Permit Support Document (25) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
; a . .14 COMMUNITY DEVELOPMENT Permit#: ELC2018-00707
Tigard OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 10/24/2018
T[f �1l+. i 9
" d ri rrk Parcel: 2S101DB00100
r, Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 202 fj /%f -VIA
Project: RCC Hilltop Keyssa Subdivision: None Lot: None
Project Description: small TI with receptacles, lights and data. 11/1/2018: REPRINT permit to change scope of work to(1)200 amp
service,(24)branch circuits and(1)limited energy for data.
Contractor: ELITE ELECTRIC Owner: HILLTOP BUSINESS CENTER LLC
PO BOX 6313 9430 NW KAISER RD
BEND,OR 97701 PORTLAND, OR 97231
PHONE: 541-788-4868 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Services or Feeders-200 amps or less 11/01/2018 $100.70
Branch Circuits w/Purchase Service or 11/01/2018 $178.08
Type of Use: COM Feeder
Class of Work: ALT Signal circuit or Limited Energy Panel 10/24/2018 $75.00
Total Number of Systems: 12%State Surcharge-Electrical 11/01/2018 $42.45
Audio&Stereo: Boiler Controls:
CCTV: Clock Systems:
Data&Telecommunications: Fire Alarm:
HVAC: Instrumentation:
Intercom/Paging: Landscape/Irrigation:
Landscape Lighting: Medical:
Nurse Calls: Protective Signal:
Security Alarm: Other: Total $396.23
Other Desc: 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 throug OAR 952-001-0090. 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: --- ,e/V. t
Permittee Signature: ,e %�,--7Z`"C 'I' %7r//
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.
a
Electrical Permit Application E 1 �i � 1 014 OFFI('i t Si 0Nl.v
City of Tigard ( 7 �j q Received 1 9e „- /z 007°
O C! 2 ,7 2 018 Date/B v` 1 ,' 4r4 Permit# � �!/�s -
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
' ® Phone: 503.718.2439 Fax: 503.598.yq Date/B : Related Permit#:
Inspection Line: 503.639.4175 FI OF /e'"#t�t,.,, Ready Date/By: kids: See Page 2 for
TIGARD Internet: www.tigard-or.gov I3 LIJ L,D 1 N C -' s a Notified/Ivlethod: Supplemental Information
0.-.(rF.�
71 ... „ X1....6" g4; 6... ,. _ _ - .. a:..;:-.R, vJZ _
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
o; "' 1 ,.� � G, „O,r a , __,4 M •a,A� i ..::-, �,- ti --. exceeds 10,000 amps at 150 volts or ❑Floating buildings.
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building less to ground or exceeds 14,000 ❑Commercial-use agricultural
ngs.
❑Multi-family 0 Master builderampsirefor all other installations. Inbustallation
0 Other: 0Fire pump. ❑Installation of 150 KVA or
`.INFO T, p A2 D 072116:',A. Y' ❑Emergency system. larger separately derived
Job 4: Job site address:7320 SW HUNZIKER O Ad HP o ofoew motor load of system.
I OOHP or more. ❑«A" "E" ••1-2" ••1-3"
City/State/ZIP:TIGARD OR 97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.4:202 I Project name:RCC-HILLTOP-KEYSSA 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: '4.
Description lleaniSinaliiiit
I• Qty. T Each Total
New residential single-or multi-family dwelling unit.
Subdivision: I Lot 4: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel 4:
Ea.add'l 500 sq.ft.or portion 33.92 1
J7 i t W '4 ` = Limited energy,reidential -
(with above sq.ft.) 75.00 2
Adding 1 feeder and 14 branch circuits to permit#ELC2018-00707 to get a total Limited energy,multi family 75.00 2
of 1 feeder,24 branch circuits 1 LE for data on the permit. residential(with above sq.ft.)
a - Renewable Energy
0 See Page 2
�� PR !O ,ER a l _ ;� - ANTS Services or feeders installation Iteration,and/or relocation
Name:HILLTOP BUSINESS CENTER LLC 200 amps or less 1 100.70 100.70 2
Address:9430 NW KAISER RD 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:PORTLAND OR 97231 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 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 2
tielos Branch circuits-new,alteration,or extension,per panel
A.` "` A.Fee for branch circuits with
Business name: above service or feeder fee, ▪ 2 "' 7 42 178.08 2
each branch circuit
Contact name: B.Fee for branch circuits without
Address: service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Each add'I branch circuit 7.42 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
6' -ORS 11 `' - , .: Pump or irrigation circle 67.84 2
Business name:ELITE ELECTRIC LLC Sign or outline lighting . 67.84 2
Address:PO BOX 6313Signal circuits)or limited-energy ® See Page 2 75 2
panel,alteration,or extension.
City/State/ZIP:BEND OR 97708 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(541)330-9750 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:OFFICE@ELITEBEND.COM Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 172058 Electrical Lie.: C217 Suprv.Lie.: 5182S s ecificall listed('/3 hr min)
p I ''
Suprv.Electrician signature,required: ,caNt, 150.4.1-lel Subtotal: 353.78
Print name: Date: 10/2 9/18 ❑Plan Review Required(25%of ermit fee):
Jason Bethers I
���y� State surcharge(12%of permit fee): 42.45
Authorized signature: JO , ""' TOTAL PERMIT FEE: 396.23
This permit application expires if a permit is not obtained within 180
Print name: Jason Bethers Date: 10/29/18 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_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
>sE =: IiI.II7
IDELk e
Description I Qty. I Each I Total __,.__
y 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
111 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
wmw,... M112EI2'3 . * spectficallVAlisted ! . -
r mm
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
O Clock Systems
® Data Telecommunication Installation
O Fire Alarm Installation
O HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
O Medical
O Nurse Calls
O Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems: 1
*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:
7320 SW HUNZIKER RD 202, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2018-00707
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor