Permit ,, CITY OF TIGARD ELECTRICAL PERMIT
Ili ":? COMMUNITY DEVELOPMENT Permit#: ELC2019-00812
Date Issued: 11/18/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S102BA01400
Jurisdiction: Tigard
Site address: 9685 SW JOHNSON ST 1
Project: Jax Apartments Subdivision:RTH TIGARDVILLE ADDITION,AMENC Lot: 54
Project Description: Replacing panels in units 1-40.
Contractor: CHRISTENSON ELECTRIC INC Owner: JAX REAL ESTATE INVESTMENTS I LL
17201 SACRAMENTO ST JAX REAL ESTATE INVESTMENTS II LLC
PORTLAND, OR 97230 876 CHRYSOPOLIS DR
FOSTER CITY, CA 94404
PHONE: 503-419-3344 PHONE:
FAX: 503-419-3695
FEES
Quantity Description Date Amount
40 ea Services or Feeders-200 11/14/2019 $4,028.00
Specifics: amps or less
1 ea 12%State Surcharge- 11/14/2019 $483.36
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $4,511.36
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„glatain copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: v2.. r� 1.:- , �.__ -j .---__. 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.
Electrical Permit Application
City o Tigard Received r.
`J g ;". S.„,.\ 'k.,,,,,' Date/By: %6 /G//1"(` Permit# _.i Z :11"i_e t_,.,..'. ,)
13125 SW Hall Blvd.,Tigard,OR 97223 i. PIan Review
I" Phone: 503.7182439 Fax: 503.598,1960 Date/By:IN
Related Permit 4: .� f. f." -
l 1.t l Inspection Line: 503.639.4175 \I ,'I Z' ' Ready Date/By: kris: El See Page 2 for -
Internet: www,tigard-or.gov r\�w Notified/Method: -!„ Supplemental Information
❑New construction ®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.
0 Demolition �,Other:
where the available fault current 0 Marinas and boatyards,
, _.------. . .;.:.>' exceeds 10,000 amps at 150 volts or ❑Floating buildings.
❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
®Multi-family ❑Master builder amps for all other installations" buildings. -
❑Other: []Fire pump. 0 Installation of ISO KVA or
❑Emergency system larger separately derived
Job#:27234 Job site address:9685 SW Johnson St. ID Addition of new motor load of system.100HP or more. ❑
❑Six or more residential units. occupancy.
City/State/ZIP:Tigard, OR 97223 El parks.
❑Health-care facilities.
Suite/bldg./apt.#:1 I Project name:Jax Apartments ci Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal,
Cross street/directions to job site: North side of Johnson St between 99w '` ;
and Grant Ave. Description Qty. EachTotal
New residential single-or multi-family dwelling unit.
Subdivision:The Jax Apartments I Lot#: Includes attached garage.
1,000 sq.R.or less 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1
Limited energy,residential 75.00 2
Remove existing electrical panel and install new. Upgrade (with abovesq.ft.) ,
Limited energy,multi-family
residential(with above sq.ft. 75.00 2
grounding as necessary. )
Renewable Energy ❑ See Page 2
' '" •._ ' ' - ;f Services or feeders installation,alteration,and/or relocation
Name:Affinity Property Management 200 amps or less 40 100.70 $,4028 2
Address:1303 SW 6th Ave 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Portland, OR 97201 601 amps to 1,000 amps 301.04 2
Phone:(503)892-0099 ext 134 I Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:rhauskins@affinityproperty.com 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
- . - BA.ranchFeef circuitsbranch—ccircuit s new,alterationwith ,or extension,per panel
or
Business name:Christenson Electric inc. above service or feeder fee,
- • each branch circuit 7.42 2
Contact name:Coley Lawson B.Fee for branch circuits without
service or feeder fee,first Address:17201 NE Sacramento St. branch circuit 56,18 2
City/State/ZIP:Portland, OR 97230 Bitch add'lbranch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)419-3346 I Fax::( 503)419-3333 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: t cole .lawson chrisenson.com
y Reconnect only 67.84. 2
.,, . €' , Pump or irrigation circle _ 67,84 2
Business name:Christenson Electric Inc. Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy See Page 2 2
Address:17201 NE Sacramento St. panel,alteration,or extension.
City/State/ZIP:Portland, OR 97230 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)419-3300 Fax:(503)419-3333 Investigation(1 hr min) 90,00/hr
— Industrial plant(1 hr min) 78.18/hr
Email:coley.lawson@christenson.com Inspections for which no fee is
s ecificall listed rh hr min 90.00!hr
CCB Lie.:458 Electrical ' .:26- 4C Suprv.Lic.:5215S
SuprV.Electrician signature,required: Subtotal: $4,028
t
Print name:Robert Bruene Date:11/11/2019 ❑Plan Review Required(25%of permit fee):
State surcharge(12%ofpennit fee): $483.36
Authorized signature: TOTAL PERMIT FEE: $4511.36
— This permit application expires if a permit is not obtained within 180
Print name:Coley Lawson Date:1 1/1 1/201 9 days after it has been accepted as complete.
* Number of inspections allowed per permit.
r:5Buitding\Permits\.ELC_PermitApp ELR_ERE.doe Rev 06/l7/2015 440-4615T(11/05/COM/WBB -