Permit � CITY OF TIGARD :;' ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2011 -00392
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/15/2011
Parcel: 2S 101 CA00400
Jurisdiction: Tigard
Site address: 7930 SW HUNZIKER ST
Project: Charter Mechanical Subdivision: Lot:
Project Description: (11) branch circuits. 8/19/11, reprinted to add (1) 100 amp, (1) 150 amp feeder & (4) additional branch circuits.
Contractor: CAPITOL ELECTRIC CO INC Owner: RUSSELL FAMILY LIVING TRUST
11401 NE MARX STREET DAWN NEW HUNZIKER LLC
PORTLAND, OR 97220 WELLS APARTMENTS LLC ET AL
EAST WENATCHEE, WA 98802
PHONE: 503 - 255 -9488 PHONE:
FAX: 503 - 257 -7121
FEES
Quantity Description Date Amount
11 crt Branch Circuits wo /Purchase 07/15/2011 $130.38
Specifics: - Service or Feeder
1 ea 12% State Surcharge - 07/15/2011 $15.65
Type of Use: COM Electrical
Class of Work: ALT 2 ea Services or Feeders - 200 08/19/2011 $201.40
amps or less
Type of Const: 4 crt Branch Circuits w /Purchase 08/19/2011 $29.68
Occupancy Grp: Service or Feeder
28 _ 12% State Surcharge - 08/19/2011 $27.73
Electrical (manual)
Total $404.84
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. ATTENT : r on law requires you to follow the rules adopted by the Oregon Utility Notification Ce . Those rules are set forth in OAR
952- 001 -0010 hrough OAR 952.001 -r %•0. Y• ay obtain a copy of the rules or direct questions to OUNC by calling 50 .1987 or 1.800.332.2344 •
Issued By. / 1 Permittee Signature: fr
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.
,, CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2011 -00392
h ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/15/2011
O
Parcel: 25101 CA00400
Jurisdiction: Tigard
Site address: 7930 SW HUNZIKER ST
Project: Charter Mechanical Subdivision: Lot:
Project Description: (11) branch circuits
Contractor: CAPITOL ELECTRIC CO INC Owner: RUSSELL FAMILY LIVING TRUST
11401 NE MARX STREET DAWN NEW HUNZIKER LLC
PORTLAND, OR 97220 WELLS APARTMENTS LLC ET AL
EAST WENATCHEE, WA 98802
PHONE: 503 - 255 -9488 PHONE:
FAX: 503 - 257 -7121
FEES
Quantity Description Date Amount
11 crt Branch Circuits wo /Purchase 07/15/2011 $130.38
Specifics: Service or Feeder
1 ea 12% State Surcharge - 07/15/2011 $15.65
Type of Use: COM Electrical
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 O -001 0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.8000.332.2344. /
Issued By: `� Permittee Signature: ‘ /v /L // e/ �v � ( .7N
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.
Electrical Permit Application Date /By: Received FOR OFFICE USE ONLY
City of Tigar Date/By: ' y /�� � Permit no.:: O ,� • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie 1 (�( n . aO /��o J
Q _ ' Phone: 503.639.4171 Fax: 503.598.1960 +� Other Permit:
T I GARD
Inspection Line 503.639 � � bo Date Ready /By: Juris: ❑ See Page 2 for
Internet: www.tigard-or.gov t.`'
��� � � 111¢ttfied /Method V Supplemental Information
S
':`t,,.r.4;t �n�
.�n , :°a�€n. � �.., 'rE ?`
,TY� OFWQRK",i�.;a', _S; . s � >- .. �'a
0 � �� .�K t saL: ,-,- `:a.aw,a: r. ,.!:l „ t.a .,:r ,.
❑ New construction H Addition /alteration /replacement
C9 Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Demolition LI Other: _ � ❑ Service or feeder 400 amps or more CI Building over three stories
-1 J �r'° t v' - ,.., , :_ '>o-. € , '. CATEGOR"Y,OF @ONSTRUCTION �,:'.,' r $� , , - Nz ; . , where the available fault current ❑ Marinas and boatyards
1 I - and 2 family dwelling U Commercial /industrial ❑ Accessory building exceeds 10,000 amps at 150 volts or ❑ Floating buildings
❑ Multi - family ❑ Master Builder ❑ Other less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
" 1 r, JOB S[TE.INFOKMATIONtAND'[;OCA:I [OVA` : amps for all other installations. buildings
Job no.: 110968 Job site address: 7930 SW Hunziker ❑Fire Pump CI Installation of 75 KVA or
❑ Emergency system larger separately derived system.
City /State /ZIP: Tigard, OR ❑ Addition of new motor load of ❑ 'A ", "E ", "1 -2 ", "1 -3 ",
100HP or more. ❑ occupancy .
Suite/bldg./apt. no.: Project name: Charter Fab ❑ Six or more residential units El Recreational vehicle parks.
❑ Health - care facilities ❑ Supply voltage for more than
Crow Street/Directions to job site: ❑ Hazardous locations 600 volts nominal.
❑ Service or feeder 600 amps or more
- `'Ir' , 'FEE SC :; 0' ., . n: :
Subdivision: Lot no.: :
_
Description I Qty. I Fee. I m Total I „
Tax map /parcel no.: New residential - single or multi - family dwelling unit.
x„ E;', ;,,, „„,t DESCRTPT,IONIOI WORK, `. , Via;:- _.:, :,, ._s .;11, . Includes attached garage.
Additional circuits at Fab area 1000 sq. ft. or less $ 168.54 4
Ea. Add'I 500 sq. ft or portion $ 33.92 I
t„ i ❑ P,ROPERTY'O,WNERi ii a . ' ; ' ,rrf''9' , . ❑;+TFNA'NT f,,'' .. ,,- 4)4 , Limited energy residential
Name: (with above sq. ft.) $ 75.00 2
Limited energy, multi - family
Address: residential (with above sq. ft.) $ 75.00 2
Service or feeders installation, alteration, and /or relocation
City /State /ZIP:
200 amps or less $ 100.7(1 2
201 amps to 400 amps $ 133.56 2
Phone: Fax: 401 amps to 600 amps $ 200.34 2
601 amps to 1000 amps $ 301.04 2
Owner installation: This installation is being made on property that I own which is not Over 1000 amps or volts _ $ 552.26 2
intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 Temporary services or feeders installation, alteration, and /or
Owner signature: Date: relocation
200 amps or less $ 59.36 I
°, -a;, ❑, AP,PLIOANT" b. L - � I , .: , ❑E` , `CONTACTSPERSON. 201 amps to 400 amps $ 125.08 2
Business Name: 401 amps to 599 amps $ 168.54 2
Branch circuits - new, alteration, or extension, per panel
Contact name: A. Fee for branch circuits with
service or feeder fee, each
Address: branch circuit $ 7.42 2
B. Fee for branch circuits
City /State /ZIP: without service or feeder fee,
first branch circuit 1 $ 56.18 56.18 2
Phone: Fax:
Each additional branch circuit: 10 I $ 7.42 74.20 2
Miscellaneous (service or feeder not included)
E -mail: Each manufactured or modular
tots _ ':' ` t r °' 'P- ; - CONTRACTOR ; . . 1 1 _ 1 " ' : W dwelling, service and or feeder $ 67.84 2
Business Name: CAPITOL ELECTRIC CO., INC. Reconnect only $ 67.84 2
Pump or irrigation circle $ 67.84 2
Sign or outline lighting $ 67.84 2
Contact name: if/CNA 1.0 M4 OZ 72,k Signal circuit(s) or limited -
Address: 11401 NE MARX ST. energy panel, alterations, or
extension. Describe: $ 75.00 2
City /State /ZIP: PORTLAND, OR 97220 -1041 Page 2
Each additional inspection over allowable in any of the above
Phone: 503 - 255 -9488 / /' Fax: 503- 257 -7121 Per inspection $ 66.25
Investigation per hour (I hr min) $ 66.25
l CCB Lic.: 48748 'Electrical Lic.: 2 - 4p,6C 4 iprv. t ' "2865 - ✓ Industrial plant per hour $ 78.18
Suprv. Electrician signature, required: '711 �k� % ELECTRICAL.PERIVIITrFEES! '. ^ �- ' f ' -.. ,
Subtotal $ 130.38
Print Name: Richard Martin Date: 0_71131.7 -1 Plan review (25% of permit fee)
State surcharge ( 12% of permit fee) $ 15.65
Authorized signature: TOTAL PERMIT FEE $ 146.03 L-:"
Print Name: Richard Martin This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
* Number of inspections per permit allowed.
I: \I3ui Iding \I'cnnils \ELC- PermitApp.dac 10/01/09 440 - 4615'1(1 I /05 /COM /WEI3 '
Electrical Permit Applicatiot, A � ; - .,; f
FOR OFFICE USE ONLY
Rece ived
�11 of Tigard t °,-f L. �'' Date /By: Permit no.: ELC2011 - 00392
N1 13125 SW Half Blvd., Tigard, OR 97223 Plan Review
' C -
Phone; 503.639.4171 Fax: 503.598.1 *G 1 9 2011 Date /By: Other Permit:
T I'G A R D Inspection line: 503.639.4175 Date Ready /By: Juris: Li See Page 2 for
Internet: www.tigard-or.gov
CITY OF TIGARD Notified /Method: Supplemental Information
pt ill r tlI It t nivt (' N1
:µ. as ,. ; . «..,,' as tt a, , t; c,,., h MEW: _ "-.'"`= s 'ESS A q .:.±.. =fix :aa w tx Lr3"i"k' '"m a e ;; i'
��,�a' =��3.'YPE OF Wl7RKr�(� ���? =t'��. I, r�lE�ha.��a ..sf��� *:� ��. ����41Pa�;��� � tMtP.LANREUIEW;�m *,���s�a�.,�, .�p�a���,�at: `���,. 1;y,
❑ New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more ❑ Building over three stories
, t jNIM $ t #CAdI'EECORY OF GO ISTRUCTI�ONR s £ t ,r ' a ^ 4 *t ' i 1 where the available fault current ❑ M arinas and boatyards
1 „„ . 4t � �� an���4n?�ss� b ards
❑ I - and 2- family dwelling 1±1 Commercial /industrial ❑ Accessory building exceeds 10,000 amps at 150 volts or ❑ F loating buildings
❑ Multi family ❑ Master Builder ❑ Other less to ground, or exceeds 14,000 ❑ C ommercial -use agricultural
+is `tit M „ i" ,4 : ,6 MB}SIfaiFORMAT4ONAND LOCATIORN, `° YW r TOM amps for all other installations. buildings
Job no.: Job site address: 7930 SW Hunziker St. 111 Fire Pump ❑ Installation of 75 KVA or
❑ Emergency system larger separately derived system.
City /State /ZIP: Tigard, OR. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
100HP or more. ❑ occupancy
Suite/bldg. /apt. no.: Project name: Charter Mechanical ❑Six or more residential units ❑ Recreational vehicle parks.
❑ Health -care facilities ❑ Supply voltage for more than
Cross Streei /Directions to job site: ❑ Hazardous locations 600 volts nominal.
❑ Service or feeder 600 amps or more
MIK ' ' E D nllt _ ,FEEE SCH DALE E 3F: MSa.s ;ri V aMBI
Subdivision: Lot no.: Description I Qty. I Fee. I Total I ••
Tax map /parcel no.: New residential - single or multi - family dwelling unit.
a . ; i- , `i L ila t r DESCRTP.,TIONfociw RK si" 5 ' L / ... garage.
,�„ �, � t� t � , i ���t Includes attached ara e.
Additional Permit fee's added work, (I) 100amp, (1) 150amp feeder, (4) additional circuit 1000 sq. ft. or less $ 168.54 4
Ea. Add'I 500 sq. ft or portion $ 33.92 I
'f a ❑ MROPER Vt,OWNERiP; f , =iI ; ;, (usitil c)TEN#ANo ies:et, )„.vEGII Limited energy residential
Name: (with above sq. ft.) $ 75.00 2
Limited energy, multi- family
Address:
residential (with above sq. ft.) $ 75.00 2
Service or feeders installation, alteration, and /or relocation
City /State /ZIP:
200 amps or less 2 $ 100.70 201.40 2
201 amps to 400 amps $ 133.56 2
Phone: Fax:
401 amps to 600 amps $ 200.34 2
601 amps to 1000 amps $ 301.04 2
Owner installation: This installation is being made on property that 1 own which is not Over 1000 amps or volts $ 552.26 2
intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 Temporary services or feeders installation, alteration, and /or
Owner signature: Date: relocation
200 amps or less $ 59.36 1
;Ns
Li 1ti APPLIG.ANTLLa fi "`` , , ll s.° ' " rg " * zip ❑ ter G COt FACT PERSON a wi 201 amps to 400 amps $ 125.08 2
Business Name: 401 amps to 599 amps $ 168.54 2
Branch circuits - new, alteration, or extension, per panel
Contact name: A. Fee for branch circuits with
service or feeder fee, each
Address: branch circuit 4 $ 7.42 29.68 2
B. Fee for branch circuits
City/State/ZIP: without service or feeder fee,
first branch circuit $ 56.18 2
Phone: Fax: Each additional branch circuit: $ 7.42 2
Miscellaneous (service or feeder not included)
E -mail: Each manufactured or modular
1 , Ms is #" �r 'n a "i ^, ' a ra x - �
�,P�az i t ���'�'��� »�GONTRAC'�� f.�s,� a � ,��i,,"�i��md'I"sa3s"��ts�rte,c dwelling, service and or feeder $ 67.84 2
Business Name: CAPITOL ELECTRIC CO., INC. Reconnect only $ 67.84 2
Pump or irrigation circle $ 67.84 2
Contact name: Sign or outline lighting $ 67.84 2
Signal circuit(s) or limited -
Address: 11401 NE MARX ST. energy panel, alterations, or
extension. Describe: $ 75.00 2
City /State /ZIP: PORTLAND, OR 97220 -1041 ' Page 2
Each additional inspection over allowable in any of the above
Phone: 503 - 255 -9488 Fax: 503 - 257 -7121 Per inspection $ 66.25
Investigation per hour (1 hr min) $ 66.25
CCB Lic.: 48748 (Electrical Lic.: 26 - 496C (Sup" . Lic.: '': . - Industrial plant per hour $ 78.18
Suprv. Electrician signature, required:
/ I ELECTRlCAL *pj r d 4� � '/ .t sS £ ?x 7 " 5
( 7.**
Subtotal $ 231.08
Print Name: Richard Martin Date: 08/1 / Plan review (25% of permit fee)
Authorized signature: State surcharge ( 12% of permit fee) $ 27.73
TOTAL PERMIT FEE $ 258.81
Print Name: Richard Martin This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
• Number of inspections per permit allowed.
I: \Building \Permits \ELC- PermitApp.doc 10/01/09 440 4615T(I I /05 /COM /WEB