''`= exceeds110,000 amps att150 volts or 0 Floating buildings..ards. ❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural gs. 0 Multi-family 0 Master builder 0 Other: ampsireforallother installations. Inbustallation 0Fire pump. ❑Installation of 150 KVA or ..1..a':.,..1.1.1;',.'.';.',114” .,t y`8 N ' f ' ❑Emergency system. larger separately derived o Addition of new motor load of system. Job#: Job site address: 15350 SW Sequoia Parkway 100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: 150 Project name:Financial Investment Team ❑Hazardous locations. 0 Supply voltage for more than ❑Servtce or feeder 600 amps or more. 600 volts nominal Cross street/directions to job site: .'. CHEDUL 4, :fif , Description Qty. Each Total 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.add'l 500 sq.ft.or portion 33.92 1 tiatietr ,: x.1,,,�, ., `Xts6, @ t r " . 1, Limited energy,residential FIRE ALARM — ‘nS-trlt1 ' c(- CA kr-a WN (Np{" (with above sq.ft.) 75.00 2 `' ` � 15 Limited energy,multi-family 75.00 2 (i--tA residential(with above sq.ft.) Renewable Energy ❑ See Page 2 y fa• . I toogi TY Ori ` ' .,r. � 0a s ' '' Services or feeders installation,alteration,and/or relocation Name:Financial Investment Team 200 amps or less 100.70 2 Address: 15350 SW Sequoia Parkway Suite 150 201 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 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 °_ w Branch circuits—new,alteration,or extension,per panel I,,.,.>.. . . '`CON rIRS 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 service or feeder fee,first 56.18 2 branch circuit 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 dwelling,service and/or feeder Email:bwilliams@pointmonitor.com Reconnect only 67.84 2 x C© T12ACT s t r . ��_ ��•��_- � ��+�.,�.,.. 2 .,. ....,.,, 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 circuit(s)or limited-energy 0 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 speclficall hstd}S'/hrmin *t 1 Suprv.Electrician signature,required: / Subtotal: Print name: Ben Breit . I Date: 5/22/19 0 Plan Review Required(25%of permit fee): State surcharge(12%of pennit fee): Authorized signature ° ----...at ..?--- TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name• Ben Breit Date: 5/22/19 d'yr a°r it h�c�a�c^ a 'o '.•v * Number of inspections allowed per permit. I:\Building\Permits\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: $44'.'_.N.,o;m.u,ban.. :'t........:....... .f Description ,'.. Qty. Each Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 El Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: El Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 El 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(1 hr min) Inspections for which no fee is 90.00/hr 4pecificall listed ''A hr min ,.ter •se, t " "' Subtotal(Enter on Page l). Fee for each commercial system: $75.00 (SEE OAR 918-309-0000) * Number of inspections allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems El Data Telecommunication Installation ® Fire Alarm Installation ❑ HVAC El Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* El Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* El Protective Signaling ❑ Other: Total number of commercial systems: 1 *No licenses are required. Licenses are required for all othcr installations I:\Building\Permits\ELC_PennitApp_ELR_ERE.doc Rev 06/17/2015 City of Tigard Tel: 503.718.2439 Location: Inspection Date: 15350 SW SEQUOIA PKWY 150, TIGARD, June 18, 2019 at 7:41 :38 AM OR, 97224 Record Type: Record ID: Commercial - Electrical Limited Energy ELR2019-00098 Inspection Type: Inspector: 198 Low voltage final Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor