Permit a
CITY OF TIGARD ELECTRICAL PERMIT
s - COMMUNITY DEVELOPMENT Permit #: ELC2012 -00363
T WARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/12/2012
Parcel: 1 S 136CA01500
Jurisdiction: Tigard
Site address: 7709 SW PFAFFLE ST D67
Project: Hawthorn Villa Subdivision: FAIRVALE Lot: 6
Project Description: (5) branch circuits for MF
Contractor: SQUIRES ELECTRIC Owner: HAWTHORNE URBAN DEVELOPMENT LLC
1001 SE DIVISION STREET #1 7705 SW PFAFFLE ST
PORTLAND, OR 97202 PORTLAND, OR 97223
PHONE: 503 - 252 -1609 PHONE:
FAX: 503 - 253 -5831
FEES
Quantity Description Date Amount
5 crt Branch Circuits w /Purchase 06/12/2012 $37.10
Specifics: Service or Feeder
1 ea 12% State Surcharge - 06/12/2012 $16.54
Type of Use: MF Electrical
Class of Work: ALT 1 ea Services or Feeders - 200 06112/2012 $100.70
amps or less
Type of Const:
Occupancy Grp:
Total $154.34
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 52 -001- 090. You m obt ain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
1
Issued By: Permittee Signature: O� P r/ 1 I b_
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.
06/08/2012 09 : 22 5032535831
Bill EC • i V EDQUIRES ELECTRIC #1594 P. 001/002 -r-
Electrical Permit Application 1 • • FOR OFFICE USE ONLY It
•
City of Tigard
JUN 0 8 2012
. 13125 SW Hall Blvd., Tigard. OR 97223
E
2 - Phone: 503.718.2439 Fax: 503.598.1TY 0
OF TIGARD R.,...iv..1
Permit Noi,e
Date./13 :
— Plan Review
Date/Bv: - -
..
other Permit:
Inspection Line: 503.639.4175 Date Ready/By: El See Pae 2 for
g
TIGARD BUII DING DIVISION Ell #
lntcrnet: www.tigard-or.cov Notified/Method: Supplemental Information
1 • ••• :....,,i::: r -.•-• ::,..' ):•,;. - o-•,..i... - :: ....i.1 •• ...*:::elg7Y414.rittreteirVIENPi40%; .*. - .1c , ,,,,.. •:-
..• .,...1..• • .....::: .....-.:• -:-:-.-:•', • — .k. •-•:......_.•.•:'• ....-!.;::;..•........:'...17:7•- -:'i•:‘' ''-'-'...' • ' ......: -::,..:.••••••??.':' -,• 0. ••'r..-:- .. - ••' •ets-- ..:•••••-•''''7:•.'
0 Now construction [23 Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w/itents checked below):
0 Serviec or feeder 400 amps yr mum 0 Building over three stories.
0 Demolition 0 Other: • wham the available fault current 0 Marinas and boatyards.
:5 '::;.: ;".. •--.'- Pk..c.P.PATIVX.P9N: (,....,:f-:;• exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to grOund, or exceeds 14,000 0 Commercial-use agricoltural
0 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building imps for all other inuallatious. buildings.
• 2,1 Multi-family E:1 Master builder 0 Other: 0 Fite pump. 0 Installation of 75 KVA or .
-- •.• ;.•,--. .•- .
•.. f „ .,„ • .-• - , ,•, - • .,-..‘ •• - . . ..:. .. .‘,.1. -... ,,-...- .. , , .:.. :r.-,-..
,........ ['Emergency system. larger Separately ri
deved system.
.44,.. OP...NM . 1 ..iF-241-1"-KJ01`.. 1, :. , !Wo:: t9CA. 9,N
..g ..-:-'......;# ?:.. . 0 Addition of new moior toad or 0 -A-, -r, - 1-2", "1-3".
I Job no.: 7705 Job site address:33.051W Pfaff& Ave, Bldg D67 Mill' Or ruOre. OCCupancy.
0 Six 01 MOM feSidCulikli uuilS. 0 RCCroalional vehicle parks
0 0 Health-care facilines. 0 Supply voltage for more than
City/State/ZIP: Tigard, Oregon 97223 0 .
. 0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt no.: Project name; Hawthorn Villa 13 service Of feeder 600 amps Of more.
MfraTE-41124:
i Cross street/directions to job site:
Description 1 Orv. I Fee. L.. Total 1 •
New residential single- or multi-family dwelling unit.
!
! includ attached garage.
Subdivision: Lot 1;0.: 1.000 sq. ft. or less 168.54 4
. --- —•-• Ea. add'1500 sq. R. or portion 33.92 I
T. map/parcel no.: Limited energy, residential
75.00 2
. - - ;!.!: , : • ;''...t;.. - v . .:•.•:. 1-, T - , - . - , !,. ".'.ljz. - :. , ,!...! . :.''...,:.;j - sk . : 2 §c'.j4dir'Tro'itl•;o - p„V'i;jkjkri'•'.''.:?:%. - 7 - , - ..." - = , ::: , .. - : - .4r '1'. (with above sq. ft.)
i . . 0 :.:ti.R.F.ln': 7 1‘:;',7•:-•''-• . : '•-: -,....4.,n7M ...- .,,•-:••• • - -: - . • •••.. ••• •:-••*•-••:::, '::•''• . g. •■•:•• ■'.:•'
.- Limited energy, multi-family
75 2
Reconnect service after fire and install new devices residential (with above sq. R.)
Services or feeders installation, alteration, and/or relocation
2C0 amps or less 1 100.70 100.70 2
: j .-• -•"" , • ;4 t: .-•:., : 1 1:1*Vi''tbi-VNfielii1 7 1-=' - -;= -: : 1 ,..i ..v.. .C.':. • ••---: . Igrej'EgiNT.fl,...., ....::::. 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name: Royal Villa Apartments
• 601 amps to 1.000 amps 301.04 2
---
Address: 7705 SW Pfeifle Avenue, Building D67 Over 1.000 amps or volts 552,26 f 2
Temporary services or feeders installation, alteration, and/or
City/State/Z1P: Tigard, Oregon 97223 relocation
Phone: ( ) Fax: ( ) 200 amps or less
— 59.36 1
201 amps to 400 amps 125.03 2
Owner installation: This installation is being made on property that 1 own which is not
401 amps to 599 amps • 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits- new, alteration, or extension, per panel
Owner signature: • Date A. Fee for branch circuits with I 51- it)
. _.
-• • •,..:,,,n,-„,..,....50 •-=;. • ....,•:i.'d.,26:jzzefigw.iiNe•-••4ps•'...s., above service or feeder fee, 5
742 -- 123515Cr 2
each branch circuit
Fee for branch circuits without
Business name: Squires Electric, Inc. B.
service or feeder fee, first
56.18 2
Contact name: Kim Rautenberg branch circuit
- Cub add'I branch circuit 7.42 2
Address: 1001 SE Division Street, Suite 1 Miscellaneous service or feeder not included)
._.,
Each manufactured or modular 67.84 2
City/State/ZIP: Portland, Oregon 97202 dwelling, service and/or feeder
0.
67.84
Phone: (503) 252 Fax: : (503) 253 Reconnect only 2
pump or imgation circle 67.84 2
F. kimP,squireselectric.com . .. sign or outline lighting 67.84 2
.--•—••
.
' C - O CTOR ..
NTRA • .' ' • ' - .''. •=-:.• •=- '... -•• - • • • • •
• • • , ..-..cL ...... ,•••;,...< - 7:- • • •••••••..• -:.;.::::. :•,.._ . _... • ...... . ,..-• : ..A; • . -.:'- • .. :.;,...:•., •.• ..-. - .-. . -.; Signal circuit(s) or limited
. . . ..
panel, alteration, or extension. Page 2 2
Business name: Squires Electric, Inc.
Each additional inspection over allowable in any of the above
Address: 1001 0., Division Street, Suite 1 Additional inspection (1 hr min) 6625/ hr
_ 1.
I ' Investigation (1 hi min) 66.25/ hr
City/State/Z1P: Portland, Oregon 97202
[
Phone: (503) 252-1609 Fax: (503) 253 Indus-trial plant (1 hr min) 78.18/ fir
Inspections for which no fee is
.., specifically listed CA hr min)
90.00/ hr
.AfB Lie.: 135085 lectrical Lie.: 26 "Suprv. Lie.: 4882S K::::,.
• Subtotal: 286.20
Suprv. Electrician signature, required.
Plan review (25% of permit fee):
required: ...,:t - _....
Print name: Joseph Squires Date: 6/7/12 State surcharge (12% of permit fee): 34.35
Authorized si _ Signature: ------- . • TOTAL PERMIT FEE: 3.21PJ5 Z
--- --- —
This permit application expires H a permit is not obtained within 180
days after it has been accepted as complete. 64.5 /
I
Print name: Joseph Squires Date: 6/7/12 • Number of inspections allowed per permit.
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