Permit (126) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
141 COMMUNITY DEVELOPMENT Permit#: ELR2018-00171
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/22/2018
T I I`« 9 Parcel: 2S102BD01503
Jurisdiction: Tigard
Site address: 12800 SW PACIFIC HWY
Project: Storquest Self Storage Subdivision: FREWING'S ORCHARD TRACTS Lot: 1
Project Description: Low voltage controls for HVAC.
Contractor: PORTLAND MECHANICAL CONTRACTORS Owner: 12740 SW PACIFIC SP LLC
2000 SE HANNA HARVESTER DR BY THE WILLIAM WARREN GROUP INC.
MILWAUKIE, OR 97222 201 WILSHIRE BLVD STE 102
SANTA MONICA, OC 90401
PHONE: 503-656-7400 PHONE:
FAX: 503-655-0620
FEES
Description Date Amount
Specifics: Restricted Energy Permit 10/22/2018 $75.00
12%State Surcharge-Electrical 10/22/2018 $9.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
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 OA 001-0090. Yo may obtain a co.y of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ,I Permittee Signature: (/?yri
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 1()R OFh1(-1, 1.SF ()NI.I
Received
City of Tigard r Date/B : I L ,ib� _
INI 'I 13125 SW Hall Blvd.,Tigard,OR _ '"�' ,i Plan Review Related Permit#:
Phone: 503.718.2439 Fax: 503.5 8. d " Date/B : r '/ 7
Inspection Line: 503.639.4175Ready Date/By: Juris: n See Page 2 for
1
T I G A R I) Internet: www.tigard-or.gov �t 't 1 2018 Notified/Method: Supplemental Information
TYPE OF C0 '. .w, m,>, PLAN REVIEW
®New construction 0 Addition/ 1•• �1- Please check all that apply(submit 2 sets of plans w/items checked):
, ,o 0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition 0 Other: 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 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 12800 SW Pacific Hwy 100HP or more. ❑"A">"E">°°t-2","l-3",
❑Six or more residential units. occupancy.
City/State/ZIP:Tigard OR 972230 Health-care facilities.
0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:storequest 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:Mckenzie FEE SCHEDULE
Description I Qty. I Each I Total
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'I 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
lowvoltage controls for HVAC
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
0 PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:william Warren group 200 amps or less 100.70 2
Address:940 South Coast dr 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Costa Mesa CA.92626 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
, APPLICANT �' `CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: above service or feeder fee,
7.42 2
each branch circuit
Contact name: B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Address: branch circuit
City/State/ZIP: Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Portland Mechanical Contractors Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ee Page 2 `�] 2
Address:2000 SE hanna Harvester Drive panel,alteration,or extension. f
City/State/ZIP:Milwaulkie OR 97222 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)6567400 Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:dano@pmc-g.com _
�'"� Inspections for which no fee is
specifically listed(%hr min) 90.00/hr
CCB Lic.: 151807 Electrical B Su. .Lic.: /1 1'5-1/g ELECTRICAL PERMIT FEES
/6
Suprv.Electrician signature,required: � Subtotal: -7
iirP- !�/ / 0 Plan Review Required(25%of permit fee):
Print name j /Vfl N Date:/ / C�' j��
�� State surcharge(12°/a of petrnit fee): `4
Authorized signa . \ �(, TOTAL PERMIT FEE: `
This permit application expires if a permit is not obtained within 180
Print name: Paul Hett- _ /,te: 9-24-18 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:
� � E
WORK;ONLY: _ FEE,•;' .i` ►u� .
�' .�= Description r,. Qty. Each Total
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
❑ 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
❑ 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:
❑ 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
s.- ifically listed(Y2 hr min)
C011MERC ., :WOW ONLY w241tAxerittcAk r .fir, xY
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
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
▪ HVAC
❑ Instrumentation —_--
Intel cou>_and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELC_PennitApp_ELR_ERE.doc Rev 06/17/2015
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
12800 SW PACIFIC HWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical Limited Energy ELR2018-00171
Inspection Type: Inspector:
198 Low voltage final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor