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Permit k;i CITY OF TIGARD ELECTRICAL PERMIT A c COMMUNITY DEVELOPMENT Permit #: ELC2010 -00198 , : !l Date Issued: 05/26/2010 1. 1GAtRLb 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 ;,,,, ;. Parcel: 1S136 DC04400 Jurisdiction: Tigard Site address: 11945 SW 70TH AVE Subdivision: DARTMOUTH SQUARE Lot: 30 Project: TVF &R Command Center Project Description: Owner: FEES TUALATIN VALLEY FIRE & RESCUE Quantity Description Date Amount 20665 SW BLANTON ST ALOHA, OR 97007 10 ea Services or Feeders - 200 05/26/2010 $1,007.00 amps or less PHONE: 503 - 649 -8577 2 ea Services or Feeders - 601 to 05/26/2010 $602.08 1000 amps 3 ea Services or Feeders - Over 05/26/2010 $1,656.78 Contractor: 1000 amps or volts E C COMPANY 381 crt Branch Circuits w /Purchase 05/26/2010 $2,827.02 PO BOX 10286 Service or Feeder PORTLAND, OR 97296 1 ea Signal circuit or Limited 05/26/2010 $67.84 PHONE: 503 - 224 -3511 Energy Panel FAX: 503-295-3012 1 ea 12% State Surcharge - 05/26/2010 $739.29 Electrical Type of Use: COM Class of Work: ALT . Type of Const: Occupancy Grp: Total $6,900.01 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 -0100. You tain a c pt*bf the rules- r direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: - e�� Permittee Signature: .L f/ - 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 an inspection that business day. 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. #1 aqq rya =Y'�{ ELECTRICAL PERMIT CITY OF TIGARD � 1t q ra x:_ COMMUNITY DEVELOPMENT Permit #: ELC2010 -00196 Date Issued: 04/23/2010 j1GARL? 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S103CD06200 Jurisdiction: Tigard Site address: 11734 SW FAIRVIEW LN Subdivision: TERRACE TRAILS Lot: 22 Project: Pealer Project Description: (1) branch circuit for hot tub Owner: FEES PEALER, CARLA Quantity Description Date Amount 11734 SW FAIRVIEW LN TIGARD, OR 97223 1 crt Branch Circuits 04/23/2010 $56.18 wo /Purchase Service or PHONE: 503- 704 -0286 Feeder 1 ea 12% State Surcharge - 04/23/2010 $6.74 Electrical Contractor: CONDUIT ELECTRIC 19461 SW 89TH AVE TUALATIN, OR 97062 PHONE: 503- 692 -1428 FAX: 503- 692 -3652 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $62.92 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246,6699 r 1 00 3 234 Issued By: 4j" 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 an inspection that business day. 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 RECFIVE t FOR OFFICE: USE ONLY City of Tigard Rece ty g APR 3 2010 / , 3/,/d d Permit No.:ELC.O/O_00 /1� 1 1111 Date /By: • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.196DJ`IT'Y OF TIGARD Date /By: Other Permit: T I G A R D Inspection Line: 503.639.4175 BUILDiNG DIVISION Date Ready /By: Jur / ® See Page 2 for internet: www.tigard- or.gov Notified/Method: / �/ Supplemental Information ' • TYPE OF WORK PLAN REVIEW Please check all that apply (submit 2 sets of plans w /items checked below): ❑ New construction [Addition /alteration /replacement ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ,1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. o n ❑ Addition of new motor load of ❑ "A ", "F ", "1 -2 ", "1 -3' - ; Job no.: Job site address: //I 3C/ si N. / C/ , ,-1 LA', 100HP or more occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: D2 912-z-3 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description 1 Qt.. I Fee. 1 Total 1 • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4 Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.92 1 Limited energy. residential DESCRIPTION OF WORK (with above sq. fl.) 67.84 2 // ('t Limited energy, multi - family `4 % Z) 6 LittC -v ;7"" residential (with above sq. R.) 67.84 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 ($ PROPERTY OWNER ( ❑ TENANT 201 amps to 400 amps 133.56 2 Name: all A_ ? IZ. (•t-K. 401 amps to 600 amps 200.34 2 _ / 601 amps to 1,000 amps 301.04 2 . Address: 1 173 _f 5,I..J , `- A- V i'{� .) N5 , Over 1,000 amps or volts 552.26 2 City /State /ZiP: 7 �� �- 7_2-3 Temporary services or feeders installation, alteration. and /or relocation Phone: (5t3) . t J _ Q ? Fax: ( ) 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125,08 2 intended for sale lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT 1 ❑ CONTACT PERSON above service or feeder fee, each branch circuit 7.42 2 Business name: B. Fee for branch circuits Contact name: without service or feeder fee, / 56.18 / � 2 first branch circuit Address: Each add') branch circuit 7.42 2 Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular dwelling, service and/or feeder 67.84 2 Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 E -mail: Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name: Signal circuit(s) or limited - Conduit Electric energy panel, alteration, or Address: 19461 SW 89th Ave extension. Describe: Page 2 2 City /State /ZIP: Tua 1 a t in , OR 97062 Each additional inspection over allowable in any of the above Per inspection 66.25 Phone: ( 503 ) 692-1428 Fax: (5 0 3) 692-3652 Investigation per hour (I hr min) 66.25 CCB Lic.: 109669 Electrical Lic.: 26 Suprv. Lic.: 4501 S Industrial plant per hour 78.18 ELECTRICAL PERMIT FEES , S Suprv. Electrician signature, required: Subtotal: 5 Print name: Date: / /t° Plan review (25% of permit fee): -......--- Charles P r P 1 9 / State surcharge (12% of permit fee): 7'� Authorized signature: ` y 1 Print name: .2 CO Date: TOTAL PERMIT FEE: � Z �/y' ( /j'� L/C C This permit application expires if a permit is not obtained Nithin 180 L."/". days after it has been accepted as complete. " Number of inspections allowed per permit. 1. \BuIdmg \Permits PermitApp. doc 10 0109 440- 4615T(I 1 /05 /COM WEB • r Electrical Permit Application -,c4VO - , � 1 1� , i FOR OFFICE USE ONE v City of Tigard rj Received P ermit No.: 49 1 1114 ° 1 3125 SW Hall Blvd., Tigard, OR 97223 r��1() Date /By: ,, i, U i i v �(J— (2x)I' ''', � qt t Plan Review s,y , \•a Phone: 503.639.4171 Fax: 503.598.1960 P � ,, Date/B : 1" - Other Permit. / , 0 _ wo-7 o Inspection Line: 503.639.4175 e• e Ready /By: " -- - .. Juris ' See Page 2 for T GA T,.,12 Internet: www.tigard - or.gov � 1 � , � ♦S ' rotified/Method: '7, 6 I) 1 '7 i ,_11, Supplemental Information . TYPE OF WORK C `` � `` ,N Y d � f ' PLAN REVIEW ❑ New construction ® Addition /alteration /r$lacement Please check all that apply (submit 2 sets of plans w /items checked below): eiltService or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. ' CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling E Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION `AND LOCATION ❑ Emergency system. larger separately derived system, . ❑ Addition of new motor load of ❑ "A", "E", "I -2 ", "I -3 ", Job no.: 73838 Job site address: 11945 SW 70 Ave I00HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: Tualatin Fire & Rescue ;Service or feeder 600 amps or more. / �J�V c4/\) 0 ���4L�� FEE SCHEDULE ' Cross street/directions to job site: C U Description 1 Qty. 1 Fee. 1 Total 1 • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4 Ea. add'I 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential , DESCRIPTION O F WORK ' - (with above sq. ft.) 67.84 2 Limited energy, multi - family - 67.84 2 Tenant improvement electrical - generator install residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less f 8 1 00.70 2 ® PROPERTY OWNER ❑ TENANT, _ . 201 amps to 400 amps 133.56 ix 9, 2 Name: Tualatin Valley Fire and Rescue 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 62, 301.04 60,0y 2 Address: 20665 SW Blanton Over 1,000 amps or volts 3 552.26 `/, 4 7 2 City/State/ZIP: Aloha, OR 97007 Temporary services or feeders installation, alteration, and /or y + relocation Phone: (503)227 -7980 Fax: ( ) 200 amps or less 59.36 t 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that 1 own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ID �r • . ❑ APPLICANT ® CONTACT.PERSON above service or feeder tee 7.42 7 � 2 each branch circuit Business name: E C Company B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: Hal Pietrobono or Kathy Kelley branch circuit Each add'I branch circuit 7.42 2 Address: PO Box 10286 Miscellaneous (service or feeder not included) Ci /State /ZIP: Portland, OR 97296 Each manufactured or modular 67.84 2 ty dwelling, service and/or feeder Phone: (5032) 224 - 3511 Fax: : (503) 295 - 3012 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: halp @e c co.com Sign or outline lighting 67.84 2 CONTRACTOR , ' • • Si gna l ci rcu it( s) or limited- energy / Q (, Business name: E C Company panel, alteration, or extension. , I Page 2 61.3 1 2 Each additional inspection over allowable in any of the above Address: PO Box 10286 Additional inspection (1 hr min) 66.25/ hr City /State /ZiP: Portland, OR 97296 Investigation (I hr min) 66.25/ hr Industrial plant (1 hr min) 78.18/ hr Phone: (503) 224 - 3511 Fax: (503) 295 - 3012 Inspections for which no fee is 90.00 / hr specifically listed (% hr min) CCB Lic.: 49737 i /i 5/„I Electrical Lic.: 26 -45 i Suprv. Lic.: j C/5" ELECTRICAL PERMIT FEES " V+ 7aN., Subtotal: r G I ( ' Suprv Electrician signature, required: n j , r Plan review (25% of permit fee): Print name: ( / r �} ,�, (F ?M c24 , ` Date: State surcharge (12 %of permit fee): ! -7 • 39, ) � TOTAL PERMIT FEE: , 6t O p o f Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: * Number of inspections allowed per permit. This form is recognized by most Building Departments in the Tri- County, area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. "' BUILDING DIVISION T I G A Iz D, TRANSMITTAL LETTER TO: ( 1 / 4 DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED MAY 19 2010 FROM: /J/ ,4C17') 610 CITY OF TIGARD COMPANY: E ,,C___ . Con�t/ BUILDING DIVISION PHONE: &)3 - 5I I air4 I 4 � By: • RE: - Li vc�o 7c� � b ite ' • • ress (Irermit/Case Number) ■ 1-2 _Al O . - - ' roject name or su . I 'vision name an. of num i er ATTACHED ARE THE FOLLOWING ITEMS: Copies:. Description: Copies:. Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): ,- -ec,( r 1 S --G, t e..ui ec,J REMARKS: FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑ No Fee Description: Amount Due: $ $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I: \Building\ Forms \TransmittalLetter- Revisions.doc 4/4/07 • This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. BUILDING DIVISION I :G A R o TRANSMITTAL LETTER TO: DATE - . i-VED DEPT: BUILDING DIVI ' • N JUL_ 0 8 7010 CITY OF TIGARD FROM: BUILDING DIVISION COMPANY: f—C.— PHONE: OD .. � 7c1 - 9177 Caa• -�' RE: 7v E!—C o /o (Site Ad ress) (Permit/ ase Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: FOR OFFICE USE ONLY • Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑ No Fee Description: Amount Due: Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Alicant Notified: Date: Initials: I• \Building\ Forms \TransmrttalLetter - Revisions doc 4/4/07 ECEIVED EC JUL 08 CC10 COMPANY CITY OF TIGARD Letter of Transmittal: LDING DIVISION TO: City of Tigard Date: 07/07/10 • 13125 SW Hall Blvd Project: TV Fire & Rescue TI 73838 - • Ti • ard, OR 97223 E C Ref: Seismic Drawings and Calc's for Review N: Dan Nelson Owner's Ref: 65609.102 We are Q Attaching ❑ Returning ❑ Hand Delivered ❑ Record Drawings ❑ Prints ❑ Purchase Order ❑ Specifications ❑ Plans ❑ Change Order ❑ Subcontract Q Submittals ❑ Other COPIES DATED DESCRIPTION 4 07/08/10 ISO Base Pads 3 07/08/10 Seismic Drawings 4 07/08/10 Seismic Equipment Calcs These are transmitted as checked below: Q For Approval ❑ Approved as Submitted ❑ Resubmit Copies for Approval ▪ For Signature ❑ Approved as Noted ❑ Submit Copies for Distribution ❑ As Requested ❑ Revise & Resubmit ❑ Retum Corrected Prints ❑ For Review & Comment ❑ For Your Use ❑ For Bids Due • Remarks: Date: By: Hal Pietrobono Received By Project Manager E C Company Copy to: Single Source Electrical Sclutiess.. PORTLAND AUBURN ALBANY EUGENE BAY CITY PO Box 10286 3104 C St. NE, Ste. 200 PO Box 925 875 Wilson St. Ste. A PO Box 3318 Portland OR 97296 -0286 Auburn WA 98002 Albany OR 97321 Eugene OR 97402 Bay City OR 97107 503.224.3511 206. 242 .3010 541.926.4266 541.345.0669 503.377.2154 800.659.3511 800.477.1711 800.598.4266 800.598.4266 800.464.5476 503.242.0953 FAX 206.242.3114 FAX 541.926.4268 FAX 541.345.1857 FAX 503.377.2762 FAX www.e- c- company.com • OR CCB # 49737 Wirt/ CIVllasa MAY I 6C Dv\so,i' • Ce. 1 C>w Letter of Transmittal: 1 TO: CITY OF TIGARD Date: 05/18/10 13125 SW HALL BLVD Project: TV Fire & Rescue TI 73838 - TIGARD, OR 97223 E C Ref: Permit Plan Review ATTN: Gary Noble Owner's Ref: We are ❑ Attaching ❑ Returning Ef Hand Delivered ❑ Record Drawings ❑ Prints ❑ Purchase Order ❑ Specifications p Plans ❑ Change Order ❑ Subcontract ❑ Submittals ❑ Other COPIES DATED DESCRIPTION 2 05/18/10 Electrical Drawings for Plan Review These are transmitted as checked below: ❑ For Approval ❑ Approved as Submitted ❑ Resubmit Copies for Approval ❑ For Signature ❑ Approved as Noted ❑ Submit Copies for Distribution ❑ As Requested ❑ Revise & Resubmit ❑ Return Corrected Prints ❑ For Review & Comment ❑ For Your Use ❑ For Bids Due Remarks: Date: By: Hal Pietrobono Received By Project Manager E C Company Copy to: Single Source Electrical Solutions... PORTLAND AUBURN ALBANY EUGENE BAY CITY PO Box 10286 3104 C St. NE, Ste. 200 PO Box 925 875 Wilson St. Ste. A PO Box 3318 Portland OR 97296 -0286 Auburn WA 98002 Albany OR 97321 Eugene OR 97402 Bay City OR 97107 503.224.3511 206.242.3010 541.926.4266 541.345.0669 503.377.2154 800.659.3511 800.477.1711 800.598.4266 800.598.4266 800.464.5476 503.242.0953 FAX 206.242.3114 FAX 541.926.4268 FAX 541.345.1857 FAX 503.377.2762 FAX www.e -c- company.com • OR CCB # 49737 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined .. $67.84 Check Type of Work Involved: • ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* r1 Other: COMMERCIAL WORK ONLY: Fee for each commercial $67.84 system (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* O Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I: \ BuildingWermits \ELC- PermitApp.doc 10/01/09