Permit CITY OF TIGARD ELECTRICAL PERMIT
Ri II COMMUNITY DEVELOPMENT /fr, ; Permit#: ELC2014-00194
TI GAS.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2014
Parcel: 2S113AC01201
Jurisdiction: Tigard
Site address: 7331 SW BRIDGEPORT RD 103
Project: Pizzasmith Subdivision: COUNCIL VIEW ACRES(LOTS 1-20) Lot: 18
Project Description: (1)service and(20)branch circuits. 4/29/14,reprinted to correct suite address from 102 to 103.
Contractor: ROBERTS ELECTRIC INC Owner: BV CENTERCAL LLC
5759 SW 48TH ST ATTN: FRED BRUNING
PORTLAND, OR 97221 7455 SW BRIDGEPORT RD
TIGARD,OR 97224
PHONE: 503-244-7754 PHONE:
FAX: 503-244-0560
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 04/28/2014 $100.70
Specifics: amps or less
20 crt Branch Circuits w/Purchase 04/28/2014 $148.40
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 04/28/2014 $29.89
Electrical
Type of Const:
Occupancy Grp:
Total $278.99
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. ATTENT Oregon.,law re uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 rough OAR 95 - 09 . ou may obtain a copy of the rules or direct questions to OUNC by callin• - . 32.1987 or 1.800.332.2344.
om: Yl� , �
Issued By / G7 4 4- (� Q`--t Permittee Signat !`fra
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' c?#747Tert 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.
Apr 28 14 02:47p Crraff t{sman ; ; ,i,i•u `] EP 5032962399 p.1
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard APR 2 8 2014 Permit No.:
13125 SW Hall Blvd.,Tigard,O 223
' Phone:: 503.718.2439 Fax: 503 *OF TIGARD Plan Review
Date/By Other Permit:
'.\-..h Inspection Line: 503.639.417 F TILDING DIVISION Date Ready/Bye turiu: I B See Page 2 for
Intcmek www.rigard-or.gov V niotifiewmcdrod: Suppemental Information
TYPE OF WORK COMMERCIAL FEE' SCHEDULE — USE CHECKLIST
Mechanical permit fees'are based on the value oldie work
❑New construction :X Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar t of all
0 Demolition +�❑Other: mechanical materials,equipment,tabor,overhead,and profit
Value:S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES`
N",1-and 2-family dwelling ❑Commercialiindustrial ❑Accessory building For special information use checklist
❑Multi-family ❑Master builder ❑Other: Description Qty. I Ea. I Tota
JOB SITE INFORMATION AND LOCATION Healing/cooling:
Job site address: i 31 •-S SW }ligk -TV( pr,Vt. Air conditioning 46.75 __
City/State/ZIP: 1 3 t� t O 1L� ?ati Furnace 100,000 BTU(duclthents) 46.75
Suite/bldg./apt.no.: Project name S•` oils
}s Furnace 100,000+BTU(ducts/vents) 54.91
Cross street/directions to job site:
Heat pump 61.06
Duct work 23.32
Hydronic hot water system 23.32
1,, Residential boiler(radiator or
TI` %\ AA
Subdivision: L ye 5wirnxrxt' I Lot no.: bydronic) 23.32
Unit heaters(fuel-type,not electric),
Tax map parcel no.: as 10 (rapt 0 31 _in-wall,in-duct,suspended,etc. 46.75 _
DESCRIPTION OF WORK Flue/vent for any of above 23 32
Other
- - 23.32
\ Yl G T ‘ ,0 - i titt.C/W-t/`ic_0 Other feel appliances: -
?o Y k" e t M S `T— its
Water heater 23.32
Gas fireplace/insert 33.39
K.PROPERTY OWNER t❑ TENANT Flue vent for water heater or gas
Name: ,..t-t4-f..) �,A. '(�e t'�C� r C' L4 La—. fireplace 23.32
Address: 13 1 fist 514 }`i4,_ -Vex Dvi L e, Log lighter(gas) 23.32
CityIStatcIZIP: 'C%q pyr"A. O/p- oil a.� Wood/peikt stove 33.39 _
Phone:( ) J Fax:( ) Wood fireplace/insert 23.32
❑ APPLICANT ❑ CONTACT PERSON ^
�'J�� Chimncv/lincrifue/vent 23.32
Business name: 44b ,i. Crek��2� � (h,S-
n e Other: 23.32
Contact name: CAA()S fete. Environmental exhaust and ventilation:
Address: eig 51.4-1 IQ,1/1 - RA Range hood/other kitchen
City/State/ZIP:
,o 1 y^ 11Ol) equipment 33.39 op_
Clothes dryer exhaust 33.39
Phone:( ) L1 F c),1^ i Fax::( j�j) 9.q6.41.399 Single-duct exhaust!bathrooms,
toilet compartments,utility rooms) 23.32
E-mail: cp. C:raf tsfy■oI.J1 e s1aa1•c00
CONTRACTOR Attidcrawlspece fans 23.32
Business name: c,/of. �1,,y1/4,Cu'- Ur t(kc l.lry\ Other: 23.32 -
Address: 9 SIw I,pQA Fudpiping:
X11 + 314.15 for first four:14.03 for each additional
C ity/State/ZIP: De_ Slog t
i
Phone:(.5 ) q q s''$pa.-4- l� •I3) 1 a 3 �? Furnace.etc.
Gas heat pump
CCB tic.: �JS —
Wall/suspended/unit heater
Authorized signature:
�/j,� �� It f ��I/ Water heater 1
Print name: 1" Date: _I -
f\n.ik ,\ParnitslMEC_Pernn,\n,)40113.dic 440-4017T(I IrC?/COM/WEB)
y n CITY OF TIGARD PERMIT ti 4
' I COMMUNITY DEVELOPMENT Permit#: MST2014-00043
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 eteroi; Date Issued: 04/15/2014
Parcel: 2S109BA03100
Jurisdiction: Tigard
Site address: 13975 SW HIGH TOR DR
Subdivision: HILLSHIRE SUMMIT Lot: 16
Project: Stotts
Project Description: Bedroom and bathroom addition. 4/28/14, reprinted to add ductwork.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 1 First 581 sf Basement: 0 sf Left 5 Parking Spaces: 0
Height: 20 Bathrooms: 1 Second 0 sf Garage: 0 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 581 sf Value: $64,078.49 Rear: 15
PLUMBING
Sinks: 0 Water Closets: 1 Washing Mach 0 Laundry Trays: 0 Rain Drain- 0 Urinals 0
Lavatories: 2 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Drains: 0
Tubs/Showers: 1 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Tvpes Air Conditioning: N Vent Fans: 1 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 1
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr 0
Ea add')500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr 3
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ADD SF VB R-3 581
Owner: Contractor:
STOTTS,LAWRENCE J& CRAFTSMAN CONSTRUCTION&HOMES LU Required Items and Reports(Conditions)
CECILE A 9850 SW DENNEY RD 1 Ersn Cntrl 503-639-4175
13975 SW HIGH TOR DR BEAVERTON,OR 97008
TIGARD,OR 97224
PHONE: PHONE: 503-998-8027
FAX:
Total Fees: $2,705.31
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 ' Oregon law requires you to follow the rules adopted by the Oregon Utility Notification,„Center. Those rules are set forth in OAR
952-00 010 through R 952- -0 0. You may ay o�bta'n a copy of the rules or direct questions to OU• ' ■ - ■ric. 232.1987 or 1.800.332.2344.
Issu By: l� Z��" 'l�J PermitteeSignature: %� / i,,:� // - /fC��
~ Call 503.639.4175 by 7:00 a.m.for the next available-Inspection da .
This permit card shall be kept in a conspicuous place on the job site until co.1,etion of the project.
Approved plans are required on the job site at the time of each inspection.
q CITY OF TIGARD ELECTRICAL PERMIT
11 —s COMMUNITY DEVELOPMENT Permit#: ELC2014-00194
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2014
Parcel: 2S113AC01201
Jurisdiction: Tigard
Site address: 7331 SW BRIDGEPORT RD 102
Project: Pizzasmith Subdivision: COUNCIL VIEW ACRES(LOTS 1-20) Lot: 18
Project Description: (1)service and(20)branch circuits
Contractor: ROBERTS ELECTRIC INC Owner: BV CENTERCAL LLC
5759 SW 48TH ST ATTN: FRED BRUNING
PORTLAND, OR 97221 7455 SW BRIDGEPORT RD
TIGARD, OR 97224
PHONE: 503-244-7754 PHONE:
FAX: 503-244-0560
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 04/28/2014 $100.70
Specifics: amps or less
20 crt Branch Circuits w/Purchase 04/28/2014 $148.40
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 04/28/2014 $29.89
Electrical
Type of Const:
Occupancy Grp:
Total $278.99
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 don cco 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 Or on la -quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 01-0010 thr•ugh OAR •5 .01-0r•0. •u may obtain a copy of the rules or direct questions to OUNC by calli .503.23 •87 or 1.800.332 2344 /-
Issue Ce &-(_,0e__ Permittee Signature: a� LW.. it
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' S IXA� Date: • /
LICENSE NO. �I
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 ApplicatRECEIVEP MR 111-1:I( I 1 s l (1\I 1
City of Tigard Rece1Ved � a Permit No.: e�/ --ea/7
� Plan Review 13125 SW Hall Blvd.,Tigard,OR 9*� 2 8 2014 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
I .,r i, Inspection Line: 503.639.4175 Date Ready/By: furls: HI See Page 2 for
Internet: www.tigard-or.gov
CITY OF TIGARD Notified/Method: Supplemental Information
rilMaftG DIVISION PLAN REVIEW
Please check all that apply(submit/sets of plans w/items checked below):
®New construction ❑Addition/alteration/replacement
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OP 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 V 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.
❑Addition of new motor load of ❑"A","E","l-2","1-3",
? 100HP or more. occupancy.
Job no.: Job site address:
✓31 - ❑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.: 10?__ Project name: k i 7-14--
❑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 t 68.54 4
Tax map/parcel no.: Ea.add'I 500 sq.ft.or portion 33.92 l
Limited energy,residential 75.00 2
•DESCRIPTION-OF WORK • (with above sq.ft.)
/� Limited energy,multi-family 75.00 2
/1 s ,_ LJ �y,,,,� residential(with above sq.ft.)
Y`� `-�' f C J Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
❑ PROPERTY OWNER I ❑ TENANT 200 amps or less f 100.70 /e j,71' 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 l
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 0 CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee, 7 42 /yQ,�lD 2
Business name: each branch circuit .2
B.Fee for branch circuits without
Contact name: service or feeder fee,first
branch circuit 56.18 2
Address: Each add'l 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
■Business name: { tom—/��'�-R fL Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 2
Address: 57 5 e Srw, 4V L Each additional inspection over allowable in any of the above
City/State/ZIP: Additional inspection(1 hr min) 66.25/hr
Pt . 64 57 Investigation(1 hr min) 66.25/hr
Phone:(503))d4_� 5F( Fax:(03)g Li(,k- ( 5 C) Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 9000/hr
CCB Lie.: Electrical Lic.:3 q- Z Suprv.Lic.: 3 ft .
specifically listed(%hr min) _
ELECTRICAL
Suprv.Electrician signature,required: pi..k il ' PERMIT Subtotal: alif• /`
Print name:(e c, (a,z 7- ML(' uai 6 Date: LI (22/fa Plan review(25%of permit fee): -�"'f —
`�'""t State surcharge(12%of permit fee): (�/f.ci
Authorized signature: TOTAL PERMIT FEE: 2.,7 .y9
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.doc Rev 05/21/2013 440-461S1(11/05/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 Ott'. I Fee I Total I •_
Renewable electrical energy systems:
Check Type of Work Involved: 5 kvaorless 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
❑ Burglar Alarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
❑ Garage 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 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(%z 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
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
1:\Building\Permi ts\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013