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Permit 71 ' r CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2010 -00659 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/23/2010 Parcel: 2S112DB00300 Jurisdiction: Tigard Site address: 7257 SW KABLE LN 300 Project: TRANE OF OREGON Subdivision: Lot: 0 Project Description: (8) branch circuits for reconnecting RTU's. Contractor: ACCURATE ELECTRIC OF OREGON INC Owner: PACIFIC REALTY ASSOCIATES PO BOX 2155 15350 SW SEQUOIA PKWY #300 OREGON CITY, OR 97045 PORTLAND, OR 97224 PHONE: 503 - 631 -3507 PHONE: 503 - 624 -6300 FAX: 503 - 631 -3544 FEES Quantity Description Date Amount 8 crt Branch Circuits wo /Purchase 11/23/2010 $108.12 Specifics: Service or Feeder 1 ea 12% State Surcharge - 11/23/2010 $12.97 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $121.09 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 suspeQded 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 throut .04' Yo . . of the wiz s or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. � 1 Issued By. � _ Perm ittee 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' 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. Nov 19 10 12:11p ACCURATE ELECTRIC OREGON 5036313544 p.1 Electrical Permit Application 'P FOR OFFICE USE: ONLY City of Tigard Received O Pint No.: a LC v „ I � 13125 5W Hall BIvd., Tigard, OR 9 :! %\© Dale/B Plan Review Phone: 503.718.2439 Fax: 503.11:_ v ` t �, DaDate/13v: Other Permit: . '2 T 1 G A R D Inspection Line: 503.639 Dale Reidy' /Ry �� El See Page 2 for Internet www.tigard or.gov �\Q �G ��* Notified/Method: ���j Supplemental Information TYPE OF WORK \" — Qv.- , PLAN REVIEW ❑ New construction ® Addition / alteratio i ent Please check all that apply (submit 2 sets of plans w /items checked below): \ ❑ Service or feeder 400 amps or more ❑ Building over ihrce stories. ❑ Demolition ❑ Other: Qq �.7 where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ° , "E ", "1 2 ", "i -3 ° , Job no.: 40 - 1045 Job site address: 7257 SW Kable Ln 100HP or more. occupancy'. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State / Tigard, OR 97224 ❑ Health-care facilities. ❑ Supply voltage for mere than ❑ Hazardous locations. 600 volts nominal. Suite/bldg./apt. no.: v3'() Project name: Trane ❑ Service or feeder 60D amps or more. FEE SCHEDULE Cross street/directions to job site: Description 1 Otv. 1 Fee. 1 Total '` 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. R. or portion 33.92 l Tax map /parcel no.: Limited energy, residential 75,00 2 DESCRIPTION OF WORK (with above sq. R.) Limited energy, multi- family 75.00 2 Disconnect /Reconnect Roof Top Units residential (with above sq. R.) Services or feeders installation, alteration, and/or relocation • 200 amps or less 100,70 . 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to400 amps 133.56 2 401 amps to 600 amps 200.34 ' 2 Name: 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration. and/or City/State /ZIP: relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ® APPLICANT ❑ CONTACT PERSON above service or feeder fee 7 2 each branch circuit Business name: Accurate Electric of Oregon Inc. B. Fee for branch circuits without _____ service or feeder fee, first 1 56.18 56 2 Contact name: Debra Connor branch circuit Each add' I branch circuit 7 7.42 51.94 2 Address: PO Box 2155 Miscellaneous (service or feeder not included) I Each manufactured a dl modular City /State /ZIP: Oregon City, OR 97045 dwelling, service andlor feeder 67.84 2 ' Phone: (503) 631 -3507 Fax: : (503) 6313544 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E -mail: debra@accurateelectricor.com Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited- energy Business name: Accurate Electric of Oregon Inc. panel, alteration, or extension. Paget 2 _ Each additional inspection over allowable in anyofthe above Address: PO Box 2155 Additional inspection (1 hr min) 6025/ hr ' Investigation (1 hr min) 66.25/hr City/State /ZIP: Oregon City, OR 97045 Industrial plant (1 hr min) 78.18 / hr Phone: (503) 631 -3507 Fax: (503) 631 -3544 Inspections for which no fee is 90.00/ hr specifically listed (' he min) - I CCB Lic.: 191345 Electrical Lic.: C637 Suprv. Lic.: 5094S ELECTRICAL PERMIT FEES - y on , '7 j // ' i c l i %j Subtotal: 108.12 Suprv. Electricia st 'm re q uired: v / Platt review (25% of permit fee): Print name: Ken Sweo Date: 11/19110 State surcharge (12 %ofpermit fee): 12.97 � n //t/ J /' / Z �� TOTAL PERMIT FEE: 121.09 Authorized signature: �// 5f This permit application expires if a permit is not obtained within 180 • � i7 days after it has been accepted as complete. Print name: Debra Connor Date: 11/19/10 • Number of inspections allowed per permit. I :au ilding*Pe=hs\ElC -Permit App. doc 07/01/10 440-4015T(11105ICOM'WEB