Permit �. � �- CITY OF TIGARD ELECTRICAL PERMIT
.7 COMMUNITY DEVELOPMENT Permit #: ELC2010 -00195
• R 6 and OR 97223 503.639.4171 Date Issued: 04/22/2010
71
i! :• T14 k akiM4 13125 SW Hall Blvd., Ti g Parcel: 2S101 CA00200
I
Jurisdiction: Tigard
Site address: 7904 SW HUNZIKER RD
Subdivision: Lot: 0
Project: Plas 2 Fuel
Project Description: Four branch circuits and 1 150A for generator
Owner: FEES
WALL STREET INDUSTRIAL LLC & Quantity Description Date Amount
A RICHARD VIAL EXEC CENTER LLC, 7000 SW
YARNS ST 1 ea Services or Feeders - 200 04/22/2010 $100.70
amps or less
PHONE: 4 crt Branch Circuits w /Purchase 04/22/2010 $29.68
Service or Feeder
1 ea 12% State Surcharge - 04/22/2010 $15.65
Contractor: Electrical
ELECTRICAL CONTRACTOR SERVICES N.W.
3335 NW ST HELENS RD, PO BOX 1233
ST. HELENS, OR 97051
PHONE: 503- 366 -6060
FAX: 503 - 296 -5518
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $146.03
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 tt Ii
952-001-0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: _ _. `e /d- -tj . Permittee Signature: C (-- V IL-e - )
/ 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 an inspection that business day.
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 Pe
I AguadingYPa¢tialELGPmnithpp.dot 0527/06
RECEIVED
APR 2 1 2010
Y OFT GARD
City of Tigard
13125 SW Hall Blvd, Tigard, OR 97223
Phone: 503.639.4171 Fmc 503_598.1960
Inspection Lin= 503.639.4175
Internet www.tigandor_gov
TYPE OF .WORK
❑ New construction jg Addition/alteration/replacement
❑ Demolition ❑ Other:
CATEGORY OF CONSTRUCTION
❑ i- and 2- family dwelling ACommerciaNmdus(riat ❑ Accessory building
❑ Multi - fatuity ❑ Master builder 0 Other"
JOB, SITE B FOR1 L4UON AND : LOCATION
Job no.: C `V3 3 i , Job site address: 910 511.1 ' -i1, ti Z i K ez
City/State/ZIP `T i a
Cr R L'L Pte. `iL l i a 3
Suite/bldg./apt- no.: Project name: Pea 5 f Lt. H L
Cross street/directions to job site
.-a•3- 3i 1 ccs ca
Subdivision: 1 Lot no.:
Tax map /parcel no.- .2 S 1 L 1 c P Q a -D Q Q
DESCRIPTION OF.'.WORK
G e. - 1 - es 1 ns - tcm le.c ��c ter -'
❑ PROPERTY. OWNER
0 TENANT
Name:
Address:
City/State/ZIP:
Phone :( )
I Fax:(
Owner installation: This installation is being made on property that 1 own which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Owner signature: Date:
0 APPLICANT
`0 - CO1+tTACT .PERSON •
Business name:
Contact name:
Address:
City/StateJZIP:
Phone: ( )
Fax:: (
E -mail:
CONTRACTOR •
Business name: lee t,leQl Ct 1.GC, pct Vin_ Lt LP i�i'�
Address: PC. r7 1 33
City /State'ZiP: p Cj, S 1
one: ( &d3 c i a 1
CCB Lic.:1 jam.` G
Suprv. Electrician signature, req
1 2 Fax: (ti5:3) c Vo S S 12
Suprv. Lic. :3 1 s)9 5
Date: `tf f 1 C l (1
Authorized signature:E
Print name: 1 I Date:
'd
8L99 (609)
440 - 4 613T(110:15/C0114/WEB
:� S�u,r,a
r,
I O c O I I: (), l 1
Received
Plan Review
Dam Rcadyi8r-
Naieied/Met6aa:
Permit No. %20(0 - o I -1..7
Other Permit
Axis: L�
1
PLAN : REVIEW
Please check all that apply (submit b sets of plans w/items checked below):
❑ Service or feeder 400 amps or more 0 Building over throe stories_
where the available fart correct ❑ 11Fauiaas and boalyards.
weeds 10,000 amps at 150 volts or ❑ Electing bei /dngs..
bas to gourd, or exceeds 14,000 0 C®maeial -esc agricultural
Moldings.
0 ttulaoaGOn of 75 KVA or
Larger separately derived system.
0 "A "„"E" «I 2 ", "e -3",
oceta+aacy.
O Reaeanonat vehicle parks_
O Supply voltage for not than
600 volts nominal.
amps for all other installations.
OFirepump_
❑ Emergency system.
❑ Addition of new motor load of
10011P or more.
D Six or more residential waits.
❑ Health - are faalit;cs.
Cl tlaa,doas locations.
Savite or feeds 600 amps or more
)FEE SCHEDULE
nesoiptba 1 Qty. 1 Fee ( Tan, ( •
New residential single- or multifamily dwelling unit.
Includes attached garage.
1,000 sq. ft. or leas 4
Ea. add'1500 sq. IL or portion
Limited energy, residential
(with above sq. ft)
Limited energy, multi - family
residential (with above sq. B")
Services or feeders installation, alteration, and/or relocation
200 amps or his SC 2
201 amps to 400 amps
401 amps to 600 scarps
601 amps to 1,000 amps
Over 1,1100 amps or volts 2
Temporary services or feeders installation, alteration, and/or
relocation
200 amps or less
201 amps to 400 mnps 2
401 amps to 599 amps
Branch circuits— new, alteration, or extension, per panel
A Fee for branch circuits with
above service or feeder fee,
each branch circuit
B. Fee for branch circuits
without service or feeder fee,
first branch circuit
Fade add 'I branch circuit
Miudlaneot s (service or feeler not included)
Each manufa or modular
dwelling, service and/or feeder
Reconnect only
Pump or irrigation circle 2
Sign or outline lighting
Signal circuits) or limited-
energy panel, alteration, or
erdension. Describe:
Each additional inspection over allowable in env of the above
Per inspection
Investigation per hour (1 lrr min)
Industrial plant per hour
ELECTRICAL PERMIT FEES
Subtotal:
Plan review (25% of ptxmit fee):
State surcharge (12% of permit fee):
TOTAL PERMIT FEE:
62.50
See Page 2 ter
SupplementalInfetimtian
145_15
75.00
33.40
75.00
8030
106.85
160.60
240.60
454.65
66.85
100.30
133.75 ,
6.65
46.85
6.65
90.90
66.85
53.40
53.40
Page 2
62.50
73.75
2
2
2
2
2
2
2
2
2
2
2
2
2
1 oi,_gQ�
1 ') -'z23
i19.ta
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
• Number of unctions allowed Par pewit. 4e z r_L
Heaps UB)10 )Is eiuuo8
e6Z :01 OL LZ add