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Permit CITY OF TIGARD ELECTRICAL PERMIT III ■ COMMUNITY DEVELOPMENT Permit#: ELC2014-00272 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/03/2014 T f c;A R T� g Parcel: 25101 BB01500 Jurisdiction: Tigard Site address: 12244 SW GARDEN PL Project: Colossae Church Subdivision: CROW PARK 217 Lot: 3 Project Description: Electrical for TI:(30)Branch circuits. Contractor: STEELE ELECTRIC LLC Owner: WALTON CWOR PARK BC 8 LLC 716 ROXE DR BY EQUITY OFFICE MANAGEMENT LLC FOREST GROVE,OR 97116 PO BOX A-3879 CHICAGO, IL 60690 PHONE: 503-332-1280 PHONE: FAX: 503-372-6448 FEES Quantity Description Date Amount 30 crt Branch Circuits wo/Purchase 06/03/2014 $271.36 Specifics: Service or Feeder 1 ea Plan Review Electricial 06/03/2014 $67.84 Type of Use: COM 1 ea 12%State Surcharge- 06/03/2014 $32.56 Class of Work: ALT Electrical Type of Const: Occupancy Grp: Total $371.76 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 '• Ayrjp'090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 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 SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' Date: t / 3 / / LICENSE NO. $ 5 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. Electrical Permit Application FOR OFFICE l ''l:ONLY Received •. • `• • City of Tigard ��IVE Date/B : jyI ', ttr ..._if��__ C 13125 SW Hall Blvd.,Tigard,OR 9-11E Plan Review s � • • • • ' I Phone: 503.718.2439 Fax: 503.598.1960 Date/B : - i 4� felled Permit ii: :e L f-o o-¢r Inspection Line: 503.639.4175 Y q c� 'Z0 41 Ready Date/By: Alba Juris: la See Page 2 for Wr i I&, 'icl' 2 ��// Internet: www.tigard-or.gov MA Notified/Method,sy.� 14 p Supplemental Information I • a • .7...,, 'TYPE or • t,! g - 1i,. ` 1 i w!`h- . • :PtAil . ❑New construction '®Addition/alte :a a - : - '` -1SI 1 1 Pose:hdlk 4 that 4pli(stenit 1 sets plans wT ems checked): ❑Demolition ❑Other: BULL ❑Serviced feeder 40S amps drtnore •IrBuildint over three stories. where the available fault current ❑Marinas and boatyards. CATEGORY OF �ONI exceeds 10,000 amps at 150 volts or ❑Floating buildings. leases while,or dkr6eedi t4s00:•• 4Commercial-use agricultural ❑ 1-and 2-family dwelling Commercial/industrial 0 Accessory building am;for • Multi-family ❑Master builder Other: Its altothe•install..• • • •Ii taings. ❑ y ❑ ❑Fir�pump.� ••• ••• •• ©Irjctallation of 150 KVA or JOE SITE INFORMATION AND LOCATION ❑EmergeneyStsteml larger separately derived Job#: I Job site address: Z N4 6 \_ 1 ❑Addition of new motor load of system. �2 S� A � o�L.Q IOOI-IParmore. City/State/ZIP: ` p ❑Six or more residential units. occupancy. n i O�'� v e '122.3 ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: (Project name: 6.4,10S 6sAQ J ran ❑Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I " New residential single-or multi-family dwelling unit. Subdivision: I Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential \ (with above sq.ft.) 75.00 2 he G)∎0 '1Q-v- Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy ❑ See Page 2 ❑ PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 100.70 2 Address: 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 Phone:( ) I Fax:( ) Over 1,000 amps or volts 552.26 2 - Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 -421 APPLICANT 1 ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name: each branch service or feeder fee, Z 7.42 Al l y 2 Contact name: B.Fee for branch circuits without service or feeder fee,first Address: branch circuit 56.18 )�' 2 City/State/Z1P: Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) I Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: S,-te ak t1 c Signor outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: `? � I L 0 0( panel,alteration,or extension. g City/State/ZIP: Each additional inspection over allowable in any of the above F• (, J� ce-)ill) Additional inspection(1 hr min) 66.25/hr Phone:(bb"S ) 3?r . -s2 so I Fax:(S-b 3 ) 3-f 2 - 6' N 1- Investigation(I hr min) 66.25/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: )c t 1 L4 a I Electrical Lic.: .L 4 y I Suprv.Lic.: 5 s-;ct 7 s specifically listed(%z hr min) ELECTRICAL PERMIT FEP$ Suprv.Electrician signature,required: ^ _ Subtotal: -7/ .360 Print name: 00, <4.. a).<, Date: s-/2 f—/,t,.,l ❑Plan Review Required(25%of permit fee): 47,IN State surcharge(12%of permit fee): 3 - 51 Authorized signature: TOTAL PERMIT FEEt 37 f 7k, 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 per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 04/21/2014 440-4615T(II/05/COM/WEB Electrical P•tntt,ApRlietion• pity afipard Page 2—Sudplpment3l tnfornttitton •; •:9 • • • • • • • • • • • •• • • • • • • • Limited Energy Permit Fees: Renewable Energy Permit Fees: • • • • •, • •� •�� r ••RESIDENTIAL WORR,ONLY:• .•; • • FEE SCHEDULE Description Qry. Each I Total Fee for all residential syeitQms,t oml;intd'!•• $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 . 2 •• •• • • ••• •••• 5.01to15kva 133.56 2 • • • • • • • • • • El Audio and iteree $deteine� : : 15.01 to 25 kva 200.34 2 • • • • • • • • ••• • Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 • 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* 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: El Other: Each additional inspection is 66.25/hr charged at an hourly(I hr min) _ Inspections for which no fee is 90.00/hr specifically listed(h hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) ' Number of inspections allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems El Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation El Fire Alarm Installation El HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical El Nurse Calls El Outdoor Landscape Lighting* El Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1.\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 04/21/2014 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 12244 SW GARDEN PL, TIGARD, OR, 97223 Commercial - Electrical 125 Wall cover PASS ELC2014-00272 Herb Stabenow Dan@steeleelectric.biz Violation Summary: Inspector Contractor 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 12244 SW GARDEN PL, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical ﬁnal FAIL ELC2014-00272 Herb Stabenow Not ready for a ﬁnal Violation Summary: Inspector Contractor 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 12244 SW GARDEN PL, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical ﬁnal PASS - No C of O ELC2014-00272 Jeff Grove Violation Summary: Inspector Contractor