Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2014-00365
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/22/2014
Parcel: 2S112AB02000
Jurisdiction: Tigard
Site address: 14344 SW MILTON CT
Project: Bonita Water Pump Station Subdivision: BONITA INDUSTRIAL PARK Lot: 2
Project Description: Electrical for new water pump station
Contractor: CHRISTENSON ELECTRIC INC Owner CITY OF TIGARD
111 SW COLUMBIA ST, STE 480 13125 SW HALL BLVD
PORTLAND,OR 97201 TIGARD, OR 97223
PHONE: 503-419-3300 PHONE: 503-639-4171
FAX: 503-419-3695
FEES
Quantity Description Date Amount
3 ea Services or Feeders-200 07/22/2014 $302.10
Specifics: amps or less
1 ea Services or Feeders-201 to 07/22/2014 $133.56
Type of Use: COM 400 amps
Class of Work: NEW 2 ea Services or Feeders-Over 07/22/2014 $1,104.52
1000 amps or volts
Type of Const: 50 crt Branch Circuits w/Purchase 07/22/2014 $371.00
Occupancy Grp: Service or Feeder
1 ea Plan Review Electricial 07/22/2014 $477.80
1 ea 12%State Surcharge- 07/22/2014 $229.34
Electrical
1 ea Temp Services or Feeders- 07/22/2014 $59.36
200 amps or less
0 ea Plan Review Electricial 07/22/2014 $14.84
0 ea 12%State Surcharge- 07/22/2014 $7.12
Electrical
Total $2,699.64
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 ante • 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. ATT ION: Oregon -w r=' 'res you to follow the rules adopted by the Oregon Utility enter. Those rules are set forth in OAR
952-001-0 0 thro gh OAR 952-0r -0090. Y- may obtain a copy of the rules or direct questions to OUN • ca 87 or 1.800.332.2344.
Issued y: " Permittee Si• l Z i
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' T •• Date:
LICENSE NO. C 9-,�j Cj
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.
4- o7
Electrical Permit ApplicatiEr iv fl FOR OFFICE USE ONLY • -
City of Tigard ! T Received / 5-
"' Date/B Te Persil No.: Eke / eel
ilh 13125 SW Hall Blvd.,'I Tigard,OR 97223 �•
Plan Review
Phone: 503.718.2439 Fax 503.598.19 2014 OtherPennit:
�1L 2 Date,B i� i �- �_ y /�.u. 3aov-- -:x) 23-
TIGARD
Inspection Line: 503.639.4175 Date Ready/By: ���' Julie' El Page 2 or
Internet: www.tigard-or.gov + �. t Qf1, Net ed/Meth.,: / �• Supplemental Information
I. L� umy i�
TYPE C" t Mill■.•-+ �.M`�° Ai - -tP - PLAN REVIEW
New construction ID -'lease check all that apply(submit 2 sets of plans w/items checked below):
Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑Floating buildings.
❑ 1-and 2-family dwelling less to ground,or exceeds 14,000 ❑Commercial-use agricultural
Y g 23 Commercial/industrial ❑Accessory building amps for all other installations. .
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
.Addition of new motor load of ❑'A","E "1-Z", 'I-3",
Job no.: I Job site address: Ic(3E/1.\ SvJ IN1.hs} ."o C{. 10011P or more. occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: 1 Z.5..,•1 U fr.- 1-1 ZZ-, ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: I Project name: 13'o,n:-. ewe f Stk-5 4., o•"- ❑Service or feeder 600 amps or more.
•
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. i Fee. I Tots! I •
New residential single-or multi-family dwelling unit.
includes attached garage.
Subdivision: Lot no.: 1.000 sq.ft.or less 168.54 4
Tax map/parcel no.: Ea.add'l 500 sq.ft or portion 33.92 I
Limited energy,residential
DESCRIPTION..OF WORK (with above sq.ft.) 75.00 2
'r Limited energy,multi-family
e e u�^e 51--,L1- 0_,. residential(with above sq.ft.) 75.00 2
'`t
Services or feeders installation,alteration,and/or relocation
200 amps or less 3 100.70 30 Z,1 b 2
❑.PROPERTY OWNER ' ❑ TENANT 201 amps to 400 amps 1 133.56 t•yxj,y& 2
Name: (,.te OSN,.e,• 4.4 �) _ / KA-4 401 amps to 600 amps 200.34 2
/ / T, Kit s P 601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 'L- 552.26
i1UN•5"►- 2
City/State/ZiP: Temporary services or feeders installation,alteration,and/or
relocation
Phone:( ) Fax:( ) 200 amps or less / 59.36
Owner installation:This installation is being made on property 201 amps to 400 amps 125.08 2
g p perty that I own which is not 401 amps to 599 amps 168.54 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701.
Branch circuits-new,alteration,or extension, er panel
Owner signature: Date: A.Fee for branch circuits with
• ❑ APPLICANT ❑ CONTACT`PERSON above service or feeder fee, 5 O 7 42
each branch circuit 771 ( 2
Business name: B.Fee for branch circuits without'
service or feeder fee,first
Contact name: branch circuit 56-I8 2
Address:
Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
City/State/ZIP: Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Phone:( ) Fax: :( ) Reconnect only 67.84 2
E-mail: Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
' Signal circuit(s)or limited-energy
Business name: It Thi f•- t, ,sir 1` panel,alteration,or extension. Page 2 2
,C Each additional inspection over allowable in any of the above
.
Address: ` t •'A + Additional inspection(1 hr min) 66.25/hr
City/State/ZIP: i � j u Investigation(I hr min) 66.25/hr
Phone: ) MEMO. `� t industrial plant(i hr min) 78.181 hr
( l Inspections for which no fee is
♦ specifically listed(/m hr min) 90.00/hr
CCB Lie.: i
�� � Sup v ic.: Z(S S _ ELECTRICAL PERMIT FEES y t� 1I
Suprv.Electrician signature,required: I� A • 0 Subtotal: l Zl-4*� I e
Plan review(25%of permit fee): i .VI
Print name: Date: State surcharge(12%of permit fee): Serfre.1-1. 04'
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within ISO ,1r
((4 i ti Print name: days after it has been accepted as complete. `Ll
Date: 1� t
• Number of inspections allowed per permit.
1 I\BuildinOermitstELC-PermitApp.doc 07/01/10 440-46157111/051COM/WEB •
L..=_
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
14344 SW MILTON CT, TIGARD, OR, 97224
Commercial - Electrical
105 Underground/slab cover
PASS
ELC2014-00365
Herb Stabenow
Grounding for meter vault and utility vault
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
14344 SW MILTON CT, TIGARD, OR, 97224
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2014-00365
Jeff Grove
Violation Summary:
Inspector Contractor