Permit CITY OF TIGARD ELECTRICAL PERMIT
- r ,. COMMUNITY DEVELOPMENT Permit #: ELC2011 -00508
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 Date Issued: 09/14!2011
Parcel: 2S 101 CA00400
Jurisdiction: TIGARD
Site address: 7940 SW HUNZIKER ST
Project: Charter Mechanical Subdivision: 2007 -064 PARTITION PLAT Lot: 1
Project Description: Electrical for parking lot lighting
Contractor: CAPITOL ELECTRIC CO INC Owner: RUSSELL FAMILY LIVING TRUST
11401 NE MARX STREET DAWN NEW HUNZIKER LLC
PORTLAND, OR 97220 WELLS APARTMENTS LLC ET AL
401 19TH ST NE, NO.4
EAST WENATCHEE, WA 98802
PHONE 503 - 255 -9488 PHONE
FAX 503 - 257 -7121
FEES
Quantity Description Date Amount
2 ea Services or Feeders - 200 09/14/2011 $201 40
Specifics: amps or less
10 crt Branch Circuits w /Purchase 09/14/2011 $74.20
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 09/14/2011 $33.07
Electrical
Type of Const:
Occupancy Grp:
Total $308 67
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 9 2- 001 -0090 You m obtain a copy of - co er- drrect questions to OUNC by calling 503 232 1987 or 1 800 332 2344
Issued By: _ 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.
F 'FOR OEE10E"USE:ONLY • .
Electrical Permit Application Received
Permit no �I �
City of Tigard Date /By e iii // NM f ' U OSZJ .
ar° } .`s w 13125 SW Hall Blvd., Ttgard, OR 97223 flan Review
�` 4 Y Y'
Other Permit
1114
4 - ad'• Phone: 503,639 4171 Prix: 503.598 1960 � Date /By
;TIGA
s R i 5, - Inspection Line SS 639 4175 fb Date Read /B See Page 2 1w
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%,,,,,,--,7,- ' s Pl ease check all that apply (submit 2 sets of plans w /items checked below )
❑ New construction ❑ Addition /altcrationh eplacement e PP Y ( P
❑ Demolition CI Other e • ..:5 ❑ Service or feeder 400 amps or more ❑ Building over three stories
4: a d :4: FIff,, (t/ CAT, EGOR,Y.',OI ?T;ONSTRU, - s,;` Na•' :° '` °. whe re the available fault current ❑ boatyards
Marinas and boat
.a, ...,..� ta >a,<;.r ,�sk,y.'��:�i '5�� H �� '�� °s� &�FU °"�t�Ei.�: , ' l
Y
❑ I - and 2- family dwelling H Commercial /industrialPessory building exceeds 10,000 amps at 150 volts or ❑ Floating buildings
❑ Multi-family ❑ Master Budder ❑ Other less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
," A ' -' :' �')" JOB SITG'INFORMA ANI) LOCA"IieoW _ -' �° al °'t1" ):": amps for all other installations buildings
Job no 111311 Job site address 7940 SW Hunziker Rd. El Fire Pump 17 Installation of 75 KVA or
❑ Emergency system larger separately derived system
City/State/ZIP Portland, OR. 97223 17 Addition of new motor load of ❑ "A ", "E ", "1 -2 "1 -3 ",
100HP or more ❑ occupancy
y, 1' it /r' El Six or more residential units ❑ Recreational vehicle parks
Suite /bldg /apt no : Protect name
� f I� ' ( ❑ Health -care facilities ❑ Supply voltage for more than
Cross Street /Directions to job site ❑ Hazardous locations 600 volts nominal
❑ Service or feeder 600 amps oi more
;°
,.P,„ x': '`'0'1 ", .,T =a'10-`'t ' '� -1` „
Subdivision Lot no
Descr pnon I Qth. I Fee I Tntat **
Tax map /parcel no New residential - single or multi- family dwelling unit.
4i` e .7,:;t;4F,,,, # g''irz, ; ,,; b ','S .' =DESCRIPTION OF -WORK" 1:J) i 61 ..t Ltis, --- t) ,j Includes attached garage.
Connex Yard lighting and power wiring 1000 sq It oi less $ 168 54 4
Ea. Add'I 500 sq ft 01 portion $ 33 92 I
t,r❑ , P,ROPERTYyO,WNER} ° t , z " I , : . -.'s , _`,❑,;TENANT. < ;;;; i V 3 :=`'tQ w ` ^';,i Limited energy residential
Name (with above sq R.) $ 75 00 2
Limited energy, multi - family
Address residential (with above sq ft ) $ 75 00 2
Service or feeders installation, alteration, and /ot relocation
200 amps or less 2 5 100 70 201.40 2
City/State/Z1 P
201 amps to 400 amps 5 133 56 2 ,
Phone Pax. 401 amps to 600 amps $ 200 34 2
601 amps to 1000 amps 5 301 04 2
Owner installation: This installation is being made on property that I own which is not Over 1000 amps or volts $ 552 26 2
intended for sale, lease, rent or exchange, .recording to ORS 447, 449, 670, and 701 Temporary services or feeders installation, alteration, and /or
Owner signature Date relocation
200 amps oi less S 59 36 1
,N;)' ❑,,:„AI'PL:ICA'NT 5" ; -t '$s° s; : : :: I, - , ,, ❑ , ,CON;I'AC5F.Pl?RS.ON5'=' 4 = 201 amps to 400 amps 5 125 08 2
Business Name. 401 amps to 599 amps 5 168 54 2
Branch circuits - new, alteration, or extension, per panel
A Fee for branch cheats with
Contact name
service or feeder fee, each
branch cicuit 10 S 7 42 74 20 2
Address
B Fee for branch e scu its
City/State/ZIP without service or feeder fee,
firs! branch circuit $ 5 6 18 2
Phone lax Each additional branch circuit 5 742 2
Miscellaneous (service or feeder not included)
E -mail Each manufactured or modular
4" ( 'v- ` °' ff;„ 5, ,t ;)f ` "k' v.' . ','
_ ^�� z , �.. �� ; �z.�, „, 3 = � 'aC!ONTd2AQ f`OR� , _ "d ;; " ; � � _ _ �'���� °_<-�w �� — dwell ing, service and or t ao d m 5 6 8 2
Business Name. CAPITOL ELECTRIC CO., INC. Reconnect only $ 67 84 2
Pump or s rigation circle $ 67 84 2
Contact name: Sign or outline lighting $ 67 54 2
Signal eircwt(s) oi limited -
Address: 11401 NE MARX ST. energy panel, altelauons, or
extension Describe $ 75 00 2
City /State /ZIP PORTLAND, OR 97220 - 1041 Page 2
Each additional inspection over allowable in any of the above
Phone* 503 - 255 - 9488 Fax 503 257 - 7121 fey inspection $ 66 25
Investigation pet hour (I hi non) $ 66 25
CCB Lie 48748 I Elecutcal lie 26 -496C St nv. Lie 7 �'fa -1S Industrial plant pct hour $ 78 18
ELECTRICALPEaMPli'FEESI."- _ ir:- p `2 ^, ': >.;h °as'c ":' 3 .t • Sum v. Electrician signature, regw
Subtotal $ 275.60
Print Name' Richard Martin Date 09/1 Plan review (25 %ol permit fee)
Author ized signature ' / ' State surcharge ( 12% of per mit lee) $ 33.07
TOTAL PERMIT FEE $ 308.67
Print Name Richard Martin nit, p.m( application expires if a pet nut in not obtained within IN
days alter it has been .incepted as unnptete
* Number of mspccnons per penut allowed
IAt3uddmgVI'emmu\ELC- PcrnutApp dos 1il /01 /(P7 440 -15(5 i(1 I /US /C OM /w1.13