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Permit (37) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT INICOMMUNITY DEVELOPMENTor ._ r , Permit#: ELR2019-00016 Date Issued: 01/29/2019 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 027 �, , . Parcel: 2S 103DD00500 Jurisdiction: Tigard Site address: 13707 SW PACIFIC HWY 100 Project: Buster&Lilly's Doggie Daycare Subdivision: MELROSE Lot: 8 Project Description: Limited energy for HVAC. 2/27/2019: REPRINT permit to correct site address from 13727 to 13707. Contractor: HUNTER DAVISSON INC Owner: VPT LLC 1800 SE PERSHING ST 610 SW ALDER ST STE 1221 PORTLAND, OR 97202 PORTLAND, OR 97205 PHONE: 503-542-3628 PHONE: FAX: 503-542-3654 FEES Description Date Amount Specifics: Restricted Energy Permit 01/29/2019 $75.00 12%State Surcharge-Electrical 01/29/2019 $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- 090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. f Issued By: /(1-(//: "‘C1/747' C/`-•�'E-- Permittee Signature: //n. G./C`�}%7t)r/ 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. a, CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT Permit#: ELR2019-00016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/29/2019 Parcel: 2S103DD00500 Jurisdiction: Tigard Site address: 13727 SW PACIFIC HWY Project: Buster&Lilly's Doggie Daycare Subdivision: MELROSE Lot: 8 Project Description: Limited energy for HVAC. Contractor: HUNTER DAVISSON INC Owner: VPT LLC 1800 SE PERSHING ST 610 SW ALDER ST STE 1221 PORTLAND, OR 97202 PORTLAND, OR 97205 PHONE: 503-542-3628 PHONE: FAX: 503-542-3654 FEES Description Date Amount Specifics: Restricted Energy Permit 01/29/2019 $75.00 Type of Use: COM 12%State Surcharge-Electrical 01/29/2019 $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 requires you to follow the r - -dopted by the Oregon Utility Notification Center. Those rules are set forth in O R 952-001-0010 through OAR 952-001-0090. You ma .btain a..py of the rules or.irect questions to OUNC by calling 503.23/ 987 oror1.800.332.2344. t / ` Issued By: /...‘ `i`" — Permittee Signature: { (--- 1642-74— ' 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 ONLY . „I City of Tigard AIMI (N " ceived / � '� - 't 13125 SW Hall Blvd.,Tigard,OR 97223 ""Plan Review ,_ Phone: 503.718.2439 Fax: 503.598.1960 Date/B : 1L .I Inspection Line: 503.639.4175 JAN 4 2019 Ready Date/By: Juris: 0 See Page 2 for T I G ARD Internet www.tigard-or.gov Notified/Method: Supplemental Information TE OF WTO PLAN RENEW a.3 a a �. .s ❑New construction 71 Addition/alteration/replacemen ' ' 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. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY':OF CONSTRUCTION"' °Y".. exceeds 10,000 amps at 150 volts or ❑Floating buildings. 0 1-and 2-family dwelling Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or 4QB SITE,INFURMATIUI�1 A 1VD,3 CA1 ION ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: 19 0,53 I Job site address:/317,2"7 SV.,/ rG C t Fc. „OhlAitgy 100IIP or more. ❑"A" "E" `<L2 «1.1„ p / ❑Six or more residential units. occupancy. City/State/ZIP: 1;:3,,,, a/C 9��a y ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: / ' ❑Hazardous locations. 0 Supply voltage for more than I J /�ksf Q C alNGf L�CCS 600 volts nominal. ❑Service or feeder 600 amps or more. Cross street/directions to job site: TEE SCHEDIFI,E ' 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 DE$CKIPTION1 U'F WORK , ,,,,. 4'. Limited energy,residential 75.00 2 , f with above se.ft.) Low. 110 t f Oki /40/C CO o fat .MQLJ _ 6 Limited energy,multi-family residential with above s..ft.) III 75.00 -© `Oi' -/-,40 * Renewable Ener 0 See Pale 2 I. RQ1°E/RT'l' .OWNER l-" „d TENANT;, • • Services or feeders installation,alteration,and/or relocation Name:reef)SG h 1.aI A-�y�r' a Nyat N 200 amps or less 100.70 _© Address:Cc, Si'' Ale. r S.-/Q. /ae2l 201 amps to 400 ams 133.56 -© s+ y p p 401ampto -- ams 200.34 -© City/State/ZIP: / 'ttgNai 0,e 5.702oS 601 amps to 1,000 amps 301.04 2 Phone:(9'7/)c200-119OS Fax:( ) Over 1,000 amps or volts 552.26 2 / / / Temporary services or feeders installation,alteration,and/or Email:Me`,SS4 • Aos4-INS @ Sc4/es/NQQr'CcS• OM relocation Owner installation:This installation is being male 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: amps to 599 amps 168.54I 2 • Branch circuits-new,alteration,or extension,per pane 401 m °�' IG�fT'. «-• - -- '�•.:. �••� CON�AxC`�'':PEItSCIN ' A.Fee for branch circuits with Business name: y&I NTo y]//SSoinl 7 c • above service or feeder fee, 7.42 2 each branch circuit Contact name: gy 4N o'2Q� B.Fee for branch circuits without * service or feeder fee,first 56.18 2 Address: lea 0 6-E. ArSA/N9 j- TeCt branch circuit // fj ✓ Each add'l branch circuit 7.42 © City/State/ZIP: �t"fGQN IC g7�cop2 Miscellaneous service or feeder not included Phone:(Sal)So.42-X f I Fax: :( ) Each manufactured or modular 67.84 dwelling,service and/or feeder Email: Reconnect only 67.84 CONTRACTOR, _. Pump or irrigation circle 67.84 Business name: SgM,e Al- Alth/P, Sign or outline lighting 67.84 Signal circuit(s)or limited-energy See Page 2 / 2 Address: panel,alteration,or extension. Each additional inspection over aliowab e in any o e a i ove City/State/ZIP: Additional inspection(1 hr min) 66.25/hr Phone:( )- I Fax:( ) Investigation(1 hr min) 90.00/hr industrial plant(I hr min) 78.18/hr Email: Inspections for which no fee is 90.00/hr CCB Lic. ‘4a I Electrical Li i.:a�`a cLei Suprv.Lic.:6o p LEE s.ecificall listed Y.hr min , ELEG RICAL PERKO' FRES ., Suprv.Electrician signature,required: Subtotal: Print name..---33,,,, Ay,SSON Date:/-o Ci^.1C, 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): � Authorized signature: "Ilin_w__. TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: 0 ems i- Date:f p y- days atter it has been accepted as complete. "I * Number of inspections allowed per permit. l:\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: ffi ""'`De . Fee for all residential systems combined: $75.00 RenewaI ble Total ° a�.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 specifically listed(%z hr min) },,, E rE TRI PT MI �,.t4.RC 6 ORK ONLY: iii Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) * Number of inspections allowed per permit. 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: *No licenses are required. Licenses are required for all other installations 1\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015