Permit CITY OF TIGARD ELECTRICAL PERMIT
` m COMMUNITY DEVELOPMENT ELECTRICAL
ELC2012 -00338
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/04/2012
Parcel: 25101 DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 300
Project: Eagle Mortgage Subdivision: Lot:
Project Description: (21) Branch circuits for TI
Contractor: A C & E ELECTRIC CO Owner: HILLTOP BUSINESS CENTER LLC
3535 DEL WEBB AVE NE #100 HUNZIKER LLC
SALEM, OR 97303 9430 NW KAISER RD
PORTLAND, OR 97231
PHONE: 503 - 363 -2301 PHONE:
FAX: 503 - 363 -2302
FEES
Quantity Description Date ' Amount
21 crt Branch Circuits wo /Purchase 06/04/2012 $204.58
Specifics: Service or Feeder
1 ea 12% State Surcharge - 06/04/2012 $24.55
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $229.13
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 OA 9 2-001-0090. You may obtain a cop�of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
.A
AID By: /1..� J ` O�'1 Permittee Signature: f 4
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.
06/01/2012 13:36 5034850586 AC &E ELECTRIC PAGE 01/02 I
Electrical Permit Application FOR OFFICE 1_ sr•: ONLY
City of Tigard R i+ �, ; . Pa 14a 0033
13125 SW Nall Blvd,, Tigard, OII P C " I V ED him ' C ' Phone: 503.718.2439 Pax: 503.598.196fl Dat By: Other
e/By:
T I r ,q R D Inspection Line: 503.639.4175 JUN 0 1 2 012 Date R e a d y / S y : n n � ; � F e 2 I S r
Internet; www.tigard- or,gov Nodred/Mcthod: ICp Supplemental Information
{ fi g+! } "� y py
_ .tom• 2 1 . .i1 1 ils .'eii 4 .9 . 4. �: :. , 711 i e . ,.
O] New construction Addition /al '' !l9 ' r n „i u ' : Please cheek all that rofa e :` x:91;
i '
O Service or loader 4 �� (submit 3 ac M1f plena w/itclna checked bclaw);
❑ Demolition ❑Other: amps or more 12 Building over three stories.
. , , 4 m -t Demolition . _ where the available fault current parities and boatyards. %�T'' i' '. . 'so- -"�'r- :, a - ' _ d o$ E - '- - to_`ti:'1' ; :• " : ,.. :. exceeds 10,000 amps at 150 volts or 0 Floating hiiitdings,
' less to ground, or exceeds 14,000 0 Commercial-use a cultural
❑ 1 and 2 family dwelling ® Commercial /industrial ❑ Accessory building �'
El Multi-family [0 Master builder ❑ Othcr: OFFire p alter installations. 0 installation buildings.
don of 75 KVA or
M 1 e y . -- 1 , i • ., D Emerperwy system. larger separate derived system.
F: ? ;,:g,..7, .., ? t ' . r 3 � _- • l.:. , , _ _-.. ., k = i ; . '• ' • ' i .. ''', ❑ Addition of new motor Iced of 0 "A ", ".g", "1.2 -, "1 -3 ", •
Job no.: Job site address: 7320 Hunziker Rd 1001313 or more, occupancy,
13 S ix or more / State/ZIP: Tigard, OR 9722 DHe l h -clue facilities. i l units 0 Snpp eed°md vehicle o more Ci than
t3' g t S1lpply voltage for more Than
Eli-Dumdum locations, 600 volts nominal.
Suite/bldg. /apt no.: 300 Project name: Eagle Mortgage 0 Service or feeder 600 naps or more.
Cross street/dircctions to job site: 5 'b '' i `"' ' $ V :: •. �.?
'u . Ben Total •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft or less 168,54 4
Tax map /parcel no.:
Ea. add'I 500 sq. R or portion 33.92 1
Limited en tial
i.,,:
,t - ... ='' , iie� _.,�+' •.1 _ �G��1�1�.�:• �I.+ .��' �' ", ` ;; ; with above sq. ft) 75.00 2
_ Limited energy, multi - family
TI Remodel , residential (with above sq. ft) 75110 2
1 Services or feeders installation, alteration relocation
2 /, l el 1 Fo 2. 200 amps or leas 100,70 2
r. �
,.,<.., ':':.t ^ Mb; ��: N - _ to 2
�• 201 amps 133 56
Name: 401 amps to 600 amps 200.34 2
601 amps to 1.000 mops 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 1 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, Qer panel
Owner signature: Date: A, Fee for branch circuits with
. c ; tb C11-p it I4 above service or feeder fee. 7,42 2
> , each brunch circuit
Business name: B. Fcc for branch circuits without
service or feeder fcc, first I 56.18 56.18 2
Contact name: branch circuit
Each add'l branch circuit 20 7.42 r ,148.40 2
Address: Miscellaneous (service or feeder not included)
Ci / State/ZTP: Each manufactured or modular ,
�' dwelling, service and /or feeder 67.84 2
Phone: ( ) 1 Fax: ; ( ) Reconnect only 67.84 2
E-mail: Pump or irrigation circle 67.84 2
. - _;, �j Sign or outline lighting 67.84 2
� •.. .-
� ........�:.... _...:.� .... � +� �., " ? ;!�`. •; Signal circuits) or limited- ener(t
Bossiness name: AC&E Electric V panel, alteration, or extension. I Pane 2 Z
Each additional Inspection over allowable In any of the above
Address: 3535 Del Webb Additional inspection (1 hr min) 66.25/ hr
Investigation (1 hr min) 66,25/ hr
City /State/ZIP: Salem OR 97301
■+ Lr •,,,. • al plant (1 hr min) _ 78.18/ hr
P one: ( ) 503.363.2301 .411111111 'A Ions for which no fee is
90.00/ hr
� -:1 lined hr min
■
CCB Lic.: 591 .� 2�a '�\ \� . Lie .• 5387S ld '`' " . "�1 r'
Suprv. Electrician signature, requlr Subtotal: 204.58
A ,• Plan review 25% of • rmit fee ;
Print name: Carl Duncan Date: 6 /1/2012 State surcharge (12% of permit fee): 24.55
' r ' r ' ' TOTAL PERMIT FEE: 229.13 X
Authorized signature:
- r „ - .t L. This permit application expires if a permit is not obtained within 1a0
j days after it has been accepted as complete.
Print name: Date: • Wenlber pf inspections allowed per permit
1 :\BuldingTennlm1BC•PmoitApp.doc 07/01/10 440.461tir(11M.UCOM/W5A