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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT c COMMUNITY DEVELOPMENT Permit #: ELR2013 -00028 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/05/2013 Parcel: 1 S127DD01200 Jurisdiction: TIGARD Site address: 10031 SW CASCADE AVE Project: Orchard Supply Hardware Subdivision: CORAL COMMONS CONDO Lot: 14 Project Description: Low voltage for (2) systems: data telecommunications and intercom /paging. • Contractor: NORDISK SYSTEMS Owner: KRAUSZ PUENTE LLC 6400 SE LAKE RD #450 BY THE KRUASZ COMPANIES INC MILWAUKIE, OR 97222 44 MONTGOMERY ST STE 3300 SAN FRANCISCO, CA 94104 PHONE: 503 - 252 -1462 PHONE: FAX: 503 - 252 -2343 FEES Description Date Amount Specifics: Restricted Energy Permit 02/05/2013 $150.00 12% State Surcharge - Electrical 02/05/2013 $18.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 2 Audio & Stereo: N Boiler Controls: N CCTV: N Clock Systems: N Data & Telecommunications: y Fire Alarm: N HVAC: N Instrumentation: N Intercom /Paging: Y Landscape /Irrigation: N Landscape Lighting: N Medical: N Nurse Calls: N Protective Signal: N Security Alarm: N Other: N Total $168.00 Other Desc: Required Items and Reports (Conditions) This permit is i •'ect to the regulations contained in the Tigard. Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done i - ccordance with a• • •ved • =ns. This permit will expire if work is not started within 180 days of issuance. or if work is suspended for more the 180 days. • ENTION: Oregon law quir- you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 -0010 throu•h OAR 952 -r - 109' You ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.198 or 1.800.332.2344. / �// Issu- • By: f Permittee Signature: . �! 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. Electrical Permit Applicat' jl IV FOR OFFICE USE ONLY City of Tigard Received � C � _. ®� it Pe No.: L / �uQ�d/�f/ a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review C • Phone: 503.718.2439 Fax: 503.598. 0 ei i 5 2013 DateBy: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: Supplemental Information TYPE Ohm VG DIVISION PLAN REVIEW .New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service 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 M aster builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATI� ❑ Emergency system. larger separately derived system. �V f7 a eA j dh� T ` ['Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "l -3 ", Job no.: Job site address: � t f �_ 100HP or more. occupancy. ■■••••••-■ - - ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: Ti /! it 0 C1'7 z ,� 3 ❑ Health -care facilities. ❑ Supply voltage for more than V p ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: ( Project name: OR ( ` S' « /, & ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I On. 1 Fee. 1 Total 1 • 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'l 500 sq. R. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 r t / Limited energy, multi - famil 75.00 2 O �or(P, / 04-'n9- + S / 0P.9/C e .�C. (4.S ( /i;- residential (with above s 11.) S ervices or feeders installll ation, alteration, and/or relocation 200 amps or less 100.70 2 ❑ 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 h' relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I 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 ❑ APPLICANT 1 ❑ CONTACT PERSON above service or feeder fee, 7 42 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: branch circuit Each add'I branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) Each manufactured or modular 67.84 2 City/State /ZIP: dwelling, service and/or feeder • Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E -mail: Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited- energy /!' Q� Business name: � �/ se/ panel, alteration, or extension. / _ Page 2 (w 2 V r� ! - M fi S Each additional inspection over a owable in any of the above Address: 6 ei©o s r %�/e_ /tot, ��D Additional inspection (1 hr min) 66.25/ hr City/State /ZIP: // C / / '` ` Investigation (1 hr min) 66.25/ hr r l 1L✓/¢V� /Pi !l . q 7i� � Industrial plant (1 hr min) 78.18/ hr Phone: (50 3 j ) 2.6-2_,—/ Z Fax: (S 2, -' . -Z Inspections for which no fee is 90.00/ hr p specifically listed (%2 hr min) CCB Lic.: 1 s-6,2. Electrical Lic.: at - 2 _, q . Suprv. Lic.: I 7icgLEic ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: o Subtotal: 7,SQ �^ Plan review (25% of permit fee): e — ( State surchar (12% of p ermit fee): iB • Ger" Print name: Dat J r� �. I 5 � �5 6o – S � 7 - go9s �� 13 p� TOTAL PERMIT FEE: / too a 7O Authorized signature: /� This permit application expires if a permit is not obtained within 180 Print name: � Date: days after it has been accepted as complete. Num o inspections allowed per permit. I: lBuilding \Permits‘ELC- PermitApp. oc 07/01/10 440-4615TO1 /05 /COM/WEB • Electrical Permit Application - City of Tigard n , :Page 2 - ,Supplemental Information LIMITED ENERGY PERMIT FEES: F RESIDENTIAL WORK ONLY: Fee for all residential systems combined .. $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* - • , ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: 1, 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 El HVAC ❑ Instrumentation R . Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical El Nurse Calls El Outdoor Landscape Lighting* . El Protective Signaling • ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permils\ELC- PermitApp.doc 07/01/10 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 10031 SW CASCADE AVE, TIGARD, OR, 97223 Commercial - Electricial Limited Energy 199 Electrical final 04/17/2013 00:00 ELR2013-00028 PASS - No C of O Violation Summary: Inspector Contractor