Permit •
CITY OF TIGARD REVESED ELECTRICAL PERMIT
r3 COMMUNITY DEVELOPMENT I if $ Permit #: ELC2012 -00638
T IGARD 13125 SW Hall Blvd., Tigard OR 97223 .503.718.2439 Date Issued: 1 Parcel: 1 S135DC0
- S135DC00200
• Jurisdiction: Tigard
Site address: 11825 SW GREENBURG RD 111
Project: Spec Space Subdivision: TIGARDVILLE PARK Lot: 8 •
Project Description: (4) branch circuits for TI 11/15/12 REPRINT adding (1) low voltage for phones, computers
Contractor: VAST ELECTRIC Owner: TWO G'S REAL ESTATE LLC •
1525 SEATTLE SLEW DR. SE 18395 WOOD THRUSH ST
SALEM, OR 97301 LAKE OSWEGO, OR 97035
PHONE: 503-566-7274 PHONE: 503 - 684 -0550
FAX: 503- 585 -8828
FEES
Quantity Description Date Amount
•
4 crt Branch Circuits wo /Purchase 11/06/2012 $78.44
Specifics:, Service or Feeder
1 ea 12% State Surcharge - 11/06/2012 $9.41
Type of Use: COM Electrical
Class of Work: ALT 1 ea Limited Energy 11/15/2012 $75.00
Type of Const: 0 ea 12% State Surcharge - 11/15/2012 $9.00
Electrical
Occupancy Grp:
Total $171.85
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 through OA 52- 001 -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: OYU i Permittee Signature: DA 4?'t'u! i4 I , Q&j
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.
•
CITY OF TIGARD ELECTRICAL PERMIT
- a ; COMMUNITY DEVELOPMENT Permit #: ELC2012 -00638
T f G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11 /06/2012
Parcel: 1 S135DC00200
Jurisdiction: Tigard
Site address: 11825 SW GREENBURG RD 111 •
Project: Spec Space Subdivision: TIGARDVILLE PARK Lot: 8
Project Description: (4) branch circuits for TI
Contractor: VAST ELECTRIC Owner: TWO G'S REAL ESTATE LLC
1525 SEATTLE SLEW DR. SE 18395 WOOD THRUSH ST
SALEM, OR 97301 LAKE OSWEGO, OR 97035
PHONE: 503 - 566 -7274 PHONE: 503 684 -0550
FAX: 503 - 585 -8828
FEES
• Quantity Description Date Amount
4 crt Branch Circuits wo /Purchase 11/06/2012 $78.44
Specifics: Service or Feeder
1 ea 12% State Surcharge - 11/06/2012 $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 through OA 9 2- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344,
� "Tr
Issued By: Permittee Signature: O 80 /t_FITIOL
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.
Nov 14 12 03:25p Vast ElectrkRECEivED 503- 585 -8828 p.4
Electrical Permit Applicat' y FOR 01 FIC F: USE ONLY
1 14 2012 Received
City of Tigard • DateJB - Permit No.: ELC2012 -00635
5 .
13125 SW Nall Blvd.. Tigard r r TIG' °
a Plan Review
C Phone: 503.718.2439 Fax: c.' 1 t ~" t "'
Date , Other Permit:
Inspection Line: 503.639.41
v if 1 • DIVISION Date Ready/B 11 Q 1 S la See Page 2 for
1 i V A R D Notified/Method; thod: Informs ion
Internee www.tigard- or.vo�• Supplemental
TYPE OF WORK . PLAN REVIEW
Please check all that apply (submit 2 sets of plans w /items checked below):
❑ New construction ® Addition /alteration/ replacement
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
ID 1 -an 2-family dwelling less to ground, or exceeds 11,000 ❑ Commercial -use agricultural
1- ® Commercial; industrial ❑ Accessory building amps for all other installations buildings
❑ Multi- family ❑ Master builder ❑ Other price pump. ❑Installation of 75 KVAor
❑ Emergency
JOB SITE INFORMATION AND LOCATION Addition
o system. larger separately derived system.
0 of new motor load of ❑ "A ", "E' "I -_ 1 3
Job no.: I Job site address: 11925 SW G reenbu g Rd 100HP or more. Reere cy
❑ Six or more residential (mils. ❑ Recreational vehicle parks
City: State /LIP: Tigard, OR ❑ Health-care facilities. ❑ Supply voltage for more Than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: 1 f 1 Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions Co job sitc: 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. R. or less 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 1
Tax map /parcel no.:• Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. R)
Limited energy, multi- family 75.00 2
Adding low voltage to permit #ELC2012- 00638 residential (with above sq. It)
Services or feeders installation, alteration. and/or relocation
200 amps or less 100.70 2
I ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
i Name:
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
CilyiStatefZlP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 59.36 I
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 165.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits— new, alteration. or extension, per panel
Owner signature: Date: ! A. ice for branch circuits with
❑ APPLICANT 1 ❑ CONTACT PERSON above service or feeder fee, 7 42 2
. each branch circuit
Business name: Vast Electric, Inc. : B. Fee 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 %LIP: dwelling, service and/or feeder 67.84 2
Phone: ( ) Fax :: ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E -mail:
CONTRACTOR Sign or outline lighting 67.84 2
Signal circuit(s) or limited-energy
Business name: Vast Electric, Inc panel, alteration, or extension. 1 Page 2 _ 75.00 2
Each additional inspection over allowable in any of the above
Address: 1525 Seattle Slew Dr Se Additional inspection (l hr min) 66.25/ hr
Investigation (1 hr min) 6625/ hr
C ity. StateJL1P: Salem, OR 97317 Industrial plant (t hr min) 78.1&' hr
Phone: (503) 799 - 5627 Fax: (503) 585 -8828 Inspections for which no fee is I
specifically listed (% hr mm) 90.0011u
CCB Lic.: 175531 I Electrical Lic.: C - 280 Supn•. Lie.: 5186S ELECTRICAL PERMIT FEES
Suprv. Electrician signature, requited'_ ���1 Subtotal: 75.00
��l.wi'
� % � ' - Plan review (25%ofpermit far):
Print name: Tim Vander Stoep Date: 11 14/2012 State surcharge (12% of permit fee): 9.00
Authorized signature:
TOTAL PERMIT FEE: 84.00
•
This permit application aspires ire permit is not obtained within 180
Print name: days after it has been accepted as complete.
Date: • Number of inspections allowed per permit.
r'ea:dmgwe renoit App doe 07.ro1/10 440-1615T(IIJOSICOM/WEB
Electrical Permit ApplicationRECEI FOR OFFICE [SE ONLY
City of Tigard
IIIII 11 �� Received ' •
13125 51V Hall Blvd., Tigard, OR 97223 NOV 6 2012 Datc/Bv: 1 Ii a— s r Permit No: Ce.e a- oe� 3s
Plan Review -awe
Phone: 503.7182439 Fax: 503.598.1960 Date/By: �" r Permit I a -O��b
T I G A K ll Inspection Line: 503.639.4175 CITY TIGARD Date Ready/B.: Rorie. ®PP Page 5 for
Internet: vvww.tigard- or.gov CITY ((�� I ���/p�e����{{ Notified/Melhud; / Su lerueotal Information
TYPE OF �G DIVISION PLAN REVIEW I
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit a sets of plans w /items checked belowy
❑ Service or feeder 400 amps or more 0 Budding over three stories.
❑ Demolition ❑ Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial-use agricultural
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps for all other installations. buildinp
❑ Multi family ❑ Master builder ❑ Other: ❑ fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A" ' t ', ' I -2" "I -3'
I 10111-1P or more. occupancy.
Job no.: Job site address: 11825 SW Greenburg Rd
I ❑ Sir or more residential mails. ❑ Recrattior.al vehicle parks.
City/Stale/ZIP: Tigard, OR
❑ Ilcalth .caw facilities. ❑ Supply voltage for more than
❑Ilarardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: 111 Project name: ❑ Service or feeder 600 amps ar more.
FEE SCHEDULE
Cross street/directions to job site: Dewriptlon I Qtr.. I Fee. I Total I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: 1 Lot no.: 1.000 sq. R or less 168.54 4
Tax map /parcel no.: Ea add't 500 sq. B. or ponton 33.92 1
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. R.)
Limited energy, multi- family 75.00 • '
Tenant improvement residential (with above sq. ft.)
I
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 . 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2
401 amps to 600 amps 20034 2
Name:
601 amps to 1.000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26
Temporary services or feeders installation, alteration, and/or
City /State,'Z1P: relocation
• Phone- ( ) 1 Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not
intended for sale, !rase, rent, or exchange, according to ORS 447, 449. 67D, and 701. 401 amps to 599 amps 168.54 2
Branch circuits– new, alteration, or extension. per panel
Owner signature: Date: A. Fee for branch circuits with
® APPLICANT l ❑ CONTACT PERSON above service or feeder fee. 7 42
each branch circuit
Business name: Vast Electric, Inc. B. Fee for branch circuits withora
service or feeder fee. first I 56.1 2
Contact name: Trung Nguyen branch circuit 56.18
Each add'I brunch circuit • 3 7.42 22 26 2
Address: 1525 Seattle Slew Dr SE Miscellaneous (service or feeder not included)
Each City /StateiTlP: Salem, OR 97317 dwelling. service and/or or r modular 67.84 2
dwelling service and/or feeder
Phone: (503) 793-0871 Fax: : (503) 585 -8828 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E -mail: vastelectric @comcast.net
Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s) or limited- energy
Business name: Vast Electric, Inc. panel. alteration, or extension. Page 2 ?
Each additional inspection over allowable in any of the above
Address: 1525 Seattle Slew Dr SE , Additional inspection (I hr min) 6625/ hr
City /State/ZIP: Salem, OR 97317 Investigation (1 hr min) 66.251 hr
Industrial plant (1 hr min) 78.1 8 / hr
Phone: (503) 799 -5627 Fax: (503) 585 - 8828 Inspections for which no fix is 90.00/ hr
specifically listed (% hr ruin) _
CCB Lie.: 175531 Electrical Lie.: C -281 — Suprv. Lie.: 5I86S ELECTRICAL PERMIT FEES
Suprv. Electrician signature, requirex f _ • Subtotal: 78.44
( is•1 -, Plan review (25 lee):
Print name: Tim Vander Stotp D. 1.4. 11/9/2012 State surcharge t fee): 9.41
TOTAI. PERMIT FEE: 87.85
Authorized signature: This permit application ra pirm if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: 1 Date: • Murtha of inspections allowed per penniL
1.1 Building \Peretits'ELC- PsmitApp.doe 07,01;10 40.461ST( 11105,COMUWE3
£•d 9299 - £09 'Out o!Jpel3 iSen 8 91. :01 Zl 90 AON
Nov 14 12 03:25p Vast Electric Inc. 503 -585 =8828 p.5 .
Electrical Permit Application - City of Tigard
•
Pagel - -Information ;
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all 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:
Fee for 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
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other Phone. computer
Total number of commercial systems: 1
*No licenses are required. Licenses are required
for all other installations
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