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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2015-00138 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/23/2015 Parcel: 1 S135BB00800 Jurisdiction: Tigard Site address: 10645 SW GREENBURG RD Project: IFLY Subdivision: HILLSBORO Lot: PTS 1-2 Project Description: Power and lighting for new skydiving facility. Contractor: ERTELL ELECTRIC LLC Owner: EWING IRRIGATION PRODUCTS INC PO BOX 279 3441 E HARBOUR DR FOREST GROVE, OR 97116 PHEONIX,AZ 85034 PHONE: 503-841-4511 PHONE: FAX: 503-359-5652 FEES Quantity Description Date Amount 5 ea Services or Feeders-201 to 03/23/2015 $667.80 Specifics: 400 amps 1 ea Services or Feeders-200 03/23/2015 $100.70 Type of Use: COM amps or less Class of Work: NEW 1 ea Services or Feeders-401 to 03/23/2015 $200.34 600 amps Type of Const: 3 ea Services or Feeders-Over 03/23/2015 $1,656.78 Occupancy Grp: 1000 amps or volts 2 ea Signal circuit or Limited 03/23/2015 $150.00 Energy Panel 1 ea Plan Review Electricial 03/23/2015 $1,009.26 1 ea 12%State Surcharge- 03/23/2015 $484.44 Electrical 170 crt Branch Circuits w/Purchase 03/23/2015 $1,261.40 Service or Feeder Total $5,530.72 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. Thos- rules are set forth in OAR 952-001-0010 through 0 5 090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987,•.Ic=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: 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. Electrical Permit Application FOR OFFICE USE ONLY City of Tigard RECEIVED Received®D Date/B 11 Permit No.:ekeje;c-eCif; S 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review I Phone: 503.718.2439 Fax:�Q,3498.1g6(L Date/B : 4lW�� Other Permit: TIGARD Inspection Line: 503.639.41 //��r(( [ Date Read / twit El See Page 2 for Internet: www.tigard-or Notified/Me!., 3 `4/4l s- (1"" Supplemental Information OF TI 1'frT{J Yn,1ICc W (4` PLAN REVIEW ®New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below): El Service or feeder 400 amps or more ❑Building over three stories. ❑ Demolition 0 Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION 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 ®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 ❑Emergency system. larger separately derived system. ❑Addition of new motor load of ❑"A","E","l-2","l-3", Job no.: I Job site address:Ji1655 SW Greenburg Rd 100HPormore. occupancy. j ❑Six or more residential units. ❑Recreational vehicle parks. / City/State/ZIP:Tigard OR 97223 N h� ❑Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: I Project name:I Fly ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description l Qty. I Fee. I Total 1 • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: I 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 New power&lighting circuits for skydiving facility residential(with above sq.ft.) Renewable Energy ❑ See Page 2 6/8 b Services or feeders installation,alteration,and/or re cation ❑ PROPERTY OWNER J ❑ TENANT 200 amps or less I 100.70 100.70 2 201 amps to 400 amps 5 04"r 133.56 444724.—* 2 Name: 401 amps to 600 amps 1 200.34 200.34 2 Address: 601 amps to 1,000 amps 301.04 11,,5-6 ilt 2 Over 1,000 amps or volts 3 552.26 • 1656.8 2 City/State/ZIP: Temporary services or feeders installation,alteration,and/or Phone:( ) I Fax:( ) relocation 200 amps or less 59.36 1 16,, 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 extension,per panel ❑ APPLICANT 'LL ❑ CONTACT PERSON' , A.Fee for branch circuits with ' above service or feeder fee, 1�O 7 42 1261.4 2 Business name: each branch circuit B.Fee for branch circuits without Contact name: service or feeder fee,first 56.18 2 branch circuit Address: Each add'l branch circuit 7.42 2 City/State/ZIP: Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 Phone:( ) I Fax: :( ) dwelling,service and/or feeder Reconnect only 67.84 2 E-mail: Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name:Ertell Electric,LLC Signal circuit(s)or limited-energy 2 See 150 panel,alteration,or extension. Page 2 2 Address:PO Box 219 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr City/State/ZIP:Hillsboro OR 97123 Investigation(1 hr min) 66.25/hr Phone:(503)596-2199 I Fax:(503)359-5652 Industrial plant(1 hr min) 78.18/hr - Inspections for which no fee is 90.00/hr CCB Lie.: 180540 I Electrical Lie.: C 390 A •• ' I specifically listed(%2 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: 1 Subtotal: 3903.5 si{Ip;l.e`l i Print name: Dylan Wentworth Date: . Mar 2015 Plan review(25%of permit fee): 975.87 1 Vt:lt l State surcharge(12%of permit fee): 468.41 44,401 Authorized signature: 'N TOTAL PERMIT FEE: ...5 Print name: Dylan Went orth "Date: 5 Mar 2015 This permit application expires if a permit is not obtained within 180 days after it has been accepted as co mple}aia/ ` Number of inspections allowed per permit. S 6 i:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 05/21/2013 440-4615T(11/05/COM/WEB i 553O 7? 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 10645 SW GREENBURG RD, TIGARD, OR, 97223 Commercial - Electrical 105 Underground/slab cover PART ELC2015-00138 Herb Stabenow Main slab on back of building for switchgear approved 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 10645 SW GREENBURG RD, TIGARD, OR, 97223 Commercial - Electrical 125 Wall cover Scheduled ELC2015-00138 Jeff Grove 2nd ﬂoor north wall mezz Violation Summary: Inspector Contractor