Permit (124) IIIaCITY OF TIGARD ELECTRICAL PERMIT
'' COMMUNITY DEVELOPMENT Permit#: ELC2017-00911
T I A�R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 e! Date Issued: 12/11/2017
® Parcel: C00500
Jurisdiction: Tigard
Site address: 7390 SW BONITA RD
Project: Lakeside Motors Subdivision: None Lot: None
Project Description: Adding(1)60 amp panel and(2)branch circuits for new lift. 1/17/18:REPRINTED permit to add(2)branch
circuits.
Contractor: ELECTRIC SPECIALTIES AND CONTROLS INC Owner: NATIONAL SAFETY CO, INC
9230 SW 74TH AVE 17010 SW WEIR RD
TIGARD, OR 97223 BEAVERTON, OR 97007
PHONE: 503-341-4023 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 12/11/2017 $100.70
Specifics: amps or less
2 crt Branch Circuits w/Purchase 12/11/2017 $14.84
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 12/11/2017 $13.86
Electrical
Type of Const: 2 crt Branch Circuits w/Purchase 01/17/2018 $14.84
Occupancy Grp: Service or Feeder
0 ea 12%State Surcharge- 01/17/2018 $1.79
Electrical
Total $146.03
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 , 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''-suance, or i - irk is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifi `i n Center. ,,•se rules are set forth in OAR
952-001-0010 through 52-001-0090. You may obtain a copy of the rul ions to OUNC by calling 3 32.1987 or .804 332.2344.
Issued . -2i '. Permittee Signature:
-k—
OWNER
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 c. Ft1R 0141(1. GSI:()NI 1
} \xu �,.�� ''Ata
City of Tigard , 0�� �f� ,."' Received
• 13125 SW Hall Blvd.,Tigard,OR 97223 ` `�: "" ��� DatelB ; I �j�
� I Phone: 503.7182439 ` .�' i :; Related Permit#:
rdBuildingPermits@Tigard-or.gov .-te/B
1 l',A R 1)
Inspection Line: tit`" j y' See Page 2 for
p 503.639.4175 Internet: www.tigyart,d;-ousv4 �� ti. .affrgd/Method: Ill SupplementalInformation
Email: r a v
g
R.
., ... c„ TYPE OF WORK'' 1i N .. ■ AN WL
‘OVN472;14;w4 '6� �� .. F-L111� �..YA['iW .s-. .`� .; ':r.
❑New construction [}'A-ddition/alteration/rep*kent t Please check all that apply(submit 2 sets of plans w/items checked):
M .
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition 0 Other:
i, where the available fault current ❑Marinas and boatyards.
u' '^s '"CATEGORY OF,;CONSTRUCTION 4 exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ I-and 2-family dwelling ommercial/industrial
❑Acces��ryb •mg
less to ground,or exceeds 14,000 0 Conunereial-use agricultural
amps for all other installations, buildings.
❑Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or
40.13 SITE INFORMATION ANI) LOCATION
LOCAT1pN ;, � 0 Emergency system, larger separately derived
Job#: Job site address: Q ` 0 Addition of new motor load of system.
T�q 1 U 6vJ VC)w1,'-"D• Q') 100HPormore. ❑ A„ E„ l_2„ l_3
City/State/ZIP: '1 e'0 ,,,a 0 I �Z t (,1,-1-ZZy 0 Health-care facilities.
❑Six or more residential units. occupancy.
❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: ke,4j i A D•\--,r S 0 Hazardous locations. ❑Supply voltage for more than
Service or feeder 600 amps or more.
600 volts nominal.
Cross street/directions to job site: 7+11- 0•4e..- • PEE SCHE
IDULE.
Description I Qty. .�
I Each ,'' Total [�'
New residential single-or multi-family dwelling unit.
Subdivision: j Jl '�/r p J_Y / 7zite ,� /y4 Lot#: Includes attached garage.
Tax map/parcel#: ( .4---44.4.4p
0 {� 1,000 sq.fl.or less 168.54 4
r'�� .4 Ea.add'l 500 sq.ft.or portion 33.92 1
DESC PTION OJ1V
/�
I� ti Limited energy,residential
AC\A `00 Ok.tM� ‘""JI.)\O Q 2.,
Gt..t\ 1 (with above sq.ft.) 75.00 2
1 Limited energy,multi-family 75.00 2
1 C1 f C ,,t CO( It\e ln) 't"� residential(with above sq.ft.)
n ),.13 P11 OPtTYVV1V .' T! IANx f -" Renewable Energy 0 See Page 2
'? Services or feeders installation,alteration,and/or relocation
Name:
200 amps or less l 100.70 100 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:( ) _Over 1,000 amps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or
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
` -+ - Branch circuits—new alteration or extension,per panel
�wa:. ..Q PL`ICANT . � �ONTA�T ISON;,: • . � .
_ A.Fee for branch circuits with
Business name: Elec `�f t(� S , ,0,.\\--,p._.- c\ c D tn�7\ above service or feeder fee,
Contact name:
( S ��� ' each branch circuit 7.42 �y,, �"r 2
e CN-GS -c.,--e- Rex, c.,-- B.Fee for branch circuits without
Address: � U service or feeder fee,first
7270 1 ) 1 t� IN.Jr___ branch circuit 56.18 2
City/State/ZIP: T c f c. , D(2_\ c -}-.1_-Z.� Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not Included)
Phone:(G9)) 'Z7t,t i L 0 L-Zj Each manufactured or modular
Email: ` Z 04..)‘ „ ` � dwelling,service and/or feeder 67.84 2
• Reconnect only
, •�•• .t1 * 67.84 2
rt; 4,,r CONTRACT 4,: a 4t -i
R' ? Pump or irrigation circle 67.84 2
i Business name: Sign or outline lighting 67.84 2 '
Address: Signal circuit(s)or limited-energy
/ panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP: / - Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) J 66.25/hr
Phone:( ) Investigation(1 hr min) 90.00/hr
Email: q -7/(
Industrial plant(l hr min) 78.18/hr
, p ivNi 4 7 f(l� /4/1//4 Inspections for which no fee is
CCB Lie.: zi�,5i}�i Electrical Lic.: L\�G( Suprv.Lie,• x/-1,-.7 5 s ectfically listed(Y hr min) 90 00/hr
�l^I� J > S '''
DIA" > ELECTRI[':AL PERMI�1
Suprv.Electrician signature,required: Subtotal: j fSS
Print name: C.)Auck N_ Dourh\V Date: /L7 IO/2e,/7 0 Plan Review Required(25%of permit fee):
/ State surcharge(12%of permit fee): /.3.
Authorized signature: TOTAL PERMIT FEE: 424. 4e,)
This permit application expires if a permit is not obtained within 180
Print name: Date: days after It has been accepted as complete.
* Number of inspections allowed per permit.
1:1Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 10/26/2017 440-46IST(11/05/COM/WEB
CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2017-00911
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/11/2017
Parcel: 2S 112AC00500
Jurisdiction: Tigard
Site address: 7390 SW BONITA RD
Project: Lakeside Motors Subdivision: None Lot: None
Project Description: Adding(1)60 amp panel and(2)branch circuits for new lift.
Contractor: ELECTRIC SPECIALTIES AND CONTROLS INC Owner: NATIONAL SAFETY CO, INC
9230 SW 74TH AVE 17010 SW WEIR RD
TIGARD, OR 97223 BEAVERTON, OR 97007
PHONE: 503-341-4023 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 12/11/2017 $100.70
Specifics: amps or less
2 crt Branch Circuits w/Purchase 12/11/2017 $14.84
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 12/11/2017 $13.86
Electrical
Type of Const:
Occupancy Grp:
Total $129.40
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 b er 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 wok is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificat' n Center. Tpo rules are set forth in OAR
952-001-0010 through OAR 952-001-0090.. ou may obtai of the rules or direct questions to OUNC by calling .232.1987 or 1.80.3 2.2344.
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 r �. FOR OFFICE USE ONLY
City of Tigard "t Received - I rr
it "I 13125 SW Hall Blvd.,Tigard,OR 97223 - ,.- A ,���
Phone: 503.718.2439 IRSIMMIIIIII Related Permit#:
Email: TigardBuildingPennits@Tigard-or.gov
T I G A R D ''etld�� $te/By: H See Page 2 for
Inspection Line: 503.639.4175 Internet: www tigardto i' h'fred/Method:
, t [� �r� Supplemental Information
:' ' TYPE OF WORK' �t3:0‘
PLAN REVIEW ,..
ts❑New construction C "�dditlon/alteratlon/reprl`ent Please check all that apply(submit 2 sets of plans w/items checked):
0 Demolition 0 Other: ❑Service or feeder 400 amps or more 0 Building over three stories.
where the available fault current 0 Marinas and boatyards.
- ""CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
0 1-and 2-family dwelling ommercial/industrial ❑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:
❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION , 0 Emergency system. larger separately derived
Job#: Job site address: q t
['Addition of new motor load of system.
`U 6,,,iqQ✓O V "cG- r 100HP or more. ❑"A","E","1-2","1-3",
City/State/ZIP: r l ❑Six or more residential units. occupancy.
1( C7u c Q( . , Z Z�{
1 l 0 facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: L.c t c,i CS - frto -p, 0 Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: -ILA tti c,Je_- PEE SCHEDULE
Description I Qty. Eacht Total I *
New residential single-or multi-family dwelling (unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#:
1,000 sq.ft.or less 168.54 4
rt°' II SCR i ION 01 V .- Ea. sq.ft.or portion 33.92 1
f . . �`"r Limited ted energy,residential
(with above sq.ft.) 75.00 2
�G�� �� �� -Do Limited energy,multi-family
(j11 GV)} ( . ,-r} residential(with above sq.ft.) 75.00 2
` , I..: , , - Renewable Energy 0 See Page 2
.� „,...0 PPOPERT�'NOWNHR - ,S, TENANT s- Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less i 100.70 (Go,I7 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:( ) Over 1,000 amps or volts 552.26 2
Email:
Temporary services or feeders installation,alteration,and/or
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
,A ID API' eANT w„ CONTACT PERSOPI Branch circuits-c new,alteration,or extension,per panel
_ A.Fee for branch circuits with
Business name: EIe/L^-f t SR,C,.t c..k\\--,p_‹:, C\ c ,V� 'rL%\S -..�.v'.0, above service or feeder fee, Z 7.42 !u 2
Contact name: /.�, G{ 1 12 e_
each branch circuit '
e Gr s 12e C't' B.Fee for branch circuits without
Address: 61-2:27Sv q�
service or feeder fee,first
J I�� !f'lJ('�. branch circuit 56.18 2
City/State/ZIP: T; C„. c_ , Each add']branch circuit 7.42 2
��ZZ� Miscellaneous(service or feeder not included)
Phone:(C-;02-2) ,Z,`.tI Li 0 L3 Each manufactured or modular
Email: ,?�`WLtiZ DO\�� �2� (c,\, e service and/or feeder 67.84 2
dwelling,
r Reconnect only 67.84 2
„ ,,CONTRACT R i _ _, Pump •or irrigation circle 67.84 2
Business name: Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: Ipanel,alteration,or extension. 0 See Page 2 2
City/State/ZIP: / Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
g���2 71(9'0 /4/i//q Inspections for which no fee is 90.00/hr
CCB Lie.: Z Electrical Lie.: C`� -tAlt--_
Ct C Suprv.Lic.• l 3.7 5 s ecifically listed('/z hr min)
J^- j ELECTRICAL.PERMIT FEES
s
Suprv.ElecMcian signature,required: Cr/" , ct
Subtotal. //CT
'S
Print name: c_�u 1...\_ Do jj \ Date: jL j,z)/2‘,71
State
Review Required(25%ofpeimit fee):
State surcharge(12%ofpermitfee): /3, ,l
Authorized signature: TOTAL PERMIT FEE: /,',/.,,9.
)4 40
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 10/26/2017 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
Description I Qty. I Each I Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less 100.70 2
Check Type of Work Involved:
5.01to15kva 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
n Garage Door Opener* >100 kva(fee in accordance
552.26 2
with OAR 918-309-0040)
n 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)
CQMKE, R IAL WORK,ONLY "
ELECt'i72 cAL 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
n Boiler Controls
n Clock Systems
❑ Data Telecommunication Installation
n Fire Alarm Installation
n HVAC
I-1 Instrumentation
n Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
n Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 10/26/2017
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7390 SW BONITA RD, TIGARD, OR, 97224 January 22, 2018 at
10:01 :08 AM
Record Type: Record ID:
Commercial - Electrical ELC2017-00911
Inspection Type: Inspector:
199 Electrical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor