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Permit II CITY OF TIGARD ELECTRICAL PERMIT ` COMMUNITY DEVELOPMENT ELECTRICAL ELC2020-00040 Date Issued: 02/03/2020 T-f GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S115BA02500 Jurisdiction: Tigard Site address: 16200 SW PACIFIC HWY Z3 Project: Starbucks Subdivision: 2004-015 PARTITION PLAT Lot: 1 Project Description: Electrical for conversion of Home Street Bank into a Starbucks coffee shop. Contractor: ON ELECTRIC LLC Owner: SN PROPERTIES PARTNERSHIP 15555 SW BANGY RD 1121 SW SALMON ST LAKE OSWEGO, OR 97035 PORTLAND, OR 97205 PHONE: 503-313-6016 PHONE: FAX: FEES Quantity Description Date Amount 3 ea Services or Feeders-201 to 01/31/2020 $400.68 Specifics: 400 amps 1 ea Plan Review Electricial 01/31/2020 $100.17 Type of Use: COM 1 ea 12%State Surcharge- 01/31/2020 $48.08 Class of Work: ALT Electrical Type of Const: Occupancy Grp: Total $548.93 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 ma obtain a c efthe mfes or direct questions to OUNC by calling 503.27 or 1.800.332.234. Issued By: `/ ; 'w �_ _+ Permittee Signature: /® .3..-----. OWNER INSTALLATION ONLY t 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. Electrical Permit Application FOR OFFICE USE ONLY City g 'eceived _ ofTigard Permit#: r DateBy: ym/r '13125 SW Hall Blvd.,Tigard,OR 97223 E�'�_o-o Li d __ Phone: 503.718.2439 Fax: 503.598.1960p • � DateBy: I/30 Related Permit#:14,0,9‘611... n4 Ins ection Line: 503.639.417520 'A urs: p Ready Date/By: See Page 2 for TIGARD Internet: www.tigard-or.gov CITY OF fled Metho / Supplemental Information 15 New construction ❑Addition/alteration/replacement P�lesse check all that apply(submit 2 sets of plans w/items checked): pp Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. v - i'i C ,.Q !, C07 7 1 exceeds 10,000 amps at 150 volts or El Floating buildings. ❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building less to ground,or exceeds la,000 ❑commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or ' " :. _ _'�; ❑Emergency system. larger separately derived Job#: VI �41 1 Job site address: 11. S j C i. j C/� to J ❑Addition of new.motor load of system.A V �_ �"� I t v Y y 100I-IP or more. ❑`•A„ "E","I.2„ "1.3„ n /� ❑Six or more residential units. occupancy. City/State/ZIP: 1i i/t d O . 61 1 L.L-� ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name:,3-1/4. J' �S ❑Hazardous locations. El Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: C _; a '1 e - , , Description Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. Tax map/parcel#: 33 92 1,000 sq.ft.or less 4 {._ Ea.add 1500 sq.ft.or portion1 (" ' ¢3 ' Limited energy,residential / 00 (with above sq.ft.) 2 ""` w 5'�pr'4 ,-.-- 5- / A eht�4-z/1�1 5r"�.< Limited energy,multi-family / 11 2 residential(with above sq.ft.) .. . °;; Renewable Ener ■ .. ' *' [ _ rya _� " ': .- tr :. :=; Services or feeders installation,alteration,and/or relocation Name: 200 amps or less I 100.70 2 Address: 201 amps to 400 amps 3 133.56 _© 401 amps to 600 amps • 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 Phone:( ) I 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 . ..:.x r._ ttor extension, per panel .' :' r #�. E. � :.:x..;:•: � ��' :....:;; '??'r.. e.. — ew,alte on,�� rant ctrcutts n ra A.Fee for branch circuits with Business name: j n .6�,�G�'�`1 above service or feeder fee, 7.42 . 2 each branch circuit Contact name:\fad" E,Si . B.Fee for branch circuits without Address: it: service or feeder fee,first dir �� �-i �L �� branch circuit 56.18 2 City/State/ZIP: WI 1&'61 r Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:j,. L.ro, REI Fax: :( ) Each manufactured or modular 67.84 2 Email: j n I • s .0e t Oro • Reconnect only ice and/or feeder 67.84 2 oxik7..:* :.:t>:kf,:. ::.•.. _ ,.,_. ,;:N <.� .••:: �;..."'* et. �', �. Pump or irrigation circle 67.84 2 Business name: on g((? + C u� Sign or outline lighting 67.84 2 Address: c�7 S w` �I [(Aran � Signalnel,aclteration, n or eionergy ❑ See Page 2 2 panel,alteration,or extension. City/State/ZIP: \nIi 1 Qf v1 Ii o`. o�©-70 Each additional inspection over allowable in any of the above `+ Additional inspection(1 hr min) 66.25/hr Phone:T-5 l]3. 07 (17 Fax:( ) Investigation(1 hr min) 90.00/hr Email: (' /. f , on - ei Wt ri •. aU i' I Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/'1 specifically listed(%2 hr min) CCB Lic.: �C� L) Electrical Lie.: C l `7` Suprv.Llc.: hr Suprv.Electrician signature,require.: % r ,. .}. �;, . :.':.;3. I44:_ Subtotal: Print name:Dee.) Dt.sOre, Date: %Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): TOTAL PERMIT FEE: Authorized si natur • This permit application expires if a permit is not obtained within 180 Print name- t Date: days after it has been accepted as complete. * Number of inspections allowed per permit. 1:\Building\Per its\ELCPermitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(11/05/COM/WEB A Electrical Permit Application—City of Tigard l ige 2—Supplemental Information J Limited Energy Permit Fees: Renewable Energy Permit Fees: SAL , : :, Description I Qty. Each I Total Fee for all residential systems combined: $75.00 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: n 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 552.26 2 with OAR 918-309-0040) 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 I charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr °.. ° ',. ,. lfic ally /�hrmin) ;i ... r _. spec listed(' 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 n Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical n 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'ELCPermitApp_ELR ERE.doc Rev 06/17/2015