Permit •
� q CITY OF TIGARD ELECTRICAL PERMIT
` • _`- COMMUNITY DEVELOPMENT Permit#: ELC2013 00553
Date Issued: 09/18/2013
TIGARD 13125 SW Hall Blvd,Tigard OR 97223 503.718 2439 Parcel: 2S101 D600100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 102
Project: Plaza Home Mortgage Subdivision: VARNS ACRES Lot: 3
Project Description: (10)branch circuits for TI
Contractor: A C & E ELECTRIC CO Owner: HILLTOP BUSINESS CENTER LLC
3535 DEL WEBB AVE NE#100 HUNZIKER LLC
SALEM, OR 97303 9430 NW KAISER RD
PORTLAND, OR 97231
PHONE: 503-363-2301 PHONE: 503-699-5100
FAX: 503-363-2302
FEES
Quantity Description Date Amount
10 crt Branch Circuits wo/Purchase 09/18/2013 $122.96
Specifics: Service or Feeder
1 ea 12%State Surcharge- 09/18/2013 $14.76
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $137 72
Required Items and Reports(Conditions)
This permit is -•-• su• - to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will
be done i •ccordance with ap•roved 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 A' ENTION Oregon law re• ires you to follow the rules adopted by the Oregon Utility Notifi9IserrnCenter. Those rules are set forth in OAR
952-00 -0010 throush OAR 952-00 1091 At may obtain a copy of the rules or direct questions to OUNC by callin _ 03.2 1987 or 1.800.332 ,844.
Issu e d By: / / Permittee Signet
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.
09/18/2013 13:57 5034850586 ACRE ELECTRIC PAGE 01/01
:Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard mo v e d 9?j (2)...k PermltNe.:E a )/�j/5 oe31
a 13125 SW Hall Blvd.,Tigard,OR 97223 pI� � -ff''�, o J
' 2 Phone: 503.718.2439 Fax 503.598.1960 Ante/By Other Permit:
TI c:,A R n Inspection Line: 503.639.4175 Date Rendy/Br )urla: S 2 for
/�9
Internet: www.tigard--or.gov , 1 Notified/Method: r Supplemental Information
i
❑New construction ®Addition/alteration/rcplacement Please check all that apply(submit a sets of plans w/inens checked below):
O Service or feeder 400 amps or mars ❑Building over three stories.
❑Demolition 0 Other:
where the available tbalt current 0 Marinas and boatyards.
-c. r �ypr.,^w,tr dviti . Ci� r� a -� ca 'r' ii xooccdv 10.000 a exceeds volts or ❑Flnntingbuldm
_ ; :fig r.+t .�. .�.-.. 0 "��' ,. � ,c pa.
ground, ❑Commercial-tin agricultural
0 1-and 2-family dwelling ®Commercial/industrial ❑Acccssory building amps for all other installations. bm'ldmga.
❑Multi-family ❑Master builder ❑Other: DFire pump. 0 Installation of 150 KVA or
;;si., ," 6* i krlioUlA Nf y 3 r ❑Emergonry system. larger separately derived system
.«. ,- ' + O Aeldnron of new motor load of ❑-A",°F••,-1.2""1-3",
Job no.: Job site address:7320 SW Runziker Rd 10011P or more, occupancy,
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard,OR ❑14cnith.cwc facilites. ❑Supply voltage for more than
OHazardous locations. 600 wits nominal
Suite/bldg./apt.no.:102 Project name:Plaza Mortgage ❑Semice or Roder 600 amps or mom.
Cross street/directions to job site: W R ' ; i •� - i,'
Dtlretstk ��ryJ Pe' Total
New residenttal single-or multi-family dwelling unit.
includes attached garage.
Subdivision: Lot no.: 1.000 sq.ft.or less 168,54 4
Ea.add'l 500 sq.ft.or portion 33.92 I
Tax map/parcel no.:
_ �* � Limited energy,residential
-'( ` (with above sq.R) 75,00 2
Limited energy,multi-family 75,00 2
TI Remodel residential(with above sq.ft.)
§Rtlirrrsibttii:EfWrg •-' =''t:�=-;''2--.I,•..;,--.,
�+ ,�y� y� Services or feeders installation;alteration,and/or relocation
�'T' ro 'L.X-"o : :`' '�, _.•.11:15 W5:111 ' `sal 200 amps eir 1MS 100.70 2
r �1, 1 - 1 201 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 59.36 l
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: Brandt circuits-new alteration or extension .cr •and
,..�...., fit':•. ? A.Fee for branch circuits with
:.: '. P7 1rK.•sue. Tt ; above service or feeder fee,
Business name: each branch circuit 7.42 2
B.Fee for branch circuits without
Contact name: service or feeder fcc,first 1 56,18 56,18 2
branch circuit
Address: Each add'!branch circuit 9 7.42 66.78 2
City/State/ZIP: Miscellaneous(service or feeder not included)
�' Each manufactured or modular
Phone:( ) I Fax::( )
dweilin service and/or feeder 67 84 2
Reconnect only 67.84 2
E-mail: Pinup or inigation circle 67.84 2
g t',- ` 3;y a ,..3.,:i:J CTCI . ;, v$°."-- .. .sue ;-.•.'. Fe jt. Sign or outlinellpphting 67.84 2
Business name:AC&E Electric Signal circuit(s)or limited energy See
flan!!,alteration,or extension psge 2 2
Address:3535 Del Webb Ave NE Each additional in pcetion over allowable In any any of the alcove
Additional inspection(1 hr min) 66.25/hr
-
City/Statc/ZIP:Salem,OR 97301 Investigation(1 hr min) 66 25/hr
viiiPhone:(503)363-2301 fax ( ) indtatttial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90,00/hr
CCB tic.: 591 Electrical Li IC Suprv.Lie.: 5387S specifically listtxt1%hr mm
;4 ; " ti —- P Yf-:_RBESt,, �'s.01;}ts
Suprv.Electrician signature,required: � ' —
Subtotal: 122.96
Print name: Carl Duncan �r Date: 9/17/13 Plan review(25%of permit fee):
State surcharge(12%of permit fee): 14.76
Authorized signature: TOTAL PERMIT PEE: 137.72
This permit application moire,if a permit is not obtained within 18Q
Print name: Dale: days after it has been accepted as complete. �/
■ Number of inspections allowed per permit.
I:Mandlna\Pennlm\Fl.0 PemalApp StR_ERS.Itnc Rev 05/212013 440-4615T(11/05/COMAVEB