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Permit CITY OF TIGARD ELECTRICAL PERMIT 74 44 COMMUNITY DEVELOPMENT Permit#: ELC2016-00491 T IIGA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/14/2016 Parcel: 1S135DD03301 Jurisdiction: Tigard Site address: 11945 SW PACIFIC HWY 209 Project: COMMERCIAL ENTERPRISES LLC Subdivision: METZGER ACRE TRACTS Lot: 9 Project Description: Reconnect only. Contractor: Owner: COMMERCIAL ENTERPRISES LLC 8320 NW HWY 99 VANCOUVER,WA 98665 PHONE PHONE: FAX: FEES Quantity Description Date Amount 1 ea Reconnect Only 06/14/2016 $67.84 Specifics: 1 ea 12%State Surcharge- 06/14/2016 $8.14 Electrical Type of Use: COM Class of Work: OTR Type of Const: Occupancy Grp: Total $75.98 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 s spended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification C r er. Those es are et forth in OAR 952-001-0010 through 952-001-0090. You m copy oft r\ules drdirect questions to OUNC by calling 503.2 '87 or 1.800.3 344. Issued By: Are' Permittee Signature: ZAt. f . � 1 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 410 rt)R OFF I( I t ti►: Oyl.v City of Tigard GP Received 13125 SW Hall Blvd.,Tigard,0 Q 6 Date/B : r ..%/ /iI / ♦ � g A Plan Review 'II ■ Phone: 503.718.2439 Fax: 503. 9 960 �w,\\ N.�X Date/B : Related Permit#: Inspection Line: 503.639.4175 a�\v �P'?t''t(� Ready Date/By: 61 See Page 2 for I '‘ I) Internet: www.tigard-or.gov Oi �\\I\S / Notified/Method: _� Supplemental Information TYPE OF w tom,, PLAN REVIEW 0 New construction ❑Addition/alter,'• . ac ent Please check all that apply(submit 2 sets of plans w/items checked): /• �j �j� 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition Other: p'�'- where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling ommercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural Multi-familyampMaster builderOther: Fire forallother installations. bust ngs. ❑ ❑ 0 0Fire pump. Installation❑ of 150 KVA or JOB SITE INFORMATIONAND LOCATION 0 Emergency system. larger separately derived Job#: I Job site address:t(1 y, $'rJ t to L 0 Addition of new motor load of system. fetp lOOHP or more. ❑"A" "E" "1-2" "l-3" ❑Six or more residential units. occupancy. City/State/ZIP: `(�(�� 0 �� Recreational vehicle parks. U 0 Health-care facilities. ❑ Suite/bldg./apt.#: g-fm Project name: e ID Hazardous locations. 0 Supply voltage for more than ��if' '�� ` ' - - 7 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. J Each I Total New residential single-or multi-family dwelling unit. Subdivision: I 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 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 B ---I (with above sq.ft.) 4'` _tir/A/gC.± C)N kr Limited energy,multi-family 0 75.00 2 residential(with above sq.ft.) _ Renewable Energy 0 See Page 2 0 PROPERTY OWNER I `.. a'I`EPfANT'; Services or feeders installation,alteration,and/or relocation_ Name: Ute,+;. .-C_ -,� Q 200 amps or less 100.70 2 LL ei & i t2.cre, _ � ^ `0 1 201 amps to 400 amps 133.56 2 Address: . 401 amps to 600 amps 200.34 2 City/State/ZIP: `C1 6.(M R ow. O -- °t< 11�� 601 amps to 1,000 amps 301.04 2 Phone:(�'.6) 15-'7 ?f 3-- 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,rte. ,or excha m / ,e,actor g to ORS 447,449,670, d 701 201 amps to 400 amps 125.08 , 2 Owner signature: , / - r Date: ` / 1. 401 amps to 599 amps 168.54 2 Ai D-CONTACT PERSON Branch circuits-c new,alteration,or extension,per panel A.Fee for branch circuits with Business name: / 1.3"U S} W.c(,5 above service or feeder fee, 7.42 2 � /� each branch circuit Contact name: �\/..� frt.- `�(/it-et.S! B.Fee for branch circuits without Address: V service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 q5-7 n Miscellaneous(service or feeder not included) Phone:(5'j) ``/ s- Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: (),Set p_ci (( hpp r,:.p",, Reconnect only ( 67.84 7.n. 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 0 See Page 2 2 Address: panel,alteration,or extension. g City/State/ZIP: Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: Inspections for which no fee is 90.00/hr CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed(/hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: _ Subtotal: 6 7-try Print name: Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): /ff;/Z TOTAL PERMIT FEE: 'rq'" '/ 98 Authorized signature: 64 �i n' / This permit application expires if a permit is not obtained within 180 Print name: �O Ui S a. ht... �►�J, .L Date: eiv ��>S days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELCPermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(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 I Qty. I Each I Total I 3r 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 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 TI 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(1 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: ❑ 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 1:\Building\'ermits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 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 11945 SW PACIFIC HWY 209, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical ﬁnal PASS - No C of O ELC2016-00491 Herb Stabenow Violation Summary: Inspector Contractor