Permit CITY OF TIGARD ELECTRICAL PERMIT
Ile.. COMMUNITY DEVELOPMENT Permit#: ELC2013 00498
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/21/2013
Parcel: 2S 101 CA00400
Jurisdiction: TIGARD
Site address: 7940 SW HUNZIKER ST
Project: Hunziker Building Subdivision: 2007-064 PARTITION PLAT Lot: 1
Project Description: (1)100 amp service and(4)branch circuits for 19,929 sqft addition along the south edge of the existing building for
additional storage
Contractor: CLACKAMAS ELECTRIC INC. Owner: MERITAGE FIVE LLC
PO BOX 51 7940 SW HUNZIKER RD
BEAVERCREEK, OR 97004 TIGARD,OR 97223
PHONE: 503-969-5684 PHONE:
FAX: 503-632-2421
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 08/21/2013 $100.70
Specifics: amps or less
4 crt Branch Circuits w/Purchase 08/21/2013 $29.68
Type of Use: Service or Feeder
Class of Work: 1 ea 12%State Surcharge- 08/21/2013 $15.65
Electrical
Type of Const:
Occupancy Grp:
Total $146.03
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 -00 0. Yo may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: I 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 SI T R / Date:
�/ CONTRACTOR INSTALLATION ONLY
SIGNATU OF SUPR.ELEC' Date: /2.// /
LICEN ENO. -I "7 q%
Call 503.639.4176 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.
Electrical Permit Application RECENED FOR OFFICE USE ONLY
City of Tigard Received DateB : / Permit No.: Co/045—O' —,
q 13125 SW Hall Blvd.,Tigard,OR 97223 AU ?0 --�
Plan Review 1
' C Phone: 503.718.2439 Fax: 503.598.1960 ) •��'' Date/By: Other Pern�u��/3 _��Q,
T 1 G R D Inspection Line: 503.639.4175 CITY OFTIG. ' I Date Ready/By: luris: ® See Page 2 for
Internet: www.tigard-or.gov ISION Notified/Method: 776"---- Supplemental Information
BUILDING nN
TYPE OF'WORK PLAN PREVIEW' • '
El
construction RI 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..-iOF 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 150 KVA or
JOB SITE INFORMATION AND LOCATION 13 Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","E","l-2","I-3",
Job no.: Job site address: --)q Le S l l.) (4 may` Six or or more. occupancy.
_ -__- 1^ Z I ° ❑Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP:
5 t ❑I lealth-care facilities. 0 Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: 6�wit z(kc✓ t J'0( 9 ❑Service or feeder 600 amps or more.
(�� � , ) FEE SCHEDULE
Cross street/directions to job site: L`'�l�lf�-E(/e r/ t-04.I ( Description I Qtr. 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 1
Tax map/parcel no.: Limited energy,residential
sq. 75.00 2
DESCRIPTION OF'WORK (with above 4 )
ft.
` Cut , . Limited energy,multi-family
( 'Iyy-j 4 o a t� \(�'b<n4 residential(with above sq.ft.) 75.00 2
Renewable Energy ❑ See Page 2
e {ake r Services or feeders installation,alteration,and/or relocation
0 PROPERTY OWNER I ❑ TENANT - • 200 amps or less / 100.70 2
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:( ) Fax:( )
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 ❑ CONTACT PERSON A.Fee for branch circuits with I I
above service or feeder fee,
7.42 2
Business name: each branch circuit I- A
B.Fee for branch circuits without
Contact name: service or feeder fee,first 2
branch circuit _ _
Address: Each add'I branch circuit I , I 7.42 2
Miscellaneous(service or feeder not included)
City/State/ZIP: Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Phone:( ) Fax: :( )
-
Reconnect only 67.84 2
E-mail: Pump or irrigation circle 67.84 2
' '••CONTRACTOR.. „ _ • . Signor outline lighting 67.84 2-
Business name: C , V�-L� Q S E[e -c I c Signal circuit(s)or limited-energy See
i L' panel,alteration,or extension. Page 2 2
Address: i)D . `— Each additional inspection over allowable in any of the above
City/State/ZIP: k G �7 �/ Additional inspection(1 hr min) 66.25/hr
8e4✓ -rc-ce c k Q 2 -( /0 d 7 Investigation(I hr min) 66.25/hr
Phone: 3 k 3; ___;(1)D Fax:(Jc--03 )(_3,7 --)q.21 Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.:,' � Electrical Lic• I[1. G Suprv.Lic.: 61-2144S specifically listed(%:hr min)
/Q / • %1 / :ELECTRICAL PERMIT IFEES•,
Suprv.Electrt Ian s na rPD■erequired: if �// Subtotal:
Print name: 9 Date: 5/�J// 3 Plan review(25%of permit fee):1 1 S State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE: iy6 ,-03
Print name: 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.
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Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined ... $75.00 Description I Qtv• I Fee I Total I
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
El Audio and Stereo Systems* -
15.01 to 25 kva 200.34 2
ElAlarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
El Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance with
El Heating,Ventilation and Air Conditioning OAR 918-309-0040) 552.26 2
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
❑ Each additional inspection over allowable in any of the above:
Other: Each additional inspection is
charged at an hourly(I hr min) 66.25/hr 1
Inspections for which no fee is 90.00/hr
specifically listed(%:hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
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 has been accepted as complete.
• Number of inspections allowed per permit.
El Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
•
El Fire Alarm Installation
El HVAC
❑ Instrumentation
El Intercom and Paging Systems
El Landscape Irrigation Control*
El Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
El Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
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