Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
11111 - COMMUNITY DEVELOPMENT Permit#: ELR2013-00231
TIGARD 13125 SW Hall Blvd,Tigard OR 97223 503.718.2439 Date Issued: 09/18/2013
Parcel: 25101 DB00100
• Jurisdiction: Tigard
Site address: 7340 SW HUNZIKER RD 100
Project: Greenco International Subdivision: VARNS ACRES Lot: 3
Project Description: Data telecommunications system
Contractor: BRIDGETOWN ELECTRIC Owner: HILLTOP BUSINESS CENTER LLC
5701 N LOMBARD ST HUNZIKER LLC
PORTLAND,OR 97203-4113 9430 NW KAISER RD
PORTLAND,OR 97231
PHONE 503-621-7122 PHONE:
FAX: 503-621-7123
FEES
Description Date Amount
Specifics:, Restricted Energy Permit 09/18/2013 $75 00
12%State Surcharge-Electrical 09/18/2013 $9.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio&Stereo 0 Boiler Controls: 0
CCTV' 0 Clock Systems: 0
Data&Telecommunications: 1 Fire Alarm. 0
HVAC' 0 Instrumentation: 0 -
Intercom/Paging: 0 Landscape/Irrigation: 0
Landscape Lighting. 0 Medical 0
Nurse Calls: 0 Protective Signal' 0
Security Alarm. 0 Other 0 Total $84 00
Other Desc: 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 rules or direct questions to OUNC by calling 503 232 1987 or 1.800 332 2344
t �
Issued By: Permittee Signature: -
OWNER INSTALLATION ONLY • 7l�
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.
•
•
Sep 13 2013 10: 11AM Bridgetown Electric 503-621 -7123 page 1
Electrical Permit ApDlicatioen CEIVED , i ,;., : . . , .-, ... .. .
g:
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223 Plea Rc: q /7 13 �� -r'�g�D(3'vd �
Phone: 503.7182439 Fax: 303.398196 1 16 2013 �ale,B lens Other1 Nl4
Inspection Line: 503.639.4175 Date ReadyBy: rabic Id See page 2 far
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: _ Supplemental Information
N�,, •; p3.5;{�} .�t0i=(�y' il�'lpd�4 t ..a,. C (� I..S ccv�.�uuwr..
1,':r;C5tu1 � re 7;t:'al�:+r:?." Ka_ t�''r .....i :PAT. 9 at-nag � N i'.'•li��w47rA�7 .L,1''..Li,'q���fyp� ,'t�:'!`Dr!..70 _` .�?'yyv{��l° y jyt e!;:„Ti)•� C::�i•...-��',�1!'tid i• ��'" ��'�'- � •' •.h h. .•�.,�Fa'_•�...,lEr •'9.'!k2'SL`rMaL:.r.. ..iu:Ma�u'I.ii u'4-.,L:ti1��i�.:'�u�� �.,L�
❑New construction 0 Addition/alteration/replacement Please cheeky that apply(submit a sets of plans w/iteme checked below).
❑Demolition ❑Other; ❑Service or feeder 400 amps or snore ❑Building over throe stories.
'' L } -y :J where the,vsilable fault current or ❑Floating and boatyards.
'--n >•.,,,, s g v„.. f;,:; �'. ir' ^;; ,,; =coda 1',000 amps at 150 ❑ buildings
less to:• or exceeds 14,000 ❑Commercial-en agricultural
❑ 1-and 2-family dwelling Da Commercial/industrial ❑Accessory building amps Ibr other installations. but Wings.
❑Multi-famil ❑Master builder ❑Other: ❑Fire pomp ❑Installation of 150 KVA or
,4:..:. '. , '., r e �y,ur�,w.ry,:.+,ya,F�. :!,H J um. O Emargeu -system. larger separately derived
k.)
.r.'z:,..•x ill. Sh•.�b` 2.•',:i,.)? a+49T i.q 1. . s,^i'„-,, -</,::„i - r' -',1 ❑Addition• new motor load of O`A' system'
E"•`1-2","1-3",
Job no.: i�i-j9y2, Job site address:7 3y d / 4.1",./Ave loo►Ip or•.me.
occupancy.
❑six or mo residential units ❑Recreational vehicle parks.
City/State/ZIP: OR q Z ZZ ❑H-. • • facilities. ❑Supply voltage for more than
(] locatioae. 600 volts nominal.
Suite/bldg./apt no.: % 06 Project name: Come otte e 64.kturvisuiiMA4 O Service a 600 amps cr more
Cross street/directions to job site: OQEF�CU a>:i E:':- v� ee. 4'1',%-k-' :'
D...1. . oar. Fee. Tent •
New recd dal single-nr multi-family dwelling unit.
(odudes a• deed garage.
Subdivision: Lot no.: 1,000 aq.R.• less 168.54 4
Tax m a p/p a r c e l no.: Ea.add.'5 1 1 sq.ft.or portion 33.92 I
i Limited en- residential
:F- ;.l.rF_',: i'i�k.+i'2�.x1y era" !4 :' :. "": (with •• aq.ft.) 75.00 2
I _ (� p +_ ' l Limited a multi•lhmiy
►•o'w 144 Y-I r�,,�tA,; tit.ttdlAA.dl.*A-Os rf,,40 ma.--, with above s9.RI 75.00 12
,,'- L �� `Reie1 r••. ...'=)-,,,..n ,rr,-gJi 1filBer2... -
°dQl!�•� }fir rl aw cu�T t.6t.1t7 a.. Services or ••• -rs In Malta tlo elterat oo,and/or relocation I.
..;,r:ri i iitS " *p".•1:•h ':iW,F:;. .- :• r:.' r, 200ampe or 100.70 2
Name: 2D1 turps to,r r amps 133.56 2
401 amps to•II amps 200.34 2
Address: 601 amps to .000 snips 301.04 2
City/State/ZIP: Over 1,000 ps or volts 552.26 2
Temporary -rviees or feeders installation,alteration,and/or
Phone:( ) Fax:( ) reloeadon
200 amps or 59.36 1 I
Owner installation:This installation is being made on property that I own which is not 201 traps to•••amps 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. qol amps to 599 amps 168.54 2
Owner signature: Date:
/ _ Branch dnt(rits-newt alteration,or extension,per panel
:•,a• Y! ?,1,+fi 1 ;-4. . rtL,:l'I l S'l.,•,•ia+,,d',I 4' F,"r'Tom' A.Fee for branch circuits with
:(,^ l. .`'.e'•. -, .' 1:C3i'A`.35' C:,'� r_il; :'�L,�i,: ig' r,�Sti:;`•"..
above seNioe or feeder fee, 7.42 2
Business name: each branch circuit
B.Fee for branch circuits w!N.ow
Contact name: service or feeder fee,that
56.18 2
branch circuit
Address: Each add'I branch circuit 7.42 _ 2
City/State/ZIP: Miscellaneous(service or feeder not included) _
Eath manufactured or modular 67.84 2
Phone:( ) I Fax: :( ) dwelling,service and/or feeder
Recollect on y 67.84 2
E-mail:
:-� "pp�CV '1'-',Iyy ",� 1.,-ig�;f`' tins? ;i Pump oritTigationcircle 67.84 2-
r Sign or outline lighting 67.84 2
Business name:Bridgetown Electric Signal ciralt(s)or limitedenergy See
panel.alteration,or extension. 1 Pape 2 I S.a° 2
Address:5701 N Lombard St. Each ad• ••teal inspection over allowable in any of the above
Addi iaml •• • -'on(1 hr min) 66.15/hr
City/State/ZIP:Portland,OR 97203 _ Imesdgstion I ) 6623/hr
Phone:(503)621-7122 I Fax:(503)621-7123 Inciun'iai • (1 hr min) 78.18/hr
CCB Lie.. 103824 ✓�
lnspeetiorrs • which no fee is 90.00/hr
Electrical Lic: 887C -Suprv.Lie;.: 41775 �a_ I I'. _. ,�hrmi,
•:,'.''{t*.., f of ~ 1t Zu ` rv13J, '..h1-';'.',Sunni.Electrician signature,
Subtotal: .17°
Print name: Keith Steenslid Date: Plan review(25%of permit fee):
S surcharge(12%of patent fee): q,ro /
Authorized signature: TOTAL PERMIT FEE: al�,do • -s//
Print name: Date:
This permit PPlksa has a �e�obtained within 180
• Number of • tires allowed per penult.
118uf>engWe dtstFLC_PemiitApp_ 8R&doe Rev 05/21/2011 440-461 ST(11/a5/COMAYEB
Sep 13 2013 10: 11RM Bridgetown Electric 503-621-7123 page 2
Electrical Permit Application–City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
2:41—. .. ...om "u'.+•I`•-• i�i4 »�r:C-�'[;NY'�;.r- c. t"=iia"�•:- i>rs .' ra.}.;.•:: -. ' rte �'4.
I_, .,'y:lt;r• �l 7•�d:..''.�'�rr..,.::.o:J,e,:.:::ffa°5:?.lei et'.:..�-y1)GaL1, i.
Fee for all residential systems combined ... 575.00 Detalptioe Oft- Fee Total •
Renewable electrical energy systems:
Check Type of Work Involved: S kva orless 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems*
15.01 to 25 kva 200.34 2
ElAlarm wind generation systems in exeesa of 25 Ws:
25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva Vac in accordance with 552.26 2
OAR 91
Heating,Ventilation and Air Conditioning
&309-0040)
System* Solar generation systems in exacts of 2S kva:
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva—co additional charge 0.0 3
❑
Each additional inspection over allowable in any of the above:
Oar: Each addider al inspection is
66.25/hr 1
charged at an hourly(1 hr min)
bopections for which no fee is 60.00/iu
y s. 'tai listed 14 hr min
7.3:' �,e:,`�.�J y•,iS+(�:¢1:. 1 �...,.:,t??.�� c ° t7N�•P:.: 1..} .., < :n ,,.1.y...�.z.y. .. 4,x.5... �...�..... ._>i),ni �,
n.::�:.: _'7C.� .Mir::..of:,..."l''.'.ti!-{. ?+�i.rr� �}::.`:M^� h�SI •�.'..5.:'7:1 L."".., > �: �-ies.' 4;`4I SeS�'445.'t•
Fee for each commercial system....................... $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if requited(25%of permit fee);
State surdtargc(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT FE
❑ Audio and Stereo Systems
This permit days a°Paasa It empires es accepted as�a obtained"'�°180
• Numbs of inspections allowed per permit.
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
•
❑ Outdoor Landscape Lighting*
•
❑ Protective Signaling
❑ Older
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
1:Th4I4 sgeMnte$1ELC_tottA _E R.ERE dee Rev OS/21/20I3