Permit :- q CITY OF TIGARD ELECTRICAL PERMIT
° 7' 2;'•. COMMUNITY DEVELOPMENT Permit #: ELC2009 -00470
Date Issued: 10/01/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 639.4171 Parcel: 2S101 CA00200
Jurisdiction: Tigard
Site address: 7904 SW HUNZIKER RD
Subdivision: Lot: 0
Project: Plas2Fuel
Project Description: Install power and controls for plastic recycling machinery
Owner: FEES
WALL STREET INDUSTRIAL LLC & Quantity Description Date Amount
A RICHARD VIAL EXEC CENTER LLC, 7000 SW
VARNS ST 7 ea Services or Feeders - 200 10/01/2009 $562 10
amps or less
PHONE 1 ea Services or Feeders - 201 to 10/01/2009 $106.85
400 amps
60 crt Branch Circuits w /Purchase 10/01/2009 $399 00
Contractor: Service or Feeder
ELECTRICAL CONTRACTOR SERVICES N.W. 2 ea Signal circuit or Limited 10/01/2009 $150.00
3335 NW ST HELENS RD, PO BOX 1233 Energy Panel
ST HELENS, OR 97051 1 ea 12% State Surcharge - 10/01/2009 $146.15
PHONE 503 - 366 -6060 Electrical
FAX 503-296-5518 1 ea Plan Review Electncial 10/01/2009 $304 49
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $1,668.59
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 acc 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 NTION Oregon aw requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952 -0 1 -0010 through OAR 952- 0; -0 Yo ay obtain a copy of the rules or direct questions to OUNC by calling 503 246.6699 or 1 800 332 2344
Issu By: Permittee Signature: \ / , lc t7
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' / , f �� Date: /Q/ /
LICENSE NO. •ag95
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.
t
• . Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard I
C EtVED Date/B 0 ff O % a Permit No £L(! Q
/9 ,0
IN . a 13125 SW Hall Blvd., Tigar , 1 ' Plan Review qr I t� Other Permit
Phone 503.639.4171 Fax: 513 598 1960 Date/By ' a'
T I G A R D Inspection Line: 503 639.4175 S EP 0 9 2009 Date Ready/By. // �� , � i/ l ra Juns VI See Page 2 for
Internet. www tigard -or gov No /
fied/MethodK/ / /} � / / �� J � ^" Supplemental Information
TYPE /O KI;GARD , (/ t 0 /A j q PLAN REVIEW
❑ New construction ® AdditBC74��ilf I t t P a - 1 ck all that apply (submit 2 sets of plans whtems checked below)
i ' 1 ennce or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑Other: where the available fault current ❑ Marinas and boatyards
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1 - and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ® Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately denved system
® Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -3 ",
Job no.: 9324 Job site address: 7904 SW Hunziker Blvd. 100HP or more occupancy
❑ Six or more residential units ❑ Recreational vehicle parks
City/State /ZIP: Tigard, OR 97112 ❑ Health -care facilities ❑ Supply voltage for more than
EI Hazardous locations 600 volts nominal
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more
FEE SCHEDULE
Cross street/directions to job site: 2 blocks south of Hunziker on WallStreet Desenptioo I Qiy. I Fee. I Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 200 1,000 sq. ft. or less 145 15 4
Tax map /parcel no.: -nu mie 2s 1 Q 1GA Li Limited ne y, or portion 33.40 1
Limited energy, residential
idential 75.00 2
DESCRIPTION OF WORK (with above sq ft )
Limited energy, multi - family 75.00 2
Install Power and Control for Plastic Recycling Machinery. residential (with above sq ft )
Services or feeders installation, alteration, and/or relontipn
200 amps or less /7 80.30 60 2
❑ PROPERTY OWNER I ® TENANT 201 amps to 400 amps / 106 85 /,4 •% 2
Name: Plas2Fuel 401 amps to 600 amps 160 60 2
, 601 amps to 1,000 amps 240 60 2
Address: 1 4 Ci o4, 5. 1 W . H Ke.r streeA Over 1,000 amps or volts 454.65 2
City /State /ZIP: T1 tmkD 0 R. q--22 3 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (SW) SI/ • 5/.05 Fax: (f 544-0I IS 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I 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 to 599 amps 133 75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A Fee for branch circuits wall
APPLICANT CONTACT PERSON above service or feeder fee, 60 6.65 399 2
each branch
Business name: Nets 2. Co(
Fuel polrafio,n B Fee for branch circuit
circuits
without service or feeder fee,
Contact name: ()t1)!:\ Arse first branch circuit 46.85 2
Address: qq04 14u f tiRe-( Each add] branch circuit 6 65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: 'T1(rAQ,J 0a g12Z3 Each manufactured or modular
^^f dwelling, service and/or feeder 90.90 2
Phone: c20( NI, 32� C'AA Fax: : (O 5'.- of IS Reconnect only 66.85 2
E -mail: rhan s2/c) G 21052 -6A CI . UM.. Pump or irrigation circle 53.40 2
ONTRACTOR Sign or outline lighting 53.40 2
Business name: Electrical Contractor Services NW Signal circuit(s) or limited-
energy panel, alteration, or
Address: 3335 NW Saint Helens Road, Portland extension. Describe: 2 Page 2 150 2
Control System, Data
City /State /ZIP: Portland, OR 97215 Each additional inspection over allowable in any of the above
Per Inspection 62.50
Phone: (503) 922 -1812 Fax: (503) 296 -5518
Investigation per hour (I hr mm) 62.50
CCB Lic.: 155460 Electrical Lic.: 556C Suprv. Lic.: 3289S Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal .14336 1' .11' 4
Print name: PauI�F. Oliverio Date: 9 -4 -09 Plan review (25% of permit fee) 254.413^ Sol AI
15
_
_ State surcharge (12% of permit fee) J239fr 1'f
Authorized si nature: j/
g� �{ \0,✓ TOTAL PERMIT FEE �42T (e�1 •
This application if permit is not obtained within 180
Print name: tci, s perm on expires a pe
, _.,;!'m V e ` 6 Date: 9 li 71 t Cf days P P
Li r s after it has been accepted as complete.
• Number of inspections allowed per permit
I \Building \Permns\ELC- PermitApp doc 05/23/06 440- 4615T(1 I /05 /COM/WEB
• Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ A udio and Stereo Systems*
n B • urglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
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
❑ HVAC
® Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems: 2
*No licenses are required. Licenses are required
for all other installations
P\BuiIdmg\Perm ts\ELC- PermitApp doc 03/23/06
I
This form is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
111 u BUILDING DIVISION
a TIGARD 1 TRANSMITTAL LETTER
TO: A DATE EI
DEPT: BUILDING DIVISIO EG
'
- . ,D
SEP 2 2009
FROM: BUILD/No. T� GARD Lilifinies
COMPANY:
loiuN
PHONE: B a
RE: ( ' 7 o
(lit e Address) (Permit /Case Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS: C)J L k-i ti) 4A-- gnu L g_e-i
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: Initials:
Fees Due: ❑ Yes ❑ No Fee Description: Amount Due:
$
$
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials: "
I \Building\ Forms \TransmittalLetter - Revisions doc 4/4/07
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