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Permit (9) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT I COMMUNITY DEVELOPMENT Permit#: ELR2018-00061 T I c;A IZ 1 r 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/23/2018 Parcel: 2S101AB03100 Jurisdiction: Site address: 12115 SW 70TH AVE 102 Project: TVF&R-Occupational Health Subdivision: 2012-009 PARTITION PLAT Lot: 3 Project Description: Limited energy for HVAC TI. Contractor: ARJAE SHEET METAL CO, INC. Owner: TIGARD TRIANGLE PARTNERS LLC 8545 SE MCLOUGHLIN BLVD. 18187 SIERA DR PORTLAND, OR 97222 LAKE OSWEGO, OR 97034 PHONE: 503-231-7717 PHONE: FAX: 503-230-4888 FEES Description Date Amount Specifics: Restricted Energy Permit 04/23/2018 $75.00 Type of Use: COM 12%State Surcharge-Electrical 04/23/2018 $9.00 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 require you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA-952-001-0090. jou may obtain a copy oft rules or direct questions to OUNC by calling 503.232.1987 or 1.800 .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 FOR OFFICE USE OSE) City of Tigard Received / 1111 13125 SW Hall Blvd.,Tigard,OR 97223 ,711" Date/B : 'illi!--41°(,..e.65- Inspection �� I Phone: 503.718.2439 Fax: 503.598.1960 il Plan Review ��/,�5- � �,n r Date/B Related Permit#: / l/ Inspection Line: 503.639.4175 t‘ 4, 0 J%r T I G A R D t• Ready Date/By: Jur s: ,� See Page 2 for Internet www.tigard-or.gov Notified/Method: Supplemental Information r" :7 ." r 4 tt '/,max .4,4:;;:':4!,':4 . 4.,J 7 .. ❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. El Demolition 0 Other: r,• A where the available fault current ❑Marinas and boatyards. t'4.'4, '� .� - R ,kms: 4„: _5,EG Ry : 'u Ti N �- exceeds 10,000 amps at 150 volts or 0 Floating buildings. _ ? .. . 0 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 0 Master builder 0 Other 7: .• �. x0 Fire pump. ❑Installation of 150 KVA or . ,- '" - ,..x°' OB Sti'E INFpR A116 „x 1A.I 'i 6*: ' ; �,,-. ': ❑Emergency system. larger separately derived Job#:H70350PW Job site address: 12115 SW 70th ave Suite 102 ❑Addition of new motor load of system. 100HP or more. 0"A","E","1-2","1-3", City/State/ZIP:Tigard,OR 97223 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:TVFR ❑Hazardous locations. 0 Supply voltage for more than CIService or feeder 600 amps or more. 600 volts+minal. Cross street/directions to job site: n DescriptionI ol h� N I Qty. � Each Total 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 ' Ea.add'l 500 sq.ft.or portion 33.92 I ,.„x ' l` CIPT 4 Wilt* 6 - fir;. Limited energy,residential LowVoltage controls for HVAC (with above sq.ft.) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Ener ;rt . R1f�PE1tT�'���V1V�R •,. �; ��• ,¢:;.' � '=?F�?lEI11V`i�� �x` �t�{,� gY ❑ See Page 2 Services or feeders installation,alteration,and/or relocation Name:TVFR 200 amps or less 100.70 2 Address: 201 amps to 400 amps 133.56 2 City/State/ZIP: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Phone:( ) Fax:( ) 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 ' �';, ' i" O C 'PT S 'fBranch circuits—new,alteration,or extension,per panel ., 4.0.4. _ 4, T T4` -*"' A.Fee for branch circuits with Business name:Arjae Sheet Metal above service or feeder fee, Contact name:Ken Klunder each branch circuit 7.42 2 B.Fee for branch circuits without Address:8545 SE McLoughlin Blvd service or feeder fee,first branch circuit 56.18 2 City/State/ZIP:Milwaukie,OR 97222 Each add'l branch circuit 7.42 2 Phone:(503)231 7717Miscellaneous(service or feeder not included) Fax: :(503)230 4888 Each manufactured or modular Email:ken@arjae.com dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 _• --, -' ,` n CONTRACTOR ,' il Pump or irrigation circle 67.84 2 Business name:Arjae Sheet Metal Sign or outline lighting 67.84 2 Address:8545 SE McLoughlin Blvd Signal circuit(s)or limited-energy 110-4- panel,alteration,or extension. ee Page 2 2 City/State/ZIP:Milwaukie,OR 97222 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)231-7717 Fax:(503)230-4888 Investigation(1 hr min) 90.00/hr Email:ken@arjae.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is nt 90.00/hrCCB Lic.: 60835 Electrical Lic.: 26-1208 (( Suprv.Lic.: 2617LEB specifically listed A hr min) Suprv.Electrician signature,required: /j V ELECTI1iL.PERMIT Subtotal: 0 Plan Review Required(25%of permit fee): Print name: Ken Klunder I Date: 4-19-18 ^ ^ State surcharge(12%of permit fee): Authorized signature: ©/` V//`/ TOTAL PERMIT FEE: p,//ex) This permit application expires if a permit is not obtained within 180 Print name: Ken Klunder Date: 4-19-18 days after it has been accepted as complete. * Number of inspections allowed per pennit. 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: ®®©Descri tion �� Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less 1.1 100.70 _© Check Type of Work Involved: 133.56 _© 5.01 to 15 kva ❑ Audio and Stereo Systems* 15.01 to 25 kva - 200.34 _© Wind veneration s stems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 _© 50.01 to 100 kva III 552.26 _© ❑ Garage Door Opener* >10w0ikthvO(fAR9c3cd0an0 ■ 552.26 -© ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 1.1 7.42 _© ❑ Vacuum Systems* >100 kva—no additional charge 0.0 _© Each additional ins ection over allowable in an of the above: ❑ Each additional inspection Other: isi ■ 66.25/hr —� chaz�ed at an hourl (1 hr mn) Inspections for which no fee is ■ 90.00/hr —. s.-cificall listed('/z hr min A . a 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: 1 *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: 12115 SW 70TH AVE 102, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Electrical Limited Energy ELR2018-00061 Inspection Type: Inspector: 198 Low voltage final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor