Permit (63) CITY OF TIGARD ELECTRICAL PERMIT
rilI . COMMUNITY DEVELOPMENT
Permit#: ELC2018-00771
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/29/2018
TE1 Parcel: 251010001600
Jurisdiction: Tigard
Site address: 7730 SW HUNZIKER RD
Project: The Fields Apartments Subdivision: FIELDS APARTMENTS Lot: None
Project Description: (1)temporary service and(1)temporary feeder for new apartments. The closest intersection is 76th Ave.and
Crestview St.,and is located off of 76th Ave.
Contractor: ERIC OLSON ELECTRIC COMPANY Owner: FIELDS, FRED W REVOCABLE LIVING
10013 NE HAZEL DELL AVE PMB 432 111 SW 5TH AVE#3675
VANCOUVER,WA 98685 PORTLAND, OR 97204
PHONE: 360-609-4901 PHONE:
FAX: 360-693-2980
FEES
Quantity Description Date Amount
2 ea Temp Services or Feeders- 11/29/2018 $118.72
Specifics:, 200 amps or less
1 ea 12%State Surcharge- 11/29/2018 $14.25
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $132.97
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow (fie rules adop by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through 952-001-0090. Yaw-may-obtainoi?1,of the rules or dire,t questions to OU NC by calling 503.232.198C�.2344.
Issued By: / Permittee ig ature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Application • _ FOR OFFICL ( SE 0\1.1
‘i.t,„4:I .' •
City of Tigard r''',ti--''' 7--, '''' — '
Date/B :d I , ariparill111=1
114 g 13125 SW Hall Blvd.,Tigard,OR 97223 , Plan Review
1 I Phone: 503.718.2439 Fax: 503.598.1960 ND v 2 9 i/_u 1 ci Date/B : Related Permit#:1/4 ' ,:ir i
Inspection Line: 503.639.4175 Ready Date/By: EMI Hi See Page 2 for
TIGARD Internet: www.tigard-or.gov 4• f )"
. . ,--- ....1.-.;1,-. Notified/Method: Supplemental Information
' '..,• - ,
TYPE. WW ti'L ILDING,DIVISION. ,,,,,$::',
Z New construction 0 Addition/alteration/replacement Please check all that apply(submit A sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF C01 -,l'gVcIION'- --- .., ' - - - ,-. '•-•,:- exceeds 10,000 amps at 150 volts or 0 Floating buildings.
El 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
El Multi-family 0 Master builder 0 Other: ['Fire pump. 0 Installation oft 50 KVA or
.",, JOB:.snt.!Ism a i. :. new s .41--- i LOCATION ' , , , ,- ,-„,,. 0 Addition Emergencyf system.
larger separately
derived
motor load of system.
Job#: Job site address: ;.' I SW HUNZIKER RD 100HP or more.
o Six or more residential units. occupancy.City/State/ZIP:TIGARD,OR 97223
0 Health-care facilities. 0 Recreational vehicle parks.
0 Supply voltage for more than
Suite/bldg./apt.#: Project name:THE FIELDS 4,p4rtryle,aa /1 EFslazato:sfl.°catmeeder:ci amps or
more.
600 volts no al.
Cross street/directions to job site:1114410440111MMAA1:11.- V e(tenS 4-iii& -,,,:-,:,,„,:, -;-, -:,, FEE SCHEDULE
lA.) C,re) hi,c,,..0 ce r lye_ (0,-t-k 04 Liv,lk%".-1' . 1;te:Pit:eosnidential single-or multi-family dv:lcliiinglianijotal I *
lele. 1,21 Lti,....)Includes attached garage.
Subdivision: Lot#:L
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: 00 i0 ci c. c.-...,"($.4)4')
Ea.add'I 500 sq.ft.or portion 33.92 1
,OESatteTION OF WORK: ': . - . :.% '-'-,- Limited energy,residential
75.00 2
200 AMP TEMP SERVICE FOR CONSTRUCTION (with above sq.ft.)
Limited energy,multi-family
75.00 2
residential(with above sq.ft.)
0 See Page 2
ID TIER ' ', :7: '„':::',''t:- ',CI,U443:10:, ,, , : : '
Renewable
e- elf
ISIvivmetsbili. feedersninstallation,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 A 59.36 //X 7 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#1,404i4t„, : - ,_;,[2,, ,17,, ict,tosip-Attnitsori,,,. 1A3r7:1;oertcui:-c-111.71:;alteration,lviihor extension,per panel
Business name:ERIC OLSON ELECTRIC INC above service or feeder fee, 7.42 2
each branch circuit
Contact name:IG/NOWNEHR.E 4..12-k C_ C-9 I 5 e..)v•-/ B.Fee for branch circuits without
service or feeder fee,first
Address: 10013 NE HAZEL DELL AVE PMB 432 branch circuit 56.18 2
City/State/ZIP:VANCOUVER,WA 98685 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)258-1849 Fax::(360)258-1859 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:OFFICE@ERICOLSONELECTRICINC.COM
Reconnect only 67.84 2
CONTRIWYOR ;,.' , , '-_ ,, ,,` ,..- -:, `.,, _ ; , _ Pump or irrigation circle 67.84 2
Business name:ERIC OLSON ELECTRIC INC Sign or outline lighting 67.84 2
Signal circuit(s)
or limited-energy See Page2 2
Address:10013 NE HAZEL DELL AVE PMB 432 panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP:VANCOUVER,WA 98685
Additional inspection(1 hr min) 66.25/hr
Phone:(360)-29Basn-Y 77 Z.. 7 7 Fax:(360)258-1859 Investigation(1 hr min) 90.00/hr
Industrial plant(11-ir min) 78.18/hr
Email:OFFICE@ERICOLSONELECTRICINC.COM
Inspections for which no fee is
90.00/hr
CCB Lic.: 179408 Electrical Lic.: 37-1053C Suprv.Lic.: 4910S specifically listed(Y2 hr Tin)
,ILEORTCA PERMIT FEESL
Suprv.Electrician signature,required: Subtotal: /$I,71-
Print name: ERIC OLSON Date: 11/26/18 0 Plan Review Required(25%of permit fee): ._
State surcharge(12%of permit fee): , /1/.12> _
Authorized signature: --- -------- TOTAL PERMIT FEE: 0, /312„q ?
This permit application expires if a permit is not obtained within 180
Print name: ERIC OLSON Date: 11/26/18 days after it has been accepted as complete.
" Number of inspections allowed per permit.
I:l Building\Permits\ELC_PennitApp_ELR ERE.doc Rev 06/17/2015 440-4615TO 1/05/COM/WEB