Permit y ' CITY OF TIGARD ELECTRICAL PERMIT
ill
- . 3 : COMMUNITY DEVELOPMENT Permit #: ELC2013 -00013
• TIGARD. 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/09/2013
Parcel: 25101 DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 300
Project: Eagle Home Mortgage Subdivision: VARNS ACRES Lot: 4
Project Description: (9) branch circuits for TI
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
9 crt Branch Circuits wo /Purchase 01/09/2013 $115.54
Specifics: Service or Feeder
1 ea 12 %State Surcharge - 01/09/2013. $13.86
Type of Use: COM Electrical
Class of Work: ALT '
Type of Const: '
Occupancy Grp: .
. Total $129.40
Required Items and Reports (Conditions)
This pe•• is issued subje• to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be d' e in accordance with a• •rove• • -ns. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
day -. ATTENTION: Oregon law equires you to follow the rules adopted by the Oregon Utility Notificati• • -nter. Those rules are set forth in OAR
95' -001 -0010 th ,. gh OAR 952 - ill
'090.Y ■ obtain a copy of the rules or direct questions to OUNC by ' ....1. • . 03.232.1987 or 1.800.332.23 • • .
i
1 ued By: � " Permittee S . � :, / rc
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.
01/08/2013 15:48 50348 �. - _ CEIVED AC &E ELECTRIC FOR OFFICE, Usr p�1 � PAGE 02/02
Electrical Permit A.pplica t
City of Tigard JAN 0 8 2013 Received f ACKMappol permitNo.: le6 A/5 - 40 621 3
q 13125 SW Nall Blvd., Tigard, OR 97223 Plan Review other Permit: �dup�o� ODa
A ' Phone: 503.718.2439 Fax: 503.,5®EIl fOOF TIGARD bate/13 .
Inspection Line: 503.639.4175 V Date Ready/By: furls; IB See Page 2 for
TI GA Internet: www.tigard- or.gov BUILDING DIVISION Notified/Mothod: Supplemental Iefarmadon
Y r• k S'•rt F 1+' ee r
❑ New construction ® Addition/alteration/replacement Please check all that ripply (submit I sets of plans wfitcma checked below);
0 Service or tecder 400 amps or more ❑ Building ova three nonce.
❑ Demolition ❑ Other: where the available fault ermem ❑ Marinas and boatyards.
�► ,+ i%T w exceeds 10.000 :1mps at 150 volts or O Floating buildings.
f ;:1;t41. ` ' � " !' 441 leas to ground. or exceeds 14,000 0 Commercial -rrte agricultural
❑ I- and 2- family dwelling ® Commercial /indusrriai ❑ Accessory building amps final' other installations. buildings.
Fire pump, ❑ Installation of 75 KVA or
1.3 Multi- family El Master builder Cl ❑ h am' _-* CI in system. larger separately derived system.
y � , 7 r f,:45 (,�T1<O ,II t c Ul ,e'47 ,& , Y tis in Addition of new motor bad of CI "A".13", 1 -2 ", "1 -3",
� ::1 10011P or more, occupancy.
Job no.: L rJOb site address: 7320 Hunziker ❑ Sta or more residential units. O Recreational vehicle parka.
0}lenldn -catc facilities. 1:1 m Supply voltage for mo than
City / State/ZIP: Tigard OR [] Ham+'dotta locations, 600 volts nominal.
Suite/bldg. /apt. no.: 300 f Project name: Eagle Home Mortgage ❑ Service or Iberia 600 limps er more,
t ,-.9i:`,.. y h
Cross street/directions to job site: Deariptina Qty. Fen Tolal
N un residential single- or multi- family dwelling unit.
Includes attached garage.
'
Subdivision: j Lot no.: 1,000 sq, ft. or less 168.54 4
Ea. add'I 500 sq. R or portion 33.92 1
Tax map /parcel no.: Limited energy, residential 75.00 2
s`+ ` 0. r,, � N : , 1T. '' . • . r ;y;~ v '� ' ; (with above sq. It.)
, ? i ' i ii i .:17 ., - • Limited c nnc mu lti - fam ily 75.00 2
rg y.
TI Remodel residential ( sg
with stove . 8)
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
• o . ; . wm:. .- _*_' . a . 'r4 °' : e. 201 amps to 400 amps 133.56 2
'a 401 amps to 600 amps 200.34 2
Nance: 601 amps to 1,000 amps 301.04 2
Address: Over 1,000 maps or volts 552.26 2
Temporary services or feeders installation, alteration, and/or
City/ State/ZIP: relocation
200 amps or less 59.36 1
Phone: ( ) Fax: ( ) 125.08
201 amps to aoo amps
Owner installation: This installation is being made on property that I own which is not ,
apt amps to 599 amps 168,54 .
intended for sale, lease, runt, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A, Fee for branch circuits with g
y above service or ceder fee, 7.42 59.36
.�: "; t s � ( F1'r� ti( `;11 ,11,Sb1 • each branch circuit
B. Fee for branch circuits without
Business name: service or fader lie, first 1 56.18 56.18
branch circuit
Contact name: Each add'l branch circuit 7,42
Address: Miscellaneous (service or feeder not included)
Each manunccturcd or modular 67.84
City /State /ZIP: dwcllinkscrvice and/or feeder
Reconnect only 67.84
Phone: ( ) Fit: ' ( ) Pump or irrigation circle 67.84
Ismail: Si or outline lighting 67.84
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yr.° *.;'4.r, :; -- -,.,. ' :. , :.- , ': * . # 1.; . ' '' •• ;:' • ? r ' : • '�. ' • . ', ,i', x...t ID S c or binned . CLOItf3�i � s�
pmtel or extension. Page 2,
Business name: AC &E Electric Each additional inspection over allowable in any of the abov
Additional inspection (1 hr min) 66.25/ hr
Address: 3535 pct Wobb Ave Investigation (I hr min) 66.25/ hr
City/State/ZIP: Salem OR 97301 Industrial plant (1 hr min) 78.18/ hr
Phone: ( ) 503 -363 -2301 Fax: ( ) ' Inspections for which no fee is 90.00/ hr
_ cifi cal listed Y IF min
CCB Lic.: 591 11;lcctric011.ic,: /, � -1C � Su rv. Lie.: 53875 'oi1.�?i•�'>�
1Fi 'thin,,, - -: ' kii
Subtotal: 115.54
Suprv. Electrician signature, required: / Plan review `25 % of permit fee):
Print name: Carl Duncan _ ! Date: 1/8/13 State surcharge (12% of permit fee): 13.86
Authorized signature: TOTAILPERMITTB, IZ9,40
7113 permit application expires if a permit is not obtained within 180
Print name: days alter it hog been accepted as complete. Y
— 7 — Date: + Nnmber of inspections allowed per prmit. Q D
1: 1Bu11dlresTermhslS mm
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