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Permit CITY OF TIGARD ELECTRICAL PERMIT III a COMMUNITY DEVELOPMENT Permit#: ELC2013 00490 s Date Issued: 08/19/2013 T I G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 t ®= Parcel: 2S101 BCO2401 Jurisdiction: Tigard Site address: 12650 SW HALL BLVD Project: Snyder Roofing Subdivision: TIGARDIA TERRACE Lot: 3 Project Description: (1)200 amp service and(16)branch circuits for remodel of existing interior space,2-story. 11/18/13: Reprinted permit to include low voltage for data telecommunications and fire alarm. Contractor: CONDUIT ELECTRIC Owner: JFK PROPERTIES OREGON LLC . 19461 SW 89TH AVE 12650 SW HALL BLVD TUALATIN,OR 97062 TIGARD,OR 97223 PHONE: 503-692-1428 PHONE: FAX: 503-692-3652 FEES Quantity Description Date Amount 1 ea Services or Feeders-200 11/18/2013 $100.70 Specifics: amps or less 16 crt Branch Circuits w/Purchase 11/18/2013 $118.72 Type of Use: COM Service or Feeder Class of Work: ALT 2 ea Signal circuit or Limited 08/19/2013 $150.00 Energy Panel Type of Const: 1 ea 12%State Surcharge- 08/19/2013 $44.33 Occupancy Grp: Electrical Total $413.75 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 OAR 952-001-0090. You may obtain s or direct questions to OUNC by calling 503.232.1987 or 1.8:0.332.2344. /, Issued 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 Application FOR OFFICE USE ONLY Received City of Tigard DateBy: Permit No.: . v 13125 SW Hall Blvd.,Tigard,O . '`% y ` Plan Review �� `1+�3— fq� Phone: 503.718.2439 Fax: 50��.�:''"/ Date/By: Other Permit:Y f I G n K u Inspection Line: 503.639.4175 p `103 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov �OV 1 D Notified/Method: Supplemental Information . TYPE .OF WORK C_��V��o PLAN REVIEW. • ❑New construction ❑Addition/alterar �i `�J Please check all that apply(submit 2 sets of plans w/items checked below): �v ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: tO1. 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 El 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. El Multi-family El Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or _ 'JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. ❑Addition of new motor load of ❑"A","E","1-2",'l-3", I OOHP or more. occupancy.Job no.: Job site address: % G 5 v $L.1 /( 3/t r , ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP: ❑Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: ❑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 , DESCRIPTION•OF WORK- , . (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 dad I i r„ Tie et GI v,M t __ S S P residential(with above sq.ft.) '"✓`1 °`�h yJ Renewable Energy• ❑ See Page 2 Services or feeders installation,alteration,and/or relocation ' 'El-PROPERTY OWNER I 0 TENANT 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Temporary services or feeders installation,alteration,and/or Phone:( ) Fax:( ) relocation 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: Branch circuits—new,alteration,or extension,per panel ❑ APPLICANT .I • ❑ CONTACT PERSON • A.Fee for branch circuits with above service or feeder fee, 7.42 2 Business name: - each branch circuit B.Fee for branch circuits without Contact name: service or feeder fee,first branch circuit 56.18 2 Address: Each add'I branch circuit 7.42 2 City/State/ZIP: Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 Phone:( ) Fax: :( ) dwelling,service and/or feeder Reconnect only 67.84 2 E-mail: Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2• Signal circuit(s)or limited-energy See Business name: (4)1\14MH mac, panel,alteration,or extension. Page 2 it 1) 2 Address: ft/ /a,/ , .1. - Each additional inspection over allowable in any of the above T�.J [J Additional inspection(1 hr min) 66.25/hr City/State/ZIP: // � u!q A/ pye Cf 7d66k Investigation(1 hr min) 66.25/hr Phone:(5c' ) 6 _/)•, /Lag I Fax:(5'3 ) 631)-_!Yd•T Industrial plant(1 hr min) - 78.18/hr 0 Inspections for which no fee is 90.00/hr CCB Lie.: Electrical Lie.: Suprv.Lie.: specifically listed('h hr min) 'ELECTRICAL PERMIT FEES ' Suprv.Electrician signature,required: Subtotal: (70 — Print name: Date: Plan review(25%of permit fee): State surcharge(12%of permit fee): 1 Authorized signature: TOTAL PERMIT FEE: (, This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 05/21/2013 440-4615T(I I/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined $75.00 Description I Qty. F Fee I Total I •_ Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 - ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 ❑ B• urglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 ❑ G• arage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with 552.26 2 ❑ Heating,Ventilation and Air Conditioning OAR 918-309-0040) System* Solar generation systems in excess of 25 kva: Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is charged at an hourly(1 hr min) 66.25/hr 1 Inspections for which no fee is 90.00/hr specifically listed(A hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review,if required(25%of permit fee): State surcharge(12%of permit fee): Check Type of Work Involved: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 ❑ Audio and Stereo Systems days after it has been accepted as complete. • Number of inspections allowed per permit. ❑ Boiler Controls ❑ Cloc stems Data communication Installation ire Alarm Installation ❑ HVAC ❑ 'Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling c� ❑ Other �1 Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 05/21/2013 • CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC201300490 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/19/2013 Parcel: 25101 BCO2401 Jurisdiction: Tigard Site address: 12650 SW HALL BLVD Project: Snyder Roofing Subdivision: TIGARDIA TERRACE Lot: 3 Project Description: (1)200 amp service and(16)branch circuits for remodel of existing interior space,2-story. Contractor: CONDUIT ELECTRIC Owner: JFK PROPERTIES OREGON LLC 19461 SW 89TH AVE 12650 SW HALL BLVD TUALATIN, OR 97062 TIGARD,OR 97223 PHONE: 503-692-1428 PHONE: FAX: 503-692-3652 FEES Quantity Description Date Amount 1 ea Services or Feeders-200 08/19/2013 $100.70 Specifics: amps or less 16 crt Branch Circuits w/Purchase 08/19/2013 $118.72 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 08/19/2013 $26.33 Electrical Type of Const: Occupancy Grp: Total $245.75 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 82-t)D -0 90 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 800.332.2344. Issued By: Permittee Signature: kiff OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the Job site until completion of the project. Approved plans are required on the Job site at the time of each Inspection. From:CONDUIT ELECTRIC l-,.,•2 08/19/2013 .13:28 #728 P.001/001. „ _. . .. .. . : r. .R Electrical Permit Application fOR of 1•:IC E us!:ONI.1 ... AUG 19 2013 . City of Tigard Received e/9 .�.� :::° 9 OF TIGAR® eview / �ao,3 DOi Phone: 503.718.2439 Fax: 503.598. m l•I x:11:a Inspection Line: 503.639.4175 LDING DIVISIOP Date Ready/By: runs la See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information _ ��}ter,.-5 �,''�:'+ t. 'iF :4-7 _ ?;�..6 ry:As" :.-�F. �..: rr"J�_� ,ll ��yy=Wino Y� 'ice G6'�• �{i "FT ?Cu �4'v:�:"`;,:,5.� `s5'�:� �:_4vrs, d' .� ^,^rr"'Nap <:{rd's'" _ r�i``, v� :�. `�'.\., a�G:.ZLi ^lffn:a>'r,� p A^:. ti..":' ..i:::r'v ."'�'"y-aa:.0-„ ti.4y0* _�,'. �= s .5.. ?'`�, 'y h':� - iva °J,o !a A• 'F)/�F.�{t i'd�.6�Yd`�,L ..?F,:A$r' - :�'rw xY,Y�'.. x. ��'ts"�rt3�i'.<,.��y� �..a�::^':':'y-. .. 'o'y.:"ti.:.n`"�:it:l:4.,�,.3:'L,.,tn.� .;..,..�.,.y+�rv,.,,>.,��Yr+,u..?r_'.�4>.,..>t,.�*:C.�Z.�,r,r�1.;o..r•.r...«-.1•.�'S�....,�r�ei;_s;�•tir:=�•��c..�;. ::�'}L.'kR�,�..w....:..4,u_.,c:32�.".`3."`.�,..�.:�.iY;.}�,.J`}�:y.�,.:s�4''%°'=,nr,.;��3h.-,... ❑New construction ®Addition/alteration/replacement Please check all that apply(submit b sets of plans w/items checked below): ❑Demolition CI Other: ❑Service or feeder 400 amps or more ❑Building over three stories where the available fault current ❑Marinas and boatyards. \';'3?-7:7":"- -;1-9'1',"?,( Td, +`ti' 'es't'"�'-�'{ "���'"1'(� � !p 4 ' :; ''°';'-'4''''''''''''''''''� „:3 � exceeds 10,000 amps at 150 vnlls or ❑Fl Floating buildings .__ _..y X_to.a.,_:: ..__ :2iC_ 14-. -a-571,-,•-'-e'''''','-''''''''''''"'''"'-''''''' cr;.4;�3 e, less to ound,or exceeds 14,000 agricultural ground, ❑Commercial-use ❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or :ky;: - �rs<;±,.-- _,gin- _ - ❑Fanergencysystem larger s aratel derived system. ,i`JQB?old liY1-.Md '© " 1pi. ,=..Tl .:7,47 :;' '`{5KIi;,;vt-4 a`i:n't2i�',, , ,-�.-_., .r-„�'�'�""�� ,,���,.1 - DAddittos of new motor load of ❑"A""E""1-2""1-3" Job no.:13-10128 Job site address: 12650 SW Hall Blvd 100HP or more. occupancy. ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP:Tigard,OR.97223 ❑Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations 600 volts nominal. Suite/bldg./apt.no.: Project name:Snyder Roofing Addition ❑Service or feeder 600 amps or more. Cross street/directions to job site: ail 5:ri! "F"f"'A t.EclSC$EDat,' ?' 'j'l ye3.:•' v I Qty. I Fee. I Total l •. 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'l 500 sq.ft.or portion 33 92 I Tax map/parcel no.. Limited energy,residential "'":vr.=;=s :. • r.Ks %,ate y= ':r _ 75.00 2 :r 772*-r f;;;' (with above s ft.1 ...,:,.....,.._ �,':.......r_Wit`�. __. >! � .E. �..�-..c�itK� ,'t�>�=�,.._ ...�::.... .... ...... :=•>-;:, Limited energy,multi-family 75.00 2 Warehouse storage and office addition residential(with above sq.ft.) 'Reiiwable'EnetriA'.':. ' O'See Peke 2 . _ - Services or feeders installation,alteration,and/or relocation -`,: r ty - >.1 ::...;?z'* ,ti :ti"zzt, -.Li:,..- li rv;'et,:�+`= 200 amps or less 1 100.70 100.70 2 , :�_:_:.. ::-.-:,:. 4.--;:,' ROP R ':OI:.r..,... r sr,. >- •:-aA�f-. =v .I,:_ ?� 'V '^,;:L`,',,,-'t-Y, 201 amps to 400 amps 133.56 2 Name:Snyder Roofing 401 amps to 600 amps 200.34 2 Address:Same 601 amps to 1,000 amps 301.04 2 Over 1.000 amps or volts 552.26 2 City/State/ZIP: Temporary services or feeders installation,alteration,and/or Phone:( ) Fax:( ) relocation 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not , 201 amps to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. ' 401 amps to 599 amps 168.54 2 Owner signature: Date: Branch circuits-new,alteration,or extension,per panel •,:'�.c>r'`1`s,r,. "g '*i is�ryti,'trn�'hP.fy. r>• nil aft .,a a }ik4V'➢�,r �1,�9i t-V.'.�- :L A.Fee for branch circuits with r`r.}::rY•i; }"Y..-:ss.,.,u .. �^"3;-...3....?:.^ilc.�.:...:,�:r�n.-. iiji:'k. ,. .�}+� '3 ?:�3/.:�,13-..'-�.ti:� n�.'+.;' above service or feeder fee, 16 7.42 118 72 Business name: each branch circuit B.Fcc for branch circuits without Contact name: service or feeder fee,first 56.18 2 branch circuit Address: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Each manufactured or modular Phone: dwelling.service and/or feeder 67.84 2 ( ) Fax: ( ) Reconnect only 67.84 2 E-mail: Pump or irrigation circle 67.84 2 r::s? _-' - - 's'.z3�'^_:r<,";..lac,. -z, _ ' >'1 OUIY71tA° Rk)= ;.�..:;-:it;:.f>„, ..r.-__.._...., �.._,._--ys',�„....._..._.- .-_-_,.�...__._...�_.. � _,. ;��-.... .,..._ �<....._....���. Sign or outline lighting 67.84 2 Business name:Conduit Electric Signal circuit(s)or limited energy See panel,alteration,or extension. Page 2 2 Address: 19461 SW 89TH AVE Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr City/State/ZIP:TUALATIN,OR.97062 Investigation(I hr min) 66.25/hr Phone:(503)692-1428 Fax:(503)692-3652 Industrial plant(I hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 109669 t Electrical Lie.: 26-905C Suprv.Lic.: 4501S specifcalty IistedC%hr min) Suprv.Electrician signature,required: `°°"'`` tECT�2ICAL;-'P.E tSubto;7 FEE$' "21 _4 v r Subtotal: 219.42 Print name: CHARLES PARKER Date: 7/15/2013 Plan review(25%of permit fee): State surcharge(12%of permit fee): 26.33 / Authorized signature: TOTAL PERMIT FEE: 245.75 v/ This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. 1'\Building 2ermits\ELC_PermitApp_ELR„ERE doc Rev 05/21/20)3 440.46)5T(11/05/COM'WEI