Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
' • n COMMUNITY DEVELOPMENT Permit#: ELR2013-00203
T I G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2013
Parcel: 1 S 126BC01506
Jurisdiction: TIGARD
Site address: 9020 SW WASHINGTON SQUARE RD 350
Project: Primary Residential Mortgage Subdivision:=CONDO,THE SUPPLEMENTAL PLAT Lot: 25-4
Project Description: Low voltage for HVAC
Contractor: PROTEMP ASSOCIATES INC Owner: WISCO REAL ESTATE EQUITY FUND I
9788 SE 17TH AVE 1501 SW TAYLOR ST STE 100
PORTLAND, OR 97222 PORTLAND, OR 97205
PHONE: 503-233-6911 PHONE:
FAX: 503-238-9767
FEES
Description Date Amount
Specifics: Restricted Energy Permit 08/15/2013 $75.00
12%State Surcharge-Electrical 08/15/2013 $9.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio&Stereo: 0 Boiler Controls: 0
CCTV: 0 Clock Systems: 0
Data&Telecommunications: 0 Fire Alarm: 0
HVAC: 1 Instrumentation: 0
Intercom/Paging: 0 Landscape/Irrigation: 0
Landscape Lighting: 0 Medical: 0 •
Nurse Calls: 0 Protective Signal: 0
Security Alarm: 0 Other: 0 Total $84.00
Other Desc: 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. ATT N: Oreg•• law rewires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001- 10 through OAR 9 •-••"-00'.. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss d By: , ��` —.��/. Permittee Signature:
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.
Electrical Permit Applicati o • EIVED FOR OFFICE USE ONLY
City of Tigard RDateeived /
° 13125 SW Hall Blvd.,Tigard,OR 972 1�.I((� 1 5 Plan Review � �`��
C ' Phone: 503.718.2439 Fax: 503.598. GH3 2013 Datr/B : Other Permit:
T I G A R D Inspection Line:g 03.63 8.4175 CITY OF TIGC1iu/ Date Ready/By: Juris: El See Page 2 for
Internet: www.ti ardor. ov 1 Notified/Method: Supplemental Information
TYPE c>4[3 1G DNISION
PLAN REVIEW
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below):
❑ Demolition El Other: ❑Service or feeder 400 amps or more ❑Building over three stories.
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
El Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","E","I-2","I-3",
Job no.:3693 Job site address:9020 SW Washington Square Rd IOOHP or more. occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard Or 97224 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: 567) Project name:Primary Mortgage ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Desenptioo
l 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.)
Relocate Thermostat&wire Limited energy,multi-family
75.00 2
residential(with above sq.ft.)
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
Name: 401 amps to 600 amps 200.34 ;