Permit it CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2022-00363
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/23/2022
Parcel: 2S102AC00202
Jurisdiction: Tigard
Site address: 9100 SW BURNHAM ST
Project: Universal Plaza Subdivision: BURNHAM TRACT Lot: 3
Project Description: Electrical work for new commercial property.
Contractor: PORTLAND ELECTRICAL CONSTRUCTION INC Owner: CITY CENTER DEVELOPMENT AGENCY
1019 7TH ST 13125 SW HALL BLVD
OREGON CITY, OR 97045 TIGARD, OR 97223
PHONE:
PHONE: 503-655-2281
FAX: 503-655-5033
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 06/21/2022 $100.70
Specifics: amps or less
2 ea Services or Feeders-201 to 06/21/2022 $267.12
Type of Use: COM 400 amps
Class of Work: NEW 41 crt Branch Circuits w/Purchase 06/21/2022 $304.22
Type of Const: Service or Feeder
Occupancy Grp: 1 ea Plan Review Electricial 06/21/2022 $168.01
1 ea 12%State Surcharge- 06/21/2022 $80.64
Electrical
Total $920.69
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 throu i O R 952-001- 90. You mayr(1 obtain a coov of the rules or direct auestions to OUNC by callina 503.23 .1987 or 1.800.332.2344.
Issued By: `� �� S Permittee Signature:
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'N 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 ApoicatFlErEl FOR OFFICE USE ONLY
City of Tigard JUN 2 2022 Received et 13125 SW Hall Blvd.,Tigard,OR 97223 pj n R view r1 L Z , i P, � �
Phone: 503.718.2439 Fax: 503.590Fr 'OF TIGARL Date/B,: 20 ,� °r'Wj J Z t� ,.3
TIGARI3 Inspection Line: 503.639.4175 BUILDING DIVISION Ready Date/Sy: �, rir. Ed See Page 2 for
Internet: www.tigard or.gov 'otifiedlMetho • ` �� Supplemental Information
r .
TYPE OF WORK PLAN REVIEW
®New construction ❑Addition/alteration/replacement Please check all tat applx(submit 2 sets of plans vs items checked):
®Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑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 ®Commercial/industrial ElAccessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address: 9100 SW Burnham St. 0 Addition of new motor load of system.
HIOHP or more. ❑"A" "E" "1-2" "I-i"
City/State/ZIP: Tigard/OR/97223 ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Universal Plaza ❑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: FEE SCHEDULE
Between SW Ash and Main St. Description I cat.. I Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: 1 Lot#: Includes attached garage.
Tax map/parcel#: 1.000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with abovesq.ft.) 75.00 2
(1)400A Service,(1)400A Feeder, (1) 150A Feeder,41 Branch Circuits Limited energy,multi-family
75.00 2
Electrical for new Universal Plaza site power/Itg,Restroom Building and Water Feature residential(with above sq.ft.) _
i Renewable Energy 0 See Page 2
EX) PROPERTY OVs'NER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: City of Tigard 200 amps or less 1 100.70 100.70 2
Address: 13125 SW Hall Blvd. 201 amps to 400 amps 2 133.56 267.12 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Tigard/OR/97223
601 amps to 1.000 amps 301.04 2
Phone:(503 ) 718-2420 I Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: sean@tigard-or.gov
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
APPLICANT ® CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: Portland Electrical Construction Inc. above service or feeder fee, 41 742 304.22 ,
each branch circuit
Contact name: Corey Donohue B.Fee for branch circuits without
seAddress: 21187 HWY 99E branche circuit
fee,first 56.18 2
branch circuit
City/State/ZIP: Aurora/OR/97002 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503) 961.0160 Fax: :( ) Each manufactured or modular 67.84 2
— dwelling,service and/or feeder
Email: core)i@nortlandelectrical.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Portland Electrical Construction Inc. sign or outline lighting 67.84 2
Address: 21187 HWY 99E Signal,alteration,
or limited-energy
See Page 2 2
panel,alteration,or extension.
City/State/ZIP: Aurora/OR/97002 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503) 961.0160 Fax:( ) investigation(1 hr min) 90.00/hr
Email:corey@portlandelectrical.com Industrial plant(1 hr mini 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 51764 Electrical Lic.: 3-246C �Suprv.Lie.: 6075S specifically listed('V,hr min)
ELECTRICAL PERMIT FEES , ,
Suprv.Electrician signature,required: Subtotal: 672.04
Print name: Peter Boen Date: 6/1/22 ®Plan Review Required(25%of permit fee): 168.01
State surcharge(12%of pennit fee): 80.64
Authorized signature: Cd1:2-47
TOTAL PERMIT FEE: 920.69
This permit application expires if a permit is not obtained within 180
Print name: Corey Donohue Date: 6/1/22 days after it has been accepted as complete.
* Number of inspections allowed per permit.
t.`.Building\Permits\ELC_PermitApp_ELR_t3RE.doe Rev 06/17/2015 440-4615TttI/OS/COM/WEL3
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description I Qh. I Each I Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: s 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
E50.01 to 100 kva 552.26 2
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(I hr min)
Inspections for which no fee is 90.00'hr
specifically listed(/hr mill)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT;FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page I):
* Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
E Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
(1 Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
fl Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
l:\Building\Permits\EL.C_PermitApp_ELR_ERE.doc Rev 0 611 7/2 0 1 5