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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT • ''9 . COMMUNITY DEVELOPMENT Permit #: ELR2013 -00045 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/05/2013 Parcel: 1 S 127DD01200 Jurisdiction: TIGARD Site address: 10031 SW CASCADE AVE Project: Orchard Supply Hardware Subdivision: CORAL COMMONS CONDO Lot: 14 Project Description: Low voltage for security pedestals. Contractor: COCHRAN INC Owner: KRAUSZ PUENTE LLC 7550 SW TECH CENTER DR #220 BY THE KRUASZ COMPANIES INC TIGARD, OR 97223 44 MONTGOMERY ST STE 3300 SAN FRANCISCO, CA 94104 PHONE: 503 - 234 -6564 PHONE: • FAX: 503 - 238 -2098 FEES Description Date Amount Specifics: Restricted Energy Permit 03/05/2013 $75.00 12% State Surcharge - Electrical 03/05/2013 $9.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 1 Audio & Stereo: N Boiler Controls: N CCTV: N Clock Systems: N Data & Telecommunications: N Fire Alarm: N HVAC: N Instrumentation: N Intercom /Paging: N Landscape /Irrigation: N • Landscape Lighting: N Medical: N Nurse Calls: N r Protective Signal: N Security Alarm: Y Other: N Total $84.00 Other Desc: 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. ATTENTI••. a _.on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 rough OAR • •2 -00 - 1090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 42 t987 or 1.800.332.2344. I ft------" Issued B,v: �'..dA Permittee Signat • � .: / 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. 01 17:11:50 02 -28 -2013 1/3 Electrical Permit ApplicaRECEWED I Oli clhhl( is t sh: ()NIA. City of Tigard a S 2013 Rece By, / ELK (90 /.5'' ODD S � � pp Re a ive ' Permit No.: IN 13125 SW Hall Blvd., Tigard, OR 97R�01 Plan Review ` / I . Phone: 503.639.4171 Fax: 503.598.1960 Vl 0 p� Date/By: outer Permit �o/ � -00/5 TI t' n It t Inspection Line: 503.639.4175 CITY TIGARD Date Ready/By: Junk H See Page 2 for Internet: www.tigard- or.gov Notified/Method: Supplemental Information BUILn1N� DIVISIO �TVPE ;OF, WORK • .;)'ti •.REV ❑ 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. � . - exceeds 10,000 amps at 150 volts or ❑ Floating buildings. ` .... :.. CATCORY; �F : CONS r RUGT10.. '. ; ..:': less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1 - and 2- family dwelling *Commercial/iindustrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE, INFORMATIaN A LOC Emergency system. larger separately derived system. • . ❑ Addition of new motor load of ❑ "A" "E, "1 -2" "1 -3" Job no.:$DDO Job site address:/60 /406SM - MQ 11 ye___, 100HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State/ZIP: nee »'J D0(....... 9 7Z Ze5 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal Suite/bldg. /apt. no.: Project name_jL . name: ]] � ie e s P i . ( ❑ Service or feeder 600 amps or more. l(l, /w -.--fry., jfj '— ';FEE:,$CNED..,. Cross street/directions to job site: S oe :: n I Pty. I F F ] Total 1 • New residential single- or multi - family dwelling unit. s ,j � ,5q. J Includes attached garage. Subdivision: Lot no.: 1,000 sq. R. or less 168.54 4 Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.92 I Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. fL) Limited energy, multi- family fll /f S/MO IS t! iji.<. L, f�25 )4 r residential (with above sq. R.) 75.00 2 WS/MO Services or feeders installation, alteration, and/or relocation 01t.T f,K 200 amps or less 100.70 3 ❑ PROPERTY . OWNER f.l' . .. .❑ 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 Temporary services or feeders installation, alteration, and/or City / State/ZIP: relocation ( ) Phone: ( ) Fax: 200 amps or less 59.36 I . 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, per panel Owner signature: Date: A. Fee for branch circuits with above service or feeder fee, [I. APPLICANT ...I NTACT PERSON 7.42 2 each branch circuit Business name: Gr, M� c 3 C.�1C� \, `� � .- B Fee Ibr branch circuits without ,,,,ttJ��1" service or feeder fee, first Contact name: pr/ ( /d j< ' j c branch circuit 56.18 2 ,, ! Each add'I branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular 67.84 2 h' dwelling, service and/or feeder Phone: i:603, 67' .Z7 - Z37; / Fax: : (1/) Z4 ^V&' 8 Reconnect only 67.84 2 marl. Pump or irrigation circle 67.84 2 Sign or outline lighting 67.84 2 • ' • • CONTRACTOR Signal circuits) or limited energy " �/ (a 3usiness name: l� Co. n a panel, alteration, or extension. I Page 2 !c7 2 Each additional inspection over allowable in any of the above _ C ``v l 1 •-�� / _ � kddress: '7 5 50 c h 1 n K (' t Additional inspection (I hr min) 66.25/ hr �F ©� f1 Z 3 Investigation (1 hr min) 6625/ hr 2ity /State/ZIP: ( a rzt ` 72 - c Industrial plant (I hr min) 78.18 / hr 'hone97 (' ' ' Fax: 971 �S '/44 8 Inspections for which no fee is 90.00 / hr • / s � specifically listed (K hr min) ;CB Lic.: ',.9 I Electrical Lic.: ,3 7 54 Suprv. Lic.: 340 L.}.'71` ; '-`,.I '. '� ii. ;w" L' CTR CAL=,EE FEE . • �`` uprv. Electrician signature, required : Subtotal: . .76 ©n 0 Plan review (25% of permit fee): 'rint name: Date: State surcharge (12% of permit fee): q. Q TOTAL PERMIT FEE: y. CO aitltorized signaturo ,. . IPA-- Thls'permit application expires If a permit is not obtained within 180 t � j days after it has been accepted as complete. rint name: 1 ) r) — J t C J i Date: Z- - L- t * Number of inspections allowed per permit. uilding.PermilrELC -Penni ...doc 0701.10 440- 46151(11 1 01 17:12:20 02 -28 -2013 2/3 '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: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WO ONLY: Fee for each commercial $75.00 iystem (SPF OAR 918 -309 -0000) heck 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 r_g_ Other Se _u r l I Total number of commercial systems: ! `No licenses are required. Licenses are required for all other installations 3m'tdmp\PamitABLC-Pa'mitApp.doc 07/01 /10