Loading...
Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT Permit #: ELR2011 00243 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/30/2011 Parcel: 2S113AB00300 Jurisdiction: Tigard Site address: 16037 SW UPPER BOONES FERRY RD 165 Project: Spec Space Subdivision: FANNO CREEK ACRE TRACTS Lot: 38 Project Description: Low voltage for HVAC Contractor: SQUIRES ELECTRIC Owner: OREGON STATE BAR, THE 1001 SE DIVISION STREET #1 16037 SW UPPER BOONES FERRY RD PORTLAND, OR 97202 TIGARD, OR 97224 PHONE: 503 - 252 -1609 PHONE: FAX: 503 - 253 -5831 FEES Description Date Amount Specifics: Restricted Energy Permit 11/30/2011 $75.00 12% State Surcharge - Electrical 11/30/2011 $9.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 1 Audio & Stereo: N Boiler Controls: N CCTV: N Clock Systems: N Data & Telecommunications: N Fire Alarm: N HVAC: Y Instrumentation: N Intercom /Paging: N Landscape /Irrigation: N Landscape Lighting: N Medical: N Nurse Calls: N Protective Signal: N Security Alarm: N Other: N Total $84.00 Other Desc: Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accord - . - ith approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENT : Oregon -w ires you to follow the rules adopted by the Oregon Utility •...: ion enter. Those rules are set forth in OAR 952 - 001 -0010 rough OAR 952- 0' " -00• r. •u may obtain a copy of the rules or direct questions to OU ' by 1. 1987 or 1.800. 32.2344. Issued B : ' • rol V Permittee Sign. r OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE: Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 11/30/2011 09:01 5032535831 SQUIRES ELECTRIC #0651 P.002/003 Electrical Permit Application CEI: VE I_ FOR_ OFFICE lc li 1 F ON 1.:N' :: III Pe City Of Tl sird l II k// f -•/' f L A rmit No.: & / ©d 3 13125 SW hall Blvd., •Tigard, OR 97223 NOV 3 Phone: 503,718.2439 F•'ax; 503.598.1960 2011 ,Review P Other Pat : _ �O /� "�e g� :l' WARD Inspection Line: 503 639.4I 75 C Dal Rendy/6y, runs: El See Pagc 2 for . Internet: www.tigard - or.gov OF GAR i Nod lied /Method: Supplemental Information .- .1! l f: l : Ili. Ar • ,Bp l. 4r, w' O. { l" t'.. "a r V T.Pl ,. .... r., , 4l'4'r5{:, ,,. + { r w , n.•.- .. d Iltli 1 ,: r 9`5'. �::$ .ut.,v:, '• ,pys i ... E. : .awe ,r , 1t w,r.„rlll %lip r e ,n t r ' j „.. u', iv v 4.' ��' " '' r ... ..... ....... ,a vY l x �.��I'at rr;rrF'ra rdpr{ tr „ a ,rt{l, +ulitl .. €r5 � _• „ i r ,,. .,, �hh�-,.ff lantIl "I t. P lease check all that apply (+nbmt 2 s ets o plans w /items checked below): ❑ New construction Addition/alteration/replacement P f ❑ Service or feeder 400 ;imps or more ID Building over three storks. l I Demolition r, where .5,.. : _.... ^ .....ri ll L' . p " :' •' .. i.4biri.. ....... .. ..... .. i . , y. r .�. , .. � 'Z � " ! 'TCI . •"... � . ii ( e available fault current - •rii :i,iir . : 1 ,.,., l lrtn8a and b0 {, 1, ,, . .:. : ^.:'.r:A {r .� "a °r: °,�-..: . ........�.� :..:..:. :. ....... '� • , � y.�• ' n• ,� S , �, . : � � ...._.... n , .... .....,. ..............., CXCeeeds 10 000 amp 150 volts y. .. . . u.,....€., P. J,. )v.Il. { . r ,..,.,... {,.+.{, � ^R,J�' ',,.:.+..ff�Cl h_ 19Jo ;. :C4., +{� .....�... ,.dau{ ; P 0T ❑FIOarIn6 k�uildmgS. I.:.....,..,.«," l n,asnrme , .....r:r .ir 1„arrru �,i . ,...::.: i b a p. . less to ground, or exceeds 14,000 ❑ Commercial -use agieultuial ❑ 1- and 2- family dwelling Commercial/industrial ❑ Ac• cssory buildi g amps for all other installations, buildings, ❑ Multi - family Master builder ❑ Ot cr: Q Fire pump. ❑ Installation of 75 KVA or { ” ++r ���i, • ❑ Emergency system- larger net k! . s� ..,r„, 4{ ! :1 { , u, ! ' = ioVruri s ytl systcin. R €q11 w r d.:.. , 1 { ,. zr,l,lili d ❑ Addition anew motor i "1-27, Joh no.: Job site address: a 6 E.• 0 sir IixHP or more- Recreational vehicle parks. City /Slats/ IP: ,.` / 1) ' � ,' /� [] Health-care facilities. ❑Supply voltage far more than crT � � r ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: 1 6 Project name - L7 Service or feeder 600 amps or more. ,.,..�.. ............... ill A{ \ A'AItAr ...,........... ,,...,.....:�,,�............,, �. "....., r: :YAJJ;AN r........... i1d^ fl ,r, 1p ., Yil �A -: �Id Vii, ,'. Cross street/directions to job Site: N1�'rJ k,k , , r u�:V, 5 '<rl�K�d� lMl i A�,A' , ,., ;'�, 1'[INi „�. r, {�n , r �r s Dm...r tion New residential single- or multi - family dwelling unit. Includes attached garage. • Subdivision; Lot no.: 1,000 sq. fl. or less 168.54 4 Tax map /parcel no.: ' a. add'! 50 F 0 sq. ft or portion 33.92 I -, , ,,,,.,�_,�.. Limit er ttal qA.r. tier L... - :;:, :.:. .. .. .........r:. gY l '''1 : „ ' , .rsr{ c +.. ,- .:,..r.,�.,,...., 75.00 ........ 1 .. ,....::.�- r:c:•::r::, :::::.. ,.:' ..6t :It 's( c.;9i.;: r�iiii r:[W:;' iU Rik. . - ,��°.., � '. l !t (w'dr above sg ft.) ., :iN u, 7` irllo�ts- :,.(.... . r,', n,,,,. . _' 1 ; €,t� 'GRHI #1�iG;a r. ti: �� ,(� 1 si d energy, mu il 75.00 2 p� residential (with above ft.) Services or feeders installation, alteration, and/or relocation 200 amps or lass 100.70 2 la' iC��(r��t „,,,+q� d „ ''� i $1 1 11 11 � � �J4sl d. s, 201 am to 400im 133.56 n „,{.,: l .r„ !, , c .. ',, ' 'IS ll l E re "1..1”, 1w f Ps P 2 401 amps to 600 amps • 200.34 2 Name; 601 amps to €,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City/State/ZIP: Temporary services or feeders installation, alteration, and /or __ M relocation Phone: ( ) Fax: ( ) 200 amps or less 5936 1 ^ 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property t at I own whit is not 40l sm a 10 599 am g I68.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 49.670, and '01. p ' p ... Branch circuits new, alteration or extension, per panel Owner Si gnature: _, -- 8 ate: _ A. Fee for branch circuits with ',{;r'.!k1:ftAn:•. :• an,llN.1�±j C ".... .^ _ f.. !, Il : ...r:.5. q , . ,. . .r .... '. i t s ' ny.t �RI »;iru,,, i Xi11 1 �. x �` It+ : ! { + € ' „ " � p . . 4 X j l� l � ` above service or feeder fee, d+i u. t . i„, , .r 4 , ti „ . X 7,42 2 ,.� - . , . a, ` eac b ranch circuit Business name: B. Fee for branch circuits without service or fender fee, fuss Contact name: branch circuit . 56. 2 Address: _ Each add'! branch circuit . 7.42 Miscellaneous (service or feeder not included City /State/LIP: Each manufactured or modula 2 dwelling, service and/or feeder Phone: ( ) F : . ( ) Reconnect only 67.84 2 f reai l g Pump or irrigation lighting circle 67.84 2 Si or outline lighting 2 qt !, r' I1: ` I±,:;IF 4I(! ■0: r ey I : ,:' i0.. , ai ",: + .'. r: r! I . r , +•)1 I ,f rls.. I I i t;lli:T i; It Srgtal eircuit(s) or limitcd • / Business name. y. y 1Yt � " _panel, alteration,orext8nsitm. r • 2_ Each additional inspection over allowable in any o the above MO Address: T �O ( i 0 is • 1 �,„_ J U _ Additional inspection (I hr min) 66.25/ hr City /State /ZIP: '-' e i Q 97 ,16 investigation (1 hr min) 66 25/ hr industrial plant (l itr min) 78.18/ hr Phone: 5 . ' n t Fax: '� � � ` p • Inspections for which no fcc is - • -'” g s cificall listed % hr min 90.00 /hr CCI3l.ie.: . '5” ElectricalI.ir lit Sup .1ac.: 1,ludtig'44"ar """i177.!ai!'+r'".OtX.k.g.a , r;,4 ; r 'O Suprv. Electrician signature, requir • . ___.... , . - . __, Subtotal: / ..tti �� Plan review (25 %of permit fee): flint name 9 Uri Ye,‘ Data : ►1 t 1 i + . State surcharge (12% of permit fee): 9 , to , TOTAL PERMIT FEE: Authorized signature: ---)A. r This permit application expires if a permit is not obtained within 180 days alter it has been accepted as complete. Print name: f)atc : • Number of inspections allowed per permit Y \RCriaing\Pcrmit OEl.C:- Pcrmft App.duc 07!01/10 4 40- 4675r(U )5 /COMiwF.B 11/30/2011 09:02 5032535831 SQUIRES ELECTRIC #0651 P.003/003 Electrical Permit Application - City of igard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES; 4 : M'I N+'t: *0 40 ',„• r� w � ,+ , a r" , i I *, i l i n,, -filar 1 r Fee for all residential systems combined .. $ 5.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating Ventilation and Air Conditioning Syst -. * ❑ Vacuum Systems* ❑ Other: Fee for ush commercial $ 5.00 • system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation I-IVAC ❑ Insttumcntation ❑ Intercom and Paging Systems Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other i Total number of commercial systems: 1 *No licenses are required. Licenses are required for all other installations 1:\B vildin U'ct'ritx\ELC- PermitAPp.doc OVUM o