Permit o CITY OF TIGARD ELECTRICAL PERMIT
III a • • COMMUNITY DEVELOPMENT Permit#: ELC2013 00459
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/05/2013
Parcel: 25101 DA01200
Jurisdiction: Tigard
Site address: 7165 SW FIR LP 200
Project: Alternative Services Subdivision: 72ND BUSINESS CENTER Lot: 14-15
Project Description: (2)branch circuits for TI-Create(3)new offices inside tenant space.
Contractor: BACHOFNER ELECTRIC LLC Owner: WESTON INVESTMENT CO LLC
12031 NE MARX ST 2154 NE BROADWAY, STE 200
PORTLAND, OR 97220 PORTLAND,OR 97232
PHONE: 503-327-8872 PHONE: 503-284-2147
FAX: 503-327-8869
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo/Purchase 08/05/2013 $63.60
Specifics: Service or Feeder
1 ea 12%State Surcharge- 08/05/2013 $7.63
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $71.23
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 OAR 95 1-0 u m y obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 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. . ,3'G 2,- S
Call 603.639.4175 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.
EIVE i
Electrical Permit Application IOR OFFICE USE ONLY
City of Tigard AUG 5 2013 Received ', i Permit N --4(7.2c.„.„.3..._D 95'
`J g Date/B : /'
° 13125 SW Hall Blvd.,Tigard,OR 97223 TYOFTIGARD Plan Review
II Phone: 503.718.2439 Fax: 503.598.196eI Date/B : Other Pe�y �� 3 �S�
TI G A R u Inspection Line: 503.639.4175 BUILDING DIVISIO Date Ready/By: ® Page 2 for
Internet: www.tigard-or.gov Notified/Method: NM Supplemental Information
TYPE OF WORK PLAN REVIEW
El
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
❑ I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑ Master builder ❑Other: ❑Fire pump. ❑Installation of I50 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A"."E","I-2","I-3'.
Job no.: 1095 Job site address: 7165 SW Fir Loop 100HP or more. occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard,Oregon 97223 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.:200 Project name:Alternative Services ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site:SW 72 Ave and Fir Loop Description I Qty. I Fee. I Total I •
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'I 500 sq.ft.or portion 33.92 I
Tax map/parcel no.: Limited energy,residential 75.00 2
' DESCRIPTION OF WORK (with above sq.ft.)
Limited energy,multi-family 75.00 2
Small tenant improvement residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
® PROPERTY OWNER I . ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name: American Property Management 401 amps to 600 amps 200.34 _2
Address: 2510 NE Multnomah 601 amps to 1,000 amps 301.04 2
City/State/ZIP: Portland,Oregon 97223 Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Phone:(503)224-9554 I Fax:(503)284-1667 relocation
200 amps or less 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
Owner signature: Date: Branch circuits-new,alteration,or extension,per panel
0 APPLICANT I ❑ CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
7.42 2
Business name: Bachofner Electric LLC each branch circuit
B.Fee for branch circuits without
Contact name:Troy Connors service or feeder fee,first 1
56.18 56.18 2
branch circuit
Address: 12031 NE Marx Street Each add'l branch circuit 1 7.42 7.42 2
City/State/ZIP: Portland,Oregon 97220 Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
Phone:(503)327-8872 I Fax: :(503)327-8869 dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail:tconnors @bachelectric.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name: Bachofner Electric LLC Signal circuit(s)or limited-energy See
panel,alteration,or extension. _ Page 2 2
Address: 12031 NE Marx Street Each additional inspection over allowable in any of the above
City/State/ZIP: Portland,Oregon 97220 Additional inspection(1 hr min) 66.25/hr
Investigation(I hr min) 66.25/hr
Phone:(503)327-8872 I Fax:(503)327-8869 Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
90.00/hr
CCB Lic.: 187062 (/z/gectrical Lic.: C514 7/,,h suprv. Lic.: 5625S i specifically listed(Vi hr mi )
/ E LECTRICAL PERMIT FEES
Suprv. Electrician signature,required: `- � — Subtotal: . 63.60
Print name: Troy Connors Date: 8-5-13 Plan review(25%of permit fee):
State surcharge(12%of permit fee): 7.63 _
Authorized signature: - ���/ / TOTAL PERMIT FEE 71.23
C. This permit application expires if a permit is not obtained within ISO
Print name: Troy Connors Date: 8-5-13 days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013. 440-4615T(t l/05/COM/WEB