Permit (2) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2019-00873
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/24/2019
T I("�R D 9 Parcel: 1 S136DB02600
Jurisdiction:
Site address: 11201 SW 72ND AVE
Project: Red Light Cameras Subdivision: None Lot: None
Project Description: Installing(4)branch circuits for red light cameras at the corner of 72nd Avenue and Pacific Highway.
Contractor: GLOBAL ELECTRIC, INC. Owner: STEWART/BARI PROPERTIES LLC
PO BOX 162 STEWART TRUST
NORTH PLAINS, OR 97133 BY US BANK
BOX 64142
ST PAUL, MN 55164
PHONE: 503-647-5650 PHONE: 503-647-5650
FAX: 503-647-5649
FEES
Quantity Description Date Amount
4 crt Branch Circuits wo/Purchase 12/19/2019 $78.44
Specifics: Service or Feeder
1 ea 12%State Surcharge- 12/19/2019 59.41
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $87.85
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 . You m obtain a c py of the ru or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ... (
r.
Issued By: / Permittee Signature: ,Sr t' iff/i['G!.i>c4-7
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 11 FOR OFFICE USE ONLY
City of Tigard RECEIVE
,[RDate/B: 'ern*• ��
_.
IIIII 13125 SW Hall Blvd.,Tigard,OR 97223 2�19 Plan Rcvicty
04
L Phone: 503.718.2439 Fax: 503.598.1%0 DEC 1 s Date/B : Related Permit#:
TIGARD Inspection Line: 503.639.4175 Ready Date/By: orris: El See Page 2for
n Internet: www.tigard-or.got• I Y OF TIGARL Notified/Method: Supplemental Information
TYPE OF WORK DIR1Q DIV151(, PLAN REVIEW
❑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 ❑Building over three stories.
❑Demolition ❑ Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at ISO volts or ❑Floating buildings.
❑ 1-and 2-family dwelling E Conmlercial/industrial ❑Accessory building less to ground.or exceeds 14.000 0 Commercial-use agricultural
❑Multi-family ❑Master builder amps for all other installations. buildings.
❑Other: ❑Fire pump. 0 Installation of ISO KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#:1911048 Job site address: l J1O- sec., 72 tic l o0HP or more ❑"A". E, 1 I_3,
City/State/ZIP:Tigard,OR 97223
❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Tigard Red Light Cameras 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:SW 72nd Ave&Pacific Highway West FEE SCHEDULE
Description I QtY• I Each 1 Total I •
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'I 500 sq.B.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
Need To Add(4)Branch Circuits For Red Light Cameras (with above sq.it.)
- Limited energy,multi-family 75.00 2
residential(with above sq.11.)
- Renewable Energy 0 See Page 2
• ❑ PROPERTY OWNER ❑ TENANT Services or feeders Installation,alteration,and/or relocation
Name: 200 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 20034 2
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 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
0 APPLICANT ID CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:GLOBAL ELECTRIC INC above service or feeder fee, 7.42 2
each branch circuit
Contact name:Colton Perdew B.Fee for branch circuits without
service or feeder fee,first 1 56.18
Address:PO BOX 162 branch circuit 56.18 2
City/State/ZIP:NORTH PLAINS OR 97133 Each add'l branch circuit 3 7.42 22.26 2
Miscellaneous(service or feeder not included)
Phone:(503)647-5650 Fax::(503)647-5649 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:dispatch(a)globalelectricusa.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:GLOBAL ELECTRIC INC Sign or outline lighting 67.84 2
Address:PO BOX 162 Signalcircuit(s)
or limited-energy 0 See Page 2 2
panel,alteration,or extension.
City/State/ZIP:NORTH PLAINS OR 97133 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)647-5650 Fax:(503)647-5649 Investigation(1 hr min) 90.00/hr
Email:dispatch@globalelectricusa.com industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 156838 Electrical Lic.: 34-655C Suprv.Lie.: 5210S specifically listed(h hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: 78.44
Print name: Justin Spiering Date: 12/16/2019 0 Plan Review Required(25%of permit fee):
Stale surcharge(12%ofpemtit fee): 9.41
Authorized signature: TOTAL PERMIT FEE: 87.85
This permit application expires If a permit is not obtained within 180
Print name: /t, Date: 12/16/2019 days after it has been accepted as complete.
" Number of inspections allowed per permit.
1:1BuildingliemmitstELC_PemutApp Et.R_ERE.doc Rev 06/17/201S 440-16t5T(11105/COM/WEB