Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2016 00485
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/13/2016
T'GARD g Parcel: 23101AB01608
Jurisdiction: Tigard
Site address: 7455 SW BEVELAND RD
Project: Western Tigard Holdings Subdivision: HERMOSO PARK Lot: 19
Project Description: (2)branch circuits for can lights and sign circuit.
Contractor: ECO ELECTRIC LLC Owner: WESTERN TIGARD HOLDINGS, LLC
7510 SE HAWTHORNE BLVD BY WPCS
PORTLAND, OR 97215 PO BOX 82819
PORTLAND, OR 97282
PHONE: 503-939-7052 PHONE:
FAX:
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo/Purchase 06/13/2016 $63.60
Specifics: Service or Feeder
1 ea 12%State Surcharge- 06/13/2016 $7.63
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $71.23
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. ATTE I _ . • egon law requires you to follow the rules adopted by the Oregon Utility Notification •- e. Those rules are set forth in OAR
952-001-0 d 10 through OAR °• -001-00!1' You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 or 1.800.332.2344.
Issu d By: _ I�I �i • 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. 5 SSSS
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.tlR 014-1( 1. l .i OvI )
City of Tigard RECEIVED RDate/Bea if !;,!o Permit#: e��/��—(� tag s
11 41 13125 SW Hall Blvd.,Tigard,OR 97z2.3 Plan Review
■ Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
Inspection Line: 503.639.4175 JUN 13 2016 Ready Date/By: Juris: ® See Page 2 for
T 1 Ci A R I) Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF�: . Y OF TIGARD PLAN REVIEW'
* ll C D1 v'`'ION Please check all that apply(submit 2 sets ofplans w/items
0 New construction Addition/al er. l t •t ement checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
o 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 04 Emergency system. larger,separately derived
0 Addition of new motor load of system.
Job#: Job site address: ch 6\,\J �erV t l A n 100HP or more. ❑"A","E","I-2","t-3",
City/State/ZIP: 1`(a nn ❑Six or more residential units. occupancy.
1�- 0 Healthraze facilities.
0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: (ADEL,rig.),) Tail-Q"P 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: I'}er 4-b t N av 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'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
/� (with above sq.ft.) 75.00 2
`��� Ca� L��� �� 4 I Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
G`� V� Renewable Energy 0 See Page 2
0 PROPERTY OWNER ❑ TENANTServices 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 ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Eco Electric LLC above service or feeder fee,
7.42 2
each branch circuit
Contact name:Chris McCarley — B.Fee for branch circuits without - •
Address:7510 Se Hawthorne Blvd service or feeder fee,first 1 56.18 54,.r4 2
branch circuit
City/State/ZIP:Portland,Oregon 97215 Each add'I branch circuit / 7.42 7.4'2 2
Miscellaneous(service or feeder not included)
Phone:(503)939-7053 Fax: :(503)777-2773 Each manufactured or modular 67.84 2
Email:chris@ecoelectricllc.com dwelling,service and/or feeder
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Eco Electric LLC Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy 0 See Page 2 2
Address:7510 Se Hawthorne Blvd panel,alteration,or extension.
City/State/ZIP:Portland,Oregon 97215 Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:(503)939-7053 Fax:(503)777-2773 Investigation(1 hr min) 90.00/hr
Industrial plant(I hr min) 78.18/hr
Email:chris@ecoelectricllc.com Inspections for which no fee is
CCB Lic.: 190551 'X114 Electrical Lic.: C630 Suprv. Lic.: 5585S specifically listed(/3 hr min) 90.00/hr
r ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: 63.(v0
Print name: Chris McCarley Date: (p'`3 ,V 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
7.43
7
Authorized signature: TOTAL PERMIT FEE: 7/•9-3
This permit application expires if a permit is not obtained within 180
P i( a C(lt'� l Date: `, 21\1 w I days after it has been accepted as complete.
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
De •
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
n A• udio 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
with OAR 915-309-0040) 552.26 2
0 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:
O 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 1):
Fee for each commercial system: $75.00 • Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
n Audio and Stereo Systems
❑ Boiler Controls
0 Clock Systems
O Data Telecommunication Installation
❑ Fire Alarm Installation
n H• VAC
O Instrumentation
n Intercom and Paging Systems
C Landscape Irrigation Control*
I-1 M• edical
O Nurse Calls
O Outdoor Landscape Lighting*
O Protective Signaling
❑ O• ther:
Total number of commercial systems: _
*No licenses are required. Licenses are required for all
other installations