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Permit (135) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT I COMMUNITY DEVELOPMENT Permit it: ELR2019-00176 Date Issued: 09/16/2019 T-1( A R[7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113BA00400 Jurisdiction: Tigard Site address: 7632 SW DURHAM RD Project: Bridgeport Center Subdivision: None Lot: None Project Description: Limited energy for HVAC. Contractor: HUNTER DAVISSON INC Owner: PORTLAND SW CENTER LLC 1800 SE PERSHING ST BY FELTON PROPERTIES INC PORTLAND, OR 97202 ATTN: FELTON, MATT 520 SW 6TH AVE, STE 610 PORTLAND, OR 97204 PHONE: 503-542-3628 PHONE: FAX: 503-542-3654 FEES Description Date Amount Specifics: Restricted Energy Permit 09/16/2019 $75.00 12%State Surcharge-Electrical 09/16/2019 $9.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 1 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 -•uires you to follow the ru adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9 -001-00•O. You may • a copy e rul r direct questions to OUNC by calling 503.232.1 87 or 1.800.3344. 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. E'jectrical Permit Application , ' FOR OFFICE USE ONLY • Received 1 �/ . City of Tigard n DateB `7 'i i',. , ,l 11 . 13125 SW Hall Blvd.,Tigard,OR 97223 _=- Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: orris: 0 See Page 2 for TIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information `TYPE OF V3'ORIC . 'PLAN REVIEW- 0 New construction 'J Addition/alteration/replacement 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" '.--II::.;,.,--' exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling U 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 0 Other: ❑Fire pump. 0 Installation of 150 KVA or $ SITE INFORMATION:ANDLOCATION ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: /go?,y6 I Job site address: 7(a 3a .Sw Qpr ted' 100HP or more. ❑"A","E",°`t-2",°°t-3", City/State/ZIP: �dgrd OR 57 ❑Six It more residential units. 0 Recreational reation. parks. d�� ❑Health-care facilities. Recreational vehicle / 0 Hazardous locations 0 Supply voltage for more than Suite/bldg./apt.#: I Project name: RP;1 pb r Cent-te 600 volts nominal. J / ❑Service or feeder 600 amps or more. Cross street/directions to job site: FEE.;SCHEDUL-E Description l Qty. 1 Each 1 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'l 500 sq.ft.or portion 33.92 1 DESCRIPTION b 'WOtiuz, Limited energy,residential P i (with above sq.ft.) 75.00 2 /` ph 4._ i/-1 /c'a Ne OD C CO.,tip(S a /70i1et(,J e I� Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 ii5 PROPERTY OWNER•, , ,•D TENANT•, - Services or feeders installation,alteration,and/or relocation Name:(jPeP) Fe(40n/ prof Tt,/C, 200 amps or less 100.70 2 / 201 amps to 400 amps 133.56 2 Address: Solo SW C 4,,,. S--/e,� , C/0 401 amps to 600 amps 200.34 2 City/State/ZIP: P rlie,hid 0 97-e)y 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 Branch circuits-new,alteration,or extension,per panel APP'YCt� 'IrE •- „ ,• o ❑'CONTACT ACT Pt4.,SON A.Fee for branch circuits with Business name: /44,4,q ter ., Avis-so/4 ZAC,• above service or feeder fee, 7.42 2 /J each branch circuit Contact name: 4,4,4XIv.4' B.Fee for branch circuits without service or feeder fee,first Address: /¢©0 SCt 1,TS` t QQ,, branch circuit 56.18 2 City/State/ZIP: /0r 1/a ltd o,-1 �97.2 Od. Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(3' ) Syo2-S e,2 g I Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: rioa/gej* ` ,'4 foa✓/SJ OA/' CSM Reconnect only 67.84 2 ONTRAC"l~'OR -' • Pump or irrigation circle 67.84 2 Business name: .1 y ��-- _$ig++areutlinalig . . 57..&4> :2 i G1N(e v�t/1�/Off' Signal circuit(s)or limited-energy Address:_ /goo SE Ac SLi/ SfrQ,Q.'- panel,alteration,or extension. ki See Page 2 / 2 ,/ Each additional inspection over allowable in any of the a o> e City/State/ZIP: tiaN�f oie 77 Additional inspection(1 hr min) 66.25/hr Phone:(Scl3)S-442...-3 6-. .j,,, Fax:( ) Investigation(I hr min) 90.00/hr l: cEcchetC� ndustrial plant(1 hr min) 78.18/hr Emai /'1(,t/v�Q rt�q✓1 SSO�•co*,GSM Inspections for which no fee is 9‘/� a ac-- p /0 O EE specifically listed(%z hr min) 90.00/hr CCB Lic.: Electrical Lia.t: Suprv.L1C.: LL J ELECTRICAL,PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name:-RM OaVi S&-DN I<i Date: 7_ 13-/q ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: 2 ,r TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: /eyot,.i ,tee, Date: 7-/?-/y days after it has been accepted as complete. * Number of inspections allowed per pennit. t:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-46t5T(I1/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: IttaLT T WQRK 0NLI'4 P Y REi1ULE Fee for all residential systems combined: $75.00 Description I Qty. I Each I Total I " Renewable 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(%2 hr min) IJ� ICAI PERS[ SES COMA LErRCIAL W©RK 31YLY« . Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): * Number of inspections allowed per permit. (SEE OAR 918-309-0000) 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 I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015