Permit (12) CITY OF TIGARD ELECTRICAL PERMIT
1 '' COMMUNITY DEVELOPMENT } ; i Permit#: ELC2016 00395
TEGA.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ' Date Issued: 05/16/2016
P 16:----- Parcel: 2S112AC00600
Jurisdiction: Tigard
Site address: 7440 SW BONITA RD
Project: Commercial Subdivision: None
Project Description: adding receptacles for counter tops. 8/30/16:REPRINTED permit to include(8)additional branch circuits. Lot: None
Contractor: RIVER CITY ELECTRIC INC Owner:
RL WILSON PROPERTIES LLC
4112 NE 48TH AVE 9204 NW MCKENNA DR
VANCOUVER,WA 98661 PORTLAND, OR 97229
PHONE: 360-910-6296 PHONE:
FAX: 360-718-7461
FEES
Quantity Description Date Amount
Specifics: 10 crt Branch Circuits wo/Purchase 08/30/2016 $122.96
Service or Feeder
1 ea 12%State Surcharge- 08/30/2016 $14.76
Type of Use: COM Electrical
Class of Work: ADD
Type of Const:
Occupancy Grp:
Total $137.72
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 of er licable law. All work wit
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issue 1 e, or if work is u pended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificati.1 I enter. Tho r le are set forth in OAR
952-001-0010 through OAR 952-001-0090./You av obtain a copy of the rules or direct questions to OUNC by calling 503.s3 1.87 or 1.800.332.2
*.
Issued By: y .7-- '_'f'errnittee 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.
IIIIIII
Electrical Permit Application
I��,, FOR OFFICI�Ft O.A1.1'
City of Tigard ,c Received � _ —
U 13125 SW Hall Blvd.,Tigard,OR 9w 1 +> Date/B : '
= Phone: 503.718.2439 Fax: 503.5' .>t; : Q1� Plan Review
�- Date/B : Related Permit#:
T I c A R n Inspection Line: 503.639.4175 G 3 ,Ready Date/By: Jar
Internet: www.tigard-or.gov {� t 's Supplemental See Page 2 Informationnr
� p ,`�+lotifiedMethod: /��y
� i A %
TYPE OF WO 1✓®V
❑New construction � � }��q0A(7,1)`
� PLAN REVIEW
Addition/alteratio 1St3etnent Please check all that apply rty�„�- pp y(submit 2 sets of plans w/items checked):
0 Demolition ❑Other: s.,°.- 0 Service or feeder 400 amps or more 0 Building over three stories.
N, where the available fault current
CATEGORY OF CONSTRUCTION 0 loating bud boatyards.
exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling '
Y Commercial/industrial • dViv—
' less to ground,or exceeds 14,000 0 Commercial-use agricultural
❑Multi-family 0 Master builder 0 ,( amps for all other installations. buildings.
❑Fire pump. 0Installation of 150 KVA or
JOB SITE INFORMATION AND LOCAT .l` 0 Emergency system.
larger separately derived
Job#: I Job site address: S` � ❑Addition of new motor load of system.
Lt) SU/1(tt , CkA. 10011P or more. 0"A”,"E",`•1-2„ "1.3>
City/State/ZIP: 'T V�� R. I0 ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle park.
Suite/bldg./apt.#:
Project name:?c7c7I 0frt.j 0 ,t 5,,,? ❑Hazardous locations. 0 Supply voltage for more than
Cross street/directions to job site: l ❑Service or feeder 600 amps or more. 600 volts nominal.
f3Qh 1�4 `7C/ FEE SCHEDULE
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
DESCRIPTION OF WORK Ea.add'1500 sq.ft.or portion 33.92 1
Limited energy,residential
Alla 1- e clrCt-i. r M.( S( . PL(,1 (with above sq.ft.) 75.00 2
16 ettid r �—_ ! C' Limited energy,multi-family
7)Ci1�'d 1 22 1/ e f i
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL
�7��7 FEE SCHEDULE
WORK i: Description i (NY. I Each I Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less 100.70 2
Check Type of Work Involved: 5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
>100 kva—no additional charge 0.0 3
❑ Vacuum Systems* Each additional inspection over allowable in any of the above:
Each additional inspection is 66.25/hr 1
❑ Other: charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed('/z hr min)
ELECTRICAL, PERMIT FEES
COMMERCIAL WORK ONLY: Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 $ Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ 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
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
7440 SW BONITA RD, TIGARD, OR, 97224
Record Type:
Commercial - Electrical
Inspection Type:
199 Electrical final
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
November 16, 2016 at 1:43:45
PM
Record ID:
ELC2016-00395
Inspector:
Jeff Grove
Contractor