Permit (2) CITY OF TIGARD ELECTRICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: ELC2012 -00304
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/22/2012
Parcel: 2S 110AA00900
Jurisdiction: Tigard
Site address: 14050 SW PACIFIC HWY
Project: Rudd /ESP Property Factors Inc Subdivision: 2011 -041 PARTITION PLAT Lot: 2
Project Description: (2) branch circuits for heat pump
Contractor: BOB'S ELECTRIC Owner: RUDD /ESP PROPERTY FACTORS INC
2700 NE BURTON ROAD STE A 14050 SW PACIFIC HWY
VANCOUVER, WA 98662 TIGARD, OR 97223
PHONE: 360 - 254 -7200 PHONE: 503 - 245 -1177
FAX: 360 - 254 -8219
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo /Purchase 05/22/2012 $63.60
Specifics: Service or Feeder
1 ea 12% State Surcharge - 05/22/2012 $7.63
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $71.23
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 52- 001 -00 0. You may obtain a py of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
iO
Issued By: Permittee Signature: N A-Pika e.44--no
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.
FROM (TUE)MAY 22 2012 9: 64 /ST. 9: 63 /No. 9302926764 P 2 C
Electrical Permit Application & 1 I (I lz (I I r l C I 1 , (1
1 .1.1
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City of Tigard R v R __1 Pent*No.� 2a.,.r
01
11 • 131 SW Hall Blvd., Tigard, OR 97223 d.i1(} L..Y i 1 Q
Phone: 503.639,4171 Fax: 503. 598.1960 MAY 2 1 2012 • Other Permit [ ) /�
1 � 1 ,_, I., I , Inspection L 503. 639.4175 Date Ready/By: Gil See Page 2 for V
Internet: www.tigard-or.gov CITY OF TIGAF D Method: Supplemental Information • _ _ I
❑ New construction ® Additi . - • Iacerrtent Please check all that apply (submit 2 se s of plans w /items checked below):
❑Vice or feeder 400 amps or more 0 Building over three stories.
❑ Demolition ❑ Other: wheic the available fault current ❑ Marinas aral boatyards.
Sy r I 1 Pw, ' i 9I. 4 ', -, ' exceeds 10,000 amps at 150 volts or ❑ Floating buildings,
- .. - .. less to ground, or exceeds 14,000 ❑ Commercial-use agricultural
® 1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings,
❑ Multi- family ❑ Master builder ❑ Other ❑ Fay pump. ❑ Installation of 75 KVA or
�� i r > r k ❑ Emergency system larger sepanlely derived system -
Rm- ? _
...I ,t: 6x..l_,'i , • ., ; _ .,., I ' % ' _ r :•.., ..,..: ` _.,_ ,i i.'. ❑ Addition of new motor load of ❑ "A" "E". "I-2". "1 -3'•,
Jobno.: 12 - 603 Job site address: 14050 SW Pacific Hwy. 1001-Wormom. occupancy.
' ❑ more Six or more units. ❑ Recreational vehicle parks.
City/State/ZIP: Ti • and , OR 97223 ❑ Health -care facilities. ❑ Supply voltage for mom than
❑ Hazardous locations. 600 volts nominal
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more
y o J s
Cross street/directions to job site: os u i to®rrr 0' Re. r omp I ,r, . r'-
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'I 500 sq. ft. or portion 33.92 I
Tax map/parcel - no.: Limited energy, residential
a - , r rs- , 67.84 2
L' gY 84
�..1: ¢ i:`i a t , 74.":: x ..� i.,/,:', ., , , ,. .,+• .,, , ..;.,, a. n , l i_ �... ':=.:4''' > : . (with above sq. ft.)
Limited energy, multi- family 67.84 2
//�� • • = t. /Q11Ale # ear U/ / S r� �- �- • a residential (with above sq. ft.)
2 t,� reg. �z V T 1 te/`'/5 Services or feeders installadon q eratio and/or relocation
200 amps or lei 100.70 2
rw _,_, .,
v 1. I 201 amps to 400 amps 133.56 2
�. Sc .I^...t .iis ,... -... 1. , . . _ ,BC -r. __ ,. _'.::, _ , , . ,� r1 ,. . d : ., �s..a. ,.... -
Name: 401 amps to 600 amps 200.34 2
Rudd ESP Pro.ert Factors Inc. 6ot amps to1,000amps 301.04 2
Address: I t - 4 Ova 1,000 amps or volts 552.26 2
Temporary et services or feeders installation, alteration, and/or
City/ State/ZIP: Ti:ard, OR 97223
Phone: ( 503 )245-1177 Fax: ( ) 200 amps or less 59.36 I
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
Branch circuits - new, alteration, or extension, Qer panel
Owner signature: Date: A. Fee for branch circuits with
S .i t _.. - ) - I , i 747.1;',,i',-151 i - 1 , : ''';''!"..7`.".1-'-:: I i above service or feeder fee, 7.42 2 • f•.il.4..k c,d.s, . . ,c,,. . . .1 > 14. .... . a_ a - - . each branch circuit
Business name: B. Foe for branch circuits without
service or feeder fee, first 1 56.18 56.18 2
Contact name: branch circuit
Each add'I branch circuit 1 7.42 7.42 2
Address: Miscellaneous (service or feeder not Included)
Ci / State/ZIP: Each manufactured or modular 67.84 2
tY dwelling, service and/or feeds
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E Signor outline lighting 67.8 2
g : _ ,.=� 1 _ , _ r - ' 7 . , ':." , - 1. =:: 4 1" , - :2 - .:j?,:,..;.,.. - r .,� , ? _ ,' .. , s_ r ' _._.. v _ Signal circuit(s) or limited - energy
panel, alteration, or extension. Paget 2
Businessnlifrle: Bob's Electric
Each additional inspection over allowable in any of the above
Address: 2700 NE Burton Rd. Ste. A Additional inspection (I hr min) 66.25/lir
Investigation (I hr min) 6625/ hr
r • ' • - Industrial plant (1 hr min) 78.18/ hr
Phone: ( 360 ) 254 - 7200 • ax: (360') 54 - 821'- • Inspections for which no fee is 9000 /br
j , P ficall fisted 'h hr mm
Subtotal: 63.60
Suprv. Electrician signature, required• rr�� Plan review (25% of permit foe):
Print name: Kevin Broselle Date 5 18 12 State sureharge(12 % of permit fee): 7.63
TOTAL PERMITFEE: 71.23
Authorized signature: This permit application expires if a permit Is not obtained within 180
Print name: Date: days after It has been accepted as complete.
N um b er of inspections allowed per permit.
I: BuildiogUPamits ■ELC- PermitApp.doc 10/0 I/09 440.4615T(II /OS /COM/WEB
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