Permit CITY OF TIGARD ELECTRICAL PERMIT
11111 COMMUNITY DEVELOPMENT Permit#: ELC2014-00173
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/21/2014
Parcel: 1 S135DD03300
Jurisdiction: Tigard
Site address: 11555 SW 88TH AVE 1
Project: Park Place Subdivision: METZGER ACRE TRACTS Lot: 28
Project Description: (1)branch circuit for gate access.
Contractor: VAST ELECTRIC Owner: 1616 SHORELINE LLC
1525 SEATTLE SLEW DR. SE LOMITA WEST LP
SALEM, OR 97317 PO BOX 15516
FREMONT, CA 94539
PHONE: 503-566-7274 PHONE:
FAX: 503-585-8828
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 04/16/2014 $56.18
Specifics:, Service or Feeder
1 ea 12%State Surcharge- 04/16/2014 $6.74
Type of Use: MF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $62.92
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 a 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. A NTION: Oreg• I- '.uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-0 -0010 through OAR —-001-6'•• You may obtain a copy of the rules or direct questions to OUNC by ..!••50 .232.1987 or 1.800. 2.2344.
Iss d By: t. Permittee Signatur=• saw
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:
Jam.
?—r2e
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.
04/17/2014 18:39 18777095122 PAGE @1/01
Electrical Permit.A. ,fie!.1' GEivF I-i,„ t)11 I( i i '-i t)',1 ■
Vis RD:ceiwd„ if AMIIIMIIII Penult No.: •,,T. cA, it 1
II.,c;...? CI 3 Ili 2 5t Y sawf iTa Ili goal
W '..,Tip,a at 9R tit
Phone: 503.718.2tsitax:'503.51%:..'71. . Plan Review
DAMS : OtherPennit
InSpection Line: 5 9.4175 Lol 'b' I AHD Date Ready/By: folic 121 See Page 2 tbr
Internet otoAv•tigard.or.gov Run rump Ntk f406ficdimeth°1 74- c,.. fistaplezerse,tat Info nies Sion
1 : .‘•';3•'::''.:'' '''. :' -:, '''': ".ti...: OF A'ZIR:";: '', ':" i...../..;'.:(..:i.k. i., '::'''':'"''' ' -'',..t. ':...'"- ‘-''''.-riaWLAYIEW ::.
O New construction .0tion/alteratiOnlmplwrrieail"' ,i Ns Please oneck 4 gm apply(submit Z sets of pleas vrAteros checked behnvy.
D Demolition r!..•*1 her: CiAl, eN(0-14"'" °Service or feeder 400 amps or more 1:113ttilding over three atoric,
wbere the available fault=rent 13 Marinas and boatyards.
- tOliStkitigeiPt" --- • • - ...4,10.000 amps at 150 volts or 0 Floating buildings.• leas to ground,or weeds 14%000 C11 Commercial-use agriculture!
D 1-Arld 2-family dwelling o crcial/industrial 0 Accessory building amps for all other installations. buildings.
Ur-Multi-family 0 Master builder 0 Other: Orin:Immo. 0 Installation of 150 KVA or
Luger separately derived systen
•'.'• ' •••••.J...: :-:'.Jos sat:WoRMA110.iir,'A.$0:11,Pckiriorl,,..,,..-,,. • . ., • LIAM:anon of new motor load of LI-A","E","1-2","1-r,
Job no.: Job site address: i tri7-5-,& 22.64 tote_ 100BP or more
Os=or more residential oohs occupancy.
0 Recreational vebiele parks
0 Fleahh-care facihties Cl Supply voltage for more than
City/State/ZIP: --ri-N.3 ntr pi .?it-... Ci 71/1 CI Hazardous locations 600 volts nominal.
Suite/bldg./apt no.: 1 Project name: "A yi,e 1)/_._
):i Service or feeder 600 amps or mom.
Cross street/directions to job site: klu/q t77/111111711._ row
New residential single-or multi-family dwelling tinit..
Includes attached prage.
Subdivision: Lot no.: 1,000 sq.ft or less 163.54 U.
Ea.aeldl 500 tq.ft.or portion 33.92 I
Tax map/parcel no.: Limited energy,residential
75.00 2
r.: ,tr...4CRITTION OF WORK. . . ,‘ : (with above sq.ft)
Limited energy.multi-tinnily
75.00 2
(/) b repvc4 cii-'ze,fY -75.,v e-3x--Iic Gze-c-e.s,s residential(with above sq.tt)
- Renewable Energy 0 See Pge 2
Services or feeders installation,slteration,and/or relocation
. ---....-_ ..
113 PROPERTY •• . Et TENANT . . 200 amps or less 1 100.70 2
, 201 amps to 400 amps 133.56 2
Name: 401 amps to 600. amps 700.34 2
Address: 601 amps to 1,000 amps 301.04 2
over 1,000 amps or volts 55226 2
City/State/VP: Temporary services or feeders installation,alteration,and/or
relocation
Phone:( ) Fax:( )
. 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 imps to 599 amps 168 54 2
Owner signature: Date: Branch circuits-Dew,alteration,or extension.per panel
' • .El ArriicArcr -,.. : .1. :.,, E3 opi44TAcr,gritsopi A,Fee for branch circuits WM
• • . above service or feeder fee, 7.42 2
Business name: <2 fl iat,SI 3 (Ai N1 5,1-`11.4 tote v in i..,i---( each branch circuit -
B.Fee for Mauch circuits withoin
Contact name: ‘Aiet_g Di'vtg service or feeder fee,first
— branch circuit f 56.18 _go,ik 2
Address: j.,;5vv L —2 t4..70,) U— Each addl branch circuit 7.42 2
Miscellaneous(nervier or feeder not includes)
City/State/ZIP: VA:At 4n,A.i..e.-i.-- ILA.la 1 91 6).-- Each manufactured or modular
67.84 2
Phone:(2),60) 4.-, 3_g. ci I Fax::( ) dwelling,service and/or feeder
, Reconnect only 67.84 2
E-mail: 0 4.}tp .q.6 2_,. (..'. ...4314 .1.,,,.... t..._ ,....1"-", • Pump or irrigation circle 67.84 2
• . ..
-- , . • •,„ ..,., . ..C .eroR.... .., .. . • - .,..„--:, ..,4 ... • .' Sign or outline lighting 67.84 2
-*—
Business name: V4 r ez.Fc77zic_- Tnc. Signal circuit(s)or litnitcd-cticrgy See
panel,alteration,or extension Page 2 2
Address: ,7 O15 ,0 2.'1 a ti-VE 57-6 5 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
ity/state.. ._. /6 Invesigation(1 brims) 66.25/hr
-
Phone:( E13) 7 73,027 I Fax:(SP) ) 4/yy_7gy3 Industrial plant(I hr min) 7818/hr
lrupeerions fin which no fee is
CCB Lie.: /75 5 3/ Electrical Lic.:(..2,20 Suprv.Lic.: 5 1 , specifically listed hr min) 90.00/hr
Suprv.Electrician signature,required: . ZVt------e- fi/• EL'ECTRICA,L'PERMIT.FEW.'-.. .:. '..".• ,.... .,.
Subtotal: 6-/40,I s
Plan review(25%of permit fee):
Print name: .-1 i.i ("Apo ,f;pep Date:
State surcharge(12%of permit fee): to-7 ei
—
Authorized Signature! • Lef ',' • • TOTAL PERMIT FEE: 6,9,•q,9,
,
raj This permit%vacation expires if a permit is not obtained within 180
Print name—'7 . i A/: A tA.., _ A Date: ip
• days steer is hes been accepted es eontpktc
• Number of inspections allowed per permit.
IliktitdlliecrmitskIELC_PcrolitApp ELR ERE.doc Rae 05/21/2013 • I •MOM/COM/WEB
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard �1jj� if ` Permit No.: i C�, ,,t r.
IIII
• 13125 SW Hall Blvd.,Tigard,OR 97223 rr G, �I 7� Plan Review 7
g Phone: 503.718.2439 Fax: 503.598.1 �1,Cj Date/By: Other Permit:
1 I(, \1'I Inspection Line: 503.639.4175 . YY i Date Ready/By: tads I3 See Page 2 for
Internet: www.tigard-or.gov V. \ik Notified/Method: a; Supplemental Information
TYPE OF WORK P�R L ��� PLAN REVIEW
El New construction dd1'tion/alteration/reprl ( {ci Please check all that apply(submit sets of plans w/items checked below):
.l DV ❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition they: C �G 1�l where the available fault current ❑Marinas and boatyards.
CATEGOR OF CONS7TOW 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 o ercial/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 ❑Emergency system. larger separately derived system.
/- ❑Addition of new motor load of ❑"A","E","1-2","1-3",
Job no.: Job site address: )l�-13 i ) gg — 100HP or more. occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: I l7 q a,r i , r,7,,-,
❑Health-care facilities. ❑Supply voltage for more than
�} `+( / ❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: PA 4( Pig ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. 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 75.00 2
DESCRIPTION OF WORK (with above sq.ft.) ,
Limited energy,multi-family 75.00 2
(7.) brewcii C,,,,,y /r'r' �L X455 residential(with above sq.ft.)
(/ Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
❑ 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 ex_tension,per panel
❑ APPLICANT I ❑ CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
Business name: cp l I,k.61 S �uN.t Se)-ru ,,0 jif` each branch circuit 7.42 2
B.Fee for branch circuits without
Contact name: y l(A VIS -0 I service or feeder fee,first
branch circuit ' 56.18 -I il 2
Address: �`5—v N -71.009 U4?-- Each add'l branch circuit 7.42 2
City/State/ZIP: A ,, t,,e� , R � l,- Miscellaneous(service or feeder not included)
�(h W V"lu 9 Each manufactured or modular 67.84 2
Phone:(4)0) U3 3_DC/ Ij Fax: :( )/ dwelling,service and/or feeder
( 1 Reconnect only 67.84 2
E-mail: u !•ma y m c--0 t'1 Pump or irrigation circle 67.84 2
COICTOR Sign or outline lighting 67.84 2
Business name: Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 2
Address: Each additional inspection over allowable in any of the above _
Additional inspection(1 hr min) 66.25/hr
City/State/ZIP: Investigation(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Industrial plant(1 hr min) . 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lic.: Suprv.Lie.: specifically listed(A hr min) _
ELECTRICAL PERMIT FEE S
Suprv.Electrician signature,required: Subtotal: 5(p, ( Z
Print name: Date: Plan review(25%of permit fee):
State surcharge(12%of permit fee): Ct7•/41
Authorized signature: TOTAL PERMIT FEE: (p a.9 2.
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed rpepit.
I:I Building\Permits\ELC_PennitApp_ELR_ERE.doc Rev 05/21/2013 440-4615T(11/05/COM/WEB i//i6/'U
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 Qty. 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
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
❑ Burglar Alarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance with 552.26 2
I=1 Heating, Ventilation and Air Conditioning OAR 918-309-0040)
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
111 Other: additional inspection over allowable in any of the above:
Other: Each additional inspection is
charged at an hourly(1 hr min) 66.25/hr
Inspections for which no fee is 90.00/hr
specifically listed(%2 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.
❑ 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
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
L\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11555 SW 88TH AVE 1, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2014-00173
Herb Stabenow
Violation Summary:
Inspector Contractor