Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
4CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT ill Permit#: ELR2018-00043 COMMUNITY DEVELOPMENT Date Issued: 03/26/2018 T I[ A I I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135AB01004 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD 600 Project: Hull and Company Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Adding(1)low voltage circuit for T-stats for TI. Contractor: AMERICAN HEATING INC Owner: LINCOLN CENTER LLC 5035 SE 24TH AVE . BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97202-4765 235 MONTGOMERY ST, 16TH FLOOR SAN FRANCISCO, CA 94104 PHONE: 503-239-4600 PHONE: FAX: 503-239-7038 FEES Description Date Amount Specifics: Restricted Energy Permit 03/26/2018 $75.00 12%State Surcharge-Electrical 03/26/2018 $9.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 0 Audio&Stereo: 0 Boiler Controls: 0 CCTV: 0 Clock Systems: 0 Data&Telecommunications: 0 Fire Alarm: 0 HVAC: 1 Instrumentation: 0 Intercom/Paging: 0 Landscape/Irrigation: 0 Landscape Lighting: 0 Medical: 0 . Nurse Calls: 0 Protective Signal: 0 Security Alarm: 0 Other: 0 Total $84.00 Other Desc: 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. YY may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.23 4. 7. ' .bG 6S Issued By: .‘ I• Permittee Signature: 4e. �© OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale,lease or rent. Date: OWNER'S SIGNATURE: CONTRACTOR INSTALLATION ONLY Date: SIGNATURE OF SUPR.ELEC' 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 RI ' 4 , : FOR OFFICE USE ONLY Cl of Tigard Received Permit No.: `J g cy� Date/B : / /�j - ♦ _ _/ 114 II 13125 SW Hall Blvd.,Tigard,OR 97223 t,A a R 2 2`1",} Plan Review _ Phone: 503.718.2439 Fax: 503.598.1960 ' /" Date/B : Other Permit.,./.4 -,..40 I -1.1 0 r Inspection Line: 503.639.4175 Date Ready/By: Juris: r�See Page 2 for l I G, R t) ° ' y mss . , d" i ..'Notified/Method: Supplemental Information Internet: www.tigard-or.gov ,.,�-> , _ a PP a, .. . .., .V..".:.7-..:1:-.z? 44 _ 4 P '1,..::i ,„,..., 0 New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below): ❑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. ` i 1,". i 0 exceeds 10,000 amps at 150 volts or 0 Floating buildings. '''.----'44` '''-°°':-'``'� "� * -' -'' ''• less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building amps for all other installations. buildings. ❑Multi family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 RVA or ❑Emergency system. larger separately derived system. rJ)OB 0,0 �1 t3 . =Eli ❑Addition of new motor load of ❑"A" "E" "1-2" "1-3" Job no.: Job site address: 10220 SW Greenburg Road 1or more. occupancy. ElSSix ix oorr more residential units. 0 Recreational vehicle parks. City/State/ZIP:Tigard OR 97223 0 Health-care facilities. 0 Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.:600 Project name:Hull and Company 0 Service or feeder 600 amps or more. : iUL r Cross street/directions to job site: Description I Qty. I Fee p} Total ' I * New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential �;r 75.00 2 t x'18! ` Wil* (with above sq.ft.) ,• s Limited energy,multi-family 75.00 2 low voltage wiring and T-stats residential(with above sq.ft.) Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation a 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Temporary services or feeders installation,alteration,and/or Phone:( ) Fax:( ) relocation 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: Branch circuits-new,alteration,or extension,per panel ,` 6 7. .� A.Fee for branch circuits with a.43, .. ,' ,- , � :a � 1 ''f -,',' ,:'-'-A''',-,,, above service or feeder fee, 7.42 2 Business name:American Heating Inc. each branch circuit B.Fee for branch circuits without Contact name:Brad Manchester service or feeder fee,first 56.18 2 branch circuit Address:5035 SE 24th Ave. Each add'1 branch circuit 7.42 2 City/State/ZIP:Portland,OR.,97202 Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 Phone:(503)239-4600 Fax: :(503)239-7038 dwelling,service and/or feeder Reconnect only 67.84 2 E-mail:brad@americanheating.net Pump or irrigation circle 67.84 2 l ltt�4., ��,_,,, _� y ,_ _, .i:4 Sign or outline lighting 67.84 2 Business name:American Heating Inc. Signal circuit(s)or limited-energy 1 See panel,alteration,or extension. Page 2 2 Address:Brad Manchester Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr City/State/ZIP:Portland,OR.,97202 Investigation(1 hr min) 66.25/hr Phone:(503)239-4600 Fax:(503)239-7038 Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 33135 ElecMcal ic.: 26993CRE Suprv.Lic.: 2640LEB specifically listed(''A hr mm) Suprv.Electrician signature,required.- E C'1 L PERMI' . l:x,_�e p e9 Subtotal: Print name: T Steve Young Date: 3-26-18 Plan review(25%of permit fee): State surcharge(12%of permit fee): Authorized signature:: / j- TOTAL PERMIT FEE: �� ) 9y This permit application expires if a permit is not obtained within 180 Print name: Brad Manchester Date: 3-26-18 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PennitApp_ELR_ERE.doc 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: t"` Description � Q Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 1.1 Check Type of Work Involved: 5 kva or less 100.70 _© 5.01 to 15 kva MI 133.56 _© ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 _© Wind l eneration s stems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva - 301.04 _© 50.01 to 100 kva 111. 552.26 _© ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040 ■ 552.26 —© ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 III 7.42 _© ❑ Vacuum Systems* >100 kva—no additional charge - 0.0 _© Each additional ins.ection over allowable in an of the above: ❑ Other: Each additional inspection is ■ 66.25/hr _U charted at an hourl 1 hr min Inspections for which no fee is 90.00/hr111 s. ificall listed(1/2 hr min �d x s,'*� iz. 3. xa s` +«-]^^�.'.. 4 Sf�t r-tl a III H @ � `fi C.�k.ai �y ' x `a' s. .#xu.. ... ,.. -.� 41 .:..f....�v�.,`_# __ SA.k .t?.,,,.,x 5: `ti '1`"'.. .. Fee for each commercial system: $75.00 • Subtotal(Enteron Page 1): �' • 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 2/11VAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: 1 *No licenses are required. Licenses are required for all other installations I:\Build ng\Permas\ELC_PermiApp_ELR ERE doe Rev 10/26/2017