Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2011 -00562
Date Issued: 10/12/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718 2439 Parcel: 2S101 D600100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 200
Project: Angel Vision Subdivision: VARNS ACRES Lot: 4
Project Description: (1) branch circuit for new copier
Contractor: PARKIN ELECTRIC INC Owner: HILLTOP BUSINESS CENTER LLC
14001 FIR STREET HUNZIKER LLC
OREGON CITY, OR 97045 9430 NW KAISER RD
PORTLAND, OR 97231
PHONE: 503 - 657 -4958 PHONE
FAX• 503 - 557 -1059
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo /Purchase 10/12/2011 $56 18
Specifics: Service or Feeder
1 ea 12% State Surcharge - 10/12/2011 $6.74
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $62.92
Required Items and Reports (Conditions)
This permit is ued s. • - t 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 ccordance with a.•roved •fans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days AT NTION Oregon law -quir -s •u to follow the rules adopted by the Oregon Utility N. io Center Those rules are set forth in OAR
952 - 001 - 10 thr• gh OAR 952 - r • r090 ou may obtain a copy oft a rules or direct questions to OUNC by = ing r '�87 or 1 800 332 .44.
Issued y: / Permittee Signat • I' .
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:
TRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' 0 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: 10/11/2011 15:14 #998 P.002/002
O
Electrical Permit Applicati # kr
OS\ .
. FOR OFFICE USE ONLY
City of Tigard -40 ' , "). N.rL Received
'• Phone: 503.718.2439 Fax: 503'; 98.1'/V 11 PIM i No. .
. //..5
K OS), % Z...., Date/B - et . P erm t
. . 4 13125 SW Hall Blvd., Tigard, • 7 7. 23 't,‘ ,,,c r ._'3`... Plan Review
"'X
' IIII - V ,„. Date/B : Other Permit:
TIGARD
Inspection Line: 503 'C
.639,4175 Date Ready/By hms: Pi See Page 2 for
- Internet: www.tigarct Notified/Method: Supplemental Information .
Ofs;i 'S .\\"0
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- :`;' , ; , _' -, , , ,.' , '.'• , ;:**,Vil,:: . :'7, ,!. "=',1',- '
El New construction 121Addition/alterationeplacement Please check all that apply (submit 2 sets of plans w/items checked below),
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
, K ,i 5 - ef 4 0, 1 0. : 00 0 ,- ti o vz .,, ; .. i tv o ga ivt54 . exceeds 10,000 amps at 150 volts or 0 Floating buildings
' • ' less to ground, or exceeds 14,000 0 Commercial-use agricultural
0 1- and 2-family dwelling pi Commercial/industrial El Accessory building amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or
J'•,! ra A s n Y e st w e m m otor load of 0 l'71E'r!1:1a-teP ed system
Job no.: Z /Q Job site address 9320 Spd iiiii Via,/ /1,210 0 100HP or more.
Six or more residential units, ocupancy
0 Recreational vehicle parks.
City/State/ZIP: p ri-i & o q '762;5 0 Health-care facilities. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: Project name: 0 Service or feeder 600 amps or more
0-E . , - .K 1 *.0 1)1 x. - - , Y 1 , ''. :, ',.: , ',' - ', 0= •-
Cross street/directions to job site: Description I Qtv, I Fee. I Total 1 .
New residential single- or multi-family dwelling unit.
I ak ) nluti Cepite._, 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
75 00 2
'S,r,iy.,sc-WprA ,, , 1:.--:-...;:-:.: (with above sq ft.) .
Limited energy, multi-family
75.00 2
residential (with above sq. ft.)
Services or feeders installation alteration, and/or relocation
200 amps or less 100.70 2
, , ,,
13 PROPERTY OWNER , ;:::*, ,„-.0, -,_:::::_:,-,:_,,,- 201 amps to 400 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
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, er panel
Owner signature: Date: A. Fee for branch circuits with
- :: _ ;:- I:F ,.`"': ":;;::: .--.'' - ,' "n:toSrfli6T2/ Oki** 7A2 2 -:::.: : ' above service or feeder fee,
. . . . . ,. ., - .... . . . . -. — - - - . _ - - - - each branch circuit
Business name: B. Fee for branch circuits without
service or feeder fee, first
56 18 ,i6r 2
Contact name: branch circuit
Each add'I branch circuit 7.42 2
Address: Miscellaneous (service or feeder not included)
Each manufactured or modular
City/State/ZIP: , dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67 84 2
E
Sign or outline lighting 67.84 2
FCOTRACTO4 , ' : - r - - '- - . HI , r , ' r'r ' ,
- - Signal circuit(s) or limited-energy
Business name: Parkin Electric panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the abov
Address: 14001 Fir Street Additional inspection (1 hr min) 66.25/ hr
City/State/ZIP: Oregon City, OR 97045 Investigation (1 hr min) 66.25/ hr
Industrial plant (1 hr min) 78.18/ hr
Phone: (503) 657-4958 Fax: (503) 557-1059 Inspections for which no fee is
90.00/ hr
CCB Lic.: 35151 711111(
Electrical Lic.: 34-4C /., Suprv. Lic.: 4241 , Specifically listed (1/2 hr mm)
::::"?',' . ;;'::#4.KlitiC41.;zrEitarr::FEES:7. - , - 1,' - '_
' Subtotal: pg
Suprv. Electrician signature, required: -L_____
Plan review (25% of permit fee):
Print name: David B Parkin Date: State surcharge (12% of permit fee):
TOTAL PERMIT FEE: 7g9g,
_____
Authorized signature:
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Date: 4. Number of inspections allowed per permit.
1 \Buildtriegermits\EL.C-PermitApp.doc 07/01/10 440-4615T(11105)COM/WEB