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Permit CITY OF TIGARD ELECTRICAL PERMIT •• COMMUNITY DEVELOPMENT Permit#: ELC201400435 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/07/2015 Parcel: 2S112CB00900 Jurisdiction: Tigard Site address: 15000 SW HALL BLVD Project: Bonaventure of Tigard Subdivision: WILSON ACRES Lot: 8 Project Description: Electrical for a new 3-story senior living facility. (9)Low voltage systems:Audio/Stereo,Data,Fire Alarm,HVAC, Intercom,Irrigation Controller,Nurse Calls,Landscape Lighting&Protective Signaling. Contractor: JET INDUSTRIES INC Owner: MWSH TIGARD LLC 1935 SILVERTON RD NE 3425 BOONE RD SE SALEM, OR 97303 SALEM, OR 97317 PHONE: 503-363-2334 PHONE: 503-566-5715 FAX: 503-363-2622 FEES Quantity Description Date Amount 76500 sf Permit Fee-Elect(per 01/07/2015 $5,290.46 Specifics:, dwelling unit) 59 ea Services or Feeders-200 01/07/2015 $5,941.30 Type of Use: COM amps or less Class of Work: NEW 5 ea Services or Feeders-201 to 01/07/2015 $667.80 400 amps Type of Const: 4 ea Services or Feeders-601 to 01/07/2015 $1,204.16 Occupancy Grp: 1000 amps 2 ea Services or Feeders-Over 01/07/2015 $1,104.52 1000 amps or volts 1 ea Temp Services or Feeders- 01/07/2015 $125.08 201 to 400 amps 415 crt Branch Circuits w/Purchase 01/07/2015 $3,079.30 Service or Feeder 1 ea Sign or Outline Lighting 01/07/2015 $67.84 Total $24,872.99 Required Items and Reports(Conditions) This p issued -•• - to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be one in accordance with a•• •ve• •ans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 ays. ATTENTION: Oregon la equir=' ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thro gh OAR 95 101-0090. Y ay obtain a copy of the rules or direct questions to OUNC by calling 503.23 987.or 800.332.2 44. Issued By: Permittee Signature: >` OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATURE Date: CONTRACT•- INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' i . � Date: LICENSE NO. 5-4/CJ 9 S Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. From: 11/20/2014 08:42 #081 P.002/002 11/19/2014 22:06 5035981968 CITY OF TIGARD PAGE 02/02 Electrical Permit Applicat CEJVEt r0k orris, t,:-1 ONLY Airletl 4 • .1 Permit Nn. `)w ...Its City of Tigard itnero- �C • !3125 5w Hall Blvd..T gord-OR 9ppp 1 '7 2�1a Plan Review (,)titer Permit' B Phnnc:.503,71 0,1439 Pax: 503.59 . n Dior/13: till' 7 r -, sec aGe 1 Px I I l f) Inspection Lino; 5n31,19.41 75 r v 1 is menu(Idarta .. Internet: ww#.5iPtd•ix'.gnv Y OFT - t, t C. ti ''. ` eTcprir-�arr !•eprva+ •. - TYP-a r a ►t► j. A a ` .1 �\ ... 1 .0146K01.r,.--,.. -4- spp y inmost/cep elf pin+n w:amt ehceked Wow) El New construction ❑Additir,tN31Comtion/repinccmcnt a '� 1$I fenke or lketkr,400 Crap',or mnrc O Gnldiat aver thew stnrkn. Demolition ©Olht7: where the avaibbk hull Current Q Mario,s std VW red,. - ',■Deeds 10.000 slap a I Sn vnks es 0 Fleming builthn l• CATFGOPV OF CONSTRUCrio lets • ad,or Meal%14.000 O Cnminnebl•pse■trisukunt 1-and 2-family dwelling ®Cornmcrciallindusmial ■ Acc sery building ., 110#r tr 6ualkn, buildinp. ❑Mvlti famliy ❑Mader builder ❑Other. n.A 21 waterloo ntlfO vAM o of klrperwarmly tkrived artletn (..p . ..JOB SITE INFORMATION AND LOCATION.' 4•', ■A -ikon crop,mmv load or ill-A-.-v.-I.:7.-1.V.• . ~ I Itoarwort. accupauy. !oh no.: .doh site address:15900 SW Hell Blvd ■ IT:kitilh.gam� er more twideetisl orbs. 0 Reemtiorr■t,vehicle Putt, r 'Itio. ❑SnPPIY',Collage for mare dot City/Slace/ZIP:Tigard,Oregon,97224 FtaEV 410 wdla nominal r(\ Suitc/hlda!apt.no.: Project name:6onaventurofTigard + t o q"`�•slue. 1 �� L• PEE SCHEDULE Cross street/directions to job silo:SW Ross St. 't.9' . I Dry. 1 _L-!+S._-1-:_ y ` , � residential angle•or mutri•family dwelling',slit. 1‘. laetadas anacbcd Ranee. -• Len no.' 1.000 a4 0,or Ins I 168.54 168.54 4 Subtlivihian: 13.92 5122 I Ea.add9 5011 sq.A.or thwoon t 51�_ Tax map/parcel no.: �� Limited energy.rmsidentita 75.00 = — DESCRIPTION.OF WORK (with above so.It.) S - Limited mercy.maH4Camity •x5.00 - I-S exit 291.West on Carman Dr.South on SW tipper Scones Ferry Rd.Right an Rea residential iwith ve sq R) O Set Tote 2 Durham Rs..64 mi.Right on SW Hall Blvd,.13 mi.to SW Ross,On NE corner. services or Feeders 410%11atiam,alteration,and(or relocation 200 mops or lest Sit tOn,7n SW I ; D'Y1tOTfiRTY'OWAfEP. I .0 TENANT 201 ampato400mnps 5 I)3.S6 66R 2 Name: 401 amps to 600 emit 200,3 601',taps In 1,000 WWI a 101.04 1'-04 2 Address; elver 1.000 amps or voles 2 532.26 1104.5 - Ci ty/S lama I P: Temporary services or fender,Installation,alteration,and/or reload Me Phone:( ) Fox;1, 1 200 amps Of less 59.36 i i Owner installation:This installation is being made on properly that 1 own which is not t01 arson to 400 • OAPs t I 125.01 125.OS intended for sale,lease,rent,or exchange,according to ORS 447.449,670,and 701. 401 tops to 899 temp 160.34 Owner signature: .Duce: Branch circuits-mew.alteration,or teaeiea,per panel-- ® APPLICANT 1. 0 CONTACT PERSON A.Rae for brooch einuils Nr6 above service or realer tee. 4;5 7 4^ 3079 , Business name:Bona venture Senior(lousing exit bunch circuk - 0.Pee for branch circuits without Contact Dame:Jim Clarkson aervics or feeder tee.fest 515.1 11 v bunch cinuil Addrots:4325 Boone Rd.SE Each add'I braneb eirevil 732 '- MitteMaa•eas(aonleeor feeder not included) City.'Slatc'ZIP Salem,Oregon,97317 Fetch manufactured or winduldr a,N4 i - Phone:(503)373.3165 Fax::(503)S88-3531 dwelling,service and/or tearer 67A1 acumen only E-mail: -p Pumper irri'ntian circle 67,14 CONTRACTOR _ Slgnne trriaeli}fifing I 67.84 47 Business name: 1tr )N`)t 7 ti E.e> )? Sitmninrcalga)erhmifed•tneap y !lee 678 ` _panel,shamien,ee extension. Pale 2 ' Adores,;: 1435 �t�L t T�� k .\G Each edditinaal Inspeedom over allowable in may of the above 'T V N v Addninnalinapoctrcm(1 hr min) 66.2.P hr 111 City/5tateaZlP: A 4H 1 0a_ '7 ; a3 Invet45rdinnIIhrmini 66.251 hr ' 1 Fox:0231 36 3'•"I&�jl-may, industrial plant(I hr min) 7R,I0,hr iis Phone:t41r3 --a3 Sy Inapmitan ter which oo tae h 90.00'hr cce Lie,: 3 f yy Electrical Lic.:�'.a,/j Suprv,Lie.: "- ,^5 sped focally lined l ytu min) 'ELECTRICAL PERMIT tE1U Sttpr,.Electrician signature.requited: ' —if Subtotal.Pr` // , /,` — Plan review 125;aoft+ertnilfeel: 1538 Prim name, n ,/I L. Date: ��; / , 2I78 i ICs-•) State surehut`e(1_%ofpvmulfetY Authorized signatur ....----- TOTAL PERMIT FEE: at87 'Phis permit sppiksries rspire+lr n rermll Is mot nbudnetI within Iii t Print narnc: ��/S �;,/f�t71 «__ Di": ///2 t.//r� data seer it hm keen atapwd so Camvrnr. • Nuthecr or iaytaellna4 illnwtd per Penstt I^L4tiidint.Pa,oort.r..p ish.tor,aLa•It1.I.0w aa`OS._t.2a11 i.0•41.1Tit I•df•Cnae writ atQCf2e_ e_C 1: Le's-<LL- PlkfL" 0,,/,,, ,Th. ,6 From: 11/20/2014 08:42 #081 P.001/002 11/19/2014 22:06 5035981960 CITY OF TIGARD PAGE 01/02 REGEIUN • NOV G 4 III e City of Tigard CPO,--!1(iAMt) ru Fax Transmittal BuiLDtw' ��etn4 TIGARD AMY 13125 SW 1-lall Boulevard I Tigard,Oregon 97223 I v vrattigard-or,.gov FAX COVER SHEET Date: November 20, 2014 Number of pages including cover sheet: 2 To: Jet Industries From; Debbie bdamski _ Co.: Co.: City of Tigard • Fax: 503-363-2622 Fax: - 0 Phone: 503-718-2450 SUBJECT: Bonaventure,15000 SW Hall Blvd,Tigard,OR,ELC2014-00435 MESSAGE: You have been identified as the contractor of record for this permit. Attached is a copy of the electrical permit application submitted by Bonaventure Senior Housing. Please have your Supervising Electrician sign the application and fax it back as we require this signature to be on file. Please give me a call if you have any questions. Thank-you for your attention to this matter. i" ( (Et ,. ,�'"' \ v 11 • Electrical Permit Applicat l,EjVEJ) rots 01.1 It r. UST Otil,l City of Tigard Received ,-y / /, p , QQ Date/By: l� u`I • 13125 SW Hall ard,OR 9 $3p 201A g tgg(b'l( 1 fi Y Plan Review /l�/ I Phnn.: 503.7182439 Fax: 503.59 ) Datulty: �/ Inspection Line: 503.639.4175 Date ead %: �`J tuns. QJ See Page 2 for 11<iARI) CITY OFTI y� Internet: www.tigard-or.gov 'e I Notified hod: O " ,r� Supplemental law-mad i a ,a • e 1 fir.. �c�Jn __O .. TYP a 1! ► ' ii'. 1 t . r k r , AN •r I W . ® New construction ❑ Addition/alterationImplacement • x .e k a that app y(submit I sets of plans w.items checked below). ❑Demolition ❑Other: x` ' ®Service or feeder 400 amps or more ❑Building over three stories. �I where the available fault current ❑Marinas and boatyards. - .`� CATEGORY OF CONSTRUCTION ' exceeds 10.000 amps at 150 volts et ❑Floating buildings/ less to ground.or exceeds 14.000 ❑Commercial-use agricultural t. ❑ 1-and 2-family dwelling ®Commercial/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 la Emergency system. larger separately derived system. U1 ❑Addition of new motor load of Job no.: I Job site address: 15000 SW Hall Blvd IooHP or more. occupancy. El Six or more residential units. ❑Recreational vehicle parks City/State/ZIP:Tigard,Oregon,97224 ❑Health-care facilities. ❑Supply voltage lot more than ❑hazardous locations. 600 volts nominal Suitc/bldg-/apt. no.: Project name: Bonaventur of Tigard El Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site:SW Ross St. Description Lam. I Fee, I Total I . ) New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1.000 sq.II.or less I 168.54 168.54 4 Tax map/parcel no.: Ea.add'1 500 sq ft.or portion I S I 33.92 5122 I 14% Limited energy,residential 75.00 V DESCRIPTION OF WORK (with above sq.R.) Limited energy,multi-family 2 lc 1-S exit 291,West on Carman Dr.South on SW Upper Boones Ferry Rd.Right on residential(wins above sq.ft.) 75.0(1 Renewable Energy ❑ See Page 2 Durham Rs..64 mi.Right on SW Hall Blvd,.43 mi.to SW Ross,on NE corner. Services or feeders installation,alteration,and/or relocation ❑ PROPERTY OWNER l ❑ TENANT 200 amps or Ices 59 100.70 5941 2 201 amps to 400 amps 5 133.56 668 2 Name: 401 amps to 600 amps 200.34 _ Address: 601 amps to 1,000 amps 4 301.04 1204 2 Over 1,000 amps or volts 2 55226 1104.5 2 City/State/ZIP: Temporary services or feeders installation,alteration,and/or Phone:( ) I Fax:( ) relocation 200 amps or less 59.36 I Owner installation:This installation is being made on property that 1 own which is not 201 amps to 400 amps I 125.08 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps l0 599 amps 168.54 2 Owner signature: Date: __- Branch circuits—new,alteration,or extension,per panel 0 APPLICANT I ❑ CONTACT PERSON A.Fee for branch circuits with above senAcc or fender tee, 415 7 42 3079 Business name: Bonaventure Senior Housing each branch circuit ` B.Fee for branch circuits without t I Contact name:Jim Clarkson service or feeder fee,first 56.18 2 c branch circuit Address:4325 Boone Rd.SE Each add'l branch circuit 7.42 2 I City/State/ZIP:Salem,Oregon,97317 Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 Phone:(503)373-3165 Fax: :(503)588-3531 dwelling,service and/or feeder Reconnect only 67.84 2 E-mail: Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 1 67.84 67.84 2 Business name: 'at'T j ''uSj•j oft€ > 1/J Signal circuit(s)or limited-energy y Sec 675 /� panel,alteration,or extension. Page 2 2 Address: 1 q7,5 t Lv rc,i k Job Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr City/State/ZIP: A A.r-t l 2 q7 s�D'fj Investigation(I hr min) 66.251 hr y� Phone:(503 SiA--2 3 3 y Fax:(103) 36 3 7:2 Industrial plant(1 hr min) 78.18/hr 5-4/07 6 Inspections for which no fee is 90.00'hr CCB Lie.: 3 rq Electrical Lic.:(t a/. Suprv. Lie.: specifically listed('i ht mm) Suprv. Electrician signature.required: `( ELECTRICAL PERMIT FEES Subtotal: ' 18154 Print Plan review(25%of feel: • 4538 I hint name: � � P� Date: ""e l 2178 Stale surcharge 112%b of permit sec): 2 Authorized signature: rk) %-- • '"" TOTAL PERMIT FEE: I air?Il,91 Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. " Number of inspections allowed per permit latuilding.Permds IC,..PemmitApp.ELR_EltE.doc Res 05 2 1.2013 440.46131111.05'COM wan 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 Descriitio. I Qt'..I Fee I Total I • Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less I 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 111 Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 E Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance w ith 552.26 2 ❑ 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 Each additional Inspection over allowable In any of the above: Other: Each additional inspection is 66.25/hr charged at an hourly(I hr min) Inspections for which no fee 1s 90.00;hr specifically listed('.5 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 lee). Slate surcharge(12%of permit fee). Check Type of Work Involved: TOTAL PERMIT FEE This permit application expires if a permit la not obtained within ISO ® Audio and Stereo Systems dais after it has been accepted as complete. • Number of inspections allowed per permit C Boiler Controls n 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 n Other Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations t Building Permns El.0 PermnApp_Er R.ER1.doc Res 05 21 2013 L V Electrical Permit Application 1 -V FOR OFFICE USE ONLY ]J Received City of Tigard : �/l1 r", 1 Date/B : ( _ " 13125 SW Hall Blvd.,Tigard,OR Plan Review ! Phone: 503.718.2439 Fax: 503.598.1960 �0,1} Date/B : Other Permit: i Lt/ (a i , T I G A R D Inspection Line: 503.639.4175 PUv � Date Ready/By: ® See Page 2 for A� Notified/Method: Supplemental Information Internet: www.tigard-or.gov G� «� TYPE OF WpI"8 U�.,,NIS10� PLAN REVIEW ®New construction ❑Addition/altertii /II ��nt ^Please check all that apply(submit 2 sets of plans w/items checked below): ®Service or feeder 400 amps or more ID Building over three stories. ❑ Demolition ❑Other: where the available fault current ❑M.rinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ oating buildings. less to ground,or exceeds 14,000 i Commercial-use agricultural ❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑ Master builder ❑Other: ❑Fire pump. ®Installation of 150 KVA or JOB SITE IN'., •MATION AND LOCATION El Emergency system. larger separately derived system. ❑Addition of new motor loa• Job no.: I Job site address: 000 SW Hall Blvd 100HPormore. occupancy. ®Six or more residentia nits. ❑Recreational vehicle parks. City/State/ZIP:Tigard,Oregon,97224 ❑Health-care faciliti• . ❑Supply voltage for more than ❑Hazardous locati• s. 600 volts nominal. Suite/bldg./apt.no.: I Project name:Bon: entur of Tigard El Service or feed 600 amps or more. FEE SCHEDULE Cross street/directions to job site:SW Ross St. Description I Qtz. I Fee. I Total I • New resid: tial single-or multi-family dwelling unit. Includes ttached garage. Subdivision: Lot no.: 15000 1,000 . ft.or less J 168.54 4 • Ea. :•. 1 500 sq.ft.or portion 33.92 I Tax map/parcel no.: 25122c800900 Lim'ed 1 'y,residential 75.00 DESCRIPTION OF WORK it v ve sq.ft.) •'t-. ;.e ,multi-family 75.00 new electrical for 3 story senior living facility r"p'd•y al with above .ft. ' ,7QL ❑ See Pale 2 Durham Rs..64 mi.Right on SW Hall Blvd,.43 mi.to SW Ross,on NE corner. S . s or feeders installation,alteration,and/or relocation 0 PROPERTY OWNER l ❑ TENANT 0• ps or less 100.70 2 411 amps to 400 amps 133.56 2 Name:Bonaventure Senior Housing ' 411 amps to 600 amps 200.34 2 Address:3425 Boone Rd.SE 741 amps to 1,000 amps IM 301.04 2 City/State/ZIP:97317 � f 1 2,er 1,000 amps or volts 2 552.26 1104.5. 2 � 1 t Te •ovary services or feeders installation,alteration,and/or Phone:(503)566-5715 Fax:( )\ reloc. ion 200 amp or less 1 59.36 1 1 Owner installation:This installation is being made on property that I own hich is not 201 amps t.400 amps 1 125.08 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,671,and 7 \ 401 amps to •amps 168.54 2 Owner signature: Date: Branch circuit new,alteration,or extension,per panel 0 APPLICANT 0 CONTACT 'ERSON •.Fee for branch c cuits with - i NJ �( above service or :-•er fee, 19 7.42 L44i� 2 Business name: Bonaventure Senior Housing each branch circuit B.Fee for branch circuits ithout Contact name:Jim Clarkson service or feeder fee,firs 56.18 2 branch circuit _ Address:3425 Boone Rd.SE C Each add'I branch circuit 7.42 2 • City/State/ZIP:Salem,Oregon,97317 Miscellaneous(service or feede of included) - Each manufactured or modular 67.84 2 Phone:(503)373-3165 I Fax: :(503 -: 3531 dwelling,service and/or feeder — Reconnect only al 67.84 2 E-mail: , C /C r k pia ad f ;✓'e b s I. c,(2 wt Pump or irrigation circle , 67.84 2 CONTRACTOR 1 ' Sign or outline lighting .7.84 2 Business name:tbd Signal circuit(s)or limited-energy 9 S: 675 panel,alteration,or extension. Page 2 Address: Each additional inspection over allowable in an,of the above City/State/ZIP:7 Additional inspection(I hr min) 66.25/hr ■ Investigation(1 hr min) 66.25/hr Phone:(503) I Fax:(5034 Industrial plant(1 hr min) 78.18/hr 1 Inspections for which no fee is 90.00/hr CCB Lic.: Electrical Lic.: Suprv.Lie.: specifically listed(V2 hr min) ELECTRICAL PERMIT FEE. Suprv. Electrician signature,required: Subtotal: 3� Print name: Date: Plan review(25%of permit fee): 4F3't�51). State surcharge(12%of permit fee): 4084—• ,a1,7 Authorized signature: TOTAL PERMIT FEE: — '"),RA M Print name: This permit application expires if a permit is not obtained within 180 Date: days after it has been accepted as complete. --- \ • Number of inspections allowed per permit. I:,Building\Petmits\ELC_PermitApp ELR_ERE.doc Rev 05:21,2013 _ 440-4615T(II/05/COI4/WEB 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 ( Qty. l Fee I Total I Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.0110 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 I I Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with 552.26 1=I 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 n Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66?5/hr charged at an hourly(1 hr min) - Inspections for which no fee is 90.00/hr specifically listed('/hr min) COMMERCIAL WORK ONLY CAL PERMIT FEES Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review,if required(25%of pennit 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* I I 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 1 Building Permits ELC_PermitApp ELR ERE.doc Re,05'21 2013 r — 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 Qti. 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 nBurglar 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 n 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 66.25/hr 1 charged at an hourly(1 hr min) 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 1:\Building\Permits'ELC_PermitApp_ELR_ERE.doe 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 15000 SW 83RD AVE, TIGARD, OR, 97224 Commercial - Electrical 105 Underground/slab cover PART ELC2014-00435 Herb Stabenow C wing NW 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 15000 SW 83RD AVE, TIGARD, OR, 97224 Commercial - Electrical 105 Underground/slab cover PART ELC2014-00435 Herb Stabenow C wing feeders east end 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 15000 SW 83RD AVE, TIGARD, OR, 97224 Commercial - Electrical 105 Underground/slab cover PART March 10, 2015 at 10:56:06 AM ELC2014-00435 Herb Stabenow C wing feeders east end 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 15000 SW HALL BLVD, TIGARD, OR, 97224 Commercial - Electrical 135 Low voltage rough-in PART ELC2014-00435 Herb Stabenow Rooms 322-329 in Bldg B 3 rd ﬂoor incl common rooms 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 15000 SW HALL BLVD, TIGARD, OR, 97224 Commercial - Electrical 125 Wall cover PART ELC2014-00435 Herb Stabenow 3rd ﬂoor bldg B units 322-329 and common rooms 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 15000 SW HALL BLVD, TIGARD, OR, 97224 Commercial - Electrical 135 Low voltage rough-in PASS ELC2014-00435 Herb Stabenow 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 15000 SW HALL BLVD, TIGARD, OR, 97224 Commercial - Electrical 135 Low voltage rough-in PART ELC2014-00435 Herb Stabenow Rough in inspection for recessed lights b wing second ﬂoor not Lv 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 15000 SW HALL BLVD, TIGARD, OR, 97224 Commercial - Electrical 120 Electrical rough-in PASS ELC2014-00435 Jeff Grove Violation Summary: Inspector Contractor