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Permit CITY OF TIGARD ELECTRICAL PERMIT B . . COMMUNITY DEVELOPMENT p� ,3 Permit#: ELC2013 00527 T I GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/04/2013 Parcel: 2S 110BA00400 Jurisdiction: Tigard Site address: 14100 SW 117TH AVE Project: Gorilla Capitol Subdivision: CANTERBURY WOODS CONDO Lot: 76 Project Description: (2)branch circuits for previous work that will be completed by Thunderbird Electric. 9/24/13:Added(3)branch circuits. BT. Contractor: THUNDERBIRD ELECTRIC INC Owner: GORILLA CAPITAL INC 11124 NE HALSEY#678 1400 HIGH ST#B-2 PORTLAND,OR 97220 EUGENE,OR 97401 PHONE: 503-253-9934 PHONE: FAX: FEES Quantity Description Date Amount 5 crt Branch Circuits wo/Purchase 09/24/2013 $85.86 Specifics: Service or Feeder 1 ea 12%State Surcharge- 09/24/2013 $10.30 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $96.16 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 ma o. •'. = .. of t�irect questions to OUNC by calling 5 3.23 7 or 1.800.332. 4. 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 ��j� r,Uli(�rrlu Ilti '.c)�i.ik f City of Tigard ' �L° " Received _ City g Date/13 . © .`err PermitNo.. ,./ -G�SaZ7 a 13125 SW Hall Blvd.,Tigard,•.,, 'L tL40 Plan Review : 9 Phone: 503.718.2439 Fax: 503.At.:. 960 Date/By Other Permit: forIS ''d 1 3--UUQS 'f Iti.'A It ll Inspection Line: 503.639.4175 (Q �r � Date Ready/By: 1�: IZI See Page 2 for Internet: www.tigerd or.gov 5C• v \$\N" Notifi••j , ad: Supplemental Information TYPE OF W s : _�` rte\,1 I PLAN REVIEW ie.❑New construction A Addition/alterat r. ,T cement ;` Please check all that apply(submit 2 sets of plans wlitems checked below): ❑Demolition Other: e, ❑Service or feeder 400 amps or more ❑Building over three stories. ❑ s' :. 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 1211.-and 2-family dwelling ❑Commercial/industrial ❑Access° uilding amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other. ❑fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency new system. larger separately derived system. ❑Addition of new motor load of ❑"A" "E","I-2"."1-3". Job no.: Job site address: 11-1 l DO SW \\.3A t ix or or mote. occupancy. 1 ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP: �1�(j . N Of_ ❑Health-core facilities. ❑Slippy voltage for more than -`�s�V ❑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: Descdpuoe I Qty. I Fee. I Taw I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq.It 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.) y7� Limited energy,multi-family 75.00 2 3 G ct ' J) ✓ridVC-A Ci/'�'• 3 • e residential(with above sq.ft.) - Renewable Energy ❑ See Page 2 Services or feeders Installation,alteration,and/or relocation OPERTY OWNER ❑ 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: 7 3� .� e.. 601 amps to 1,000 amps 301.04 2 Ova 1,000 amps or volts 552.26 2 City/State/ZIP: �/ Temporary services or feeders hutallation,alteration,and/or Phone:( ) V Fax:( ) relocation se 200 amps or less 59.36 I 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 V\ Owner signature: Date: Branch circuits-new,alteration,or estension,per panel Q' ❑ APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with 3" above service or feeder fee, 7.42 2 Business name: each branch circuit 1 B.Fee for branch circuits without Contact name: - service or feeder fee,first 56.18 _ij Y 2 S branch circuit y Address: Each add'I branch circuit q 7.42 XI c(17 0 2 I Miscellaneous(service or feeder not included) M City/State/ZIP: Each manufactured or modular dwelling,service and/or feeder 67.84 2 Phone:( ) Fax::( ) Reconnect only 67.84 2 \*....„..E-mail: Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 (p. Business name: Li: 1-R/o G, Signal circuit(s)or limited-energy See .5 Ti�Jt>ro„D�14 1718 d j L �i panel,alteration,or extension. _ Page 2 _ 2 1 Address: /7/ 2 s' n tC /(t a-z.9 tr Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr n.. City/State/ZIP: /e,e4 r Low°0 oft ?Y A T ea Investigation(1 hr min) 66.25/N oci _ I Phone:($-e) ) ,t 5, 19-7 4 Fax:( ) Industrial plant(1 tr min) 78.18/hr Inspections for which no fee is 90.00/hr 10, CCB Lie.: S"/ 6484 ft�� Electrical Lie.: 4-/0 37( Suprv.Lie.: 3 758 5 specifically listed(v,hr min) Suprv.Electrician(si n/atdre,required: 1(11" !D!'TO ELECTRICAL PERMIT FEES �G..... //<+..r Subtotal: . no— Print name: CA Mf f 7�fa 1 C 9 iE� Date: le y _ 0 Plan review(25%of permit fee): State surcharge(12%of permit fee): LO, k'. Authorized signature: TOTAL PERMIT FEE: IC J(, Print name: [Date: 7'�+permit application expires it a permit Is not obtained 9ritlth.ISO — Print days after It has been accepted as complete. • Number of inspections allowed per permit. • t:l DuaeingTrmmlu\ELC_Pernl1App_ELR_EREdec Rev 0321rz013 440.96177(t r/a7/COM/WEa CITY OF TIGARD ELECTRICAL PERMIT II .'" COMMUNITY DEVELOPMENT Permit#: ELC2013-00527 T LGARO 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/04/2013 Parcel: 2S110BA00400 Jurisdiction: Tigard Site address: 14100 SW 117TH AVE Project: Gorilla Capitol Subdivision: CANTERBURY WOODS CONDO Lot: 76 Project Description: (2)branch circuits for previous work that will be completed by Thunderbird Electric. Contractor: THUNDERBIRD ELECTRIC INC Owner: GORILLA CAPITAL INC 11124 NE HALSEY#678 1400 HIGH ST#B-2 PORTLAND,OR 97220 EUGENE,OR 97401 PHONE: 503-253-9934 PHONE: FAX: FEES Quantity Description Date Amount 2 crt Branch Circuits wo/Purchase 09/04/2013 $63.60 Specifics: Service or Feeder 1 ea 12%State Surcharge- 09/04/2013 $7.63 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $71.23 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 a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: --- Permittee Signature: o ��7 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 I)SF ONLY City of Tigard � pe � © �� Permit No.. _ / �fisal 13125 SW Hall Blvd.,Tigard,•`II' :t.v (0\' Plan Review i 0 Other Permit: Phone: 503.718.2439 Fax: 503. :. 960 DatelB : �l'1 f —UCT T I G A R D Inspection Line: 503.639.4175 `Q Oc�� �O� Date Ready/By: See Page 2 for Internet: www.tigard-or.gov 5 ♦ Notified/Method: Supplemental Information TYPE OF Wt %� 1 PLAN REVIEW ❑New construction ZAddition/alterat •` •cement Please check all that apply(submit 2 sets of plans w/items checked below): ❑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 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.A ❑Addition of new motor load of ❑"A","E","I-2","1-3", Job no.: Job site address: 11-11 WSW \\ ' " 100HP or more. occupancy. ❑ 1 ❑Six or more residential units. Recreational vehicle parks. City/State/ZIP: II--0‘ .. 0e. ❑Health-care facilities. ❑S0 ly voltage for more than JY(j V1�vv N ❑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'l 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 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation OWNER ❑ TENANT 200 amps or less 100.70 2 rROPERTY� 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 Address: 3� ' h 601 amps to 1,000 amps 301.04 2 ���lll Over 1,000 amps or volts 552.26 2 City/State/ZIP: . U V N 3 Temporary services or feeders installation,alteration,and/or .i1 Phone:( ) Fax:( ) relocation )( 200 amps or less 59.36 1 is Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 `1-- intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 V' Owner signature: Date: Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with . •.' ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 7.42 2 KJ each branch circuit Business name: B.Fee for branch circuits without l I Contact name: service or feeder fee,first / 56.18 ,j(. r 7 2 ..- branch circuit 3 Address: Each add'l branch circuit i 7.42 7•yy 2 QI t j� City/State/ZIP: Miscellaneous(service or feeder not included) ty Each manufactured or modular dwell 67.84 2 Phone:( ) Fax::( ) dwelling,service and/or feeder YY `` Reconnect only 67.84 2 • E-mail: Pump or irrigation circle 67.84 2 Z" CONTRACTOR Sign or outline lighting 67.84 2 1p Business name: r,Pi& Signal circuit(s)or limited-energy See T/Sl Qd/� I?IR I7 % L� �� G' _panel,alteration,or extension. _ Page 2 2 ■ Address: 1/ 2 if n PC 14 F L 9;Cy Each additional inspection over allowable in any of the above `, / Additional inspection(1 hr min) 66.25/hr i City/State/ZIP: poA T Low p/J o, ?7 , 7•G Investigation(1 hr min) 66.25/hr Phone:(c"o/ ) 25, 99'7 4 Fax:( ) Industrial plant(1 hr min) 78.18/hr n^ Inspections for which no fee is 90.00/hr CCB Lic.: Si 8 88 Electrical Lic.: 4-10 87C Suprv.Lic.: 375? 5 specifically listed(V2 hr min) to P-31(.3 /�l r l i 0/t I i) ELECTRICAL PERMIT FEES /, Suprv.Electrician stna e,required: ,�- 4(., _ . Subtotal: to' (o 0 Print name: Ga kh r /5 iq i C9,�,� Date: 9 . Y _ 0 Plan review(25%of permit fee): State surcharge(12%of permit fee): . Authorized signature: TOTAL PERMIT FEE: '7 /, 2-'3 77tis 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_PemdtApp_ELR_ERE.doc Rev 05/21/2013 440-9615T(11/07/COM/WEB