Loading...
Permit a CITY OF TIGARD ELECTRICAL PERMIT 11111 '- - COMMUNITY DEVELOPMENT Permit #: ELC2009 -00523 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/07/2009 Parcel: 25101 DB00100 Jurisdiction: Tigard Site address: 7320 SW HUNZIKER RD 200 Subdivision: Lot: 0 Project: Angel Vision Project Description: Add /alter 6 branch circuits for TI. Owner: FEES HILLTOP BUSINESS CENTER Quantity Description Date Amount 9430 NW KAISER RD PORTLAND, OR 97231 6 crt Branch Circuits 10/07/2009 $93.28 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 10/07/2009 $11.19 Electrical Contractor: AC & E ELECTRIC 3535 DEL WEBB AVE #100 SALEM, OR 97303 PHONE: 503 - 363 -2301 FAX: 503- 363 -2302 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $104.47 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 QAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246 6699 or 1.800.332.2344. Issued By: rk C lLiN-' 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. Thls 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. RECEIVE) . E Permit Application - FOR OFFICE 'USE ONLY City of Tigard OCT 0 7 2009 �ate/By: Permit No.:. . 00- , es 114 - ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 CIT OF TIGARD Date/I3 : Other Permit: y . a 2.-011. (5 e' / 81 TI GARD Inspection Line: 503.639.4175 BUILDING DIVISI S i Ready /By: Juris: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method R) t 1 Supplemental Information :.- ...„,,, 0 ,.. ,;; _ `"r °r; „' ° 9 "x''. ` , g:a ".,..a>..A.... ,.�r '•�'i .rte f ;t 'PL A N;.REVI. . 4 :' » , . :. .TYPE OI✓',,,W. RK �; , x'^� o z„ r. r ❑ New construction ® Addition/alteration /replacement 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. ❑ Demolitio ❑ Other: where the available fault current ID Marinas and boatyards. q. "-tr W ; '„ -; 1 ,,,' JW1 " 1:'' i exceeds 10,000 amps at 150 volts or ID Floating buildings. ' 11'-. E„ 5, ;,,�,�• *,w.,...... LICTiQN' .,. . - , :,;2 :4 1 ,, ,. �: . _ �6s.v;, : Gt1TE{7QRY OF <C(? < . ,., , >.;'t _ __...<<..:.:. 14,000 Commercial-use It less to groun or excee 14 , 0 0 ❑ Comme is tlse agricu ura 1. ❑ $ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations buildings. ❑ Multi - family t ° a w::;:.. . system. system. 0 builde ❑Other' pump. Installation 75 Emergency cyst larger separately d Fire of or ❑ Em e n 1 at derived s st � `�. Y' ; < °JQB? SITE; IlYFOI2M ' k , LOCA '' ; : Addition of new motor load of ❑ `A "E ` 1-2', "1-3 ", . .:.. >,..,,_. ..- fir., . , ,,, , : ,.. a. �; ii m*: . -,_ ..., . :. ,,,�.. mo w,,.:.... Job no.: Job site address: 7320 Hunziker 100HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: Tigard, OR ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations 600 volts nominal. Suite /bldg. /apt. no.: 200 Project name: Angel Vision TI ❑ Service or feeder 600 amps or more. Cross street/directions to job site: 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 Ea. add'l 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: y Limited energy, residential 67.84 2 °'i l " <�_ > >�.:, �DESCRIP•TION A"° (with above sq. ft.) : TI remodel Limited energy, multi - family 67.84 2 residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation 200 amps or less 100.70 2 :: ;P.ROP'ERT`Y ;O ° = TEIYAN"I3a,1 °, ° 201 am 0 am s 133.56 2 :; F� >���,•^• r`,ri�c ... " .. ... .... ,. : xsro.�y: „F %. �• - -r� °: ;��z'�... .... ,.- �.,,.:1'E . � �, . >, � s to 40 p Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City /State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) 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 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel g A. Fee for branch circuits with ,:,, :. '>-� .. - ,;, i ,, abo service or feeder fee ��• � A 1?T:I A1�rT3• ' =G ©NT k PERSONS "'�•, ,:..�'i ���,:: ... _„ ,. ....G- ,,,,,... , „; . ;.�, -;.,� .." ....: °[� ....�, ...., 7.42 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 1 56 18 56.18 2 first branch circuit Address: Each add'l branch circuit 5 7.42 37.10 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 �.^I, -: e, 1:x :.. r : , : t. r r , •>r 7 - in lighting PaW�; �_;,:. - ,:�::;�' CpN'1'RAC'T'QIt • - `,�:�,: •�� '�: S or outline b g . 67.84 2 ��......, x. r.- `:,, ,,..�... .... " w ..tip...., ..'�,' ... / Signal circuit(s) or limited - Business name: AC &E Electric energy panel, alteration, or Address: 3535 Del Webb Ave NE extension. Describe: Page 2 2 City /State /ZIP: Salem, OR 97301 Each additional inspection over allowable in any of the above Per inspection '66.25 Phone: (503) 363.2301 Fax: (503) 63.2302 , Investigation per hour (1 hr min) 66.25 : CCB Lic.: 591 Electrical Lic.: 2 Suprv. Lic.: 5387S Industrial plant per hour 78.18 ' ' AEI ECTRICAI ERIYIIT FEES g <',' ;. Suprv. Electrician signature, required: Subtotal: 93.28 40.1s/ Lid....„._ Print name: Carl Duncan Date: 10/2/09 Plan review (25% of permit fee): State surcharge (12% of permit fee): 11.19 Authorized signature: TOTAL PERMIT FEE: . 104.47 Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. * Number of inspections allowed per permit. 1:\Building\Permits\ELC- PermitApp.doc 10/01/09 440- 46t5T(11 /05 /COM/WEB