Permit (165) CITY OF TIGARD ELECTRICAL PERMIT
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COMMUNITY DEVELOPMENT Permit#: ELC2019-00199
T I t;A R n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/15/2019
Parcel: 1S136DC03200
Jurisdiction: Tigard
Site address: 11740 SW 72ND AVE
Project: 72nd Avenue Apartments Subdivision: 72ND AVE APARTMENTS Lot: 8
Project Description: Electrical for a new 47,310 sq.ft.,(38)unit,five story,mixed-use building with commercial uses and parking on
ground floor.
Contractor: WHISKEY HILL ELECTRIC INC Owner: 72ND AVENUE PROPERTY LLC
PO BOX 206 BY CASSINELLI, RICHARD
HUBBARD, OR 97032 11720 SW 72ND AVE
TIGARD, OR 97223
PHONE: 503-981-4640 PHONE: 503-545-5217
FAX: 503-981-4643
FEES
Quantity Description Date Amount
1585 sf Permit Fee-Elect(SF or 1st 04/15/2019 $236.38
Specifics: MF dwelling unit)
4373 Each Add'l Unit(Multi-Family) 04/15/2019 $4,373.03
Type of Use: MF 6 ea Services or Feeders-200 04/15/2019 $604.20
Class of Work: NEW amps or less
Type of Const: 2 ea Services or Feeders-Over 04/15/2019 $1,104.52
1000 amps or volts
Occupancy Grp: 80 crt Branch Circuits w/Purchase 04/15/2019 $593.60
Service or Feeder
1 ea Plan Review Electricial 04/15/2019 $1,727.93
1 ea 12%State Surcharge- 04/15/2019 $829.41
Electrical
Total $9,469.07
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 95 01-0090. You y obtain�/ the ru or direct questions to OUNC by calling 503.232.1987 or 1.800.3,344.
Issued By: � Permittee Signature: #(
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.
Elet rival Permit Application FOR OFFICE tSi:ONLv
CityofTigard Received �y
g �'��i../ Date/By: ,) . �vPermit#: /L--i�._Cdi.jII,_l ii?41 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
1 Phone: 503.718.2439 Fax: 503.598.1960 MAR DateBy: Related Permit#: �'p 2 7 /114, !t t 1 dfr :�?9d -..Cx.1i
1'1 G A R t?
Inspection Line: 503.639.4175 2019 Ready D. / .• _ Juris: H See age 2 for
Internet: www.tigard-or.gov Notifee ,ethod:i./( 14/ 1 Supplemental Information
GF---T-IGARD--viwkw
TYrE OF wQ 3E#i�WING DIVISION „IG+ILt I 646".1‘• PLAN REVIEW
Please check all that apply(submit asets of plans w/items checked):
®New construction 0 Addition/alteration/replacement
(R(Service or feeder 400 amps or more Building over three stories.
❑Demolition 0 Other: where the available fault current Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. t`•..
1-and 2-familydwellingCommercial/industrialless to ground,or exceeds 14,000 0 Commercial-use agricultural
❑ 0 0Accessory building 4
amps for all other installations. buildings. i`.
Q�Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or "0
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
f'®p p� Job site address: Nin 0 Addition of new motor load of system. �-.3.
Job#:
/ -f // 7�Q Y.G h V 6 100HP or more. ❑e.A„ .<E>, «1 2„ .1 3„
City/State/ZIP: 1--/ (f f�� 1J Six or more residential units. occupancy. I 1
7 2.2 3 0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: wO 1/( p r 0 Hazardous locations. 0 Supply voltage for more than
�� 'I r S 64 Service or feeder 600 amps or more. 600 volts nominal. .4,
Cross street/directions to job site: FEE SCHEDULE ix
Description I Qty. I Each 1 Total j * Pa!)
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less I 168.54 ('(p j/ 4 r<
Ea.add'I 500 sq.ft.or portion T t:
33.92 C.7,'et 1 '34'
DESCRIPTION ION OF WORK ,. I I. j a ,
37 1
9.lel t313,03 2
3TC U/V1 C, Of dPd' ii1461/ S., P/M it/!b6 ‘.:771 014.44te Limited energy,multi-family 75.00 2
residential(with above sq.R.)
L�.t/e�S/�� /p/',Il�Adlli'�� PU/vfi`���t/L /1'441 i/i,j :.i,'J Renewable Energy 0 See Page 2
0 PROPERTY OWNER 0 TENANT t- Services or feeders installation,alteration,and/or relocation
Name: 4,Cb i t1/1Ji i /519 :>..f" 200 amps or less 6 100.70 6,Ni y 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 ,2 552.26 111 L1 4 s4 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, �c,,
each branch circuit To
7.42 '1 13( 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'I 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
Ercall: Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: &di gr't y M/4 y i ' .-r c,, „4cNL. Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: P 17. pox. 2.0 l panel,alteration,or extension. g
City/State/ZIP: ' Each additional inspection over allowable in any of the above
d
v9J. g1pp 1/Z y 70 0 ' Additional inspection(1 hr min) 66.25/hr
Phone:(5;,,?)) �/p' ti Eli 0 Fax:(5v3) V -4'I ti1 Investigation(1 hr min) 90.00/hr
Email: h~ _ L Industrial plant(1 hr min) 78.18/hr
L`d 4 r l.9 W'/_ --- d/ve v in Inspections for which no fee is
CCB Lic.: j G 2 91'5 Electrical Lie.: C j Suprv.Lic.: L/% j,/ , specifically listed(%z hr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:Xr.,C., Subtotal: (,rq/1. 7 3
0 Plan Review Required(25%ofpermit fee): t
Print name: (,tOY°:�r G�✓�t 0, ,,�S I Date: 3/24/;T Y�/�' 9 _ / 7d 7`l3
State surcharge(12%of permit fee):' i'.)`6,21.,1/
Authorized signature: TOTAL PERMIT FEE! elt1f ikr 0/7 '
This permit application expires if a permit is not o ta..._d . ' , -
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\'ermits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
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Project: 72nd Ave Apartments
Tigard Permit Fee Matrix RECEIVED
Project Address: MAR 2 7 2019
11740 SW 72nd Ave. - Tigard, OR 97223
CITY OF TIGARD
BUILDING DIVISION
Permit#
Multi-family Dwelling Unit 1st Unit @ 100%
Qty Fee Total _ , 2 G , 3
1,000 sq ft or less 1 168.54 168.54
�.61" tiw • r
Added 500 Sq Ft 2 3.3.92 67.84 I, 5 C,cP
cui3 7DT t— _ X34,,
Limited Energy 0 75.00 — - - 02 ( / do , f 1
Multi-family Dwelling Unit Remaining Units 50% X 2 7 J
Qty Fee Total
1,000 sgft or less 37 -44. 3,117.99 //Z 73- d -2
vi_ o P /s...1..--1,,,,07- //eP',/7 — 1/373,v3 71' cc "6 - .7,P
Add_ed_5a_[l TFt 74 . • -
1 + ►��2362/3 8 1 �6 D r - y ►
Services or Feeders4_
Qty Fee Total X
---(Q_ ___----..........._
200 amps or less 6 100.70 604.20 C. u l-f c gi oTh iu j
201 - 400 amps 0 133.56 _
401 - 600 amps 0 200.34 1 - L/% s-% 5
601 - 1,000 amps 0 301.04
Over 1,000 amps 2 552.26 1,104.52
Branch circuits
Qty Fee Total
With service or feeder fee 80 7.42 593.60
Miscellaneous
Qty Fee Total
Signal circuits or limited energy 0 75.00 -
I
Additional Inspections 0 66.25 -
Subtotal i 6,911.73
Plan review (25%) 1,727.93
State surcharge (12%) 829.41
Total Permit Fee 1 C.2,11 9.A.7- -7 c'
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