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Permit II CITY OF TIGARD ELECTRICAL PERMIT s. COMMUNITY DEVELOPMENT Permit#: ELC2017-00677 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/14/2017 Parcel: 1 S135BD00400 Jurisdiction: Tigard Site address: 10895 SW 95TH AVE Project: Ash Creek Village Subdivision: MEADOW VIEW Lot: 8 Project Description: (1)200 amp service and(2)branch circuits for installation of(4)light poles for new subdivision development. Contractor: GLOBAL ELECTRIC, INC. Owner: CTH INVESTMENTS LLC PO BOX 162 1800 NW 167TH PL STE 150 NORTH PLAINS, OR 97133 BEAVERTON, OR 97006 PHONE: 503-647-5650 PHONE: FAX: 503-647-5649 FEES Quantity Description Date Amount Specifics: 1 ea Services or Feeders-200 09/14/2017 $100.70 amps or less 2 crt Branch Circuits w/Purchase 09/14/2017 $14.84 Type of Use: COM Service or Feeder Class of Work: NEW 1 ea 12%State Surcharge- 09/14/2017 $13.86 Type of Const: Electrical Occupancy Grp: Total $129.40 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 throu 001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Al Issued By: Permittee Signature: d/1.f 170,2-I6177v 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 603.639.4175 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. From: 09/15/2017 08:09 #324 P.001/002 Electrical Permit Applicatio FOR OIFICI:t1SE0\1.1" City of Tigard ��.. - Receive, t : a 13125 SW Hall Blvd.,Tigard,OR 97223 4 d Date 'ermi �r �7 !/t(1 �� _ Phone: 503.718.2439 Fax: 503.598.1960 PlanRevie Inspection Line: 503.639.4175 p 1 Date : : Related Permit k: 1 1 C;�1 R D Internet: Line: ard-or9.41 S E P 4 ?Oil ffReady Date/By: kris, H See Page 2 for Notified/Method: Supplemental informaBon r werimmislim ❑New construction 1 Additio a "��--��, - ent Please check all that apply(submit a sets of plans w/items checked): _ o DemolitionOther: a=' f J 1 t' #8 t g �y# ❑Service or feeder 400 amps or more # ❑ uilding overthreestones, ,� 1 where the available fault current s h �� , ' r v Marinas❑ and boatyards. ' toy •r exceeds 10,000 amps at 150 volts or ❑ 1-and 2-family dwelling0 Floating buildings. Y I' Commercial/industrial 0 Accessorybuildingless to ground,or exceeds 14,000 ❑Multi-family ❑Commercial-use agricultural ■ Master builder ❑Other: amps for all other installations. buildings = x ❑Fire pump. 0 Installation of 150 KVA or 9 ,g ❑Emergency system, larger separately derived Job#: /a 4 flus 5, ¢ 9 .� t' e b040 ❑Addition of new motor load of system. f4 ( i OHP or more. ❑..A„„E„ ..1-2„,.1-3„ City/State/ZIP: 1 r d Six or more residential units. occupancy. J �Idi ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: -tfie, g�� s ❑Hazardous locations. 0 1 1<';P& 6 til.e / Supply voltage far more than Cross street/directions t0 job Site: ^ / ❑Service or feeder 600 amps or more. 600 volts nominal 0eC$ixe5+ C1 c.5 c i 15 3(A) ori i; 0 oYom- .5 ! 1 New new don e+ Subdivision: residential single-or multi-family dwelling unit. Lot#: Includes attached garage. Tax map/parcel#: r / 1,000 sq.ft.or less 168.54 4 *; 0}^ffi r t Ea.add'i 500 sq.ft.or portion 33.92 ith Limited energy, tial III{TL-e wabove ftresiden. 75.00 -� i,1 b)+1 f hO u� , '13 C"�v ell W14€4/11- Limited energy,multi-family residential(with above sq.ft.) 75.00 ■I ifts TCA e € , 5- _ a=- --t Rene ❑ See Pa ne 2 Nan/tr./I-A wable ces or feedersEner installation alteration ad/or relocation �' ' /NST/9-t,c�-i�0n/ t,,4— ('i G-IG T „e)-0Gc 200 amps or less iril 100.70 Address: ++ 201 amps to 40 amps 133.56 2 City/State/ZIP: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Phone:( ) 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 on propertyrelocation ps Owner intended for sale,lease,rent,or exchange,according to ORS ,449,670,and 701. 201 20201 amps to 400 amps 125.08 less 59.36 1 Owner signature: 2 Date: 401 amps to 599 amps 168.54 2 Branch circuits-circuitnews alterationwith or extension ,er ,anel Business name: A.Fee for branch ba..) ✓`�/c-(�j r[ '_ each above servibrancfice orcircuitedfeer fee, Contact name: 7.42 i q c,\T\ r y 6 `j 11 B.Fee for branch circuits without i Address: (J jqC Z g service or feeder fee,first AA,' i branch circuit 56.18 City/State/ZIP: N ice+ A 0 iz 9 7 i Each add'l branch circuit 37.42 Phone:( �; ) Llly .,5-3,7(-7I Fax:;( ) Miscellaneous service or feeder not included L ! I Each manufactured or modular Email f_cci dwellin l,service and/or feeder III 67.84 2 Reconnect only ag 67.84 -© t '���''�_ " ` .' Pump or irrigation circle { {{ 67.84 Business name: C> ,Ci lin Cz.) �.t e.c i Sign or outline lighting 67.84 Address: •10 S2J0 i to AA c � S ,'T g Signal circuit(s)or deanel,aheration,or limiteextension-en.rgy 0 See Page 2 City/State/Z1P: N i v crit, Each additional las ection over allowable in an of the above l c;`,4,15 ®1Z Z l, 3 Phone:( �) i r Additional inspection(1 hr min) II 66.25/hr 5a C d Email: � _ �6� 0 Fax.��3 ) 6 7 ^`�6 z` 7 Investigation(1 hr min) 90.00/hr ., ,`)- (?f` •i^ C t 6;`11,c-',./G le'G. Industrial plant(I hr min) 78.18/hr �■ , __ ` • e'er Inspections for which no fee is CCB Lic.: ��, Electrical Lic.: Su rv. s eccall listed ' ISE r G65Gi p Le.. 105 (/z hr mm _,,.._ -111 Suprv.Electrician signature,required: fC�RICIL PERMI¢ FEES Print name: Subtotal: i i 5- •sil U ,. Date: ca_ "L _ 7 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): t 3 '8& i! Authorized signature: TOTAL PERMIT FEE: I q • ti� C t%Lt,-v I Print name: I This permit application expires if a permit is not obtained within 180 C/f yr y}rJ�? �t I Date: �j 1 Lif'-l-7 days after it has been accepted as complete. 7:,Building..Permits aLC_Per,nApp ELR_ERE.doc Rev( 06%17.2015 ` Li / t Number of inspections allowed per permit. •• 440-4615T(i 1'05'COM%WEB j'efr/�,5 ei/0 Zj a.ife CiY7L.a,.c.c.'c. . Com- CITY OF TIGARD ELECTRICAL PERMIT 41 1111 = COMMUNITY DEVELOPMENT Permit#: ELC2017-00677 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/14/2017 Parcel: 1 S 1358 D00400 Jurisdiction: Tigard Site address: 10895 SW 95TH AVE Project: Ash Creek Village Subdivision: MEADOW VIEW Lot: 8 Project Description: (1)200 amp service and(2)branch circuits for installation of(4)light poles for new subdivision development. Contractor: GLOBAL ELECTRIC, INC. Owner: CTH INVESTMENTS LLC PO BOX 162 1800 NW 167TH PL STE 150 NORTH PLAINS, OR 97133 BEAVERTON, OR 97006 PHONE: 503-647-5650 PHONE: FAX: 503-647-5649 FEES Quantity Description Date Amount 1 ea Services or Feeders-200 09/14/2017 $100.70 Specifics: amps or less 2 crt Branch Circuits w/Purchase 09/14/2017 $14.84 Type of Use: COM Service or Feeder Class of Work: NEW 1 ea 12%State Surcharge- 09/14/2017 $13.86 Electrical Type of Const: Occupancy Grp: Total $129.40 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 throu 58 001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: dl✓i/•°,r"L,l 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. From: 09/15/2017 08:09 #324 P.001/002 Electrical Permit Applicatio FOR OFFICI,t SE Oyl.v Ci O Tigard Received c -7 r �5 f g - .. 3 .. 1. F; ''` Date: : ! ••I% emits Z C 7/ / 'd1./-77 13125 SW Hall Blvd.,Tigard,OR 97223 pyo g�,� _ Phone: 503.718.2439 Fax: 503.598.1960�, Dam ; : Related Permit#: Inspection Line: 503.639.4175 SEP I) t g ry Ready Date/By: loris: H See Page 2 for 'I I C.:\K D Internet: www.tigard-or.gov 11`` 1 `°I' L��1 Notified/Method: Supplemental Information i .< ,''s� ;: _"._ '!, .-" 'S` :t3 ._ ` k. v `y,'1` A t,.� ,..,,.c �❑New construction i� AddlhOn�I ent Please check all that apply(submit/sets of plans w/items checked): t 8 g t oq, 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition Other of where the available fault current 0 Marinas and boatyards. , :` - .z _ rte 1 ; t c k ly4a '=i exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling ' Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family • Master builder ❑Other: 0 Fire pump. 0 installation of 150 KVA or : z., s -, , m;d :t a dr a e.. 0 Emergency system. larger separately derived y� , Y 0 Addition of new motor load of system. Job#: / .3eb-citb6-140 t°Hp or more. ❑..A ,.E„ ..l 2„..l_3„ Ci /State/ZIP: y d Six or more residential units. occupancy. i AI ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: 9 F .4,s' -*-'1, 's / ❑Hazardous locations. 0 Supply voltage for more than amps600 volts nominal ,.� ❑Service or feeder 600 or more Cross street/directions to job site: ^ 2 r ;� •i l^1 • a " 0:. gl Description Qty. Each Total I• 0 ecu-c 5`" cc05-' `z,i t 5 Dia) Not-IL-14 aat-Ko' a- 5" New residential single-or multifamily dwelling unit. Subdivision: Lot#: Includes attached garage. Tax map/parcel#: //Stet ��&.v2 L--L am `- 1,000 sq.ft.or less 168.54 4 � ,., Fr -rs, Ea.add'I 500 sq.ft.or portion 33.92 1 Limited energy,residential (with above sq.ft.) 75.00 2 )k L e '€ Lk i iA -I pg 'f hou5 i d v e. )k Wt 't--elt Limited energy,multi-family v residential(with above sq.ft.) 75.00 2 ,� Renewable Energy ❑ See Page 2 ='t" ''':=6.,'&::--t-•.e,<'.'' . � = _ _- )t? = Services or feeders installation,alteration,and/or relocation ` Nates1 /,V 7—, c/-i7C/✓ eF Cs e10-‘,47-e10-‘,47- At ES 200 amps or less + 100-70 Ie0•yz 2 Add`re`s's:: 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:( ) I 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 v gc q 7 4t N . t e' Ta-"°q_,tw, ,_ Branch circuits-new,alteration,or extension,per panel " " "�` "' A.Fee for branch circuits with Business name: 1 G\D i)ec 1~t c above service or feeder fee, `j 7A2 1,-/ 2 each branch circuit j( Contact name: C\tn,r\,C `t`k.(so ( B.Fee for branch circuits without q �J� service or feeder fee,first Address: IC) 30 t .! L t�1 ick.) 1� 5* %) ` -Q :x`ni i- branch circuit 56.18 2 City/State/ZIP: ( > p Each add'l branch circuit 7.42 2 �'C7` +4� te„ t K r✓ Miscellaneous(service or feeder not included) Phone:(5-0,5?) ''/_`l 7 C)7 Fax::( ) Each manufactured or modular Q6/ LLL ! dwelling,service and/or feeder Email67.84 2 CIA y 1, �./(7Jo b c{.�(�I C i L U 3 L+.„ C.O ✓ Reconnect only 67.84 2 p3. , r, _ z _.. - _ Pump or irrigation circle 67.84 2 Business name: Ci \,0,'{ii)ct,) E k e c. y--i c. Sign or outline lighting 67.84 2 Address: Signal circuit(s)or limited-energy V u o f i`t; t.J j1A v 1 5 panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: ' LI �h fo Each additional inspection over allowable in any of the above \C>_.\ 115 Q tZ q'7 1..- , Additional inspection(1 hr min) 66.25/hr Phone:(5 ') i. 1 _ 5-6.0 Fax:(23 ) ((--i 7 -6-6 7 ti 7 Investigation(1 hr min) 90.00/hr Email: Industrial plant(i hr min) 78.18/hr }} } D iii e,!^E i^7 . j\o,c-c.!e E ect-r' 4- ' Set... Co '" Inspections for which no fee is 9(1 00/hr CCB Lie.: " Electrical Lic.: ,1 , Suprv.Lic.: speccally listed(%:1 mm) 1J � �7"f�6 p `� ELEC t[CAI PERMTI'T XtS:: Suprv.Electrician signature,required: Subtotal: 11 s 54/ Print name: -t U j�� 5 7` / Date: _/G. .- '7' 0 Plan Review Required(25%of permit fee): / / State surcharge(12%of permit fee): 13 -$g Authorized signature: TOTAL PERMIT FEE: ` v t c,,,,,,,,„.„„.'` This permit application expires if a permit is not obtained within 180 Print name: ---�f/ `, 5-i2 e--1t„rDate: -/ Uri' 44 t7f _`7 days after it has been accepted as complete. J f)-. s * Number of inspections allowed per permit. 1:'Building`PermitsELC_PermitApp_ELR_ERE.doc Rev 06,1712015 440-4615T(11'051COM'WEB jjeirrii,seyoZd-%a/ccfrfcu-s:c,. . con-\-