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Permit
CITY OF TIGARD • ELECTRICAL PERMIT COMMUNITY DEVELOPMENT / Permit#: ELC2013 00495 II TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/20/2013 Parcel: 2S 101 AD00800 Jurisdiction: Tigard Site address: 12550 SW 68TH AVE Project: Heintzberger/Payne Subdivision: WEST PORTLAND HEIGHTS Lot: 26 Project Description: Electrical for TI. 8/27/13:Adding low voltage for data telecommunications system. Contractor: LANPHERE CONSTRUCTION AND DEVELOPMENT L Owner: BHKZ LLC 4160 SW 109TH AVENUE 12600 SW 68TH PKWY BEAVERTON,OR 97005 PORTLAND,OR 97223 PHONE: 503-718-7934 PHONE: 503-546-4151 FAX: 503-718-7935 FEES Quantity Description Date Amount 17 crt Branch Circuits wo/Purchase 08/20/2013 •$174.90 Specifics: Service or Feeder 1 ea Signal circuit or Limited 08/27/2013 $75.00 Type of Use: COM Energy Panel - Class of Work: ALT 1 ea 12%State Surcharge- 08/27/2013 $29.99 Electrical Type of Const: Occupancy Grp: • Total $279.89 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 O:: • 2-001-0090. You ma obtain a copy of the r direct questions to OUNC by calling 503.232.1987 or 1.800.332.23414. 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. Call 503.639.4176 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. CITY OF TIGARD ELECTRICAL PERMIT 1,1 g • COMMUNITY DEVELOPMENT Permit#: ELC2013-00495 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/20/2013 Parcel: 2S 101 AD00800 Jurisdiction: Tigard Site address: 12550 SW 68TH AVE Project: Heintzberger/Payne Subdivision: WEST PORTLAND HEIGHTS Lot: 26 Project Description: Electrical for TI. Contractor: LANPHERE CONSTRUCTION AND DEVELOPMENT L Owner: BHKZ LLC 4160 SW 109TH AVENUE 12600 SW 68TH PKWY BEAVERTON, OR 97005 PORTLAND,OR 97223 PHONE: 503-718-7934 PHONE: 503-546-4151 FAX: 503-718-7935 FEES Quantity Description Date Amount 17 crt Branch Circuits wo/Purchase 08/20/2013 $174.90 Specifics: Service or Feeder 1 ea 12%State Surcharge- 08/20/2013 $20.99 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $195.89 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 952-001-0090. You may obtain a copy of the rule • direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ■ / Issued By: Permittee Signature: Ar' 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. Thls 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. AUG/27/2013/TUE 10:56 AM RR FAX No, 503-718-7935 P. 001 Electrical Permit ApplicatiBECEIVED 14112 OFFICE list:UNIX City of Tigard AUG 2 7 2013 Dette/13 ; Permit No.: G C a 3 J DO Z • illi 13125 S W Hall Blvd.,Tigard,OR 97223 A Plan Review L,g Phone: 503.718.2439 Fax: 503.59C9pf OF TIGARD Date/B • Other Permit H. r inspection line: 503.639.4175 Date Ready/13y: inria: El See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method; Supplemental Information 1_..._ v...... ._-_._......._.._.7777- -, -------- 7777--------- ----.._. - - ..-_.._......._._.._.._..........�.._.:_.� -_._�.___.:.___-______-__.-_._-.___.-_.____.___.._.____._._..__.: .. .�.-__.. ___._.._...__......_._____-_...-._,_.._._._..._... _ ..-.. ::"::.:: ::_... _ —_ _ f .fit ,y.f 7 a � dT �fW .fie\ - ._'- � ..1u.. ....).:, „�,..• ._. .. ❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 seta of plans w/items checked below): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition 0 Other • where the available fault current ❑Marinas and boatyards. `===_-�:-::,:.::_•:�_-�_-_:_-_=:_--::;:.::---7777,._......--7777--7777--_ _._._...---------7777---7777-'_�_..--_.:_--- -__7 7 :_7_ 777. _,:,,,. _ exceeds 10.000 at 150 volts or Flag buildings. --____......----777 --- ._.._.___.. ,..�.._,,.-�•---7777----- -- _--- .:-.- C.::;:i•,a :i,:, 1 \ -� m r"-`.t----....1. 's . . f u exceeds ['Commercial-use g u ire ._❑�l-and2-Entail dwelling _.—� - togro rd, td,noo ark ]n 1 Y g ®Commercial/industrial ❑Accessory b \ �, ii , fbr all other installations. buildings, ❑Multi family ❑Master builder ❑Other ' + ':P'F• ❑Installation of 150 KVA or Y ' ■ 3•,.:gency system larger separately derived system. ='— — = -- — dditioa of scut motor bad of 0"A","E", t 3 Job no.:120049E Job site address:12550 SW 68th Ave. 1001iP or more, occpancy. El Six or more residential units. ❑Recreational vehick parks. City/State/ZIP:Tigard,OR 97223 ❑Health-care fleilities. ❑Supply voltage for more than ['Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: ❑Service or feeder 600 amps of more. Cross street/directions to job site: Descrindoa � 1 777/ r .:.. New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4 Es.add'1500 sq.ft.or portion 33,92 I Tax map/parcel no.: Limited energy,residential 75A0 2 ✓ —a (With above •.f.)r....a.4.::.. -. _ : . ft_--,.._ _ ... _ ; •,. Limited energy,multi-tltmily ■ _111 Add"Limited Energy"to existing permit#ELC2013-00495 residential with above .,ft.) 75,00 ,,rr r-;pry z . 4.. r.-,... ' r' n it }.l1 i-. I ft+ a.. t e L r .r1 =�. i.l p.. I... -dTl.!}g„ 7.181 : ..._,.z..:._r_.. 1 :� Services or feeders installation alteration,and/or relocation ------7777-. .-.._..:___.::: ...._....,... .:-=;rr--- - - - r-:-r,�;,- e• -=r '. „.:,--: .::•':::-e...:.. :<;:- = - ..:1 200ampaorless 100.70 2 _ 77.777.7 _ _.�:__, - —.. 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Temporary services or feeders Installation,alteration,and/or Phone:( ) I Fax:( ) relocation 1 Owner installation:This installation is made on property 200 amps or less 59.36 2 being p poly that I own which is not 201 amps to 400 amps 1?5.08 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 t A.Fee for branch circuits with `; ��r ^f ,_ `}�i -' ti - ,5.34 [. f h. ..: ..:......_ _.. -._._ _s^ ..77.77.—.�.�_:=.�-- above service or feeder fee, Business name: ..w. each branch circuit 7.42 2 B.Fen for branch circuits without Contact name: service or feeder fee,first branch circuit 56.18 2 Address: Each add'1 branch circuit 7.42 2 City/State/ZIP: Miscellaneous(service or feeder not included) Each manufactured or modular 67.$4 Phone:( ) Fax: :( ) dwelling.service and/or feeder '" Reconnect only 67.84 2 E-mail: Pump or irrigation circle 67.84 2 a tai iv.� ,fJ -- •-° �•�:::. Sign or outline lighting 67.84 2 ......Y..._ ..7777- 7777--7777-- 1_._:,vf� .,,::r:•, Business name:Access Electrical - _ Signal circuit(s)or limited-energy i See 75.00 panel,alteration,or extension. Page 2 2 Address:13625 SW Farmington Rd., Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr City/State/ZIP:Beaverton,OR 97005 Investigation(1 hr min) 66.25/hr Phone:(503)718.7934 Fax:(503)718.7935 industrial plant(1 hr min) 78.18/hr ------ --Inspections fbr•which no-fee-is --91 t CCB Lic.: 197316 Electrical Lic.: C879 Suprv.Lic.: 4931S specifically listed(1A hr min Suprv.Electrician signature,required: Subtotal: 75.00 Print name: Kent Zimmerman Date: 08.27.13 Plan review(25%of permit fee): State surcharge(12%of permit fee): 9.00 Authorized signature: TOTAL PERMIT FEE: 84.00 Print name: 1 Date: This permit application expires if a permit Is not obtained within 180 days after It has been accepted as complete. • Number of inspections allowed per permit ]:r Building\Pmmnits\ELC_PenaitApp_ELR_EREdoc Rev 05/21/2013 4404515'itll/Od/CQIWWf13 AUG/27/2013/TUE 10:56 AM FAX No, 503-718-7935 P. 002 Electrical Permit Application-City of Tigard Page 2-Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: r_:_:..-_:c__=.c:_-: Fee for all residential systems combinedS7;t; :. -13;;;S.den Renewable electrical energy systems: Check Type of Work Involved € s kva or less 100.70 _13 El Audio and Stereo Systems* s.o1 eo 1s kva 133.56 _ 15.01 to 25 kva 200.34 _© ❑ Burglar Alarm Wind:eneration stems in excess of 25 kva: 25.01 to 50 kva um 301.04 �© ❑ Garage Door Opener* 50.01 to 100 kva - 55226 © >100 kva(fee in accordance with El Heating,Ventilation and Air Conditioning OAR 918-309-0040 55226 System* Solar generation systems in excess of 25 kva: Each additional kva over 25 7.42 _© ❑ Vacuum Systems* >100 kva—no additional charge - 0.0 _© Each additional Ins•ection over allowable In an of the above: ❑ Other: Each additional inspection is ■ 66.25/hr -� char:ed at an hour l br min lnspections or which no fee is ■ 90.00/hr —. call listed hhr mm s. j tj Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review,if required(25%of permit fee): State surcharge(12%of permit fee): Check Type of Work Involved: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 ❑ Audio and Stereo Systems days after it bas been accepted as complete. * Numher of inspections allowed per permit ❑ Boiler Controls ❑ Clock Systems I Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* 0 Protective-Signaling ❑ Other Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations r:1BuildiakPeimitsiFIC PermaApp eLR_n&ndoo Rev 0i/21/2013 • AUG/19/2013/MON 10:45 AM FAX No. 503-718-7935 P. 002/003 Electrical Permit Application •- FOR()FFICI USR ONLY - . ' City of Tigard - Received tar g d �; Date/13 : , '/,7 1312$SW Hall Blvd.,Tigard,OR :PF.- N3 %• ' ► I' Phone: 503.7182439 Pax: 503.5.8. 960 C 1� �0 Review Other hermit. `tai I / ``\\v • l tt:AMU Inspection Line: 503.639.4175 P,U �0.® Date Ready/By; E1 See Page 2 for Internet www.tigard-Or,gov \G, `` \Notifed/Method: `�� Supplemental Information a ._.. .FI•.. ,.:....: •T r j• I { �'1-f2 dl,r �,.� r.. .r is 1J tidJJ'•r 51 v _ f+,? ❑New construction ®Addition/altere a r`f�-" - ent Please check all that apply(submit 2 sets of plans w/itmns checked below): Other: Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑ where the available fault current ❑Marinas and boatyards- `:_.0`ff K3.q,r,,,,,,,r'-'4--',.,.:'c'.;',^7,-F..,.-. i 93) a L Jl,i3 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 amt's tor au other installations, building. ❑Multi family 0 Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or ':+, ' i ...: w,;, 'j�.-,-- 11,a�1. 16}I"- r ! -- 4rM3i xv.. t r �. ❑Emergency system. larger separately derived system ...w.,, - -----. -.,, , «__....-_..« -..'.r: _w - .. ", ..<.:.,..,,,_. ..,. : ._ —:• ❑Addition of:law motor loaQOf 0"A","E","1-2","1-3", Job no.:120049E Job site address:12550 SW 68th Ave. 10018 or more. occupancy. ❑Six or more residential units. ❑Recreational vehicle pars. -. .. City/State/ZIP:Tigard,OR 97223 ❑Health tare facilities, - •• ' ❑Supply voltage far more than Hazardous locations 600 volts nominal Suite/bldg./apt no.: I Project name: /..1 ,0-a(�ir 14 ❑Service or feeder 600 amps or mom. Cross street/directions to job site • r ,-:... 'cr if:1 fog7.17 ta ;_`.T "',= 4 • Ueurlatton Qty. Fee. Tor,I New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1.000 sq.ft or leas 168.54 4 Fa add'1500 sq.ft.or portion 33.92 1 Tax map/parcel no Limited energy,residential a t S7 i! v Jd o-,, 3 1,g 3 (with above sq.ft.) 75.00 2 d a, Limited energy,multi-family 75.00 2 Retrofit kits for lighting. Refeed existing and new receptacles residential(with above ft. d ,��-�A t yr, ,''_ar.�t 'g �.s. y. . _ Services or feeders installation,alteration,and/or relocation j, u'95A r 91"`2d+`'+1 1 'd w " c :.rt , 2 ''' + v ,r„ 200 amp9 or 1e99 I 100.70 2 _.—_M_ ,-•r- ...:::_ ,•--_ ..__ 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Temporary services or feeders installation,alteration,and/or Phone:( ) I Fax:( ) relocation 200 amps or less r 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.01 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, � _.. alts ra a r exte l on panel er , j`.''''.;';',1,1; i `' r' T 1 �fr W ::''4 a A.Fee for branch circuits with jn+ : ., � i c .f-- above service or feeder fee, Business name: each branch circuit 7.42 2 B.Fee for branch circuits without Contact name: service or feeder fee,first 1 56.18 56.18 2 branch circuit Address: Each add'l branch circuit ift( 7.42 ..11,342...4'. 2 City/State/ZIP: Miscellaneous(service or feeder not included) 117, A Each manufecnned or modular Phone:( ) I Fax::( ) dwelling,service and/or feeder 67.84 2 Reconnect only 67.34 2 E-mail: Pump or irrigation circle 67,84 2 sax .I 1^T.:1 13Tc - - ..-.. _ .:.«_ __..: Sign or caritas lighting 67.84 2 Business name:Access Electrical -_ _ Signal circuit(s)or limited-energy See panel,alteration,or extension. Page 2 2 Address: 13625 SW Farmington Rd. Each additional inspection over allowable in auj of the nbove Additional inspection(1 hr min) 66.25/hr City/State/ZIP:Beaverton,OR 97005 investigation(1 hr min) 66.25/hr Phone:(503)718.7934 I Fax:(503)718 935 Industrial plant(1 hr min) 78,18/hr -- ,// p / 0ni0neis CCB Lic.: 197316 lectrical Lie: 0879 Su ry I,i 49315 a tficau listed +iS hr mm p 90y 00/hr ••+� 7 . iF yf i* ��,V l)F1J 1 1''!v+. „ .e .i.c 5uprv,Electrician signature,required: /-�H�� V------- Subtotal: 1.211...10--- Print name: Kent Zimmerman Date: 08.19.13 Plan review(25%of permit fee): State surcharge(12%of permit fee): fad -et i Authorized signature: TOTAL PERMIT FEE: 9 1! l 4(5-,(tl This permit application expires If a permit is not obtained within 180 Print name: Date: days nfter It has been accepted as complete. Number of inspections allowed per permit. I:113uildiag1Per mits4SI.C_PermitApp L'LR p2.doc 5ev01/21/2013 440-4615r(ll/05/COMME13 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12550 SW 68TH AVE, TIGARD, OR, 97223 2013 - 12 - 03 (null) Record Type: Record ID: Commercial - Electrical ELC2013 - 00495 Inspection Type: Result: 199 Electrical final PASS - No C of 0 Comments: Violation Summary: Inspector Contractor