Permit 1311111 rt CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2012 00290
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/21/2012
Parcel: 25101 DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 103
Project: Eagle Home Mortgage Subdivision: VARNS ACRES Lot: 4
Project Description: (15) branch circuits for TI in suites 103 & 104.
Contractor: A C & E ELECTRIC CO Owner: HILLTOP BUSINESS CENTER LLC
3535 DEL WEBB AVE NE #100 HUNZIKER LLC
SALEM, OR 97303 9430 NW KAISER RD
PORTLAND, OR 97231
•
PHONE: 503 - 363 -2301 PHONE:
FAX: 503 - 363 -2302
FEES
•
Quantity Description Date Amount
15 crt Branch Circuits wo /Purchase 05/21/2012 $160.06
Specifics: Service or Feeder
1 ea 12% State Surcharge - 05/21/2012 $19.21
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $179.27
• 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 •AR 952-001-4490. 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 S ignature: .rte ,, /C.4-77 '
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.
05/17/2012 12:20 50348 0 \/E AC &E ELECTRIC PAGE 02/02 S r
Electrical Permit Annhicatio>I AY 17 2012 POR OFFICE, USE ONLY
City of Tigard p , : -Sr� • ilPermit No,: , C , , /_ -el 0 '39 0
13125 S50 Han Blvd,. Tigard, OR " A` / QF TIGARD Plan Review Otllcr Perm te /a 'B0O -S"eZ
` Is ` ' Phone; 503.718.2439 Fax: 50 $� L 0
`, �i i
' 'U ) �'`iI � ; i r Dat Be. ,.
T 1 G n it p Ituspectlon Line: 503,639.4175 . �� Dm Bendy/By: 1 uri
Internet www.tigard- or.gov Notifed/Method: 17 El SecPage2fnr
Supplemental Information
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•
Please chock all that apply (submit 2 seta of plans w/items decked below):
r CI New construction l : dition /alteration /replaccmcnt 0 Service or feeder 400 amps or more 0 Building over three etonos-
❑ Demolition ❑ Other. where the available fault current ❑ Marinas and boatyards.
t - ""r a ,; exceeds 10,000 amps at 150 volts or CI Floating buildings ..;e:-.2..11.`-',2,:. ''� %. `;; 2.P.... •- .,• -� . +.. � * :, •'�- tl�c' <r t /. �: =2 lees to ground, or exceeds 14,000 0 Commerolal -use agricultural
[] I- and 2- family dwelling Q 'Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: 0Fite try: 0 Installation of 75 KVA or
7 i]Ertxrtl l �• larger separately derived system.
• - ' ., a a ' 1 '' ; 1 a r • 1 J ' ; • ?�s- « -'„ iO Addition of new motor load of 0 "A ", "E", 1-2", - 1-3".
e 100HP or more.
" occupancy, L
Job no.: Job site address: _i PL 4 , , f `.., 0 Six or mem residential units. 0 Rcote*Honnl vehicle parks.
CI Health-can facilities, 0 Supply voltage far more than
3 City /State/TTP: %- ��r �J.! 600 who nominal.
I O � � Hazardous locations.
9uite -/ apt no.: ! / ' reject name: C I or feeder 600 amps or more.
4I0 �.� =! si b!' �,
Cross street/directions to job site: neeeriotlea i ow. i Fee. 1 Total I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: [ Lot no.: 1,000 sq. R or less 168,54 4
En. add'l 500 sq. R or portion 33.92 1 —
Tax map /parcel no.: Limited energy, residential 75.00 2
T:4:: . ' = '. d o o - i ' ','N . ', i 7 r, _:r ?_:1 (with above Sq. R.)
.. _ : `. i d Y14 . _ . .. .n energy, multi- family
Limited
7 r 2 •
((�� residential (with above sq, R)
75.00 2
1 Jr� Services or feeders installatinn adon and/or relocation
200 amps or less 100,70 2
,7,,"...i.-1,-,': . ,, . . ru . • • ;;.. •f. 201 amps to 400 amps 1'33,56 2
401 amps to 600 amps 200.34
Name: 601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552,26 2
Temporary services or ileeders installation, alteration, and/or
City /StateJZIP: reloca
200 or (�q 59.36 1
Phone: ( ) I Fax: ( ) 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 168.5 1 2
intended for stole, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - new, alteratio or extension, per panel
Owner signature: Date: A, Fee for branch circuits with
.,Y.•, above
,:. _ � -l= ���:s i�:T.'�+: - .::
-• - - . 7 "� o rv7,i�t�r1'iT ;L a av , c;''�.. � m feeder fee. J I/
each branch circuit 7.42 / D3 •$a 2
B. Fcc for branch circuits without �-y"
• c •" ;. ,-. Business name: service or feeder fee, first 1 56.18 ,rw. lb 2
branch circuit
Contact name: Each add'l branch circuit 7,42 - J 2
Address: miscellaneous (service or feeder not included)
Each manufactured or modular 67,84 7
City /Statu/ZIP: dwelling, service and/or feeder
Reconnect only 67,84 2
Phone: ( ) Fax: : ( ) Pump or irrigation circle 67.84 :
SIgn or outline lighting 67.84 •
_ --
• : `• Yv+[ °fCe- a ' _ - c Signal circuit(s) or limited - energy
" • a � r panel, atterntlon, or exttension. _ Page 2
Business name: t* Each additional inlpection over allowable in any of the above
Additional inspection (1 hr min) 66.25/ hr
Address: �% , ^ - 66.25/ hr
Investigation (1 hr min) _
City/State/ZIP: ... I / _ / .r/ _industrinl plant (1 hr min) 78.18/ hr
( : ( ) ', •
�� a. � Inspections Por 14 no fee is 90,00 / hr
Phony Inspei ctio listed which hr min
R �1 Suprv. Lie. S , r - ;'':fig iru .`•. ,'.�,'E„ ': ��' -: 'tee ?:.
��� Subtotal:
r i Suprv, Eleetrtcian signature, required: Plan review (255/'3 of permit fcc) /� S / 7 A)-- State surcharge (12% of permit foe): //
/ Pr int name: Date: /'
,, . . . _• A TOTAL PERMIT FEB:
Authorized signature: This permit npptimtion expires if a permit is not obtubaZit32
days after it hes heed accepted as complete.
Print name: Date: • Number of irispectione allowed per permit
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