Permit ,, CITY OF TIGARD ELECTRICAL PERMIT
t COMMUNITY DEVELOPMENT Permit #: ELC2011 -00391
T1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/15/2011
Parcel: 2S108AB03900
Jurisdiction: Tigard
Site address: 14262 SW 155TH TER
Project: Brentwood Estates Subdivision: Lot:
Project Description: (2) 200 amp temporary service for job trailer
Contractor: CLASSIC ELECTRIC LLC Owner: SUN RIDGE BUILDERS INC
P.O. BOX 1335 14912 SW SUMMERVIEW DR
SHERWOOD, OR 97140 TIGARD, OR 97224
PHONE: 503 - 259 -0459 PHONE:
FAX: 503 - 345 -0912
FEES
Quantity Description Date Amount
2 ea Temp Services or Feeders - 07/15/2011 $118.72
Specifics: 200 amps or less
1 ea 12% State Surcharge - 07/15/2011 $14.25
Type of Use: CMS Electrical
Class of Work: OTR
Type of Const:
Occupancy Grp:
Total $132.97
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 OA 9 1 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ,, /
Issued By: Permittee Signature: AZ/ � 0/1
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.
Jul 13 11 09:59p 503 - 345 -0912 p.1
Electrical Permit Application � v-1� FOR OFFICE USE ONl.I -
City of Tigard z C ��� YY + Received a �. �/_ Permit Not — LC ii _pp 41. • 13125 S W Hall Blvd., Tigard, OR 97 r101\ Plan R eview
>a Phone: 503.718.2439 Fax: 503.598.1960 1 Date/BV: Other Permit: T IG A R D Inspection Line: 503.639.4175 0" , p(I Date Ready/By: Suds: H See Page 2 for
Internet: ()V GTSV `.tiG I. ed/Method: � Supplemental Information
TYPE OF WORICCIA * `w` ` • PLAN REVIEW 7/4 003
❑ New construction El Addition/alteratioOaRtT►Cnt Please check all that apply (submit 2 sets of plans w /items checked below):
• ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ® Other: temp service where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 yaks or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
® 1- and 2- family dwelling 0 Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A , "E ", "t -2 ", "t -3
Job no.: Job site address: 14262 SW 155 Terrace 100HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: Tigard, OR ❑ Healthcare facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: Street of Dreams 0 Service or feeder 600 amps or more.
�,, FEE SCHEDULE
Q2 Q
Cross street/directions to job site: F N7' i) t9 A 57j- EI7 Description I Qty. I Fee. I Total I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: / 1,000 sq. ft. or less 168.54 4
Tax ma /parcel no.: Ea. add'I 500 sq. ft. or portion 33.92 1
P Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
Job trailer / t CK.— ,S/I -i S residential (with above sq. ft.)
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
401 amps to 600 amps 200.34 2
Name:
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and /or
City /State /ZIP: relocation
Phone: ( ) Fax: ( ) 200 amps or less 2 59.36 118.72 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 t 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits - new, alteration, or extension, r panel
Owner signature: Date: A. Fee for branch circuits with
® APPLICANT I ® CONTACT PERSON above service or feeder fee, 7 42 2
each branch circuit
Business name: Classic Electric, LLC B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: Thomas Adams branch circuit
Each add'l branch circuit 7.42 2
Address: PO Box 1335 Miscellaneous (service or feeder not included)
City/State/ZIP: Sherwood, OR 97140 Each manufactured or modular 67.84 2
h dwelling, service and/or feeder
Phone: (503) 259 - 0459 Fax: : (503) 345 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E -mail: thomas @classicelectricnw.com Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s) or limited - energy
Business name: Classic Electric, LLC panel, alteration. or extension. Page 2 , 2
Each additional inspection over allowable in any of the above
Address: PO Box 1335 Additional inspection (1 hr min) 66.25/ hr
Investigation (1 hr min) 66.25/ hr
City/State/ZIP: Sherwood, OR 97140 industrial plant (1 hr min) 78.18/ hr
Phone: (503) 259 -0459 Fax: (503) 345 -0912 Inspections for which no fee is 90.00 / hr
specifically listed (%= hr min)
CCB Lie.: 181851 Electrical Lie.: 414 -1// j Suprv. Lic.: 5339S ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: 7 Subtotal: 1 18.72
Plan review (25% of permit fee):
Print name: Thomas G. Adams Date: 7/13/11 State surcharge (12% of permit fee): 14.25
✓I Q t � ¢ " �� TOTAL PERMIT FEE: 132.97 ��
Authorized signature: ' / /1 This permit application expires if a permit is not obtained within 180
Print days after it has been accepted as complete.
rint name: Thomas G. Adams Date: 7/13/11
• Number of inspections allowed per permit.
CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT Permit #: ELR2011 -00170
T1GrARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/15/2011
Parcel: 1 S 135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 600
Project: New York Life Subdivision: Lot:
Project Description: Access control system
Contractor: STONER ELECTRIC Owner: LINCOLN CENTER LLC
1904 SE OCHOCO BY SHORENSTEIN PROPERTIES LLC
MILWAUKIE, OR 97222 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503 -462 -6500 PHONE:
FAX: 503 - 659 -4968
FEES
Description Date Amount
Specifics: Restricted Energy Permit 07/15/2011 $75.00
12% State Surcharge - Electrical 07/15/2011 $9.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio & Stereo: N Boiler Controls: N
CCTV: N Clock Systems: N
Data & Telecommunications: N Fire Alarm: N
HVAC: N Instrumentation: N
Intercom /Paging: N Landscape /Irrigation: N
Landscape Lighting: N Medical: N
Nurse Calls: N Protective Signal: N
Security Alarm: N Other: Y Total $84.00
Other Desc: 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 O' R 952 -r_ 01 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: , Permittee Signature: r/1/ < v / Z��%�O
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.
Jul. 13. 2011 4:51PM Stoner Electric Group No.8923 P. 1
Electrical Permit Application RECEIVE 1 FOR OFFICE I s4: ONE)
City of Tigard Dpi„ 7 // / �t P— iim.�L/2a0 // DO /
0 4 13125 SW Han Blvd Tigard, OR. 97223 J U L 1 3 2 011 Plan resew Lei
Phone: 503,639.4171 Pax: 503.598.1960 Datr/B : OtherPemul:
1.1G A n !r inspection Line: 503.639.4175 a Date Ready /By.. ltuiz la See Pagc 2 for
Internet: www.iigard -or.gov CITY OF TIG • NoIfiad/Mahod: r Supplemental Information
TYPE OF A1LDING DIVISION PLAN REDREW
❑ New Co ❑ Addition /alteration/replacement Please check all that apply (submit Z sets of plans w /items checked below): — ❑ Service or [ender 400 amps or more ❑ Building over three stories.
12 Demolition [] Other:
where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps st 150 volts or ❑ Floating buildings.
less to ground, or exceeds 11.000 ❑ Commercial -use agricultural
❑ 1 - and 2 - family dwelling geOrninergialimdus trial ❑ Accessory building amps tbr all other installations. buildings.
❑ Multi family ❑ Master builder ❑ Other: CI Fire pump. ❑ Installation 0[75 kVA or
JOB SITE INFORMATION AND LOCATION o Emergency �� larger separately derived system.
LI Addition or new rotor load of 0 "A' "G" "I- 2", "1_3"
Job no.: I Job site address: i0 2.60 5\,..) tom, vi OUvol 94 t00HF or r est Recreation.
❑Six or more residential units. ❑ Rtxrcatloanl vehicle parfcs.
City/State/ZIP: 17 6 op..
� / ^� 7 ❑Health- careIhcilitiee, ❑ Supply voltage for mo rethan
. l (7 r ❑ Hazardous locations, 600 voles nominal.
Sulte/bldg. /apt.n \1eW 7\/� L ( ❑servicomrood�tiooampsarrrore.
Cross street /directions to job site: FEE SCHEDULE
J naertpum L
Uri. i Fee. 1 ' I
New residential Slagle- or muill- family dwelling unit.
Includes attached garage,
Subdivision: I Lot no.: 1,000 sq. ft. or less _ _ 168.54 4
Tax map/parcel no.: Ea. add'l 500 sq. ft. or portion 33.92 1
Limited energy, residential 75.00 2
DESCRIPTION 01? WORK (with above sq. I)
Limited energy, multi - flintily 75.00 2
�j} 0. <(PSS Cp SY residential (With above sq. IL)
Services or feeders lnstallallonolteration, and /or relocation
200 amps or less 100.70 2
Q PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name: -
601 amps to 1,000 snips 301.04 2
Address: Over 1,000 amps or volts _ 552.26 2
City/StatelZlP: Temporary services or feeders Installation, alleralion, and /or
relocation
Phone: ( ) Pax: ( ) 200 ramps or less 1 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: • Dale: A. Fee for branch circuits with
❑ APPLICANT l ❑ CONTACT PERSON above service or ftodcr fee, 7.42 2
each branch circuit
Business name: B. Pee for branch circuits without
- _ service or feeder fee, first 56.18 2
Contact name; branch circuit
— Each add'l branch circuit 7.42 2
Address: Miscellaneous (service or feeder not included
Each manufactured or modular
City/State/ZIP: _ _ dwelling, service and/or feeder 67.84 2
-
Phone: ( ) Fax:: ( ) Reconnect only 6184 2
-- - Pump or irrigation circle 67.84 2
E -mail:
Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s) or limited- energy
, INC. panel, alteration, or extension. I
Business name. S TONER ELECTRIC, Page2 15; 2
Each additional inspection over allowable in any of the above
Address: 1904 SE O ___ CHOCO Additional inspection (1 in min) 66,25/hr
City/State/ZIP: MILWAUKIE, OR 97222 Investi�lionphrrrtin) 66 -25 / hr
industrial plant (1 to min) 78.18/ hr
Phone: ( 5031 i Fax. ( 503) 659 -4968 ' Inspections for which no fez is 90.00/ hr
specifically listed ('h hr min)
�CB Lic.: 44823 ✓ Electrical Lie.; 26 -122 Supra, Lie.: 3496S ✓ ELECTRICAL FEES
UU °° / / Subtotal: - 15 - 1
Suety, Electrician signature, required: m • ( Plan review (25% of permit fee); .
Print name: MICHAEL FALCONER Date: 7113/ I t State surcharge (12Ys ofpcnnit fcc): l e 00
TOTAL PERMIT FEE: iii, (so I/
Authorized signature: �\ t S i4rt This permit application expired Ira permit isoot obtained within 180
� y ! ►J days after It has been accepted as complete.
Print name: \ Dato:
. ,o i • �_ 1 • Number of inspections allowed per permit.
L1ByluArterermitbUaCC .Pemtiie.ppdoc 07/01/10 440- 4uliTtI1/0Y.COM/WEB
Jul. 13, 2011 4:51PM Stoner Electric Group No, 8923 P. 2
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for 211 residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Pee fot each commercial $75,00
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
❑ Hw.c
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
Other 5 (k)\
Total number of commercial systems: t
*No libenses ate requited. Licenses are required
fot all other installations
tauilai„aemiu1stc- PoraMDD.Aoc 07/01/10