Permit CITY OF TIGARD ELECTRICAL PERMIT
t R. COMMUNITY DEVELOPMENT
Permit#: ELC2018-00173
13125 SW Hall Blvd.,Ti Date Issued: 03/12/2018
T[C ,1id. and OR 97223 503.718.2439 9
Parcel: 1 S136CD01000
Jurisdiction: Tigard
Site address: 11745 SW PACIFIC HWY 100
Project: 4 Wheel Parts Subdivision: None Lot: None
Project Description: Electrical for TI:(1)200 amp feeder,(1)400 amp feeder,and(40)branch circuits.
Contractor: OMNI ELECTRIC INC Owner: MONAGHAN FARMS, INC
16670 SW WRIGHT ST 1950 E PRETICE AVE, STE 101
BEAVERTON, OR 97007 GREENWOOD VILLAGE, CO 80111
PHONE: 503-747-0805 PHONE:
FAX: 503-649-2709
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 03/12/2018 $100.70
Specifics: amps or less
1 ea Services or Feeders-201 to 03/12/2018 $133.56
Type of Use: COM 400 amps
Class of Work: ALT 40 crt Branch Circuits w/Purchase 03/12/2018 $296.80
Service or Feeder
Type of Const: 1 ea 12%State Surcharge- 03/12/2018 $63.73
Occupancy Grp: Electrical
Total $594.79
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. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. u Yomay•�•tain a copy• the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: `�� �— � r Permittee Signature: 'e/{ /- c_
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 OFFlc1: tsF 011.1
City of Tigard 4,� ,< ,; lq �"Received 3
An 71
13125 SW Hall Blvd.,Tigard,OR 97223 Dan/B : ITE
v�� M ,
= Plan Review Related Permit#: �`` .r !"-
Phone: 503.718.2439 Fax: 503.598.1960 1 Date/B :
Inspection Line: 503.639.4175 MAR , 2 2 018 Ready Date/By: ® See Page 2 for
T I G A R D Internet: www.ti and-or. ov Notified/Method:
g g j Supplemental Information
TYPE OF WOW 1 1 OF i F{otAkli PLAN REVIEW
❑New construction ddition/alt id #, ,# 1. „., ., Please check all that apply(submit 2 sets of plans w/items checked):
t
0 Service or feeder 400 amps or more
❑Demolition El Other:
❑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.
❑ 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 ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address: ❑Addition of new motor load of system.
/'/7 Y S S`tJ ,!"�c:,/'/c ��� y 100HP or more. ❑"A","E","l-2","I-3",
City/State/ZIP: 774"A 4, ,--.2/ ❑Six or more residential units. occupancy.
/ 0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: V i;vv,4- t /74X7s 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: 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
75.00 2
.C//1.;7— ',Ai/',..e es k//i.M/Ctit ts (with above sq.ft.)
Limited energy,multi-family
4-1/1774-IVISSif.41/34 :1 residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
0 PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less / 100.70 llk?, ')iro 2
Address: 201 amps to 400 amps / 133.56 i 3) 5b 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
El APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: above service or feeder fee, l 7.42 �y_t 2
each branch circuit v—
Contact name: B.Fee for branch circuits without
Address:
service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Each add'1 branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: 0.titv9 /L G.pj"e--..7-72/C p4A g a:✓Tl/,4e/r S Sign or outline lighting 67.84 2
/ / C�" Signal circuit(s)or limited-energy
Address:
/ C(� 7 r9 -. /4l L t,'ie/4,4/7- 0 7- panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP: /Y . 1 /.D'.7
Each additional inspection over allowable in any of the above
y -It. _.,r Additional inspection(1 hr min) 66.25/hr
Phone:(5.',5.?) 72',_3 z i g- Fax:( ) Investigation(1 hr min) 90.00/hr
Email: / •-76� S Industrial plant(1 hr min) 78.18/hr
l Inspections for which no fee is
specifically listed '/Z hr min) 90.00/hr
CCB Lic.: '7 Electrical LiaL° j Suprv.Lic.: �S. pe Y (
Suprv.Electrician signature,required: a , g! ,t, r ELECTRICAL PERMIT FEE
Subtotal: 53/,( it
Print name: c_37) „,/,_ /i(l z- 1 ;, Date: 0 Plan Review Required(25%of permit fee): ----
State surcharge(12%of permit fee): 63,73
Authorized signature: TOTAL PERMIT FEE: 5-41
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 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 ONL'Y:. ��.
FEE SCHED
Description I Qty• I Each I Total I *
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 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
with OAR 918-309-0040) 552.26 2
❑ 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:
n 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)
ELECTRICAL PER MIT FEES
COI MER+CIAL WO ONLY: 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*
n Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
❑ 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.doe Rev 06/17/2015
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11745 SW PACIFIC HWY 100, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2018-00173
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor
CITY OF TIGARD ELECTRICAL PERMIT
1111
' I COMMUNITY DEVELOPMENT Permit#: ELC2018-00173
T I i;;1 p I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/12/2018
Parcel: 1 S 136CD01000
Jurisdiction: Tigard
Site address: 11745 SW PACIFIC HWY 100
Project: 4 Wheel Parts Subdivision:
None
Project Description: Electrical for TI:(1)200 amp feeder,(1)400 amp feeder,and(40)branch circuits. 4/26/18 REPRINT to add Lot: None
limited energy for data,intercom and paging systems,and garage door.
Contractor: OMNI ELECTRIC INC Owner:
16670 SW WRIGHT ST MONAGHAN FARMS, INC
16670 S TON, OR 97007 1950 E PRETICE AVE, STE 101
GREENWOOD VILLAGE, CO 80111
PHONE: 503-747-0805 PHONE:
FAX: 503-649-2709
FEES
Quantity Description Date Amount
Specifics: 1 ea Services or Feeders-200 03/12/2018 $100.70
amps or less
1 ea Services or Feeders-201 to 03/12/2018 $133.56
Type of Use: COM 400 amps
Class of Work: ALT 40 crt Branch Circuits w/Purchase 03/12/2018
T Service or Feeder $296.80
ype of Const:
Occupancy Grp: 1 ea 12%State Surcharge- 03/12/2018 $63.73
Electrical
3 ea Restricted Energy Permit 04/26/2018 $225.00
27 12%State Surcharge- 04/26/2018 $27.00
Electrical
Total $846.79
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. Those rules are set forth in OAR
952-001-0010 through OAR 952-0 - 090. You may tain a cfjpy f the rules direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. \
Issued By: Permittee Signature: X
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.
ED
ElectricatTermit Applicatio IV
FOR OFFICE ISE:O,Al.l
City of Tigard pp y Received
13125 S W Hall Blvd.,Tigard,OR 972231Q P R (1118 DateBy: vf/ ,A. Perm"' �zcb a / _&o
:IN _ Phone: 503.718.2439 Fax: 503.598.1960Plan Review / /
Inspection Line: 503.639.4175 CITY OF IGARI) Ready Related Permit#:
T I G A R D Internet: Line:www.tigard-or.gov gov Ready Date/By:
r INr �+ 1 Notified/Method: See Page 2 for
]�/� �J ii�+ (n'�� ons
G.Dil v iSIO Supplemental Information
❑❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
Demolition Other: 0 Service or feeder 400 amps or more 0 Building over three stories.
aty
� 1f� Q '(y ( where the available fault current 0 Marinas and bo
and 2-family dwelliri exceeds 10,000 amps at 150 volts or ❑Floating buildings.
o 1ar
g ®Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
❑Multi-family ❑Master builder ❑Other: amps for all other installations. buildings.
Installation
0 Eire pump. 0 l rgerlof 150 VA or
°' 'JOB, SITE �'!�► _t#TIUN ma LOCATION 0 Emergency system.
Job#: I Job site address:11745 SW Pacific Hwylarger separately derived
0 Addition of new motor load of system.
City/State/ZIP:Tigard,OR 97223 IOOHP or more. ❑°'A","E° "1-2","1-3",
❑Six or more residential units. occupancy.
Suite/bldg./apt.#: I Project name:4 Wheel Parts Store 0 Health-care facilities. 0 Recreational vehicle parks.
❑Hazardous locations. 0 Supply voltage for more than
Cross street/directions to job site: ❑Service or feeder 600 amps or more. 600 volts nominal.
FE>l; s�B[3E
Description r Qty. I Each , Total
Subdivision: New residential single-or multi-family dwelling unit.
Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less
168.54 4
-""' ` ' I�►EB+CRtP>fiS3 +1;�4K Ea.add'l 500 sq.ft.or portion 33.92 1
Add permit#ELC2018-00173 voltagedata/phone,:1. data/ honei 2. g Limited energy,residential
garage opener 3. (with above sq.ft.) 75.00 2
In ercom Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
CI=PRQPERT' "OW;NER L.:, 0 TENANT '
Name: Services or feedersEnergy installation,altera❑ Seetion,Page and/2 or relocation
200 amps or less 100.70
Address: 2
201 amps to 400 amps 133.56 2
City/State/ZIP:
401 amps to 600 amps 200.34
2
Phone:( / 601 amps to 1,000 amps 301.04
Fax: 2
( ) Over 1,000 amps or volts 552.26
Email: Temporary services or feeders installation,alteration,and/or
relocatin
Owner installation:This installation is being made on property that I own which is not 200 amps or less
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 51
201 amps to 400 amps 1255.08.08
Owner signature: Date: 401 amps to 599 amps 168.54 2
�a Al'I jcAisi '" 2
o c r M T ,, Branch circuits—new,alteration,or extension,per panel
Business name:Omni Electric Inc A.Fee for branch circuits with
above service or feeder fee,
Contact name:John Kelso each branch circuit 7.42 2
Address: 16670 SW Wright St B.Fee for branch circuits without
service or feeder fee,first
City/State/ZIP:Beaverton,OR 97007 branch circuit 56.18 2
Each add'l branch circuit 7.42 2
Phone:(503)747-0805 Miscellaneous(service or feeder not included)
I Fax::( )
Email:omni_electric@hotmail.com Each manufactured or modular
dwelling,service and/or feeder 67.84 2
1 RtQR' Reconnect only 67.84
Business name:Omni Electric Inc Pump or irrigation circle 67.84
2
Sign or outline lighting 67.84 2
Address:16670 SW Wright St Signal tt(s)or limited-energy
panel,alteration,or extension. 0 See Page 2 2
Each additional inspection over allowable in any of the above
City/State/ZIP:Beaverton,OR 97007
Phone:(503)747-0805 Additional inspection(1 hr min) 66.25/hr
I Fax:( ) Investigation(1 hr min) 90.00/hr
Email:omni_electric@hotmail.com Industrial plant(1 hr min)
78.18/hr
CCB Lic.: 176615 Inspections for which no fee is
Electrical Lic.: C297 I Suprv.Lic.: 4270S specifically listed(%2 hr min) 90.00/hr
Suprv.Electrician signature,required: LLEfRllt"�LL -pS ,
Print name: John Kelso Subtotal: A2 Sea
Date: 4/26/18 0 Plan Review Required(25%of permit fee):
Vt /- '
State surcharge(12%of permit fee):
Authori signature:
TOTAL PERMIT FEE: s'01
Print name: John Kelso I This permit application expires if'la
permit is not obtained within 180
I Date: 4/26/18 days after it has been accepted as complete.
I:\Building\Pemtits\ELC_PennitApp_ELR ERE.doc Rev 06/17/2015 * Number of inspections allowed per permit.
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 for all residential systems combined: $75.00 DescriptioneI • I Each I Total
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
11 Audio and Stereo Systems*
15.01 to 25 kva 200.34 2
❑ Burglar Alarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to loo kva 552.26 2
>100 kva(fee in accordance
n H• eating, Ventilation and Air Conditioning with OAR 918-309-0040) 552.26 2
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
n V• acuum Systems* >100 kva—no additional charge 0.0
3
Each additional inspection over allowable in any of the above:
❑ O• ther: Each additional inspection is
charged at an hourly(1 hr min) 66.25/hr 1
Inspections for which no fee is
specifically listed(%2 hr min) 90.00/hr
COMMERCIAL WORK ONLY: ELECTRICAL. ►E» nu
Fee for each commercial system: $75.00 subtotal(Enter on rage I):
(SEE OAR 918-309-0000) * Number of inspections allowed per permit.
Check Type of Work Involved:
❑ A• udio and Stereo Systems
❑ Boiler Controls
❑ C• lock Systems
® Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
n Instrumentation
11 Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
n Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
® Other: garage door
Total number of commercial systems: 3
*No licenses are required. Licenses are required for all
other installations
I:1Buildinglpermits\ELC PermitApp_ELR_ERE doc Rev 06/17/2015