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Permit (144) CITY OF TIGARD ELECTRICAL PERMIT 14-. - COMMUNITY DEVELOPMENT Permit#: ELC2017-00107 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 02/21/2017 TIC;AIdI� 9 Parcel: 2S112DD00500 Jurisdiction: Tigard Site address: 15860 SW UPPER BOONES FERRY RD B15 Project: Air Reps Subdivision: None Lot: None Project Description: (2)branch circuits and(1)low voltage system for HVAC. Contractor: ENVIRONMENTAL CONTROLS CORP Owner: PACIFIC REALTY ASSOCIATES LP 15954 SW 72ND AVE 15350 SW SEQUOIA PKWY, SUITE 300 TIGARD, OR 97224 PORTLAND, OR 97224 PHONE: 503-544-9819 PHONE: FAX: FEES Quantity Description Date Amount 2 crt Branch Circuits wo/Purchase 02/21/2017 $63.60 Specifics: Service or Feeder 1 ea Signal circuit or Limited 02/21/2017 $75.00 Type of Use: Energy Panel Class of Work: 1 ea 12%State Surcharge- 02/21/2017 $16.63 Electrical Type of Const: Occupancy Grp: Total $155.23 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in - -• •- ,ith approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ' ENTION: Orego -quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-•41-0010 through OAR•'-001-0• I You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987• :00.332.2 / / 1111W Iss ed By: �/, Permittee Signature: V � i OWNER INSTALLATION ONLY dj The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' ` 0rt�� Date: ,/7 LICENSE NO. ' 4/7_C v/v Call 503.639.4175 by 7:000a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 20 17e'401 Electrical Permit Application FOR OFFICE USE ONLY City of Tigard N . . Received _r 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B s>ii Phone: 503.718.2439 Fax: 503.598.196 NE 'Plan Review Inspection Line: 503.639.4175 tiAr � Date/B Related Permit#: : l 7._at, 7 A T 1 V A R D Internet: www.tigard or gov Notified/Method: S See Page 2 for - :-: t* Supplemental Information a Jans 41' To ' ...' �. �r=-,bd a �.. £� ,.".."1: 0...,.; � � P� . Addition/alteration/replac y31 . ... ❑New construction ::.,1; .,,..:"'''''''' ":�' ❑ tri) Please check all that apply(submit 2 sets of plans w/items checked): t S!. Demolition Other: '$ y ❑ ITV � 3 ❑Service or feeder 400 amps or more 0 Building over three stories. I where the available fault current 0 Marinas and boatyards. a-'; r ` _. 8 �r w 0 '�` y °' ' exceeds 10,000 amps at 150 volts or El Floating buildings. El 1-and 2-family dwelling ,`Commercial/indu e a 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Multi-family ❑Master builder ❑Other amps for all other installations. buildings. "" � 0Fire pump. '�tkI 1 �� 1 i ID Installation of 150 KVA or �a .;<. . f ❑EmergencyAddition system, largeroccupancy.separately derived Job#: Job site address: �` / I ❑ of new motor load of system. IJ J p 0 sO .I '€T •„1eS (.. .._1.v..1 100HP or more. 0 City/State/ZIP: LL, 4.-e(-v og, / ❑Six or more residential units. t i �� IDHealth-carefacilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: 11Project name: /b..- /'� / 0 Hazardous locations. 0 Supply voltage for more than Cross street/directions t0 job site: ❑Service or feeder 600 amps or more. 600 volts nominal. &coil-24/v(/J(C Ot 64,, lc'N A l�('Ic�i?y( 1 C s”' /*t 5 T 0- Cie �p Descn lion I . Each Total * 1 f� 1Z hie` 4` 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 Ea.add'l 500 sq.ft.or portion 33.92 1 1<�':: ' ;0 iii t *41 "` ' � /� ".` ;c Limited energy,residential A 00G1‘ Vi` h d 2 i, (with above sq.ft.) 75.00 6 sem" Limited energy,multi-family 1 V t T�1�� C t residential(with above s ft.) 75.00 L,; ! 1 F`1. A c_ t (L-t- a Ai : '5. f71.--T 4 ,Ith , ', Renewable Energy 0 See Pa`e 2 Name: Ail?... _ Services or feeders installation,alteration,and/or relocation A i iL IR r PS 200 amps or less 100.70 2 Address: 5— 6 v S; yi` c rrS t_F Q 201 amps to 400 amps IN 133.56 —© City/State/ZIP: 401 amps to 600 amps 200.34 2 1 Cr,v c(ic, i 2 \7 C 3 5'" 601 amps to 1,000 amps 301.04 2 Phone:(y�,3 ) ipz ,_' 3(,� I Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or Owner installation:This installation is beingmade onpropertyrelocation200amps or intended for sale,lease,rent,or exchange,acording to ORS 7,449,670,and 701.not 1 amps to 400 59.36 l 201 amps to amps 125.08 2 Owner signature: Date 401 amps to 599 amps 168.54 *." . 44 41, ., ', v ® � ' Branch circuits—c new,alteration,or extension, •er •anel ` A.Fee for branch circuits with Business name: eij �afr� above service or feeder fee, 7.42 Contact name: each branch circuit 2 B.Fee for branch circuits without branch circuit / 56.18�r j 2 City/State/ZIP: Each add'l branch circuit 1 7.42 "7 a°tA 2 Phone:( ) I Fax: :( ) Miscellaneous(service or feeder not included) Each manufactured or modular Email: �' ec-c.„, ,e,:,,.17,411 k dwelling,service and/or feeder 67.84 2 r . Reconnect only lin 67.84 " Pumporirrigation ctinge III 6784 -® Business name: 6-_---;) f2.r,e17/J e�J J� L r,t71�,t S �� Sign or outline lighting 67.84 Address: "� 9i d'J Signal circuit(s)or limited-energy [� � / `�✓L panel,alteration,or extension. ❑ See Page 2 V 7 5.- 2 City/State/ZIP: / (Gt r 0,4T Z 2 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( f 2,15 i ii a, I Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Email: Inspections for which no fee is CCB Lia: C) Electrical Lic.:�jC I Suprv. +, s specifically ) 90 00/hr ( t Lic.: y listed /hr min Suprv.Electrician signature,required: �� : /, g IV'', I` '' '=4-i p6�,,�,�u � l il7Wes Subtotal: Print name: phe S t 'i"t'�vc Date: —/7'..t)v.7 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): /(p-('3 Authorized signature: TOTAL PERMIT FEE: �✓ This permit application expires if a permit is not obtained within 180 Print name: I Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PennitApp_ELR ERE.doc Rev 06/17/2015 440-46151(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Fee for all residential systems combined: $75.00 Description Qty. 1 Each I Total 7 * 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 OAR 918-309-0040) 552.26 2 Heating, Ventilation and Air Conditioning 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 s.ecifically listed(.4 hr min) 90 r � � � � Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) * Number of inspections allowed per permit. 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: I *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15860 SW UPPER BOONES FERRY RD B15, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Electrical ELC2017-00107 Inspection Type: Inspector: 199 Electrical final Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor CITY OF TIGARD ELECTRICAL PERMIT 1111 ' COMMUNITY DEVELOPMENT Permit#: ELC2017-00107 13125 SW Hall Blvd.,Ti Date Issued: 02/21/2017 TIGARD OR 97223 503.718.2439� 9 Parcel: 2S112DD00500 Jurisdiction: Tigard Site address: 15860 SW UPPER BOONES FERRY RD B15 Project: Air Reps Subdivision: None Lot: None Project Description: (2)branch circuits and(1)low voltage system for HVAC. Contractor: ENVIRONMENTAL CONTROLS CORP Owner: PACIFIC REALTY ASSOCIATES LP 15954 SW 72ND AVE 15350 SW SEQUOIA PKWY, SUITE 300 TIGARD, OR 97224 PORTLAND, OR 97224 PHONE: 503-544-9819 PHONE: FAX: FEES Quantity Description Date Amount 2 crt Branch Circuits wo/Purchase 02/21/2017 $63.60 Specifics: Service or Feeder 1 ea Signal circuit or Limited 02/21/2017 $75.00 Type of Use: Energy Panel Class of Work: 1 ea 12%State Surcharge- 02/21/2017 $16.63 Electrical Type of Const: Occupancy Grp: Total $155.23 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 - •- • ,ith 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. • ENTION: Orego -quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-1,1-0010 through OAR 7•-001-0+ I You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987• :00.332.2 Iss ed By: 1 -�� Permittee Signature: - ,%%�1�`� 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' 7 .-,, / ��'etI Date: �/ LICENSE NO. �L17 S 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. 7 Li° Electrical Permit Application FOR OFFICE USE ONLI' City of Tigard Received rlIl r 13125 SW Hall Blvd.,Tigard,OR 97223 'g Dateiv : e' � �� S Phone: 503.718.2439 Fax: 503.598.1961Plan Review Date/B : Related Permit#: � df ,y l 74 Inspection Line: 503.639.4175 '' 7--lL T I G A R D Ready Date/By: 7ur s: See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information - om..47:0:".*** .. P 1:',l = `❑New construction �Addition/alteration/replace e r �,)ry Please check all that app I yy dF:JI y(submit 2 sets of plans w/items checked): ❑Demolition ❑Other 7 R 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. z :::-,::.‘, ,,i-7.,:.Deii", ite v'Ej ti.1,ir.s :°l .." exceeds 10,000 amps at 150 volts or jl�;� �`t ❑Floating buildings. ❑ 1-and 2-family dwelling Commercial/indu ria 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or v . 0 , f �s . a, ,,,-, ,•� • ". 4" ❑Emergency system, larger separately derived Job#: I Job site address: IJ r a r y� r ❑Addition of new motor load of system. 60 J V L vie-._5G.rJ100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP: ' ec 7� 7 0 Six or more residential units. occupancy. 0 Health-care facilities 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: ' /,/r (/gees ❑Hazardous locations. 0 Supply voltage for more than Cross street/directions to job site: ' ❑Service or feeder 600 amps or more. 600 volts nominal. /1 1202-u')<2-iJX 1 C L^t t- I I�ie.c,4 C� Cie PDescriptionQty. Each Total.. T 1r1 rt'L° 1Z p 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 ` Ea.add'I 500 sq.ft.or portion 33.92 1 . Limited energy,residential DO el‘ 6 1 i} 4- / 09,l� 42-01-(-4\-1-^ (with above sq.ft.) 75.00 2 6 Limited energy,multi-family J `. \`1 L- C 1 f i+.1 c Z- o1 Iv i,,...,4A.,1 residential(with above sq.ft.) 75.00 2 � } � 5 ( .' 1 t Renewable Energy 0 See Page 2 ' *Tr-41: - ' Services or feeders installation,alteration,and/or relocation Name: Ai iL 1 L YS 200 amps or less 100.70 2 Address: (e s`; P ._ 201 amps to 400 amps 133.56 �`Scnr:,"S 1-r-eR9 el 2 City/State/ZIP: j , 401 amps to 600 amps 200.34 2 �. C � 0�.���'O i t,2 �7�:y5'" 601 amps to 1,000 amps 301.04 2 Phone:(ye.a ) 'z -Al 3 cc I Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or 1:ss 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 5,r ; �w 2 .• Ag." a 4 -" ,,,,0 eowA, ;; ;- '6 , .,e Branch circuits-circuits new,alteration,or extension,per panel �;.M A.Fee for branch with Business name: �, fl1v� above service or feeder fee, 7.42 2 Contact name: each branch circuit B.Fee for branch circuits without M.L1 Address: service or feeder fee,first �/� branch circuit / 56.18 4 11 2 City/State/ZIP: Each add'l branch circuit j 7.42 7-HA 2 Phone: Miscellaneous(service or feeder not included) ( ) Fax: :( ) Each manufactured or modular Email: GX ,i-a) dwelling,service and/or feeder 67.84 2 ec-c� .,r f[0, API ..„ ; _ �•.� Reconnect only 67.84 2 i;-%;47.. ; .� o'?,'(:::,; 0" ,1: " 0 � �cc _ �' Iv `c . , - Pump or irrigation circle 67.84 2 Business name: al, L Sign or outline lighting 67.84 2 Address: e-S .� Signal circuit(s)or limited-energy 677 ,5-r C hi p panel,alteration,or extension. 0 See Page 2 � 2 City/State/ZIP: 774IL°r L.y� c�,7�2 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( r 3) (r ,'v6, I Z Z h I Fax: ( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lie.:z4 i I Electrical Lie.:(E 3 I Suprv.Lie.:�Q r f) S specifically listed('Az hr min) 90 00/hr Suprv.Electrician signature,required: %0 ! TIt " ' " Subtotal .. }-t Sic Print name: l ph e s 14414,4,1/44c I Date: 1-1?-,)447 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): l(,(s 3 Authorized signature: TOTAL PERMIT FEE: lS )18I This permit application expires if a permit is not obtained within 80 Print name: I Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitAppELR ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Fee for all residential systems combined: $75.00 Description Qty. Each 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 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 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 OAR 918-309-0040) 552.26 2 ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* 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('/hr min) .n 1 17"'cUta ° t ¢. x 3 EC 4 >E FEW, r Subtotal(Enter on Page 1): 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: I *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015