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Permit
CITY OF TIGARD ELECTRICAL PERMIT ' 114 1 ' COMMUNITY DEVELOPMENT Permit#: ELC2019-00039 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/22/2019 Trt.AI:1r g Parcel: 2S113BA02200 Jurisdiction: Tigard Site address: 7520 SW DURHAM RD Project: Begin Right Employment Subdivision: 2017-013 PARTITION PLAT Lot: 1 Project Description: Adding(13)branch circuits and limited energy for data telecommunications and HVAC for TI. Contractor: PORTLAND INDUSTRIAL SERVICES INC Owner: BR GROUP WEST LLC 7715 NE 21ST AVE 3708 NE 122ND AVE PORTLAND, OR 97211 PORTLAND, OR 97230 PHONE: 503-208-3840 PHONE: FAX: FEES Quantity Description Date Amount 13 crt Branch Circuits wo/Purchase 01/22/2019 $145.22 Specifics: Service or Feeder 1 ea 12%State Surcharge- 01/22/2019 $17.43 Type of Use: COM Electrical Class of Work: ALT 2 ea Restricted Energy Permit 01/22/2019 $150.00 Type of Const: Occupancy Grp: Total $312.65 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. Yo may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987• .800.332.2344. Issued By: �` �� Permf ee Signature: ,... .." OWNER INSTALLATION ONLY � i- 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. FIEC Electrical Permit Application „ FOR OFFI(`L I SF Oyl.l CityofTigard 2 2019 Received g JAN 2 DateB : AllalM Permit#. _ ,..._.7 1,1, q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 T YRelated Permit#: {�-+ � ��..� Date/B Inspection Line: 503.639.4175 1,o Ready Date/By: Juris: 63 See Page 2 for T'I G A P.D Internet: www.tigard-or.gov �; ¢ viG1.,1 Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑New construction Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ❑Other: ❑Service or feeder 400 amps or more ❑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 ,S'Commercial/industrial 0 Accessory building less to ground or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0Emergency system. larger sepazately derived Job#: Job site address: /� / ❑Addition of new motor load of system. 5'Ld 5 (.J D U(1 4.r, looHP or more. ❑"A","E","1-2","1-3", City/State/ZIP: '3 ��d 0 1Z ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Project `C,I Q%`� ' (;)f 4T ❑Hazardous locations. 0 Supply voltage for more than Suite/bldg./apt.#: name: `` T' ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCIIEDIJLE 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'!500 sq.ft.or portion 33.92 1 DESCRIPTION OF':WORK Limited energy,residential ' CQ. , I (with above sq.ft.) 75.00 2 A t r A5 'Q r- 1-'=. I Sec() d'i�1UrS Limited energy,multi-family 75.00 2 t;..V'L 'EK (S Ti N L>t ?hone._ e rd,ss P 4 u t Pc residential(with above sq.ft.) 1,..1 P �j l Services PROPERTY OWNER �1 as) e'j f°' 0 TENANT Renewable or Energy ❑ See Page 2 or feeders installation,alteration,and/or relocation Name: 200 amps or less 100.70 2 Address: 201 amps to 400 amps 133.56 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 0'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, each branch circuit 7.42 2 Contact name: B.Fee for branch circuits without Address: service or feeder fee,first / 56.18 2 branch circuit City/State/ZIP: Each add'l branch circuit f 4 7.42 2 Phone: Miscellaneous(service or feeder not included) ( ) Fax::( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: Reconnect only 67.84 2 CONTRACTOR C Pump or irrigation circle 67.84 2 Business name: Pisw�4A,/ T,, �-rte.( Jit.Vfce% ("C Sign or outline lighting 67.84 2 17 Y S /J E z ( S,r Signal Meru t(s)or limited-energy ee Pa e 2 2 Address: 7 ( VL panel,alteration,or extension. g City/State/ZIP: p �� Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(c6 3) +5'O ti 730 9 S- Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: Z001/17 2 Electrical Lic.: C//9/ Suprv.Lic.: ....32/c3 5 specifically listed(V2 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,re ' _ Subtotal: Print name: ..5"rE'y1C ,/,_ (V( 0 Me ( S Date: / - c / — // 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: �� This permit application expires if a permit is not obtained within 180 Print name: (14(1.1 mgr Date: //a r// 7 days after it has been accepted as complete. �" * Number of inspections allowed per permit. I:\Building\Permits\ELC_PernvtApp_ELR_EltE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB EleetricaY Permit Application—City of Tigard Pake 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: De Fee for all residential systems combined: $75.00 Renewable 3' Renewable electrical energy systems: 111 Check Type of Work Involved: 5 kva or less 100.70 _© 5.01 to 15 kva 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 1.1 301.04 _© 50.01 to 100 kva 1111 552.26 _© ❑ Garage Door Opener* >100 kva(fee in accordance ■ 552.26 _© with OAR 918-309-0040 D Heating,Ventilation and Air Conditioning Solareneration g systems in excess of 25 kva: System* Each additional kva over 25 1111 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 —� charted at an hourl 1 hr min Inspections for which no fee is ■ 90,00/hr —. +y -ificall listed %]hr min .fr ,fit.cb ty e4v f.i[ �r c,•."1 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 IN Data Telecommunication Installation ❑ Fire Alarm Installation "IgHVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: Z- *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 10/26/2017 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 7520 SW DURHAM RD, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Electrical ELC2019-00039 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor