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Permit (17) CITY OF TIGARD ELECTRICAL PERMIT 11 COMMUNITY DEVELOPMENT Permit#: ELC2019-00222 T-I C;rt It.013125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/18/2019 Parcel: 25101 BC00700 Jurisdiction: Tigard Site address: 12280 SW HALL BLVD Project: Just Compassion Subdivision: KNOLL ACRES Lot: 2 Project Description: (1)200 amp service with(15)branch circuits. Contractor: MULTIPHASE ELECTRIC Owner: GHAFFARI,ZABI&FARIBA M 20701 S. MONPANO OVERLOOK DR. 15580 SW SNOWY OWL LN OREGON CITY, OR 97045 BEAVERTON, OR 97007 PHONE: 503-631-4649 PHONE: FAX: 503-631-4659 FEES Quantity Description Date Amount 1 ea Services or Feeders-200 04/18/2019 $100.70 Specifics: amps or less 15 crt Branch Circuits w/Purchase 04/18/2019 $111.30 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 04/18/2019 $25.44 Electrical Type of Const: Occupancy Grp: Total $237.44 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 952-00 0090. Y may o�in a co the rules or direct questions to OUNC by calling 503.232.1 7 or 1.800344 / 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. I 11012 OH I( F. I Si,rJ\1.1 Electrical Permit Application _ APR f 1 2019 Received 7 pe �o City of Tigard oateBv. � Plan Review 11111 III 13125 SW Halt Blvd,Tigard,OR 971f..,:,.,-. ,-;-...,.t,'% r' ; F� • lYate:B Page 2 for ■ Phone: 503.718.243N d (..(rl6 uva !"_.9 /a--"1-1{� Ready Date/By: ` ' latormation Email: on Line:503.639A 1 is a Tt Internet: Read Notified/Method: 41 Al /1 gT , Supplemental I i c ,t t:i) Inspection Line: 503.639A 175 [ntertret: www.tigard c+r.gov } 67` �7{ , , PLAN REVIEW �('PE OF f Please check all that apply(submit i sets of plans wfitems checked): ❑New construction 'Addition(alteratiott/replacement 1:3 Service or feeder 460 amps or mere 0 Building over three stories. © where the available fault current: ©Marinas and boatyards. ❑DemolitionOther: 10.000 amps at 150 volts or 0 Floating buildings. CATEGOaY CONSTRUCTION 1 logy less to ground.or exceeds 14, ❑Commercial use agricultural ❑ 1-and 2-family dwelling Ai,t Commercial/industrial 0 Accessory building amps for all other installations. . building. 0 Other: ©Fire pump- ❑installation of 150 KV A or ❑Multi-family ❑Master builderlarger separately derived JOB SITEINF a RMATION AND LOCATION a mrgoncy system. g p y swstem /22g0 �^�,t/ j.� f( Blvd ❑Addition of new motor lead of Job#: I Job site address: /2 2$O �7 py /I a{I B I v t00lil'or mon,.. cnpazrcy. 0 Six t more residential units. 0 Recreational vehicle Cit}/State/ZIP: -77 0aved. Olt O Hcan...cus locations. 0 SupplyRecrea i voltage isle parks.e than 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt.#: 'I Project name: 7. j4- CGS p �`I h 0 Service or feeder 600 amps or ore. i5W 1 ;,7011 fi4. ! FEE I EDIJLE Cross street/directions to job site: neacriptiaa I qty. I Each I 'Fatal i * New residential single-or m lti-family dwelling unit. I Lot#: Includes attached garage. 1 Subdivision: 1,000 sq.ft.Ur less 168.54 4, Tax map/parcel#: Ea.add'i 500 sq.ft.or portion 33.92 i DESCRIPTION OF WORK - Limited energy,residential 75.p0 2 (wabosq.ft.)-family - 75.00 2 in t 1-*I/ Il t fe r vie c- 2 O/t Yi'p 1„/;fly 6 C) 6,-.,,,,,4 ',),--,.......31f Limited ith energyve,multi r residential(with above sq.ft'} Renewable Energy 1 E) See Page 2 $ PROPERTY OWNER ] 0 TENANT Services or feeders installat on alteration,and/or relocation 200 amps or less / 100.70 /100,76 2 Name: (� 4. �.h }�Gf J✓sb 201 amps to 400 amps 133.56 2 Address: �� Q�� V� 401 amps to 600 amps 200.34 2 1 OR 17233 601 amps to 1,000 amps i 301.04 2 City/SutteiZlP: Glfi6r4f J 552.26 Il f Over 1,000 amps or volts2 11 Phone:( ) Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that 1 own which is not 200 amps or less 59.36 1 125.08 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 1 2 ©wnt r signature: _Date: 401 amps to 599 amps 168.54 grinch dreuits-new;alta rattan,or extension,per.panel 'ArrLiCANT {' 0 CONTACT PERSON A.Fee for branch circuits wide t S e o �f above service or feeder fce, 3 42 i i 1 30 2 Business name: , ; B. branch circuit 11'4 I t Contact name: tout cio I t B.Fee for branch circuits with out , / i service or feeder fee,first 56.18 2 Address: PO .0i 1t% ubranch circuit l• f� Each add 1 branch circuit 7.42 2 City/State/ZIP: /oreesin� '({/� t ()�. Q`its - Miscellaneous(service or ijeeder not included) Phone:(5O3) gal'P' 1S, '1, ,ttr Each manufactured or modpltr 67.84 2 }, dwelling,service and/or feeder Email: ltItO If W1t Ph 1$tee a(Mt, - Reconnect only 67.84 2 t CONTRACTOR Pump or irrigation circle 67.84 2 € 67.84 2 Sign or outline lighting Business name: 0111'44 El e (,r Signal eireuit(s)or limited-energy 0 _Page 2 2 Address: //)� cog i, panel,alteration,or extensior. �V £7SJ14 �1/ Each additional inspection over allowable in any of the above City/State/ZIP: Q reeoyi e,itt 1 I) ')141i6 Additional inspection(1 hr d in) 66.25/hr •investigation(1 hr min) 90.00/hr Phone:( + ) '� '�3 ,, Industrial plant(I hr mm) 78.18/hr Email: 1 n ` mu ha d e a(c r i i Inspections for which no fee is 90.001 hr 0. �y specifically listed(Vs hr min) CCB Lie.:i(4. f Electrical Lia: P1-•A,I' .//0/ 2 5 tI. ICAI PERMIT FEES 4 A' , Subtotal: 212. Suprv.Electrician signature,required: 51 I Date: 4.3• el a Plan Review Required;(25%o ofpennit fee): Print name: � �& +� State surcharge1(12%of permit fee): 615. 1444 TOTAL PERMIT FEE: 237.LK' Authorized signatu /Y� Date: This permit application expires if a permit is not obtained within 180 / . .lei days after it has been accepted as complete. Print name: Number of inspections allowed per permit. t:.BuitdinuPamit>;ELC'wPermaApgmELP_6&E.doc Rei 15,262017 44046)Srti i r05 COht WEB C' 1 Dianna Howse From: Dianna Howse Sent: Wednesday,April 17, 2019 3:47 PM To: chrism@hbapdx.org Cc: greg@olsonandjones.com;#Building Permit Technicians; Mark VanDomelen Subject: RE:Just Compassion Permits Ready Attachments: BUP2019-00064_JustCompassion.pdf Hi Chris, I also noticed that the building permit BUP2019-00064 is in ready to issue status so I have revised the list of permits/fees below and attached a copy of the invoice so that Mark can include this in his presentation to council. Thank you. Dianna L. Howse Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct I 503-718-2439 Permits From: Dianna Howse Sent:Wednesday,April 17, 2019 3:35 PM To:chrism@hbapdx.org Cc:greg@olsonandjones.com;#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>; Mark VanDomelen <markv@tigard-or.gov> Subject:Just Compassion Permits Ready Hello Chris, The following permits are ready to issue and invoices are attached: Permit# Fees Due MEC2019-00214 $ 126.06 ELC2019-00222 $ 237.44 PLM2019-00138 $ 754.09 SWR2019-00099* $ 2,147.00 BUP2019-00064 $ 1,902.26 Total: $ 5,166.85 *Note: The sanitary sewer system development charges must be paid prior to issuance of the plumbing permit. I have copied Mark VanDomelen, Building Official, on this email so that he has a list of the permit fees to present to council for approval to waive building permit fees. Please note that system development charges for the sanitary sewer permit cannot be waived as these are fees that we collect for Clean Water Services. Once we have approval to waive permit fees,we will process a refund and mail a check to the payor of the permit fees listed above. 1 Permit fees can be paid online at https://aca.accela.com/TIGARD/Default.aspx by searching for the permit record number under the Building tab,or in person when you pick up the permits Monday-Thursday, 8:00 am to 4:00 pm. We are closed on Fridays. Thank you and please let me know if you have any questions. Dianna L.Howse Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard,OR 97223 503-718-2430 Direct I 503-718-2439 Permits DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." 2