Permit 7 II CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2011 -00537
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718 2439 Date Issued: 09/29/2011
Parcel: 2S110DCO2300
Jurisdiction: Tigard
Site address: 11535 SW DURHAM RD C -2
Project: Gen Tog Subdivision: 1998 -128 PARTITION PLAT Lot: 1
Project Description: (2) branch circuits to connect roof top unit & heat strips unit.
Contractor: HUGHES ELECTRICAL CONTRACTORS INC Owner: HIP WILLOWBROOK LLC
10490 NW JACKSON QUARRY RD BY HARSCH INVESTMENT CORP
HILLSBORO, OR 97124 PO BOX 2708
PORTLAND, OR 97208
PHONE. 503 - 647 -2221 PHONE.
FAX: 503 - 647 -7754
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo /Purchase 09/29/2011 $63 60
Specifics: Service or Feeder
1 ea 12% State Surcharge - 09/29/2011 $7 63
Type of Use: COM 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 thro OAR ou may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344
Issued By: ' 2_...-/.lit .e9—kd Permittee Signature: /C, .
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' -
0 • ,, A It / .✓ / Date:
p- /- -
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 , . t ° +4 5j ° FO r ' , t , ,'
.P �" ,, City of Tigard Received
1 g �ft1 � Permit No 69.40/4--e2053
" 13125 SW Hall Blvd , Tigard, OR 97223 �1�� Y✓ P a Review // �� 7
:r Phone 503 718.2439 Fax. 503 598 1 Date /By, Other Penmt
T[GA Inspection Line. 503 639.4175 Q y El See Page 2 for
p �� Date Ready/By lw is
- -L`_- ".•_La Internet www•tigard - gov 41 % Notified /Method - 1 -1----Co Supplemental lnfotmation
TYPE OF WORK '' �,�'•c ce PLAN REVIEW
lk'131Ok ITt, eytt �i+ y Please check all that apply (submit 2 sets of plans w/items checked below)
11 New construction ® Addition /alleration/r
v ' ❑ Service 01 feeder 400 amps or mote ❑ Building over three stollen
❑ Demolition ❑ Other: , - Z y��1 X' where the available fault current
❑ Mannas and boatyards
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts of ❑ Floating buildings
less to giound, of exceeds 14,000 ❑ Commercial -use agncultutal
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations buildings
❑ Multi- family ❑ Master builder ❑ Other ❑ Fire pump ❑ Installation 01 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Cmeigency system Iaigei separately den ved system
❑ Addition of new motor load of ❑ "A ", 'E ", "I -2 ", '1 -3"
Job no. I IA431 Job site address 11535 SW Durham Rd 100H0 of more occupancy
❑ Siv or more residential units ❑ Recreational vehicle packs
City /State /ZIP Tigard, OR 97224 ❑ Health -case facilities ❑ Supply voltage for mole than
❑ Hazardous locations 600 volts nominal
Suite /bldg. /apt no. C5 Project name. Reitmeier - Gen Tog ❑ Seivice of feedei 600 amps of store
FEE SCIIEI)ULE
Cross street /directions to job site. Description I Qty I Fee I Total I "
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'l 500 sq it or portion 33 92 I
Tax map /parcel no • Limited energy, residential
75 00 2
DESCRIPTION OF WORK (with above sq ft )
Limited energy, multifamily 75 00 2
Connect roof top unit & heat strips unit residential (with above sq ft )
Services or feeders installation, alteration, and /or relocation
200 amps or less 100,70 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133 56 2
Name:
401 amps to 600 amps 200 34 2
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/Z11': relocation
Phone: ( ) Fax: ( ) 200 amps or less 59 36 I -
201 amps to 400 amps 125 08 2
Owner installation: This installation is being made on ptoperty that I own which Is not
mtem','d 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, per panel
Owner signature Date. A Fee for branch circuus with
APPLICANT above service or feeder fee, 2
1:1 ® CONTACT PERSON each branch circuit 7 42
Business name' Hughes Electrical Contractors B Fee for branch circuits without
service or feeder fee, first I 56 18 56 18 2
Contact name: Tony Mulcahey branch circuit
Each add'I branch circuit I 7 42 7 42 2
Address 10490 NW Jackson Quarry Rd Miscellaneous (service or feeder not included)
City /State /ZIP: Hillsboro, OR 97124 Each Manufactured or modula 67 84 2
dwelling. service and /or feeder
Phone (503) 816 -8053 F ax Reconnect only 67 84 2
( ) (503) 647 -7754
Pump or irrigation circle 67 84 2
E - mail. hec@hugheselectrical.com
hugheselectrical.coin Slgn or outline lighting 67 84 2
CONTRACTOR Signal circuit(s) or limited- energy
Business name. Hughes Electrical Contractors panel, alteration, or extension Page 2 2
Each additional inspection over allowable in any of the above
Address: 10490 NW Jackson Quarry Rd Additional Inspection (1 hr min) 6625/ hr
City /State /ZIP: Hillsboro, OR 97124 tk Investigation (I hr min) 66.25/ hr
kx
Industrial plant (I hr min) 78 18/ hr
V
Phone: (503) 647 -2221 4 Fax. (503 -) 647 -77"' �� I I' Inspections for which no fee is 90 00/ hr
specifically listed (% hr min)
CCB Etc 49850 IA tIV( Lic • 34 - 281 Supry Lie. 5350S ELECTRICAL PERNI►'T-
Subtotal 63.60
Supry Electrician signature, I squired: Plan review (25% of permit fee) 0 00
Print name. David Trapp Date 09/29/11 State surcharge (12% of permit I'ee)• 7 63
Authorized signature
"TOTAL PERMIT FEE 71.23
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name' Date ' Number of Inspections allowed per permit
I ABmldmsV Pe, mes \ELC- PernurApp doe 07/01/10 440- 4615T( II /05 /COM /WEB