Permit CITY OF TIGARD ELECTRICAL PERMIT
• Per
COMMUNITY DEVELOPMENT
Permit #: ELC2012 -00169
T [ G A R I? 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/27/2012
Parcel: 2S112DB00300
Jurisdiction: Tigard
Site address: 7257 SW KABLE LN 300
Project: TRANE OF OREGON Subdivision: - HERN PACIFIC TIGARD INDUSTRIAL I Lot: 5
Project Description: TI
•
Contractor: ACCURATE ELECTRIC OF OREGON INC Owner: PACIFIC REALTY ASSOCIATES
PO BOX 2155 ATTN: N PIVEN
OREGON CITY, OR 97045 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 631 -3507 PHONE:
FAX: 503 - 631 -3544
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 03/27/2012 $100.70
Specifics: amps or less
6 crt Branch Circuits w /Purchase 03/27/2012 $44.52
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 03/27/2012 $17.43
Electrical
Type of Const:
Occupancy Grp:
Total $162.65
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 OAR 952- 001 -0090. You nay obtain . • of the r aiTa g direct questions to OUNC by calling 503 232.1987 or 1.800.332.2344.
♦ • , /
Issued By: �i �_ i _ _ =1 Permittee Signature: ! / �._ L�•�
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.
Mar 21 12 02:58p ACCURATE ELECTRIC OREGON 5036313544 p.1
NO!SIAIQ ONioi - -
Electrical Permit Application ®Uv'J,1JOAll FOR OFFICE L SF. ON
City of Tigard 7 r� Qd cewe p Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 ZI OZ 1 6 (IVW D an Rev ew � M. i �� 19 a — WI 6 r
III
o Phone 503.7182439 Fax: 503.598.196 Date/B : Other Permit
T I G A R D Inspection Line: 503.639.4175 �/ 1119 + e: Rcady a El See Page 2 for
Internet: www.tigard -or.gov a � � 6cd'Mtxho Supplemental Information
TYPE OF WORK PLAN. REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans wrtems checked below):
❑ Service or feeder 400 amps or more ❑ Budding over three stories.
0 Demolition 0 Other: wham the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps 31 150 wits or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1 - and 2- family dwelling ® Commercial/industrial 0 Accessory building amps for allot er i stallations. buildings.
0 Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency motor y system. larger E -2ly de-3 system.
I ❑ Addition of new motor load of ❑ "A ", "E"", , " "1l 1
- 2 ", "-3 ",
Job no.: 20 -1346 Job site address: 7257 SW Kahle Lane 1o0HP ormore. occupancy
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: Tigard, OR 97281 ❑ Health -cart faeililies. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldgJapt. no.: 3o0 Project name r , d-f () rev ❑ Service or feeder 600 MOW-
(J FEE SCHEDULE
Cross street/directions to job site: Daviptioe I Qtr. I Fee. I Toed 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'I 500 sq. R or portion 33.92 I 1
Tax map/parcel no.: -
Limited energy, residential
75.00 2
DESCRIPTION OF WORK (with above sq. f.)
ES
Limited energy, multi- family 75.00 2
Install Generator and Panel residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less I 100.70 100.70 2
0 PROPERTY OWNER I ❑ TENANT 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
City/State/ZIP: - Temporary services or feeders Installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 59.36 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
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, r panel
Owner signature: Date: A. Fee for branch circuits with
® APPLICANT I ® CONTACT PERSON above service or feeder fee. 6 7.42 52 2
each branch circuit
Business name: Accurate Electric of Oregon, In B. Fee for branch circuits without
service or feeder fee, first
56 2
Contact name: Debra Connor branch circuit ,
Each add•] branch circuit 7.42 j 2
Address: PO Box 2155 Miscellaneous (service or feeder not included)
Each manufactured or modular
CityiState /ZIP: Oregon City, OR 97045 dwelling, service and/or feeder 67.84 ? 2
I Phone: (503) 631 -3507 I Fax: : (503) 631-3544 Reconnect only 67.84 • 2
Pump or irrigation circle 67.84 2
E - mail: debra@accurateelectricor.com Sight or outline lighting 67.84 2
CONTRACTOR Signal circuit(s) or limited - energy
• Business name: Accurate Electric of Oregon, lie. panel. alteration or extension. 2 2
• Each additional inspection over allowable in any of the above
Address: PO Box 2155 i Additional inspection (1 hr min) 66.25/ hr
City /State/Z1P: Oregon City, OR 97045 I investigation (1 hr min) 66.251 hr
• Industrial plant (1 hr min) 78.18/ hr
Phone: (503) 631 -3507 Fax: (503) 631 - 3544 Inspections for which no fee is 90.001 hr
specifically listed (:4 hr mat)
CCB Lic.: 191345 I Electrical Lie.: C637 I Suprv. Lic.: 5094S ELECTRICAL. PERMIT FEES
Suprv. Electrician signature, required: 145.22
Nan a review (23% of l+erntit fee Subtotal: ):
Print name: Ken Sweo Date: 3121/12 Stale surcharge (12% of permit fee): , 17.43
/ TOTAL PERMIT FEE: I 162.65
Authorized si : . �` ` Ar '• ` A ` ; /, 'l h6 This permit application expires if a permit is not obtained within 180
days
Print name: a e. ra Connor 1 Date: 3/21/12 • Number of inspections Lio i t . as complete.
n it has been a s allowed per permit.
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