Permit s p CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
;'1 a COMMUNITY DEVELOPMENT Permit#: ELR2015-00051
Date Issued: 02/24/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2 41!Itt .. iti
Parcel: 2S112CB00900
Jurisdiction: Tigard
Site address: 15000 SW HALL BLVD
Project: Bonaventure of Tigard Subdivision: WILSON ACRES Lot: 8
Project Description: Low voltage for(27)HVAC thermostats.3/25/15,reprinted to correct address to 15000 SW Hall Blvd.
Contractor: JET INDUSTRIES INC Owner: SCHMIDT FARM LLC
1935 SILVERTON RD NE 25717 SW LABROUSSE RD
SALEM, OR 97303 SHERWOOD, OR 97140
PHONE: 503-363-2334 PHONE:
FAX: 503-363-2622
FEES
Description Date Amount
Specifics: Restricted Energy Permit 02/24/2015 $2,025.00
12%State Surcharge-Electrical 02/24/2015 $243.00
Type of Use: COM
Class of Work: NEW
Total Number of Systems: 27
Audio&Stereo: 0 Boiler Controls: 0
CCTV: 0 Clock Systems: 0
Data&Telecommunications: 0 Fire Alarm: 0
HVAC: 27 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 $2,268.00
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. 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 thro 952-001-$090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 232.1987 or 1.800.332.2344.
Issued By: 1 A/ l Permittee Signaturef,, txT� Q�.r
OWNER INSTALLATION ONLY 111 a
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.
Ip CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
III s COMMUNITY DEVELOPMENT Permit#: ELR2015 00051
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/24/2015
Parcel: 2S 112C 600900
Jurisdiction: Tigard
Site address: 15000 SW 83RD AVE
Project: Bonaventure of Tigard Subdivision: WILSON ACRES Lot: 8
Project Description: Low voltage for(27)HVAC thermostats
Contractor: JET INDUSTRIES INC Owner: SCHMIDT FARM LLC
1935 SILVERTON RD NE 25717 SW LABROUSSE RD
SALEM, OR 97303 SHERWOOD, OR 97140
PHONE: 503-363-2334 PHONE:
FAX: 503-363-2622
FEES
Description Date Amount
Specifics: Restricted Energy Permit 02/24/2015 $2,025.00
12%State Surcharge-Electrical 02/24/2015 $243.00
Type of Use: COM
Class of Work: NEW
Total Number of Systems: 27
Audio&Stereo: 0 Boiler Controls: 0
CCTV: 0 Clock Systems: 0
Data&Telecommunications: 0 Fire Alarm: 0
HVAC: 27 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 $2,268.00
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. 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 g 2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 .1987 or 1.800.332.2344.
Issued y: „Y Permittee Signature: I
Musa
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
i
SIGNATURE OF SUPR.ELEC' :P.L f At 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.
e Electrical Permit Applic EIVED FOR OFFICE USE ONLY
City of Tigard
' �v Received
Permit No.: •
• 13125tSW Hall lvd.,Tigard,OR q7 a. , Date/B : Pma�` a �iL/Q � S
Mill
g t� 4 2015 Plan Review Other Permit:
Phone: 503.718.2439 Fax: 503.5 8. .t Date/B
Date Ready By: Jurist ® See Page 2 for
TIGARD Inspection Line: 503.639.4175
Internet: www.tigard-or.gov CITY OF TIGARD Notified Method Supplemental Information
BUILDING DIVISION
TYPE OF WORK PLAN REVIEW
® New construction ❑Addition/alteration/replacement 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.
El Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at ISO volts or ❑Floating buildings.
less to ground,or exceeds 14.000 ❑Commercial-use agricultural
❑ I-and 2-family dwelling ®Commercial/industrial ❑Accessory building amps for all other installations. buildings.
® Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation 01 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","E"."1-2"."I-3".
Job no.: Job site address:8325 SW Ross St. 100HP 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.: Project name: Bonaventu re of Tigard ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site:
J Description I Qt>•. I Fee. I 'renal I
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq.tl.or less 168.54 4
Ea.add'!500 sq.tt.or portion 33.92 I
Tax map/parcel no.:2S112CB00900 Limited energy,residential
75.00 2
DESCRIPTION OF WORK (with above sq.R.)
Limited energy,multi-family 75.00
27 Thermostats-Low Voltage residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
❑ PROPERTY 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: 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 I
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08
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
D APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
7.42
Business name:Jet Industries each branch circuit
B.Fee for branch circuits without
Contact name:Tina Torres service or feeder fee,first 56.18 '
branch circuit -
Address: 1935 Silverton Rd.NE Each add'I branch circuit 7.42 2
City/State/ZIP: Salem,OR 97301 Miscellaneous(service or feeder not included)
Each manufactured or modular
67.84
Phone:(503)363-2334 Fax: :(503-)363-2622 dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail:Tina.tcjetindustries.net Pump or irrigation circle 67.84
CONTRACTOR Sign or outline lighting 67.84 2
Business name:Jet Industries Signal circuit(s)or limited-energy See
panel,alteration,or extension. A-7_ Page 2 2
Address: 1935 Silverton Rd.NE Each additional inspection over allowable in any of the above
City/State/ZIP: Salem,OR 97301 Additional inspection(I hr min) 66.25/hr
Investigation(I hr min) 66.25/hr
Phone:(503)363-2334 Fax:(503)363-2622 3371-63 Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
•
CCB Lic.: 3944 Electrical Lic.' Suprv. Lic.:C specifically listed(%2 hr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required: (7 Subtotal: �fa$,
Print name: /red 994 e�se r Dater/`Z.../� Plan review(25%of pennit fee):
v State surcharge(12%of permit fee): d`q3,(iZ
Authorized signature: lieelO TOTAL PERMIT FEE: 0.2)4,f';)
"�� This permit application expires if a permit is not obtained within 180
Print name�n a -Tairre �/ ti r j ate -( dabs after it has been accepted as complete.
�"�'�� • Number of inspections allowed per permit.
l:'Building'Permits,ELC_PermitApp_EI.R_ERE.doc R 05'21:2013 440-4615T(11•05'COMAWEB
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. I Fee I Iut:d
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
❑ 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
El 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
I I 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(I hr min) 66.25/hr 1
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 ISO
ElAudio and Stereo Systems days after it has been accepted as complete.
* Number of inspections allowed per permit.
El Boiler Controls
1 Clock Systems
Data Telecommunication Installation
El Fire Alarm Installation
fHVAC
❑ Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
Medical
Nurse Calls
I 1 Outdoor Landscape Lighting*
I I Protective Signaling
Other
Total number of commercial systems: ��
*No licenses are required. Licenses are required
for all other installations
1:\Building,PennilsELC_PermitApp_ELR_ERE.doc Rev 05/21/2013
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15000 SW HALL BLVD, TIGARD, OR, 97224
Commercial - Electrical Limited Energy
198 Low voltage final
PASS - No C of O
ELR2015-00051
Jeff Grove
Violation Summary:
Inspector Contractor