Permit •
y n CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2013 -00130
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/28/2013
Parcel: 25101 BD00200
Jurisdiction: Tigard
Site address: 8005 SW HUNZIKER RD
Project: Commercial Vehicle Group Subdivision: 1994 -025 PARTITION PLAT Lot: 2
Project Description: (1) new 800 A, 480v panel and (20) branch circuits.
Contractor: OES LLC Owner: TIGARD DISTRIBUTION CENTER LLC
5285 NE ELAM YOUNG PKWY # A600 4800 SW MACADAM, STE 120
HILLSBORO, OR 97124 PORTLAND, OR 97239
PHONE: 503 - 649 -4642 PHONE:
FAX: 503 - 693 -8660
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 601 to 02/28/2013 $301.04
Specifics: 1000 amps
20 crt Branch Circuits w /Purchase 02/28/2013 $148.40
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 02/28/2013 $53.93
Electrical
Type of Const: 1 ea Plan Review Electricial 02/28/2013 $112.36
Occupancy Grp:
Total $615.73
Required Items and Reports (Conditions)
This permit i - • ubject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will •
be don- n accordance wi .pproved •lans. 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 la •u' - ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 001 -0010 th • gh OAR 952 •1 -p0 % • may obtain a copy of the rules or direct questions to OUNC by calling 2.1987 or 1.800.332.2344.
I . sued By: . /_�_- / �` Permittee Signature:
� 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:
CONTRAC • R I ALLATION ONLY /
SIGNATURE OF SUPR. ELEC' �� � Date: // 3
LICENSE NO. / ■ 01. 0 9— J `
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.
Electrical Permit Applic . I .L CE VED FOR OFFICE USE ONLY
Received
r" CI of Tigard / _ Permit 71 `7 g Date /By: /Z P it N �5 " eh ?�
° 13125 SW Hall Blvd., Tigard, OR 9rrr 2 1 2013 Plan Review
Phone: 503.718.2439 Fax: 503.5'8. ' .0 Date /By. tF� 4 ?/) Other Permit:
u r
TIGARD Inspection Line: 503.639 [[ TIGARD Date Ready /By: ., / Juris Supplemental See Page 2 for
Internet: www.tigard- or.gov CI TY �1 1 � tl��® Notified /Method: 0 7 a ? �( �p Supplemental Information
TYPEQV L`01�tt'�" DIVISION --6 i(� LA) � 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.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building 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 of new motor load of ❑ "A ", "E ", 't -2 ", "I -3 ",
Job no.: 3150 Job site address: 8005 SW Huntziker _$
.....• IOO or or snore. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Tigard OR 97223 e HHfde / � ✓ 1I ' 1e ti , ❑ Health -care facilities. ❑Supply voltage for more than
�OwCLY[ ❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: CVG S Rim Cell Machine ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
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'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. ft.)
Limited energy, multi - family 75.00 2
new 800A 480v panel, branch circuits to mahine - 480v 3 ph. new branch ckts 120/ residential (with above sq ft )
Services or feeders installation, alteration, and /or relocation
208 volt for machine from existing panels 200 amps or less 100.70 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name:
601 amps to 1,000 amps I 301.04 301.04 2
Address: Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and /or
City /State /ZIP: relocation
Phone: ( ) 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, lease, rent, or exchange, according to ORS 447, 449, 670. and 701. 401 amps to 599 amps 168 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee 20 7 42 148.40 2
each branch circuit
Business name: B. Fee for branch circuits without
service or feeder fee, first
Contact name: branch circuit 56.18 2
Each add'I branch circuit 7.42 2
Address: 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
Pump or irrigation circle 67.84 2
E - mail:
Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s) or limited- energy
Business name: OES, LLC panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 5285 NE Elam Young Parkway A - 600 Additional inspection (I hr min) 66.25/ hr
City /State /ZIP: Hillsboro, OR. 97124 Investigation (I hr min) 66.25/ hr
Industrial plant (I hr min) 78 18/ hr
Phone: (503) 693 - 6000 Fax: (503) 693 - 8660 Inspections for which no fee is 90.00 / hr
1 I _`1x\ ) specifically listed (V, hr min)
CCB Lie.: 159395 1 1 Electrical Lic.: 34 -572C 'uprv. L' .: 4122S I 2 ELECTRICAL PERMIT FEES
i Of l J Subtotal: 449.44
Suprv. Electrician signature, required: .. --� .-'" 44 Plan review (25% of permit fee): 112.36
Print name: Richard T. Cowles Date: 2 /20/2013 State surcharge (12% of permit fee): 53.94
TOTAL PERMIT FEE: 615.74
Authorized signature:
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Date: *
Number of inspections allowed per permit.
ttal .13
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