Permit R . c .
h CITY OF TIGARD
' IN PERMIT
i r,
# COMMUNITY DEVELOPMENT Permit #: ELC2009 00346
TIA 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issue 07/15/2009
_ Parcel: 2S101 CB00200
Jurisdiction: Tigard
Site address: 8200 SW HUNZIKER RD
Subdivision: Lot: 0
Project: Smith Gerig Western Properties
Project Description: Relocate transformer
Owner: FEES
SMITH GERIG WESTERN PROPERTIES L Quantity Description Date Amount
PO BOX 930 1 ea Services or Feeders - 200 07/15/2009 $80.30
WILSONVILLE, OR 97070 amps or less
PHONE: 1 ea 12% State Surcharge - 07/15/2009 $9.64
Electrical
Contractor:
IES COMMERCIAL INC
13970 SW 72ND AVE
PORTLAND, OR 97223
PHONE: 503 - 648 -1900
FAX: 503 - 670 -9572
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $89.94
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. ATT IBN�regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 010 through OA 9 -.*1-0100. You may obtain a copy of the rules or direct questions to OUNC / y calling 503 6699 or 1.800.332.2344.
Issu d By: , I ` I I '� Permittee Signatt ` _ '�r�f • 1��-
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 an inspection that business day.
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.
07/13/2009 15:21 5036709572 NEW TECH ELECTRIC PAGE 01/02
• I( ., • .7 4. .
' feflectrIcal Permit Application ' ,
FOR OFFICE USE ONLY
„•••
'.•• ),"„f'-' City of Tigard ' Permit No.: 4446.3 1 ,-,06 . ,) 3 RECEIVEp
,ifisffincro-9 ..,
E , A
114 " 13125 SW Hall Blvd., Tigard, OR 97223 ,, Other Permit;
T1GARID Plan Review
•-t • a •
' . ,: • Phone: 503,639.4171 Fax: 50'3.598.1960 juL 1 3 zgoy batom :
Inspection Line: 503.639.4175 1Dric Reedy/By: It 'ail Li! See Page 2:for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
0010RUMPEM,0040,PC#Y 'It IA iff ''''' i ltibtinit,NYOliP 3
Pleare =hock all that apply (submit A acts of plans w/iterns abeeked below):
0 New construction "3 Addition/altcratiOn rep aeon
El Service or Feeder 400 amps or more 0 Building over three stories.
El Demolition El Other: where the uvoilable fnult Currant 0 Marinas and boatyards.
r(f' Trilltkikdd d 'TT il . zfi ,m;,101 exceeds 10,000 amps nt 150 vOltS or 0 Floating buildings.
Mit tl i? . " " R • ' , xi . J - ,', ID i' . -, 1 1' '''" IT''
t. r ■ ','' '''''''','''?' ' I" '''' ' '''' '' ''' less to ground, or exceeds 14,00n 0 Commereinl-use agricultural
0 1- and 2-family dwelling F:41 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
0 Multi-family 0 Master builder El Other: 0 Fire pump. 0 Installation of 75 KVA or
'
V •1110 0, , , ; , i`,ii/0:1D111;■'+fo , 0 1:IndTIOnY nYmlarn- larger separately derived system.
PV 0 ad . f I d f 0
i'. ■ A dion 0 new motor on 0
100HP or more, occupancy,
Job no.: , 2 : 3Z (62 Job site address:620D5j / 2__I 14.e.„6,-- 0 Six or more residential units. 0 Recreational vehicle parka.
. City/State/ZIP: 'Fogd GI/L. Ot i a.7_5 0 Hcalth-care thcilities. El Supply voliago fbr more than
0 Tiazardous locations. 600 vnlb.- nominal.
Suite/bldg./apt. no.: Project name: „, , 1 ii; ., ..._ 0, r . r. r ...., i. , r., 0 Service or feeder 600 amps mners, ..
PO.N?qffj4IIIIMi!!2
Cross street/directions to job site: t.--1 t-rt+ Co 612 1.4 6 511 /2-6-.) PiP-oP g I'M E 5 Description cly. Fre_ Total
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.:
1,000 sq. ft. or loss 145,15 4
..• Ea. addi $00 sq. R. or portion 33.40 1
Tax map/parcel no.. , Limited energy, residential
"liq islitl1H. . - ,1!;,:,,,,(10!,t,,,,,„
!A, 401;! , i4h!.;!1, 1 ,,,,L) , !■:,1, , ,FX ....,,, .,1"MPI , $ i..rh. ,k i YY i'li;t1 -e,:t1v0,;141:1 — (with A. " ° N It!) 75.00 2
Limited energy, multi-family
V. CA 0 (-Alto "2-5 Kv4 - 1 . 1464Azsiovvt I` vl residential (with above sq, it) 75.00 2
Services or feeders installation, alteration, and/or relocation
/*\ ) 200 amps or less i 80o0 itD:7),0 2
i, iv, y.1 • - , t .... ', ...'..4M:o 1.e:1 l? ri
IPlill':Ti'l=1 'a.I'''.1■Vggi'grrIEV;:',Ii
IPR I' ■Fti. ,, "Era , , 'r . .1.'' ,.." , r1"" , ■• .■,, 0,,,1 ,,,, ,, .1u Kari 014 1.1 IPV \ .I■ 1.,![ , . , L , , 201 amps to 400 amps 106.85 2
Name:
401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 snips or volts 454.65 2
City/StataZIP
Temporary services or feeders installation, alteration, and/or
7
relocation
Phone: ( ) i Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that! own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps tp 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per_pancl
Owner signature: Datc: A. Fee for branch circuits with
0Mi.01OittHat:2131eNti'IPIN;53,.WARX0IPi#§§$,0:!'.!.0qli4 above service or feeder fee,
6.65 2
each branch circuit
13usiness name: . B. Fee for branch circuit .
without service or feeder fcc,
Contact name: first branch circuit 46,85 2
Address: Each addl branch circuit L 6.65 2
Miscellaneous (service or feeder not included)
City/S1:ate/ZIP: Each manufactured or modular
90.90 2
dwelling,service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66,85 2
irrigation E-mail: Pump or r circle 53.40 7,
; 1 ggill', ii .oikor : W4 : !!,4 , Nipt a Sign or outline lighting 53,40 2
Business name: Signal circuit(s) or limited-
ete5 • L 0
energy panel, alteration, or
Address: 17- i-1 i..../ j •r7 L vi4 Prv...Q..„ extension. Describe; Page 2 2
- . ..
City/State/ZIP:&ri ,c 1,4,,,c. e v_. 1 q 0--..?- 3 Each additional inspection over allowable In any of the above
Per inspection 62.50
Phone. . .
(O , --I ctoc) Fax: (e)3 ( 0 -‘35 2_. Investigation per hour (I hr min) 62.50
CCB Lic.: "4 p Electrical Lie,: 13 2,;, Supry Lic,L.,FS f.:75` Industrial plant per hour 73.75
Suprv. Electrician signature, required: .. A
''ilg11.- ''4;!(V'MiTMX I .,, )AcvirtEtsti
_ 0,
Subtotal: i IP , _<,)
____
ir , Plan review (25% of permit fee):
Print name: ,./ Date: 1 7 /5/09
State surcharge (12% of permit fee): ,,,
Authorized signature: TOTAL PERMIT FEE;
' - This permit application expires if a permit is not obld Itliin 1 0
Print name: Date: days after it has been accepted as cOmplete.
" Number of inspections allowed per permit.
1:1BulldIng\Permit\ELC.PermitAppdoc 05/11/06 .150.451 NTO I /(15/COMAVIM