Permit 7,1 CITY OF TIGARD ELECTRICAL PERMIT
• COMMUNITY DEVELOPMENT Permit#: ELC2017-00256
[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2017
Parcel: 2S101DC04201
Jurisdiction: Tigard
Site address: 7190 SW FIR LP
Project: Maher Tolleson Subdivision: 72ND BUSINESS CENTER Lot: 2
Project Description: Adding(6)branch circuits and altering(1)for lighting upgrade
Contractor: BRIGHT STAR ELECTRIC COMPANY Owner: VIKING TWINS II LLC
3143 SW 22ND ST NORTHWOODS WEST LLC
GRESHAM, OR 97080 7190 SW FIR LOON
TIGARD, OR 97223
PHONE: 971-998-8459 PHONE:
FAX: 503-907-9809
FEES
Quantity Description Date Amount
7 crt Branch Circuits wo/Purchase 04/13/2017 $100.70
Specifics: Service or Feeder
1 ea 12%State Surcharge- 04/13/2017 $12.08
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $112.78
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. Thos ules are set forth in OAR
952-001-0010 through 0 952- - 090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or .80 .3 2.2344
Issued By: 7/` 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 ApplicaticiRECEIVED rolz orrlcr: I.Sl:0y1.1
City of Tigard 2017 Received y. �� . Permit„, 7 . _O 0,2 S
- A R Date/B : j� ri C .
III13125 SW Hall Blvd.,Tigard,OR 97223H1'R Plan Review
Phone: 503.718.2439 Fax: 503.598 �Q, y Date/B : Related Permit#:
Inspection Line: 503.639.4175 LIT Y OF YARD Ready Date/By: Juris: H See Page 2 for
I I( ARD Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction 11Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Demolition ❑Other:
0 Service or feeder 400 amps or more 0 Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATS ORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
0 1-and 2-family dwellingCommercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amp❑Multi-family ❑Master builder 0 Other: Fire form all other installations. Insbutallation
❑Fire pump. 0 Installation of 150 KVA or
JOB SITE'INFORMATION AND LOCATION 0 Emergency system. larger separately derived
7 i(� r `1 11 (
0 Addition of new motor load of system.
Job#: Job site address: --010 1` 1 0 c W F r 1001113or more.
e-�--� ❑«A„ «E„ «1.2»«1.3„
City/State/ZIP: l ^® 0 CI1 2-23 ❑Six or more residential units. occupancy.
0 Recreational vehicle parks.Health-care facilities.
Suite/bldg./apt.#: Project name: 1`p i}fQ TopWim+`
0 Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I.. Total I *
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
.1 i Neo c 7) fl- pa��/;, (with above sq.ft.)
i "w �"a,`1 t Limited energy,multi-family
75.00 2
residentialwith above s .
( 9 ft.)
Renewable Energy 0 See Page 2
0 PROPERTY OWNER I 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 _ I
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 2
0
APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: Wf S i— „ E G above service or feeder fee,
each branch circuit 7'42 2
Contact name: t&,lln' B.Fee for branch circuits without
Address: -71,1= Z2 service or feeder fee,first
t � p branch circuit 1 56.18 2
City/State/ZIP: G 12 EzcF— On 010 Each add'l branch circuit 6 7.42 2
Phone:(C(�' ) (g �� Fax: :( ) Miscellaneous(service or feeder not included)
Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: �j {�S7 l� t1�M
y \ Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: See,- Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: panel,alteration,or extension. g
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
,, /- (� Inspections for which no fee is 90.00/hr
CCB Lic.: .�7 o5 Or 6;• Electrical Lic.: I Suprv.Lic.: � 13 f specifically listed('/z hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signatu e,required: t Subtotal: / ' ,70
Print name: IDNi N1 - Date: 4 111fl ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): / ,Q d.'
Authorized signature: TOTAL PERMIT FEE: /�2 �(jG
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.
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Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description *
Fee for all residential systems combined: $75.00Q�. I Each I Total 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
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
❑ 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(1/2 hr min)
COMMERCIAL WORK ONLY: k'u ELECCAL PERMIT FEES
Subtotal Enteron 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
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