Permit CITY OF TIGARD ELECTRICAL PERMIT
illit'r Permit#: ELC2018-00614
� COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/19/2019
Tri ;�I<`.t 7 g Parcel: 1S136CD01501
Jurisdiction: Tigard
Site address: 7600 SW ATLANTA ST
Project: Tigard Self Storage Subdivision: None Lot: None
Project Description: Electrical for new 5-story,950 unit self-storage facility with loading area.
Contractor: ERTELL ELECTRIC LLC Owner: TRAILBLAZER DEVELOPMENT LLC
PO BOX 279 BY CPS ASSET MANAGEMENT LLC
FOREST GROVE, OR 97116 333 S STATE ST STE V-144
LAKE OSWEGO, OR 97034
PHONE: 503-841-4511 PHONE:
FAX: 503-359-5652
FEES
Quantity Description Date Amount
3 ea Services or Feeders-200 03/19/2019 $302.10
Specifics: amps or less
2 ea Services or Feeders-201 to 03/19/2019 $267.12
Type of Use: COM 400 amps
Class of Work: ALT 1 ea Services or Feeders-Over 03/19/2019 $552.26
1000 amps or volts
Type of Const: 66 crt Branch Circuits w/Purchase 03/19/2019 $489.72
Occupancy Grp: Service or Feeder
1 ea Plan Review Electricial 03/19/2019 $402.80
1 ea 12%State Surcharge- 03/19/2019 $193.34
Electrical
Total $2,207.34
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and al other applicable law. All •rk will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OA 2-001-0090. You obtain a co of the rules or 'ect questions to OUNC by calling 32.1987 or 1.800.332.2344.
Issued By: ��/-- Permittee Signature:
/
OWNER INSTALLATION ONLY 1 .
The installation is being made on property I own which is not intended for sale,lease or rent. i
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.
I
Electrical Permit Application FOR OFFICE USE()NLN.
Received
CityofTigard Permit# f[.'
g 4z(a$ 1 if Date/By: `E�/r % /o �C �l' I� lr'L)� t
'. 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review,
' Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 1 Related Permit#: �) 7
s67 her tom : �t. : l
Inspection Line: 503.639.4175 p 3 2.018 Read Date/By: Juri Ef See Pae 2 for
TiGARD [ Y Y G� B
Internet: www.tigard-or.gov N ethod: of Supplemental Information
TYPE!OF WOR> i f tl�( ��±'€'1 1�c #L '�®/ ' ` .LAIN REVIEW
®New construction ❑Addition/alteratF3 rl.�,b� ,°.t l IVT '""N Please check all that apply(submit 2 sets of plans w/items checked):
El Service or feeder 400 amps or more ❑Building over three stories.
El where the available fault current El Marinas and boatyards.
0 Demolition
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling ® Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑ Multi-family ❑ Master builder ❑Other: ❑Fire pump. 0 installation of 150 KVA or
JOB SiTE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: 1 Job site address:7600 SW Atlanta St ❑°`A",°`E","t-2","t-3",
I OOHP or more.
City/State/ZiP:Tigard,OR 97223 0 Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
0 Supply voltage for more than
0 Hazardous locations.
Suite/bldg./apt.#: Project name:Tigard Storage
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description 1 Qty. 1 Each I Total 1
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'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
New 1200 amp service,branch circuits for power&lighting at storage facility (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy El See Page 2
0 PROPERTY OWNER TEi TNAj Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 3 100.70 302.10 2
Address: 201 amps to 400 amps 2 133.56 267.12 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 1 552.26 552.26 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, 66 7 42 489.72 2
each branch circuit
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 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) I Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: Reconnect only 67.84 2
CbNTItACTOTt Pump or irrigation circle 67.84 2
Business name:Ertel)Electric, LLC Sign or outline lighting 67.84 2
Address:PO Box 219 Signal circuit(s)or limited-energy El See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Hillsboro Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)841-4511 Fax:( Investigation(1 hr min) 90.00/hr
Email:dylan@ertellselectric.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 180540 Elec ' .1 Lic.: 0391 I Suprv.Lie.: 5420 . specifically listed('/z hr min)
ELECTRICAL PERMIT FEES,
Suprv.Electrician signature,required: .4A __ --111111illbs. Subtotal: 1611.2
Print name: Dylan Wentworth Date: •pt 6,2018 ❑Plan Review Required(25%of permit fee): 402.80
State surcharge(12%of permit fee): _ 193.34
Authorized signatur TOTAL PERMIT FEE: 2207.3
This permit application expires if a permit is not obtained within 180
Print name: Dylan Wentw Date: ept 6,2018 days after it has been accepted as complete.
* Number of inspections allowed per permit.
P\Building\Permits\ELC_Permii kpp_ELR_ERE.doe Rev 06/17/2015 440-4615T(I l/05/COM/WEB