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Permit 14 ---1/1 CITY OF TIGARD ELECTRICAL PERMIT s `> COMMUNITY DEVELOPMENT Permit#: ELC2016-00622 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2016 Parcel: 1S133AC14500 Jurisdiction: Tigard Site address: 13285 SW HAWKS BEARD ST Project: Scholls Ferry Apartments Subdivision: Lot: 63 Project Description: Temporary power for 11 apartment buildings. Contractor: BERGELECTRIC CORP Owner: GRABHORN, BURTON E ESTATE OF 13650 NE WHITAKER WAY 14577 SE ANDERSON RD PORTLAND, OR 97230 CLACKAMAS, OR 97011 PHONE: 503-255-1818 PHONE: FAX: 503-255-1919 FEES Quantity Description Date Amount Specifics: 11 ea Temp Services or Feeders- 08/08/2016 $652.96 200 amps or less 1 ea 12%State Surcharge- 08/08/2016 $78.36 Type of Use: MF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $731.32 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty .,:.—nd 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 is uance, or work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow th- es adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Ygu ma obtain a • of the rules• •irect questions to OUNC by calling 503.23 1987•r 1.:,$0.332.2344. Issued By: .��.- Permittee Signature �� iil v 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 Ick OFFICF. USF':Otil.l 11111 City of Tigard �i Received y p j,.. 13125 SW Hall Blvd.,Tigard,OR 97. ce�� {sem Date/By: U a „ Permit No.: E Lc 64(�f .)6 ' ■ Phone: 503.718.2439 Fax: 503.598. 1:1 V Plan Review Date/By: Other Permit: _ �. 1 Al:i, Inspection Line: 503.639.4175 ,it ��1 Date Ready/By: Iuris: ���ls or la 7r Internet: www.tigard-or.gov A 4t See Page 2 for A�11 Notified/Method: Supplemental Information TYPE OF WO '�U O l • PLAN REVIEW XL New construction 0 Addition/alterati�etalt Please check all that apply(submit 2 sets of plans w/items checked below): 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. ❑ 1-and 2-familyless to ground,or exceeds 14,000 0 Commercial-use agricultural dwelling 0 Commercial/industrial ❑Accessory building amps for all other installations. buildings. Multi-family 0 Master builder ❑Other: 0Firepump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND`LOCATION ❑Emergency system. larger separately derived system. I 0 Addition of new motor load of ❑"A" "E "1-2" "1-3» Job no.: (1'L}3) - Job site address:1318 S Sw nfivorg 13m2,© 100HP or more. occupancy. ❑Six or more residential units. 0 Recreational vehicle parks. City/State/ZIP: (; p 117-2-3 • ��� ❑Health-care facilities. 0 Supply voltage for more than �1 t �f J(.�LV t5 i'C ' t 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project flamer-Fib/VW •.,- . _ - — ' _ 0 Service or feeder 600 amps or more. Cross street/directions to job site: ��//���� 171 p�� `tel '1�-- FEE SCHEDULE S \1 L3�__ I 1 V� s svv • mi .s , Descri,lion 10011.1101111WEEMICE New residential single-or multi-family dwelling unit. Includes attached garage. 1,000 sq.ft.or less 168.54 4 Subdivision: Lot no.: Tax map/parcel no.: Ea.add'l 500 sq.ft.or portion 33.92 1 Limited energy,residential DESCRIPTION OF WORK (with above sq.ft.) 75.00 2 1 Limited energy,multi-family EVWP ?O Vj• residential with above s..ft. 75.00 2 Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation PROPERTY OWNER 1 0;TENANT 200 amps or less 100.70 2 201 amps to 400 amps 1.1 133.56 —© Name: i/ rt titiL' O 1 1 lizi/WI) I k i p 2Sl 'U G 401 amps to 600 amps Address: ,1 Aw K, f nzr C rtE 601 amps to 1,000 amps - IIrr-® City/State/ZIP: f�1I^�� J`�Fy6>6 1 nJ V p Over 1,000 amps or volts - 552.26 �© W�vF / 1 Temporary services or feeders installation,alteration,and/or Phone:(340 ) v,Ij _ I-88g Fax:( ) relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less (I 59.36 (41,,CIIp 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 401 amps to 599 amps 168.54 2 Owner signature: Date: Branch circuits-new,alteration,or extension,per panel 0 APPLICANT A.CONTACT PERSON A.Fee for branch circuits with above service or feeder fee, Business name: Berge1ectric Cor 7.42 2 p each branch circuit �1 B.Fee for branch circuits without Contact name: ')n V L '�er,L p�-`�VrV� ' service or feeder fee,first V F branch circuit 56.18 2 Address: 13650 NE Whitaker Way Each add'I branch circuit 7,42 2 City/State/ZIP: Portland OR 97230 Miscellaneous(service or feeder not included) Each manufactured or modular Phone:(503) 255-1818 I Fax: :(5 0 3) 522-1919 dwelling,service and/or feeder 67.84 2 ��y't r Reconnect only 67.84 2 E-mail: riv VJ ELt C1 .moi,� —© Pump or irrigation circle 67.84 CONTRACTOR Sign or outline lighting 67.84 2 Business name: Berge 1 e c t r i c Corp Signal circuit(s)or limited-energy See 13 6 5 0 NE Whitaker Way panel,alteration,or extension. Page 2 2 Address: Each additional inspection over allowable in any of the above City/State/ZIP: Portland OR 97230 Additional inspection(1 hr min) 66.25/hr Investigation(1 hr min) 66.25/hr Phone:(5 0 3) 255-1818 I Fax:(5 0 3) 255-1919 Industrial plant(1 hr min) 78.18/hr 1 1 0 5 2 1 Inspections for which no fee is CCB Lic.: Electrical Lic.: 3 7-6 8 2 C4 uprv.Lic.: 54 8 5 S specifically listed(r/1 hr min) 90.00/hr Suprv.Electrician signature,r��• ELECTRICAL PERMIT FEES p i 1 Subtotal: �,,16 Print name: ` Tililiningll Date: O 41p Plan review(25%of permit fee): gn ` r• State surcharge(12%of permit fee): ig,3b Authorized signa -� .l `\.- TOTAL PERMIT FEE: 31.3Z Print name: $ �. Date: gig g i This permit application expires if a permit is not obtat ed within 180 O days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Budding\'ermits\ELC_PemritApp_ELR_ERE.doe Rev 05/21/2013 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: r: IPEStat! ttgiONLIW, 4;1- 7:::.twxook*ila Description I Qty � Fee � Total �•" 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 ❑ 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 with 552.26 2 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: El Other: Each additional inspection is 66.25/lir 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specificallylisted ' (/z hr mm , y Subtotal: Fee for each commercial system $75.00 Plan review,if required(25%of permit(SEE OAR 918-309 0000) 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 ❑ days after it has been accepted a,complete. * Audio and Stereo Systems 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 El Nurse Calls El Outdoor Landscape Lighting* El Protective Signaling ❑p Oder Total number of commercial systems: — . , , *No licenses are required. Licenses are required for all other installations I:\Building\Permits TLC PermitApp_ELR_ERE.doc Rev 05/21/2013