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Permit
CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2021-00007 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/4/2021 T[t'A R n g Parcel: 2S102BD02000 Jurisdiction: Tigard Site address: 12885 SW PACIFIC HWY Project: Astro Subdivision: NORTH TIGARDVILLE ADDITION Lot: 38 Project Description: Conduit for(4)new fuel dispensers to underground storage tanks. Contractor: BOYLES ELECTRIC INC Owner: EARLYOIL LLC PO BOX 1227 BY WSCO PETROLEUM#225 BORING, OR 97009 2929 NW 29TH AVE PORTLAND, OR 97210 PHONE: PHONE: 503-663-2628 FAX: 503-663-9048 FEES Quantity Description Date Amount 1 ea Restricted Energy Permit 02/02/2021 $75.00 Specifics: 12 crt Branch Circuits wo/Purchase 02/02/2021 $137.80 Service or Feeder Type of Use: COM 1 ea Plan Review Electricial 02/02/2021 $34.45 Class of Work: ALT 1 ea Info Process/Archiving-Sm 02/02/2021 $0.50 Type of Const: $0.50(up to 11x17) Occupancy Grp: 1 ea 12%State Surcharge- 02/02/2021 $16.54 Electrical Total $264.29 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 -001-0090 60 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: f=' Permittee Signature: P `'`•' r;f / L • 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 PermitApnlication �F+ rr�I�///}�� I o k UI I I( I t s1' (t\t.1 IN I`3�12i SW Hall Blvity of d.,Tigard,Tigard,OR 97223 �y� // Permit No.: a4..,117 JAN 4 1011 • Dales ate/Ban v ew . Phone: 503.7182439 .Pax: 503.598.L960' �y. .- Other Pe nit: J.-0 ) T.I(-a t:n Inspection Line: 503.639.4175 Date Ready/By: . Ag/i H See Page 2 for Internet: www.tigard-or.gov i , I r • , Nonfi �IA __L.. Supplemental Information TYPE OF WO' •• "•� PLAN REVIEW ❑New construction ®Addition/alteration/replacement Please check ail that np y(submitZ sets of plans wtitenm checked below): 0 Service or feeder 400 amps or more ❑Building over three stories. 0 Demolition 0 Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or []Floating buildings. ❑ 1-and 2-family dwelling ®Commercial/industrialAccessorybuildingless sour allllo or`needs ons. ❑Commercial-use agricultural 0 amps for other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of ISO KVA or JOB SITE INFORMATION AND LOCATION CI Emergency system. larger syste larger separately derived system. ❑Addition of new motor load of 0"A","E","1-2","1-3" 100HP or more. occupancy. Job no.: 4729 O C I lob site address: 1 2885 SW Pacific Hwy ❑Six or more residential units. ©Recreational vehicle parks. City/State/ZIP: ❑Health-care facilities. 0 Supply voltage for more than T i cr rri R cl 7 7 7 3 (Hazardous locations. 600 volts nominal. Suite/bldg./apt no.: Project name: ID Service or feeder 600 amps or more. n_S a FEE SCHEDULE Cross street/directions to job site: /7 ur.er;a(eon 12tr. I pee I 'toter I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq:ft or less 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential 75.110 ° 2 DESCRIPTION OF WORK (with above sq.ft.) Limited energy,multi-family 75.00 2 Fuel Upgrade, New Dispensers and Tanks residential(with above sq.ft.) Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation 0 PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Temporary services or feeders installation,alteration,audior Phone:( ) I Fax:( ) relocation 200 amps or less 5936 1 Owner Installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: Branch circuits—new,alteration,or extension, r r panel 0 APPLICANT I (2 CONTACT PERSON A.Fee for branch circuits with above service or feeder fee, 7.42 2 Businessname: BOYLES ELECTRIC, INC. • each branch circuit B.Fee for branch circuits without Contact name: ADAM HALVORSEN service�crmf erfee,first 1 56.18 2 56.18 Address: PO RnX 1227 Each add'I branch circuit 11 7.42 F11 .62 2 Miscellaneous(service or feeder not included) City/State/ZIP: BORING OR .97009 Each manufactured or modular 67.84 2 Phone:(5 0 3) 7 81 —4 3 61 I Fax: (5 0 3) 6 6 3—9 0 4 8 dwelling,service and/or fader Reconnect only 67.84 2 E-mail: hyPl(zee frnrtti er rum Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name:BOYLES ELECTRIC,INC. Signal circuit(s)or limited-energy See panel,alteration,or extension. 1 Page 2 75.0( 2 Address:PO BOX 1227 Each additional inspection over allowable in any of the above City/State/ZIP:BORING,OR 97009 Additional inspection(1 hrmia) 662$/hr Investigation(1 hr min) 66.25/hr vs.. Phone:(503)663-2628 Fax:(503)663-9048 Industrial plant(1 hr min) 78.18/hr Inspections for which ap fee is 9p.0a hrr .- CCB Lie.: 137002 Electrical Lie: 3-465C Suprv.Lic.: 3404S specifically'liked(V.hr min) FE Suprv-Electrician signature,required:y ( . �i_./ ELECTRICAL PERMIT )S 212.80 r Plan review(25%of permit fee): Print name: JOHN E BOYLES - I sate: 01 /0 4/2 0 21 State surcharge(12%of permit fee): 25.54 Authorized signature: TOTAL PERMIT FEE: 291 .54 Print name: Date: This permit application expires if a permit is not obtained within 180 _ days after it has bees accepted as complete. • Number of inspections allowed per permit. I:1BuildiuglPe uits\El.C_PmaitApp_61Jt_ERE.doe Rev 05521/2013 400-46i5T(i 1/05/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 Qty. I Fee I Tole I 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 CBurglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 C Garage Door Opener* 50.01 to 100 kva 1 552.26 2 >100 kva(fee in accordance with 552.26 2 n Heating,Ventilation and Air Conditioning OAR 918-309 0040) System* Solar generation systems in excess of 25 kva: Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kvo—no additional charge 0.0 3 CEach additional inspection over allowable in any of the above: Other: Each additional inspection is charged at an hourly(I hr min) 66.25/hr Inspections for which no fee is specifically listed(l4 hr min) 90.00/hr COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review,if required(25%of permit fcc): State surcharge(l2%of permit fee): Check Type of Work Involved: TOTAL PERMIT FEE: riThis permit application empires if a permit is not obtained within 180 Audio and Stereo Systems days after it has been accepted as complete. * Number of inspections allowed per permit. ❑ Boiler Controls El Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC • Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical • II Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling Other Total number of commercial systems: • *No licenses are required. Licenses are required for all other installations r:ta,itdinglPermita\ELC_PmnitApp_ELR_ERE.doe Rev 05/212013 c, -1/-vim a el py k � � Ximw a '4 3s u;P=�-� y�4,n., "P`s$k, , "+ IM114 John Boyles Office: 503-663-2628 Fax: 503 bb3 9048 . _ Electrical Contractor CCB#137002 PO Box 1227 Boring OR 97009 Fiigev'fie.-- rite- n7 04 J tneo Den-C-.Kzl w.+�0 S"ra 944 c c -r.4--)K S 9A^'C> Ne'W FtiEC_.. ©25fG s62S Ai- izti85 Sw ?Ac� F tawY ?�Q.VaJCZq oc1.. 4:1% -7 -zz 3 CSy SaIAA-) E gay/es '7)0ys E3nE124.6.-/c e FuEe- 59SP PE2 679./1 osV- * Li NE1--a SeaPEn1SE -5 -rb 35- cio s-ry RECEIVED Nkoe 3 co,Qou.-vt's 6-etc.:IA, D-fgrPeN345a_. 4. 1.051-.1Ce. 61/'S5'xt..✓G, Si: ?d55Qt-6' '. -7 c-r Fiac rr14n-r JAN 4 2021 CITY OF TIGARD "-e-s reg- rs-1a40+AF'A�-'I..c Emir t�z� BUILDING DIVISION �- 4 I - 3fq'` yno.�z-rorLM'� t45'o tzt %et.age-) ivj-7-?too cAt LE 1 li) 1, 1 - 34,- ,.....E n S 3 1') ) ins-r' s .. 1 5PL -r Co,'1PA-R'r.- -,J, cyr.g. ilk � s [ L-] I!] 5-71P%5 1, ,e4,4,-Pat.4.1c-r eAC.IA w'2¢ES PeaZ yvlRNwFitc.-YKRC vl `W -1" 3 - 34`- ✓340^-,2 T'o f(LS-mac Sw PA�.2r-*ace_ Nw. !v / " lb ca��t --,-,4,-.v. 13EL.VE.J 877400 4- ►Q,L.t_. co,J•bv...a--,'g -7b l'S&- 1z2°4"7 L L.A 5 'T' i0 C7 f>22oiZ., -v G.n-ter ,2--/c., Flo,-,-1 4,, tuA,06 wx714 'PvL �'bE7'aa6- .n.J * par Li- Go n-,flt.a�-1-5 -1-0 `4.4=1-**). "via-A-) x mu, fD /� DE®?"74 ©c Z.Li 6' 1 JO SEA-(_ o. ��2$T- F -"772-✓c 7 CI7la 6'ra?QS c41 °c'