Permit (12) II CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2019-00760
Date Issued: 10/30/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S1060003300
Jurisdiction:
Site address: 13794 SW ROY ROGERS RD
Project: River Terrace signal and street lights Subdivision: None Lot: None
Project Description: Installing (1)200 amp service cabinet and(2)branch circuits located at the NE side of intersection of SW Roy
Rogers and SW Jean Louise.
Contractor: AAKEN CORPORATION Owner: KRILL, JUDY L REVOCABLE LIVING T
1350 SE REED MARKET ROAD 202 PRICE, LINDA M TRUST
BEND, OR 97702 ROSHAK, RONALD ET AL
10155 SW 135TH AVE
BEAVERTON, OR 97008
PHONE: 541-330-9545 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 10/30/2019 $100.70
Specifics: amps or less
2 crt Branch Circuits w/Purchase 10/30/2019 $14.84
Type of Use: COM Service or Feeder
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $115.54
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 952-001-0090. You may obtai the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: 62.E
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.
Oct 2519,�06:46a Aaken Corporation 5034471085 p.2
•
Electrical Permit Application 'PrrIV . FOR OFFICE USE ONLY
Received ,��y;�
1111111 _ City of Tigard 0 C T 2 2019 Date'BV:/p A`/Y '1 Pegk .e /?.---007(:1C,l�)
W 13135 SW Hall Blvd.,Tigard,Oft 97223 Plan Review Related Permit 4
Phone: 503.7182439 Fax: 503.598.196f CrnIf Or I IC ARD DatafBv:
Inspection Line: 503.639.4175 i heady Data6;: Auris: H See Paget For
TIC.1R1� BUILDING DIJISIONNotitied:M.tlred: SupplementalInformation
Internet: a•uw.timrd-or.guv
®New construction ❑Addition/alteradon%replacemcnt Please check all that apply(submit 2 sets of plans w terns checked):
0 Service or feeder 400 amps or mere 0 Building ever three stones.
❑Demolition ❑Other where the available fault current 0 marinas and boatyards.
.. •.- �'CATEGORY QR COMSTItiTC[TBN - - exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling ®Commercial/industrial E Accessory building less to ground.orcx Beds 14•WO 0 Commercial-use auriculiural
amps for all other installations. braildi igs.
0 Multi-family ❑Master builder ❑ Other: ❑Fire pump. 0 Installation of ISO KVA or
'..: AND ncy system, larger separately derived
-..'.1.� J't�$�STt�..-�l��l�tt�'Jr'A4A A.S/k� ��l.tr14.�'t 1LQ�l� � �. ..: '�. E112 r�C
❑Addition of new motor load of system.
Job#: 18-1302 Job site address:SW RoyRogers Rd SW Jean Louise 100HPormore. ❑"•�-•'E "12"•"1
CityiStateiZIP:Tigard,OR 97224 9 u C, ❑Six ox more residential units. occupancy.
/3 7 / 3CI a,� /.e)5-et S ❑Health-ca:c fnciti:ics. 0 Recreational vehicle parks.
Suite/bldg./apt#: Project name: L i, I S t-�� ❑Hazardous locations. 0 Supply voltage for more than
0 Service or reeler 600 amps or mote. 600 volts nominal.
Cross stree,tdireetions to job site:45.421114-122.851781 . .':PEE.SE WLE`
500'NE side of intersection of SW Roy Rogers rd&SW Jean Louise Rd
Description f Qtr. I Each I Total 1
p�._. � ) New residential single-or multi-family dwelling unit.
Subdivision: ' I P tit' S '(t trot Includes attached garage.
I u$C 1,000 sq.It.or less f 168.54 4
Tax map parcel#: I Ea.add'l 500 sq.11.or portion 33.92 1
Cl IP' 'tali O .W0112IC t.imitedenergy',residential 75.00 ''
Installing rely service cabin for street lights and signal. (with above sq.ft.)
r, (�"� Limited energy,:nulti-family 75.00
C9i.) 141.0-F5444`Cmc '-`-" 0o ori--0 resididnial(with above sq.R.} !
2
„..,,. Renewable Energy See Page�
'[( t'RUPlEltf7f•Q?'V4tMER.: .. < '- '1'ENA1V'C '`.` '' Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 1 100.70 100.70 2
201 amps to 400 amps 133.56 2
Address:
- 401 amps to 600 amps 200.34 '_'
City/State/ZIP: 601 amps to 1.000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I I
intended for sale,lease,rent,or exchange,according to ORS 447,449.670,and 701. 201 amps to 400 amps 125.08 '-
Owner signature: Date: 401 amps to 599 amps 158.54 _
-.-. _. . .. ..... -• .. ... •
door extension, panel
Branch circuits new,alteration.n. �cr
- .p iAPPLICANT . -::( 0.CONTACT PCR8ON
A.Fee for branch circuits with
Business name: above service or feeder fee, 2 42 14.84 ,
cach branch circt it
Contact name: B.Foe for branch circuits without
service or feeder fee,first 56.18 '
Address: brunch circuit
City%'$tate'ZIP' Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included) _
Phone:( ) Fax::( ) I Each manuthctured or Inodula
67' 2
dwelling,service and/or feeder
Email: Reconnect only 67.84 2
'CONTRACTOR . . ,. .. Pump or irrigation circle � 67.34 '-
Business name:Aaken Corporation Sign or outline lighting 67.34 _ 2
Signal circuits).or limited-eneagy
0 See Page 2 a
Address:31625 NW Hillcrest Street _pane:,alteration,or extension.
Each additional inspection over allowable in any of the above
City•%State/ZIP: North Plains,OR 97123 .additional inspection 1t hr min) I ' 66251 hr
Phone:(503)447-1084 Fax:( ) Investigation(I hr min) I 90.00,''hr
Industrial plant(I hr min) I 78.18%hr i
Email:purchasingnpC.aakencorp.com
T� Inspections for which no fee is
90.00i hr
CCB Lie.: 17090& ` YOElectrical Lic.: 1941t�t Suprv. Lie.: 5358s specificallylisted(r hr min)
VELE 'R1C I PERitJF:1 5 .
Suprv. Electrician signature,required: , Subtotal 115.54
Print name: Aaron Clickett Date: 10/24/19 ' ❑Plan Review Required(25%of permit.fee):
State surcharge(12%of permit leek 13.86
TOTAL PERMIT FEE; I 129.40
Authorized signature:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number ofirspeatioas allowed per permit.
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Oct 25 19.06:46a Aaken Corporation 5034471085
p.1
31625 NW Hillcrest St
Hillsboro, OR 97133 Aaken Corporation
503.447.1084
Fax
To: City of Tigard — Elect. Permit From: Lora Dexheimer
Fax: 503.598.1960 Pages: 2
Phone: 503.718.2439 Date 10/24/19
Re: Elec. Permit cc:
❑ Urgent ❑ For Review C) Please Comment 0 Please Reply ❑ Please Recycle
Good Afternoon,
Attached you will find an electrical permit for Roy Rogers Rd.
We will be paying by credit card, so could you please email the payment form to
purchasingnp(c7aakencorp.com.
Thank you,
49—ie 6..Se`r
Lora Dexheimer
Julie Drinkwater
From: Julie Drinkwater
Sent: Tuesday, October 29, 2019 4:15 PM
To: 'purchasingnp@aakencorp.com'
Cc: #Building Permit Technicians
Subject: ELC2019-00760, 13794 SW Roy Rogers, River Terrace signal and street lights
Attachments: Invoice.pdf
Hello Lora
The permit for River Terrace signal and street lights is ready to be issued. The balance due is $115.54.
Attached please find the invoice for your review.
To pay the fees online, you can go to our website: https://aca.accela.com/TIGARD/Default.aspx. From there,
click on the Building tab, enter the permit number in the Record Number field, and click Search.
Please let us know when the permit fees have been paid and we will email a copy of the permit to you.
Thank you
Julie Drinkwater
Permit Technician
City of Tigard Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
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