Permit (41) CITY OF TIGARD ELECTRICAL PERMIT
.111111
COMMUNITY DEVELOPMENT Permit#: ELC2018-00126
RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/20/2018
T f ' � 9 Parcel: 2S 112DA00800
Jurisdiction: Tigard
Site address: 15055 SW SEQUOIA PKWY 130
Project: YECURIS Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: WIRE FOR TENANT REMODEL. 4/3/2018: REPRINT to add(7)200 amp service feeders for connection of
mobile generator.
Contractor: STONER ELECTRIC Owner: PACIFIC REALTY ASSOCIATES LP
1904 SE OCHOCO ATTN: N PIVEN
MILWAUKIE, OR 97222 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-462-6500 PHONE:
FAX: 503-659-2765
FEES
Quantity Description Date Amount
13 crt Branch Circuits wo/Purchase 02/20/2018 $145.22
Specifics:, Service or Feeder
1 ea 12%State Surcharge- 02/20/2018 $17.43
Type of Use: COM Electrical
Class of Work: ALT 7 ea Services or Feeders-200 04/03/2018 $704.90
amps or less
Type of Const: 0 ea 12%State Surcharge- 04/03/2018 $84.58
Occupancy Grp: Electrical
Total $952.13
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 through a01-0 190. You may obtain a copy of the rules or direct questions to OUNC by calling 50033.,232.1987 or 1.800.332.2344.
Issued By: i �"ILam-- Permittee Signature: 4,"'v2. '9/"/'c/(' 7-7 . v
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 Applicahon4% ' ' ,EIV *--4 F.':
x-,.,,L, -, FOR OFFICE USE C)\L4°
City of Tigard i::-jeca,:,7! vArp ffiiiit. El e 420//"Ve/c?4,
II .. 13125 SW Hall Blvd.,Tigard,OR 97223 A F., 0 't ?..0 16 Plan Revies
2, Phone: 503.718.2439 Fag: 503.598.1960 ' Lbuelly:
. I)17 c
Inspection Line: 503.639,4175 , .., k:,: 4; f, ,4 if' :4 „,',-i i Ready Date/By: bun Ed See Page 2 fur
Ft SARI?, Internet: wwwligard_ongov f.,,:,. i?, i ,.,'!': , ...,.;rtik.Ai Notified/Method: Supplemental Information
'':4113-MalbakilliatiEMNSIMai .:'.!..!!:1111D,! :J-v:M2k-COOlirir:",e'`Wiann IlilliE;':;:glIllatgalgAiWA7:00.:J:jglarMAAVIAIN:
El New construction 0.1" Addition/alteration/replacement Please check all that apply(submit 2 sets of plans sivitems checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available Ihult cureent fJ Marinas and boatyards.
:21illigl,,,,.4,E:EF!!,!::i:: ,5i:ttlit-314*OORY.;--fIUCI)I1/01,00.,;„fii,:;.:.?:::-..ani,;,.„.ij-.:;.;-qVi;.!.:tili exceeds 10,000 amps at 150 volts or 0 Floating buildings.
El 1-and 2-family dwelling 'i4 Commercial/industrial El Accessory building less to ground.orxceeds 14.000 0 Commercial-use agricultural
amps for all other installations. buildings
El Multi-family 0 Master builder ID Other: CI Fire pump. 0 installation of 150 KVA or
rrvil,iwrQA-mA•TVL*g**lt*ATIQiy::oan:oaMVON 0 Emergency system, larger separately derived
0 Addition of nev.motor load of system
Job#: 10317.1 Job site address:15055 SW SEQUOIA PARKWAY 100HP or more.
City/State/ZIP:TIGARD,OR 0 Six or more residential units. occupancy.
o Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#:130 Project name:YECURIS 0 Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more, (',0 soils nominaL
Cross street/directions to job site: Vtifdiligta:,',V!aigfi:afgVf$PXIMXIVMa'i!'NIM,ZiAi
newription 1 Qq. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ti.or less 16834 4
Tax map/parcel 4;
, Ea.add'I 500 sq.ft.or portion 33.92 1 ,
CgrAnsigii,ati,:lp,„:Apixpp9.901ri*i. ;'.- .:04,iotyloww:,,:wotomponstvg!4Rt, Limited energy,residential
75.00 2
RECONFIGURE FEEDERS TO SUPPORT CONNECTION OF MOBILE (with above sq.ft.)
Limited energy.multi-family
2
GENERATOR; ADD TO PERMIT#ELC2018-00126 residential(with above sq.11.) 75.00
, „, Renewable Energy 0 See Page 2
1 tiv:MAatt*OpEAMOWNERIgtratillatk&a:M.ANTRaii0111:0A Services or feeders installationolteration,and/or relocation
Name: 200 amps or less 7 100.70 704.00 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 I 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
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps ,., 125.08 1 2
Owner signature: Date: 401 amps to 599 amps 168.54
IlibidiMertOltaWMINNINZEki,Ziltl -WAMOIRItitlata A.Fee for branch aeonnew;with ' extension,
per
panel
Business name:STONER ELECTRIC,INC. above service or feeder fcc. 7.42 2
each branch Circuit
Contact name:DENNIS WHITCOMB B.Fee for branch circuits without
service or feeder fee,first
Address: 1904 SE OCHOCO branch circuit 56.18 2
City/State/ZIP:MILWAUKIE,OR 97222 Each add,branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)462-5214 Fax::(503)659-4968 Each manufactured or modular
67.84 2
dwelling,service and/or feeder
Email:PERMITS@STONERGROUP,COM Reconnect only 67.84 2
IRMitillikearillEM161;IONTROTOelir 44.10iiiWgili51141!4:41ii% Kull)c't irrigatim circk 67.84 2
Business name:STONER ELECTRIC,INC. Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: 1904 SE OCHOCO panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP:MILWAUKIE,OR 97222 Each additional inspection over allowable in any of the above
,. Additional inspection(1 hr min) 66.25/hr
Phone:(503)462-6500 Fax:(503)659-4968 Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
Email:PERMITS@STONERGROUP.COM
90.00/hr
CCB Lic.: 44823 Electrical Lie.: 26-I22C Suprv.Lie.: 3496S specifically listed Vs hrmin)
Am
411:4 ,..",:L.ofwm.Mgrunitsionimis,.,41
Suprv.Electrician signature,required: ptici"..4 011.-.. ..
...... Subtotal: 704.90
Print name: MICHAEL FALCONER I" Date: 4/2/18 0 Plan Review Required(25%of permit fee):
State surcharge(12%of pennit fee): 84.594
Authorized signature: TOTAL PERMIT FEE: 78949.'"-
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.
1,,BuildinelkonitsTULPennirAppELKEREcloc Rev 0637/MI5 440-4615TO1105COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
7110.$0,4$,M*910(-0NLY:
Dewriptitut Qty. I Each
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
D Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
0 Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
El Garage Door Opener*
>100 kva ace in accordance
552.26 2
with OAR 918-309-0040)
0 Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
0 Vacuum Systems* ,100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
O Other: Each additional inspection is
66.251hr
charged at an hourly(1 hr min)
Inspections for which no fee is
90.00/hr
specifically listed(V:hr min)
qtrt'!- EIACIWPAXag 4710.5'?:'
CC)MRMetAt*6ttkbSltY-i'
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:
D Audio and Stereo Systems
El Boiler Controls
O Clock Systems
O Data Telecommunication Installation
fl Fire Alarm Installation
El HVAC
O Instrumentation
E Intercom and Paging Systems
O Landscape Irrigation Control*
D Medical
O Nurse Calls
O Outdoor Landscape Lighting*
O Protective Signaling
O Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
BuildinkPermits ELC PetutitApp FLIt ERE doc Rev 06471015
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15055 SW SEQUOIA PKWY 130, TIGARD,
OR, 97224
Record Type: Record ID:
Commercial - Electrical ELC2018-00126
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor