Permit (56) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
11-• COMMUNITY DEVELOPMENT Permit#: ELR2018-00112
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/31/2018
T I�'AIt[� g Parcel: 2S104BB08000
Jurisdiction: Tigard
Site address: 14210 SW BARROWS RD
Project: Spec Space Subdivision: RUSSELL'S SCHOLLS FERRY Lot: 3
Project Description: HVAC for new 5-ton gas pack.
Contractor: HUNTER DAVISSON INC Owner: BARROWS PLAZA LLC
1800 SE PERSHING ST PO BOX 8880
PORTLAND, OR 97202 KETCHUM, ID 83340
PHONE: 503-542-3628 PHONE:
FAX: 503-542-3654
FEES
Description Date Amount
Specifics: Restricted Energy Permit 07/31/2018 $75.00
12%State Surcharge-Electrical 07/31/2018 $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. Y u may obtain a copy of the rules or direct questions to OUNC by calling 503 2.198 or 1 780.332.2344.
Issued By: Permittee Signature: �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 .`,",' i-k r 'Sj 1,, FOR OFFICE USE ONLi'
F-)
Recei' INIved
City of Tigard DateBy:�3L�i� Permit L/ )/f ��,
. si 13125 SW Hall Blvd.,Tigard,OR 97223 7 j Plan Review Related Permit
l U l tlC' :fef:4161-ODS9
Phone: 503.718.2439 Fax: 503.598.1960 DateBy:
Inspection Line: 503.639.4175 r, p q-". Ready Date/By. /� 6 'luris. El See Page 2 for
TIGARD 1.-.rI1 ' o i c. r1 °: )Jotified/Metho '1 t0 r`�� Supplemental Information
Internet: www.tigard-or.gov gg #. r,s , ,r_.;
L Jl *tk.,) & '4 1* 9'�r t - ' ,
31(fg, fl ,„ ' &,7 '/x., t`.i PLAN REVIEW, ,
❑New construction ^I 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.
0 Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
CATEGORY'OF:CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground,or exceeds 14,000 0 Commercial-use agricultural
1=11 and 2-family dwelling -0 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 KVA or
SOB SITE INI ORMATION:AND •LOCATIO$ ❑Emergency system. larger separately derived
� y sstem.
f"tf t� '"'�[� p ❑Addition of new motor load of Y
Job#: /O Job site ad �� ,g A/ 8oj cw.y , C./ 100HP or more. ❑"A" "E" "1-2""l-3"•
, / p r� ❑Six or more residential units. occupancy.
City/State/ZIP: TggrG/ v/l / ,� ElHealth-carefacilities. ❑Recreational vehicle parks.
�J ❑Hazardous locations. ❑Supply voltage far more than
Suite/bldg./apt.#: I Project name:.� �2 l�al �„�E �.i � v 600 volts nominal.
0 Service or feeder 600 amps or more.
Cross street/directions to job site: ;z ..
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1
DESCRU°TION OF WO U :',',.',.';',:-;.L. Limited energy,residential 75.00 2
/J (with above sq.ft.)
Lv LAI t/vt��+.t]R, �TJ�. Cv!d�tvZs Limited energy,multi-family
`j 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
-17i,PROPERTY.OWNER ,`", ,I , , ❑ *-ENA '; Services or feeders installation,alteration,and/or relocation
t
Name: Gc aeli 0. q tAtnf/e S 200 amps or less 100.70 2
Address: N N` Ste. /C3/ 201 amps to 400 amps 133.56 2
5110 f� 1(/2. t1 amp§ co 600, 200.34 2
City/State/ZIP: Aticht,tik, //� ?y0 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
Branch circuits-new,alteration,or extension,per panel
CIC}1�I;TAC,t,PERSO*:
,� APP„h1CAhfT.;,�,... �,., ;. ... Q A.Fee for birranch circuits with
Business name: Ny,, er -Fet 1//SSoil/, /!(,,, above service or feeder fee, 7.42 2
eac�f� /jam Feeh branch circuit
Contact name: B. for branch circuits without
service or feeder fee,first 56.18 2
Address: /d'ao SE' z_r,s-44,1 S`r' branch circuit
City/State/ZIP:gSt'cv/ a ' `') r70262 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(5-0.)9402-3C(2
94 .3 � I Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:re'/ p !-I i-' 0,2p/4 , COk ,, Reconnect only 67.84 2
CClNTR A,tik , .; Pump or irrigation circle 67.84 2
Business name: Lccivo . 4S- TL L/L-1 _Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ee Page 2 2
Address: panel,alteration,or extension.
— Each additional inspection over allowable in any of the above --
City/State/ZIP: Additional inspection(1 hr min) 6625/hr
Phone:( ) I Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email: Inspections for which no fee is
:/ /a Electrical Li, :a�a,-aCe� Suprv.Lie.:w p /�
specifically fisted(%:hr min) 90.00/hr
CCB Lic.
ELECTRICAL:.PERMIT FEES .
Suprv.Electrician signature,required: A kik Subtotal: 95,cv
Print name:-Tim �aV,SS-ON Date: 7_,27-/fa 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): 9',i:”
4 ' TOTAL PERMIT FEE: �j.-a/Authorized signature: , +r'
This permit application expires if a permit is not obtained within 180
/!
Print name: e fes,, / ,1 Date: 7',,a7,-/e days after it has been accepted as complete.
,1" "`��� * Number of inspections allowed per permit.
1:\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:
'1,101;:t174 4N,""
Fee for all residential systems combined: $75.00 Description Qty. Each 7 Total
3' Renewable electrical energy systems:
Check Type of Work Involved: s kva or less 100.70 2
5.01 to 15 kva 133.56 2
El Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
El 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 552.26 2
with 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:
❑ 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
i t specificall sted�hC'� G� «
1
COMMEOlatt WOW
Fee for each commercial system: $75.00 Subtotal(Enter on 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
El Data Telecommunication Installation
❑ Fire Alarm Installation
HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
El Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems: I
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
14210 SW BARROWS RD, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical Limited Energy ELR2018-00112
Inspection Type: Inspector:
198 Low voltage final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor