Loading...
Permit CITY OF TIGARD ELECTRICAL PERMIT e� n COMMUNITY DEVELOPMENT Permit #: ELC2010 -00269 fCRL?, Tigard OR 97223 503.639.4171 Date Issued: 06/03/2010 T[G 13125 SW Hall Blvd., Ti Parcel: 1S1260000300 Jurisdiction: TIGARD Site address: 9412 SW WASHINGTON SQUARE RD K10 Subdivision: Lot: 0 Project: Crazy 8 Project Description: (10) branch circuits and low voltage systems for stereo /audio and voice /data. Owner: FEES PPR WASHINGTON SQUARE LLC Quantity Description Date Amount 2235 FARADAY AVE STE #O CARLSBAD, CA 92008 10 crt Branch Circuits 06/03/2010 $122.96 wo /Purchase Service or PHONE: Feeder 2 ea Signal circuit or Limited 06/03/2010 $135.68 Energy Panel Contractor: 1 ea 12% State Surcharge - 06/03/2010 $31.04 RK ELECTRIC INC Electrical 24495 NW OAK DR HILLSBORO, OR 97124 PHONE: 503 - 640 -1344 FAX: 503 - 356 -0513 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $289.68 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 a • . - 'th 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. ATT 'TION: Oregon aw requires you to follow the rules adopted by the Oregon Utility Notif-- ion Center. Those rules are set forth in OAR 952- 001 -0 through OAR 952 - ' -01 ∎0. You may obtain a copy of the rules or direct questions to OUNC by calli - - '3.246.6699 or 1.800.332.2344. Issue :y: ` I /� / � iLL �,. Permittee Signature: et OWNER INSTALLATION ONLY The installation is being made on property I olch is not intended for sale, lease or rent. OWNER'S SIGNATURE ( Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' , t - 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. Jun 02 2010 2:51PM RK_Electric,_Inc. (5031 356 -0513 p.1 Electrical Permit Aplplicatio 1 c ' _ w . ._ rr al.' 111 i•: I .tii: cr... City of Tigard JUN 0 2 2010 Rec peteB U !� Pemtit No,; ele. Aptee-• ppa(o • 1 13125 9W Hall Blvd., Tigard, OR 97223 Plan Review kk. ' Phone: 503.639.4171 Fax: 503;5981960 Date/B Other Permit! a c , , ;,1) Inspection the: 503.639,4175 CITY OF TIGARD Date Ready/By VI See Paget rot Internet www,ttgard- or,gov • • ,, t Notifod/Methnd, 1 ed. Supplemental Information 1 , ^ Cs], 4i r . N 7 n • 4?t,.. A r ., s I •R'i ... to , ,. ..,,, X 13 New S, . tax w • t ~. � a m ...:° ... ok dl feeder „,,,,...,..x,,,..• °1 New construction M Addition!; Iteration/replacemen[ aheapply ( s "� 1 sore of plat, win erns ne checked below); in Sery toe o fee p more ❑ Building over three stories. 0 Demolition Q Other where the available thrift current ❑ Marines end boatyarda. y u ^ "rY {s•^ , "., „4, : , ,t,, exceeds 10,000 ea�pa at 150 volts or El Bloating buildings, © I- and n Ruu 6 r e .n _.... lees to ground, or exceeds 14.000 El Commercial-use sgrioulydrel 2- family dwelling M Coinme allindustrial l] Accessory building amps for all Other installations. buildings], Multi- family 0 Master . lildet CI Other ❑ Fire pump. ❑ Installation of 75 KVA or p Emergency system, larger separately derived system. T:'_ . -, t V `. ,ddu d , f ' r r 4 ' .1 a r ° i w +ni tl. ,Zia a . r P,,,; :: ❑ Add of new motor load of Cl „A „B.. "1-2''. .. m Job no,: 2401 Job site address: •412 SW Washington Square Rd. K10 IODor m omore. roresidential occupancy. ❑5ixoro ❑Reoroartonal ❑ Health faoilities. ❑ Supply voltage for more than City/State/ZIP: Tigard, OR 97223 ❑ Heathens locations, 600 volts nominal. Suite,bldg, /apt. no.: I Project name: Crazy 9 ❑ Service or feeder 600 amps or more. , Gross street/directions to job site: . ne.cripllon ors, Fes Total - '-- New residential single- or multi - family dwelling unit. Includes attached garage, Subdivision: I Lot no.: 1,000 sq, tR or less 168,54 4 Ea. add'l 500 sq. ft, or portion 33.92 1 Tax map/parcel no.: Limited energy, resldendal 67 84 j ` x.'. , +t, c a n , .ii $r il u rev s . ,r a (with above a4. ft ) wG4 mn n w:t+wv , . ;.. q+2f, . 1 e ?�.w =1 . i Limited energy,multi•family, 47,84 2 Tenant bulld -out residential (with above so. fl,) Services or feeders Installation,.lteration, and /or relocation 200 amps ar Ica, 100,70 ' 2 y a., u• "i t n 1 . A , . JiLdI 'ti if Ali . ' It4,. 7l1;-.1747,,,Z q 201 a mps - 0 40 amps 133, 56 2 :.... ....:..., ! ..._ :::., ..a . ' `' 401 amps to 600 amps 200.34 2 Nerve: Crary 8 • 601 empa to 1,000 amps 301.04 2 Address: 9412 SW Washington Square Road, K10 Over 1,000 amps or volts 552.26 2 Temporary services or feeders instillation, alteration, and /or City/State/ZIP: Tigard, OR 97223 relocation Phone: ( ) I Fax: ( ) 200 amps or less 59,36 1 Owner installation: Ibis installation is bei g made on property that I own which is not 701 amps co goo amps 125.08 + a 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 sew, alteration, or ex tension, ■ r panel Owner signature[ i Date; A. Fes for branch circuits with t - ,w ��” j . ' a ' 1 y "xa �a r ti �t"` � tip •- t o n ..; <'' above service or feeder feu, 7.42 2 rR a . rtr, u., ,, r ,�,xm . - -....v r. each branch circuit Business name: RK Electric, Inc. B. Fee for branch circuits without service or fbeder fee, first 1 56 ill $56.18 2 name: nae: Zach Milton branch circuit — Bach add'l branch circuit a 7,42 seats 2 Address: Miscellaneous (service or feeder sot Included) City /State/ZIP: Bach manufactured or modular 67.84 2 dwelling, service g 1 4 1 0 3 ' feeder Phone: ( 503 ) 640.1344 Fax:: ( 509 ) 359.0518 Reconnect only 67 2 Pump or irrigation. circle 67.84 2 E -mail; ; Sign or outline lighting 67,84 2 , , , i . xu; ''G .P.1 Signal circuit(5) or limited- energy Business name: RK Electric, Inc. p. tml, alteration, or extension. 2 Pogo 2 135.fi6 2 Each additional inspection over allowable In any of the above Address: 24495 NW Oak Dr. Additional Inspection (1 he min) 66.25! hr Investigation di llant 1 term 78 . 1 8 !hr City /State /ZIP: Hillsboro, OR 97124 Industrial plant (1 hr min) 76. S B. hr Phone: ( 503)640.1344 Fax: ( 503) 356.0513 Inspections for which no fee is 90.00! hr s actficall listed 56 hr min CCs] Lie.: 94275 I Electrical 34.375C Suprv, Lic.: 4724-S gyr1,,,0 64M1 =a r:' ,; L4 1, , 1 a >' ?' a c llll s Subtotal. 32ss,e4 Suprv. Electrician signature, required y] Y 6" — Plan review (25% of permit fee): Print name: Ron L. Kurt D ale: 6/2/10 State surcharge (12% of permit fee): 631.04 TOTAL PERMIT PEE: 5269.66 Authorized signature: n - J This permit application amble if a permit Is not obiatead within 180 , days after It tens been accepted as complete 2 Aol , Print name: Ron L. Kurtz Date: 8/2/10 a Number of inspections allowed p r pmmit I1Butldineemtiu \EICPermitApp.doc I0T0LIC9 440.4615t(I1 /0VCOMIW0D Jun 02 2010 2:51PM RK_Electric, —Inc. (5031 356 -0513 p. 2 Electrical Permit Application - City of Tigard Page 2 - Supplemental Informatian LIMITED ENERGY PERMIT FEES: ;. e dig x ,,.(�y,w ENN t Fee for a residential systems combined $67.84 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener'" ❑ Heating, Ventilation and Mr Conditioning System'" ❑ Vacuum Systems* ❑ Other: 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 ISiData Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nursc Calls ❑ Outdoor Landscape Lighting'' ❑ Protective Signaling ❑ Other �j Total number of commercial systems: O'-- "No licenses are required. Licenses are required for all other installations 1: saditisrumitsmc.pwm4App,d. 10/01:D9