Permit Support Document CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT �� ��1 Permit#: ELC2018-00775
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/04/2018
TIGARD 13125 Parcel: 2S101DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 205
Project: Inform Restaurant TI Subdivision: None Lot: None
Project Description: Install new outlets in office and retro lighting into LED. 12/27/18: REPRINT to add limited energy for data
telecommunications.
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
Quantity Description Date Amount
2 crt Branch Circuits wo/Purchase 12/04/2018 $63.60
Specifics: Service or Feeder
1 ea 12%State Surcharge- 12/04/2018 $7.63
Type of Use: COM Electrical
Class of Work: ALT 1 ea Limited Energy 12/27/2018 $75.00
0 ea 12%State Surcharge- 12/27/2018 $9.00
Type of Const: Electrical
Occupancy Grp:
Total $155.23
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 P 952-001-1.90. may obtain .copy of the -- -_ o OUNC by calling 503.23 1987or1.800.332.2344.
7)0i)t
Issued By: /� ljJ ►/, LAI %:�� Permittee Signature: 4e017
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 503.639.4176 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.
RECEIVED
Electrical Permit Application FOR OFFICE LSE 011.1
City of Tigard DEC 2 7 2018 RDate/Bed ,z.7 41- 4411 Permit#: ELC2018-00775
III r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
1 Phone: 503.718.2439 Fax: 503.598.1960E{T i
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
..v' {{.j+ � ,, r ,. ;� _. �..r. -ti,{�, �• ���r•� Y.r.1.� F't. E�, r�� .�.Sr` �� ts`
Description Qty. Each Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is
s.-cificall listed('/hr min) 90.00/hr
, , �. .:� M..+,..`
: ...a '.�.: ,r,
ar '"`$£ten};:'
Fee for each commercial system: $75.00 Subtotal(Enter on Pagel):
y * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
n Boiler Controls
❑ Clock Systems
x❑ 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
1:ABuildingAPermits\ELC_PennitApp_ELR_ERE.doe 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 205, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2018-00775
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor