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HomeMy WebLinkAboutPermit (3) CITY OF TIGARD ELECTRICAL PERMIT 11 COMMUNITY DEVELOPMENT Permit#: ELC2023-00675 Date Issued: 11/29/2023 T[co\Rj) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135BA00101 Jurisdiction: Tigard Site address: 10125 SW WASHINGTON SQUARE RD Project: ODOT,SW Greenburg and Hwy 217,#8 Subdivision: OAKBURG Lot: 32 Project Description: Install(4)200A feeder and(6)branch circuits for lighting service cabinet.NOT AT THIS ADDRESS:Located in the ROW west of SW Greenburg and north of Hwy 217. Contractor: MILL PLAIN ELECTRIC INC Owner: PPR SQUARE TOO LLC 6115 NE 88TH ST BY JAGUAR LAND ROVER PORTLAND VANCOUVER,WA 98665 10125 SW WASHINGTON SQUARE RD PORTLAND, OR 97223 PHONE: 503-574-7265 PHONE: FAX: FEES Quantity Description Date Amount 4 ea Services or Feeders-200 11/15/2023 $402.80 Specifics: • amps or less 4 crt Branch Circuits w/Purchase 11/15/2023 $29.68 Type of Use: COM Service or Feeder Class of Work: NEW 2 crt Branch Circuits wo/Purchase 11/15/2023 $63.60 Type of Const: Service or Feeder Occupancy Grp: 1 ea 12%State Surcharge- 11/15/2023 $59.53 Electrical Total $555.61 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 ou.._to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuah•• 952-001-0090. You v o in a coos-of the rules or direct auestions to OUNC by callina 503.232.1987 or 1.800.332.2344• Issued By: f Permittee Signature: r f ��� !/ 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 ApplicationRECEIVED # B l�OIt tlhl'1CI:USE(."L,\' City of Tigard NOV 1 2023 Received oa 67S Permit 13125 SW Hall Blvd.,Tigard,OR 97223 Datc/By: (I 2-3 ,.>ri #c�)-o 3.3 Plan Review R Phone: 503.718.2439 Fax: 503.598.196 Related Permit pc OITY OF TIGARD Date/By. Inspection Line: 503.639.4175 ReadyDate/By: ® See Page 2 for 1 1 G A R 11 lure: Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: I1 Aj Supplemental Information .„TYPE OF WORK e`d?IOW' PLAN REVIEW ❑New construction Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition CI Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling LE''' CCommercial/industrial IDAccessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural El Multi-family ❑Master builder amps for all other installations. buildings. ❑Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: "'!frO34a Job site address: ( (sex lraelo(r�, ❑Addition of new motor load of system. �l't"QY S EC'tl 1�1 100HP or more. ❑"A "E', ,-2", ,_,", City/State/ZIP: "TUa r�a.� �jr `�i ��2 ❑Six or more residential units. occupancy. t J ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt,#: Project name: ❑Hazardous locations, 0 Supply voltage for more than J C- ft 'ZOOMPPy g 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: I -evc ngel cE 0kFEE SCHEDULE C1 r t tab U r!� (Z.©( w v.d o f �is Description I Qty. I Each I Total I • +� -l' 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 Ea.add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential I a i,1,yk� a w (with above sq.ft.) 75.00 2 J n Limited energy,multi-family / OP 1 i Service_ Cabo,e-- residential(with above sq.ft.) 75.00 2 0 PROP TY O ER ❑ TENANT Renewable Energy ❑ See Page 2 h Services or feeders installation,alteration,and/or relocation Name: V� ampsLi 100.70 t(02$Q 2 Address: 35 7 / t FA-to\ N �C,A /L 201 amps to or400 amps 133.56 2 ��1 t 401 amps to 600 amps City/State/ZIP: P P 200.34 2 Sck.e vr'1 O V.— a"73 01 601 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 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.S4 2 Branch circuits-new,alteration,or extension,per panel ErIPPLICANT 0 CONTACT PERSON A.Fee for branch circuits with Business name:,` S'\At yk E t-eckyt L above service or feeder fee, Li each branch circuit 7.42 2ct'42? 2 Contact name: Pc hvt_A A1v.'%JL B.Fee for branch circuits without Address: O service or feeder fee,firm I 56.18 S`•IV 2 0© N 1r %%kin Si- bioipiA branch circuit City/State/ZIP: vaytaDV—t..r--i w IA. 617 7! Y Each add')branch circuit I 7.42 -1.4 2 Phone:( d r�^-�N —I �b Fax::( �5 o��tt Miscellaneous(service or feeder not included) 3(0D) cB A O°( S(12 Each manufactured or modular Email: dwelling,service and/or feeder 67.84 2 perms,t s (? WL ) -21 eC-trtc.. Co on Reconnect only 67.84 2 CONTRACTOR Pump or irrigation67.84 2 circle Business name: M•,`t 'Pwyx E1ec-tYie, Sign or outline lighting 67.S4 2 Address: p©� NC •t�/11 �+ ��J A Signal circuit(s)or limited-enerro �? J C7l /"C panel,alteration,or extension. See Page 2 2 City/State/ZIP: vGU�fOU V. t IA)V9 8�9� Each additional Inspection over allowable is any of the above Phone:( ) � Additional inspection(t hr min) 6625/hr ?jwv i5 N --?jp'G Fax:(Na ) SIL ()is(_ investigation(1 hr min) 90.00/hr Email: Ptr WYt-ti S (:2;:)_ Ivt p ^ e1'eC't�j C. 'Co V►� l W Industrial plant(I hr min) 78.18/hr Inspections for which no fee is a. CCB Lic.:(21. ©'L t Electrical Lic.: 3�'7,..too 1 Su rv.Lic.: -,y'�Ot t�` specifically listed('h hr min) �•�1 hr Suprv.Electrician signature,required: ( W /� ELECTRICAL PERMIT FEES "" — Subtotal: 41 Gj.0? Print name: t t,...k- 1 'av� Date: (g (ell( v-5 0 Plan Review Required(25%of permit fee): _— —- V�- State surcharge(12%of permit fee): CJ ,5'3 Authorized signature: TOTAL PERMIT FEE: 5 5 S,b 1 AL This permit application expires If a permit Is not obtained within 180 Print name: pcvk vt� ,t fat viA4 , Date: (b11011 (Z J" days after it has been accepted as complete. • Number of inspections allowed per permit. 1:\Building\Permits\ELC PermiApp_ELR_ERE.doc Rev 06/17/2015 440-1615T(11I)S/COM/WEB