Permit (77) CITY OF TIGARD ELECTRICAL PERMIT
. . s IN COMMUNITY DEVELOPMENT Permit#: ELC2017-00705
Date Issued: 09/27/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 9/27/DA01500
Jurisdiction: Tigard
Site address: 7150 SW FIR LOOP 110
Project: NW Group Subdivision: 72ND BUSINESS CENTER Lot: 5
Project Description: (21)branch circuits for TI
Contractor: PARAMOUNT ELECTRIC CO Owner: FIR LOOP LLC
39085 PIONEER BLVD STE#203 15000 BLUE GUM CT
SANDY, OR 97055 SARATOGA, CA 95070
PHONE: 503-703-2571 PHONE:
FAX:
FEES
Quantity Description Date Amount
21 crt Branch Circuits wo/Purchase 09/27/2017 $204.58
Specifics: Service or Feeder
1 ea 12%State Surcharge- 09/27/2017 $24.55
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $229.13
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Code 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 issu ce, 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 Cervi, Those rules are set forth in OAR
952-001-0010 throug • +1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198 II --2344.
019
Issued By: ' 7 Permittee Signature: -4 411
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 Application VOR W.F►( l: 1 Sl:0y1.1
City of Tigard Received A�/L■� 'A Permit# Lr ij ��0�
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review LLt�ill��
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related PermiAJ'T ° 9,
Inspection Line: 503.639.4175 Ready Date/By: Juris: ® See Page 2 for
Internet www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK"z PLAN REVIEW
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑ Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling E Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ;: 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: I Job site address: 7150 Sw Fir Loop 100HP or more. ❑"A","E","1-2", l-3",
❑Six or more residential units. occupancy.
City/State/ZIP:Tigard OR 97223 ^�,.�� 0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#:t AO I Project name: /V/il E jdf 0 Hazardous locations. 0 Supply voltage for more than
J 600 volts nominal.
❑Service or feeder 600 amps or more.
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: I 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
(with above sq.ft.)
New TI install lights and plugs. add extrerior building lights.
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
�,yf Renewable Energy 0 See Page 2
®'PROPERTY OWNER r��, F, ' ,.. ;� ". F,1 :,,,�/`�',�TENANT „ Services or feeders installation,alteration,and/or relocation
Name: 9N G)e_WUA 200 amps or less 100.70 2
Address: 1\5 V V t r 1--0,0p 201 amps to 400 amps 133.56 2
`i 401 amps to 600 amps 200.34 2
City/State/ZIP: I i��cK C/A 9 I^�):H 601 amps to 1,000 amps 301.04 2
Phone:(5C)') O'Y' 'ICC,)(Q Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: G.U0._()-Nr"a jL v y..\(& CO`'I . Goy\ relocation
Owner installation:This installation is bein ade on property that I own which is not 200 amps or less 59.36 t
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
Branch circuits-new,alteration,or extension, r panel
0 APPLICANT �,r ❑ CONTACT PERSON, f •� '^ A.Fee for branch circuits with
Business name: above service or feeder fee,
7.42 2
each branch circuit
Contact name: B.Fee for branch circuits without
service or feeder fee,first 1 56.18 56.18 2
Address: branch circuit
City/State/ZIP: Each add'!branch circuit 20 7.42 148.40 2
Miscellaneous(service or feeder not included)
Phone:( ) I Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: Reconnect only 67.84 2
VPI„ CONTRACTOR fi /I ,rt i' Rer `t Pump or irrigation circle 67.84 2
Business name:Paramount Electric Co Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy 0 See Page 2 2
Address:9053 se Jannsen Rd panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP:Clackamas OR 97015 Additional inspection(1 hr min) 66.25/hr
Phone:(503)7032571 I Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:office@pmtelectric.cm inspections for which no fee is
CCB Lic.: 195783 ' Electrical Lic.: 818 " I Suprv.Lic.: 4828s .-
specifically listed(A hr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: ( - Subtotal: y s,.
Print name: Maurice Greven Date: 9/20/2017 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): its Ss
Authorized signature: TOTAL PERMIT FEE: ‘ ,„2..q..S j
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
Fee for all residential systems combined: $75.00 Description I Qty. I Each I Total I *
Renewable electrical energy systems:
Check Type of Work Involved: 5 kvaorless 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
DiBurglar 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
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 ]
charged at an hourly(1 hr min)
Inspections for which no fee is
specifically listed(%hr min) 90.00/hr
COMMERCIAL WORK ONLY: % ELECTRICAL PERMIT FEES `�`f
,,. .�. ,,
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
* 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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