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Permit I * CITY OF TIGARD ELECTRICAL PERMIT '''! It COMMUNITY DEVELOPMENT Permit#: ELC2021-00183 T i C;A II 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/23/2021 Parcel: 1 S 136CD01700 Jurisdiction: Tigard Site address: 11690 SW PACIFIC HWY Project: Chase Bank Subdivision: None Lot: None Project Description: Electrical for TI:(1)400 amp service,(11)branch circuits,and low voltage for HVAC. Contractor: PRIMO ELECTRIC INC Owner: NTN PACIFIC LLC 2648 NE 130TH CT 19830 NW DIXIE MOUNTAIN RD VANCOUVER,WA 98684 NORTH PLAINS, OR 97133 PHONE: PHONE: 503-201-8103 FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-201 to 05/28/2021 $133.56 Specifics: 400 amps 11 crt Branch Circuits w/Purchase 05/28/2021 $81.62 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea Plan Review Electricial 05/28/2021 $53.80 Type of Const: 12 ea Info Process/Archiving-Lg 05/28/2021 $24.00 $2.00(over 11x17) Occupancy Grp: 1 ea 12%State Surcharge- 05/28/2021 $25.82 Electrical 1 ea Limited Energy 05/28/2021 $75.00 0 ea Plan Review Electricial 05/28/2021 $18.75 0 ea 12%State Surcharge- 05/28/2021 $9.00 Electrical Total $421.55 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 or 1.800.332.2344. Issued By: if Owy V De/wecje Permittee Signature: OwApp t-Y'YL 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. .triedaddl4.41ii ddititttdWdu14414 4. . ,•• •�. ..W. RECEElectrical Permit Application 1V^ , t,,<t,, i ,( , , ,i t,,,, , City of Tigard JUN 2 ' '• "�' 2021 Deserve PermitlF: 111111 • 13125 SW Hall Blvd.,Tigard,OR 97223 4 Plan Review • ! Phone: 503.718.2439 Fax: 503.598.1960 , Date/g . Related Pemut F: Inspection Line: 503.639.4175 CITY�1 l�sanE1 �R Datde inns: f It,11 t 17 9 y Y 6d See Page Z for Internet: www.tigard-or.gov BUILDING�j�' � �" tified/Mettrod: Supplemental Information TYPE OF WORK PLAN REVIEW ❑New construction Pit Addition/alteration/replacement Please check all that apply(submit a sets of plans wiitems checked): ❑Demolition El Other: 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑1-and 2-family dwelling Commercial/industrial 0 Accessory building less to ground or exceeds 14,000 0 Commercial-use agricultural ❑ amps for all other installations. buildings. ❑Multi-family Master builder Other: ❑Fire pump. 0 Installation of 150 K V A or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: ii6 90 see Ac. 444/l I00HP or more. ❑"A "E","1 , 1-3" City/State/ZIP: Tja a� O 4. l'4-22 3 ❑Six or more residential units. occupancy. / G•�-' ❑Health-care facilities. 0 Recreational vehicle parks. -- Suite/bldglapt#: Project name: 0 Harardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: _ FEE SCHEDULE Description I Qty. I Each i Total I . New residential single-or multi-family dwelling unit. Subdivision: Lot#: includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 DESCRIPTION OF WORK Ea.add't 500 sq.fl.or portion 33.92 i Limited energy,residential 75.00 2 c/1a,t la ck ft k ��/�wt� f 1,_ -r-- - (with above sq.ft.) ^" .yt, Limited energy,multi-family 75.00 2 residential(with above sq.ft.) 0 PROPERTY OWNER 0 TENANT Renewable Energy 0See Page 2 Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 100.70 2 Address: 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I 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 16t3.54 2 Branch circuits-new,alteration,or extension, r panel El APPLICANT ❑ CONTACT PERSON A.Fcc for branch circuits with Business name: Pr:m 0 I.Q •• I "r'T,:•c above service or feeder tee, 7.42 2 each branch circuit Contact name .�tAvtki PrrMltilen1C-G B.Fee tor branch circuits without Address: �j Z A service or feeder fee,first Si i4(j branch circuit 56.18 2 City/State/ZIP:t;f pyI C Q V 11` ••s,� - R i b Cot- Each add'1 branch circuit 7.42 2 �iMiscellaneous(service or feeder not included) Phone:(SO,))10I-S IO'S Fax::( ) Each manufactured or modular Email: .4v4 f t/f1 O Q�' L C O�r ,� Q dwelling,service and/or feeder 67.84 2 P J Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 I 2 Business name: r for jn"?O 1✓t.E,,e.►Irli it r =+'4 C Sign or outline lighting 67.84 2 Address: I ,. Signal circuit(s)or limited-energy Page 5 el s-F 4t/t- ,jranc4 alteration,or extension. 0 Seeage 2 2 — City/State/ZIP: U Each additional inspection over allowable in any of the above �el c Q v v��� Wag- Q a( , - Additional inspection(I hr thin) 66.25/hr Phone:(Sb3 to I_$'I 03 Fax:( ) Investigation(I hr min) 90.00/hr Email: d� 1 pIssylt4steG.4.r-a� r 0r Industrial plant(Ihrmin) 78.1R/hr — p ll Inspections for which no fee is CCB Lic.: L t P �3 tD Electrical V.VU0S Suprv.Lic.: -3.19 S' specifically listed(a hr min) 90.DOi hr >q` /Q — ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: _ Print name: D Q i et t d e , Date: 42512, ( ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: Print name:.D sk x d, P!a wort c,Ile t l c Date: b(Ze312 1 This permit days after It has been accepted as complete. application expires if a permit is not obtained within too • Number of inspections allowed per permit. l:`Buitting.Pcvmus\.ELC_PermkApp 111.R_ERE.doc Rev 06 17/2015 4444615T(11 OS COM WEB .Electrical Permit Application — FOR OFFICE USE ONLY CityofTigard RECEIV _ g - ved y t����, Permit#: /c a"0^� �r�,,t ¢, 5 Date/By: `-/ �jir b�pCt,�O`[ LV f!J III13125 SW Hall Blvd.,Tigard,OR 97223 ® Phone: 503.718.2439 Fax: 503.598.1960 MAR 3 0 2Q2'11 m Review Related Permit#: -..y D e/r: Z I /©ee Pat or 71 Inspection Line: 503.639.4175 .y Date7gy: Juris�-�( Gil See Page 2 for l l(iARD Internet: www.tigard-or.gov CITY OF TIGa �� red/Method: �� , � 1 l�' Supplemental Information TYPE OF WORK BUILDING DIVISION kl.,,,,,,- la ,.;1.1 _, PLAN REVIEW ❑New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ODService or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 11690 SW Pacific Highway iooHP or more. ❑°°A "E",°°t-2",°°t-3", City/State/ZIP:Tigard, OR 97223 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: I Project name: Chase Bank T.I.-Office 0 Hazardous locations. 0 Supply voltage for more than ❑Sevice or feeder 600 snips or more 600 rolls nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I . New residential single-or multi-family dwelling unit. Subdivision: I Lot#: Includes attached garage. I ill,: Tax map/parcel#: 1 S136CD01700 l,000 sq.ft.or Less 168.s4 4 6; i}} Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 , Tenant Improvement to accommodate new non-bearing partitions,finishes,casework, (with above sq.ft.) QLimited energy,multi-family 75.00 2 furniture and equipment, including residential(with above sq.ft.) ❑ PROPERTY OWNER I ® TENANT Renewable Energy 0 See Page 2 1 Services or feeders installation,alteration,and/or relocation Name:Joe Hernandez, VP-Chase Bank 200 amps or less 100.70 2 Address:24085 El Toro Road, Floor 24 201 amps to 400 amps 1 133.56 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Laguna Hills,CA 92653 601 amps to 1,000 amps 301.04 2 Phone:(602 )703-3816 I Fax:( ) Over 1,000 amps or volts 552.26 2 .,'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 0 APPLICANT I 0 CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name:PM Design Group above service or feeder fee, 11 7 42 81.62 2 each branch circuit Contact name: Ariane Sanders B.Fee for branch circuits without Address:3860 Broadway Street, Suite 110 ranch circuit t feeder fee,first b 56.18 2 branch City/State/ZIP: American Canyon, CA 94503 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 707 ) 731-7394 Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:asanders@pmdginc.com Reconnect only 00 67.84 2 CONTRACTOR Pump or irrigation circle pa- Ifi,A 67.84 2 Business name: Sign or outline lighting 51014. � 67.84 2 Signal circuit(s)or limited-energy) g -75 y4 Address: panel,alteration,or extension. See Page 2 /.7. 2 City/State/ZIP: Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( ) Fax:( ) Investigation(I hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: Inspections for which no fee is specifically listed /hr min) 90.00/hr CCB Lic.: Electrical Lic.: Suprv.Lic.: p y (� ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: ��1�,,�^�4j�� -`Yc.1� Print name: Date: ID Plan Review Required(25%of permit fee): a: 12.455 State surcharge(12%of permit fee): . 3t1'.$). Authorized signature: ' '�" TOTAL PERMIT FEE: 95?2r340 This permit application expires if a permit is not obtained ithin 180 Print name: Ariane Sanders Date: 3/29/21 days after it has been accepted as complete. * Number of inspections allowed per permit. I:iBuilding\Permits\ELC_PermitApp_ELR ERE.doe Rev 06/17/2015 440-4615T(11/05/COM/WEB +E�,Y...�-- ( i4 1 1 [_',f 1 Elettrical 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 °eSnewan IQ�y. Each T°`A' 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 Wind generation systems in excess of 25 kva: n 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 n 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 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('h hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES $75.00 Subtotal(Enter on Page 1): Fee for each commercial system: * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: El Audio and Stereo Systems El Boiler Controls ❑ Clock Systems l Data Telecommunication Installation ❑ Fire Alarm Installation X❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems n Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling El Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 Branden Taggart From: Branden Taggart Sent: Thursday, May 27, 2021 2:20 PM To: Rosa Anaya Cc: Grant Hansen; David Lundy; Ariane Sanders; Bolynna Kong; Shane McClure Subject: RE: Chase Bank Electrical Permit: ELC2021-00183 - 11690 SW Pacific Hwy Attachments: Invoice.pdf; ELC_PermitApp_ELR_ERE_061715.pdf Rosa, Thank you for confirming the low voltage work. I have updated the fees. Please note that the attached invoice will reflect (2) state surcharges and (2) plan review fees due to the fee recalculation. The Electrical permit for Chase Bank is ready to issue now. The balance due is$421.55, and I have attached an invoice above for you to reference. These fees can be paid online now at https://aca-prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number ELC2021-00183 under the Building tab. There is a 3%service fee for credit cards, but e-checks do not have a service fee. Once paid, please email the Permit Technicians at TigardBuildingPermits@tigard-or.gov so that we may issue this permit and make it available for pick up. Please note that contractor license information and a Supervising Electrician's signature are required prior to the issuance of this permit. I have attached an application above for the contractor to sign. Thank you, 1 Branden Taggart n City of Tigard d,, e< Senior Permit Technician Community Development TIGARD 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent@tigard-or.gov From: Rosa Anaya <ranaya@pmdginc.com> Sent:Thursday, May 27, 2021 11:57 AM To: Branden Taggart<brandent@tigard-or.gov> Cc: Grant Hansen <ghansen@robisonengineering.com>; David Lundy<dlundy@pmdginc.com>; Ariane Sanders <asanders@pmdginc.com>; Bolynna Kong<bkong@robisonengineering.com>; Shane McClure <smcclure@robisonengineering.com> Subject: RE: Chase Bank Electrical Permit: ELC2021-00183 - 11690 SW Pacific Hwy Warning!This message was sent from outside your organization and we are unable to Allow sender I Block sender verify the sender. Branden. 1 Confirmed—the mark for HVAC on the "Commercial Work Only" section is correct. We will provide electrical contractor license information in a separate email. Let me confirm this information. Thanks, Rosa prim Rosa Anaya Job Captain DESIGN Direct: (949) 315-7511 38 Executive Park Suite 310 Irvine, CA 92614 Y'`°' `, Cell: (909) 964-2505 pmdginc.com 200 Follow us on From: Branden Taggart<brandent@tigard-or.gov> Sent:Thursday, May 27, 2021 10:49 AM To: Rosa Anaya <ranaya@pmdginc.com> Cc: Grant Hansen<ghansen@robisonengineering.com>; David Lundy<dlundy@pmdginc.com>; Ariane Sanders <asanders@pmdginc.com>; Bolynna Kong<bkong@robisonengineering.com> Subject: RE: Chase Bank Electrical Permit: ELC2021-00183 - 11690 SW Pacific Hwy Hi Rosa, The attached invoice is for the Building permit. Per our phone conversation, I am asking for you to confirm that the HVAC system marked on the second page of the Electrical Permit Application in the "Commercial Work Only" section is correct, as the fee calculation does not include the low voltage system. I cannot tell from your email if you are confirming that the HVAC system needs to be included in the Electrical permit scope of work. Once I hear back, I will send you the Electrical permit invoice for payment. Also, has a contractor been selected for this work? If so, please provide their electrical license information. Thank you, Branden Taggart a City of Tigard a *. Senior Permit Technician in Community Development 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent@tigard-or,gov From: Rosa Anaya <ranaya@pmdginc.com> Sent:Thursday, May 27, 2021 10:19 AM To: Branden Taggart<brandent@tigard-or.gov> Cc: Grant Hansen <ghansen@robisonengineering.com>; David Lundy<dlundy@pmdginc.com>; Ariane Sanders 2 :.xkkdiutnr .aua4daEaiNriYaiBsflfNa/t.'alkeFukf4tara fdNN:iirr b.Y.a Faitxl iatae a+a. ., ..n..:x au.tWurittRULLasMt3Yelatki.Nce S'xlaAan:.a.s:, i ..,...,-..: iy.:i.sr.. '-a.r.lins [u.e+f+..w .eix:..:sisamrs w.:ixrrses+iiu ket:»ua;:. ksr...µriuweu ..x.,:.:d.... <asanders@pmdginc.com>; Bolynna Kong<bkong@robisonengineering.com> Subject: RE: Chase Bank Electrical Permit: ELC2O21-00183 - 11690 SW Pacific Hwy Hi Branden, I spoke with you this morning. Front page may not be checked out in error as noted per your email and HVAC is marked correctly in application. We have already pay plan check review fees and in process of paying attached permit fees. Please let us know if this clarifies the matter. Thanks, Rosa Rosa Anaya FAN Job Captain DESIGN Direct: (949) 315-7511 38 Executive Park Suite 310 Irvine, CA 92614 YEARS Cell: (909) 964-2505 pmdginc.com Follow us on di I From: Branden Taggart<brandent@tigard-or.gov> Sent: Wednesday, May 26, 2021 12:15 PM To:Ariane Sanders<asanders@pmdginc.com> Subject: Chase Bank Electrical Permit: ELC2021-00183 - 11690 SW Pacific Hwy Hi Ariane, I was completing our final review of the Chase Bank Electrical permit for the location at 11690 SW Pacific Hwy when I noticed that there is a HVAC low voltage system marked on the second page of the application. However, limited- energy was not marked on the first page in the fee schedule or calculated in the fees. Please confirm if the HVAC system needs to be included or not. Thanks, Branden Taggart r City of Tigard Senior Permit Technician Ph Community Development tietArt 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent@tigard-or,gov 3 • DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." 4