Permit 11 CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2012 -00239
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/25/2012
• Parcel: 2S101BD00200
Jurisdiction: Tigard
Site address: 8001 SW HUNZIKER RD
Project: Klokke Warehouse Subdivision: 1994 -025 PARTITION PLAT Lot: 2
Project Description: (4) branch circuits for lighting change.
•
Contractor: PRO STAT SERVICES LLC Owner: TIGARD DISTRIBUTION CENTER LLC
8122 NE 92ST STREET 4800 SW MACADAM, STE 120
VANCOUVER, WA 98662 PORTLAND, OR 97239
PHONE: 503 - 539 -7772 PHONE:
FAX: 309 - i 5- 748 -790 p 37 q
3G o — - FEES
Quantity Description Date Amount
4 crt Branch Circuits wo /Purchase 04/25/2012 $78.44
Specifics: Service or Feeder
1 ea 12% State Surcharge - 04/25/2012 $9.41
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
•
Total $87.85
•
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 throug R 95 -00 0. 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: O/V "17 , L� -70 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 603.639.4175 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.
Apr 2512 10:28a Prostat 360 -859 -3749 p.2
Electrical Permit Applic ! . , �' FOR OFFICE I ISE ONLY
City of Tigard
�� �c / _• % ® Pemtitxn£L �_ / /2 -00. i
I 2 5 13125 SW Hall Blvd., Tigard, OR 9 sir • Plan Rcvic •
Phone: 503.639.4171 Fax: 503.598. I' . D Other Pe''m't
l 1 C; tt D Inspection Line: 503.639 �/ Or C -r 'GA 1 Dale Ready/Ely: 1 See Page 2 for
Internet: vnvw.tigard -0f.gOV GI 1 1 Notfied!Method: / l(� 0 Supplemental Infornulioa
Ill DWGION
TYPE. 016 • PLAN REVIEW
Phase check all that apply (submit 2 sets of plans wliteins checked below):
❑ New construction ® Addition/alteration/replacement
Other: Cl Service or feeder 400 amps or more ❑ Building over three stories.
, ❑ D emolition
❑ where the available fault =eat ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings
1- and 2 famil dwelling ommerCa�tldltstrial c building less to ground. or exceeds 14.000 ❑ Commercial -use agricultural
❑ y i g ® C iL ❑ Accessory g 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 alum motor load of ❑':1:. E , 1 °l -3
Job no.: Job site address: 8001 SW HUNZIKER Rd 100IIPo occupancy.
OSix or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: Tigard, OR ❑Healthrme facilities. CI Supply voltage for more than
❑ Hazardous locations. 600 tolls nominal.
Suite/bldg./apt. no.: Project name: KLOKKE WAREHOUSE ❑ Service or feeder 600 amps or more.
Cross street/directions to job site: FEE SCHEDULE r . I -
Description I Qtr. I Fee. I Taal r
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'1500 sq. (L or portion 33.92 1
Tax map/ parcel no.: Limited energy, residential 67.84 2
DESCRIPTION OF WORK (th above sq. ft.)
La htio Change Limited energy, multi family i 2
67.84
g g g residential (with above sq. ft.) i
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
® PROPERTY OWNER I 0 TENANT 201 amps to 400 amps 133.56 2
Name: Deering Manangement Grooup
401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: 4800 SW Macadam Avenue Over 1.000 amps or volts 552.26 2
City/State/ZIP: Portland, OR 97239 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503)225 -1545 Fax: ( ) 200 amps or less 59.36 t
Owner installation: This installation is being made on property that I own which is not 201 amps 1n400 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, Rer panel
Owner signature: Date: A. Fax: for branch circuits with
® APPLICANT ® CONTACT PERSON
above service or feeder fee 7.42 2
each branch circuit
Business name: PROSTAT SERVICES B. Fee for branch circuits without
service or feeder fee, first 1 t 8 56.18 2
Contact name: Dale Krueger branch circuit
Each add'I branch circuit 3 7.42 22.26 2
Address: 8122 NE 9l Street Miscellaneous (service or feeder not included)
Each manufactured or modular
City/State/ZIP: Vancouver, WA 98662 dwelling. service and/orfeaxfer 67.84 2
Phone: (503) 539 - 7772 Fax: : (360) 859 - 3749 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E -mail: dale.krueger@comcastnet
Sign or anima lighting 67.84 2
CONTRACTOR Signal circuit(s) or limited-energy
Business name: PROSTAT SERVICES panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 8122 NE 91" Street Additional inspection (1 hr min) 6625 / hr
Investigation (1 hr min) 66.25/ hr
City/State/ZIP: Vancouver, WA 98662
Industrial plant (I hr min) 78.18/ hr
Phone: (503) 539 - 7772 I 14 Fax: (360) 859 - 3749 Inspections for which no fee is
( specifically listed (%a hr min) 90.00/ hr
CCB Lic.: 189902 I Electrical Lie.: C597 Suprv. Lie.: 50448 ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 78.44
Plan review (25% of permit fee):
Print name: Bob Gray J Date: 4/25/12 State surcharge (12%of fee): 9.41 /
TOTAL PERMIT FEE: 87.85 ✓
Authorized signature: This n application expires if a
P� ppl pi permit is not obtaimed within 180
Print name: Brandon Krueger days after it has been accepted as complete.
g �..k L._ Da te: 4/25/12 • Number of inspections allowed per permir.
t :'aufdmgTermits'D C-PemibApp.doe toioi /07 440-4615T(11/05jCOM,WEB
Apr 2512 10:28a Prostat 360 - 859 -3749 p.1
TELEPHONE: 360-521.5742 503.539 -7772 PROSTAT SERVICES
EMAIL prostatbrandon@gmall.com
dale.knueger comcast_ net
RECE! V
Fa)( APR 252012
CITY OF B UI D NC D1iViSiO
N
To: CITY OF TIGARD From: BRANDON KRUEGER
CITY OF TIGARD Pages: 3 (includes cover)
Fa,c 1- 503 - 598 -1960 Date; April 25, 2012
Phone: 1 -503- 718 -2448 Re: ELECTRICAL PERMIT NEEDED ASAP
❑ Urgent ❑ For Review ❑ Please Comment X Please Reply ❑ Please Recycle
• Comments:
The following is an application for an Electrical permit that is needed asap please. If
anything else is needed, please contact Brandon Krueger at the number below.
PLEASE FAX PERMIT TO: 360 - 859 - 3749
Thanks for your help.
Brandon Krueger
Prostat Electric
6115 East 18 Street Unit B
Vancouver, WA 98661
360- 521 -5742
360 - 859 -3749 FAX