Permit CITY OF TIGARD ELECTRICAL PERMIT
$ COMMUNITY DEVELOPMENT Permit#: ELC2015-00136
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/04/2015
Parcel: 2S113AA00300
Jurisdiction: Tigard
Site address: 16330 SW 72ND AVE B3
Project: Service Partners Subdivision: ROSEWOOD ACRE TRACTS Lot: C
Project Description: (1)branch circuit for lighting fixture
Contractor: JOHANSEN ELECTRIC INC Owner: PACIFIC REALTY ASSOCIATES
16869 SW 65TH AVE, SUITE 311 ATTN: N PIVEN
LAKE OSWEGO, OR 97035 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-747-2503 PHONE: 503 624-6300
FAX: 503-972-1861
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 03/04/2015 S56 18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 03/04/2015 $6 74
Type of Use: COM 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 ac ce 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: Ore. law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-00 -0010 through OAR 9 : s= -;090iiik may obtain a copy of the rules or direct questions to OUNC by calling 503.2 .1987 or 1.80 32.2344.
Issu d 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: /� 5 —
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.
Electrical Permit Application I.()R ()I 11( 1 1 ,i ()NI
City of Tigard Received
ed Permit#: L-0 90/5' 1 ,
� _
illq • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
U ' Phone: 503.718.2439 Fax: 503.598.1960 Date/I3 : Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: huts: RI See Page 2 for
1 I k. \Rt 1) Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑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 ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION bide, ❑Emergency system. larger separately derived
Job#: / Job site address: /> ❑Addition of new motor load of system.
S/ ��1 SG(_) SELF 100HP or more. ❑"A" "E" "1-2" "1-3"
City/State/ZIP: �j } /� ❑Six or more residential units. occupancy.
/ /2a,4-7,(_ (2y q 7�7�"I ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: rk C Pa/-bars' ❑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: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 I
DESCRIPTION OF ORK Limited energy,residential 75.00 2
I� { (with above sq.ft.)
( one DY�Ln 1 ��C/'LC 6Y �� � Limited energy,multi-family 75.00 2
10 ete iS „r 0/ n/Q-W� Z,/! 4/J(/ ,/ residential(with above sq.ft.)
.
��`(%/ �( v/ 'V�/l�1/ Renewable Energy ❑ See Page 2
❑ PROPER OWNER I 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:( ) 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
❑ APPLICANT I ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel _
A.Fee for branch circuits with
Business name: ,fo/1Qit sett e f eeiri G in C . above service or feeder fee,
7.42 2
each branch circuit
Contact name:Q��/,Ate, N 2,--e--/ ��-�� B.Fee for branch circuits without _
G `� service or feeder fee,first ` (Q
Address: f , p'6 ! 5)1)16,514- aye *411 branch circuit 56.18 a7�p, 2
City/State/ZIP: l a_ as&pe o or, ey 7 Each add'I branch circuit 7.42 , 2
j Miscellaneous(service or feeder not included)
Phone:( 63) 74 7- ,9_5-07-, Fax: :(5503) Each manufactured or modular 67.84 2
Email: /� / 1 dwelling,service and/or feeder
Of-Flee��JOi4jsen e/ec Y/c • 4 ' Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: ' ,A,,,s_en 6/e c_44y/G /j.t C+ Signor outline lighting 67.84 2
Address: /6 J 4 2 3 jij/ ‘,5---)..... A .3/i
Signal circuit(s)a n or limited-energy
❑ See Page 2 2
r/- I panel,alteration,or extension.
City/State/ZIP: ds a (9 9 7D3, -- Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(03) 74{,7_as-h 3 Fax:(S'03) 97 a-_/f// Investigation(I hr min) 66.25/hr
Email: f P Industrial plant(1 hr min) 78.18/hr
O /CEt'gi)dDLia/Z i'eN /id CD/YI Inspections for which no fee is 90.00/hr
CCB Lic.:5 iO 3.9 Electrical 13 L, Suprv.Lic.: 537 8 s . specifically listed('/Z hr min)
i ELECTRICAL PERMIT FEES -.-
Suprv.Electrician signature,requires tl�/, Subtotal:
Print name: �-ii VO h a nsefri ✓ Date: 3/415' ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
TOTAL PERMIT FEE: 0&_Authorized signature:
9:2
This permit application expires if a permit is not obtained within 180
Print nom � ^ l� Date: 37,,y//,94' days after it has been accepted as complete.
' (� • Number of inspections allowed per permit.
I:\Building0P ermits\ELC_PermitApp_ELR_ERE.doc Rev 04/21/2014 440-46151(11/05/COM/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. Total Each I Total
�' Renewable electrical energy systems:
Check Type of Work Involved: 5 kvaorless 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 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:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(I hr min)
Inspections for which no fee is 90.00/hr
specifically listed(%:hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter on Page I):
Fee for each commercial system: $75.00
(SEE OAR 918-309-0000) * Number of inspections allowed per permit.
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ 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
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe 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
16330 SW 72ND AVE B3, TIGARD, OR, 97224
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00136
Jeff Grove
Violation Summary:
Inspector Contractor