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Permit CITY OF TIGARD ELECTRICAL PERMIT s : COMMUNITY DEVELOPMENT Permit#: ELC2013 00515 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/28/2013 Parcel: 2S 101 AC01801 Jurisdiction: Tigard Site address: 12615 SW 72ND AVE Project: Lowe's Subdivision: BEVELAND NO.2 Lot: 18-19,P Project Description: Power for Iris display. Contractor: BERGELECTRIC CORP Owner: TIGARD-TUALATIN SCHOOL 13650 NE WHITAKER WAY DISTRICT 23J PORTLAND,OR 97230 6960 SW SANDBURG ST TIGARD,OR 97223 PHONE: 503-255-1818 PHONE: FAX: 503-255-1919 FEES Quantity Description Date Amount 2 crt Branch Circuits wo/Purchase 08/28/2013 $63.60 Specifics: Service or Feeder 1 ea 12%State Surcharge- 08/28/2013 $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 9 2-001-0090. You ma •• - -• '_�, questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �' Issued By: Permittee Signature: - 7 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. 00/27/13 14:05:15 Page 002/004 a : -I CEO Electrical Permit App E E rot 0t.FcE t G O ",IN Received City of Tigard 2 7 2013 Date,B t ? 3 i7/ Permit No.: — ,t 1 — I s- i • 13125 S W Hall Blvd.,Tigard,OR B{7 Plan Review R Phone: 503.718.2439 Fax: 503. ) . 960 1)ete.By: OtherPennic Tl G:\1 ID Inspection Line: 503.639.4175 C1� TIGARD Date Ready.By: 63 See Page 2 for Internet: www.ligard-Or.getv,�-y�,��] k Notified/Method: Suppkmenal Information T,P{II��1G®IVISI® PLAN RED lEN ❑New construction ®Addition/alterationireplacement Please check all that apply(submit 2 sets of plans w:items checked below): ❑Scn iec or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Manners and boatyards. C'ATEGORY'OF CONSTRUCTION exceeds 10.000 amps a1150,altsor ❑Floating buildings. less to ground,or exceeds 14.000 ❑Commercial-use agricultural ❑ I-and 2-family dwelling ®Commercial/industrial 0 Accessory building amps for all other installations. building,. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or ❑Emergency system larger separately derived system . . JOB,SITE INFORMATION.AND LOCATION, . , ❑Addition of new motor load of ❑"A"°E`"I 2.."1.3n. Job no.:14284.12 Job site address:12615 SW 72ni1 Ave. 1001(Por more. occupancy. ❑Six or more residential units ❑Recreational vehicle parks. City/State/ZIP:Tigard,OR 97223 ❑Health-care facilities. ❑Supply toltage for mute than ❑Hazardous locations. 600'oils nominal. Suite/bldg./apt.no.: Project name:Lowe's of Tigard#1108 ()Service or feeder 600 amps or mom. --FEE SCHEDULE':; --. - Cross street directions to job site:12615 SW 72"d Ave. Description . I Qt, I Fee. I Total I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq.0.or less 168.54 4 Ea.add'/500 sq.fl.or portion 33.92 1 Tax map/parcel no.. Limited energy,residential DESCRIPTION-O.F.R`OR1►-- (with above sq.R.) 75.00 2 Limited energy,multi-family ' 75.00 2 Add power for Iris display residential(with above sq.0.) 'Renewable'Eoergy .: ':., . :.'CP:See:p''2'.:.,.;,. .'. Services or feeders installation,altcration,and/or relocation - :,®;PROPERT}','OWNER' .',.I ,❑TENANT: 200ampsorlcss 100.70 2 201 amps to 400 amps 133.56 2 Name:Lowe's 401 amps to 600 amps _ 200.34 2 Address: 12615 SW 72"d Ave 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City'State/Zl P:Tigard,OR 97223 Temporary services or feeders installation,alteration,and/or Phone:(503)624-2644 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. and 701. 401 amps to 599 amps 168.54 2 Owner signature: _ Date:_ Branch circuits-new,alteration,or extension, r panel ®.APPLICANT-: - I ❑;, CONTACT, RS PEON= -" A.Fee for branch circuits with above service or feeder fee, 7.42 2 Business name:Bergelectric Corp. each branch circuit B.Fee for branch circuits without Contact name:Paul Moss service or feeder fee,first I 5618 56.18 branch circuit Address: 13650 NE Whitaker Way Each add'l branch circuit I 7.42 7.42 2 City/State'ZIP: Portland,OR 97230 Miscellaneous(service or feeder not included) Each manufactured or modular 67 84 2 Phone:(503)255-1818 Fax::(503)255-1919 dwelling,service and/or feeder _ Reconnect only 67,84 2 E-mail:kpope@bergelectric.com Pump or irrigation circle 67.84 2 CONTR�t iOR Sign or outline lighting 67.84 2 Business name:Bergelectric Corp. Signal cireuil(s)or limited-energy See panel,alteration.or extension. Page 2 _ 2 Address:13650 NE Whitaker Way Each additional inspection over allowable in any of the above Additional inspection(I hr rein) 66.25'hr City/State/ZIP:Portland,OR 97230 investigation(I hr min) 66.25•hr Phone:(503)255-1818 Fax:(503)255-1 19 Industrial plant(I hr min) 78.18,'hr Inspections for which no fee is 90.00,hr CCB Lic.: 110521 //Electrical Lie.: 37-6B2C • Suprv.Lic.: 5485S ./..- specifically listed('i,hr min) Suprv. Electrician signature,required: - ELECTRICAL PERMIT FEES Subtotal: 63.60 Print name: Ken Hips Da, /13 Plan review(25%ofpermit fee): y / ,r _ Stmcsurcharge T(12%of FEE: 7.63 Authorized signature: /71/`x/J//S//'/ TOTAL PERMIT FEE: 71.23 This permit application expires if a permit is not obtained within 180 Prim name: Kelly Pope Date: 8/27/13 days after is has been accepted as complete. e Number of inspections allowed per permit. I.Bw1"mgPermn,.@LC--PmmtiApp_F.I.R_ERE dor Her IWP 7015 440-40151t11 05 COM WEB 08/27/13 14:07:15 Page 003/004 Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL W,ORK;ONLY: r a SCHEDULE,;:::. ... ...,.:.,. - Fee for all residential systems combined ... $75.00 Deyeri•Hon L911,1 —Fee Renexable electrical energy systems: Check Type of Work Involved: 5 kva or less 100'0?--! i 2 5.0!to 15 kva 13 50 1 2 El Audio and Stereo Systems* - 15A1 to 25 kva ~�— 200.34 2 [ Burglar Alarm ' wind-cneration systems In excess of 25 kva: 25.01 to 50 kva 301.04T ❑ Garage Door Opener* 5001 to l00 kra 5i2.2i 100 ken(fee in accordance with 1; E Heating;Ventilation and Air Conditioning OAR 911-309-00401 52 System* Solar generation systems in excess of 25 kva: Each additional kva oot:r.5 i 7.4; 3 ❑ Vacuum Systems* ' :100 kva—no additional charge (LO q ❑ �` Each additional inspection over allow abte in any of the above:1 Other: i Etch additional inspection is charged at an hourly(I hr min) 66.25/hl 1 i Inspections for which no fee is speafienlly listed(i hr min) 90.00i hr COMMERCIAL-;WORK,ONLY:.` ELECT ICAL-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 fce): Check Type of Work Involved: TOTAL PERMIT FEE 11 This permit application expires if a permit is not obtained nithin 180 Audio and Stereo Systems dais after It has been accepted as complete. Number of inspecriom allowed per pencil. ❑ Boiler Controls E Clock Systems ❑ Data Telecommunication Installation n Fire Alarm installation ❑ HVAC ❑ instrumentation LI Intercom and Paging Systems Li Landscape irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I Hmmin4;.Pameu-El.( PeumApp_ELO_ERE dnc SO.05:::01?