Loading...
Permit INCITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT RI .`' COMMUNITY DEVELOPMENT Permit#: ELR2019-00029 TTGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/21/2019 Parcel: 1 S 135AB00900 Jurisdiction: Tigard Site address: 10200 SW GREENBURG RD 365 Project: Farmers Insurance Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Low voltage for HVAC for new water source heat pump and(2)VAVs and relocating t-stats. Contractor: HUNTER DAVISSON INC Owner: LINCOLN CENTER LLC 1800 SE PERSHING ST BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97202 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503-542-3628 PHONE: 312-636-5012 FAX: 503-542-3654 FEES Description Date Amount Specifics: Restricted Energy Permit 02/21/2019 $75.00 12%State Surcharge-Electrical 02/21/2019 $9.00 Type of Use: Class of Work: Total Number of Systems: 0 Audio&Stereo: 0 Boiler Controls: 0 CCTV: 0 Clock Systems: 0 Data&Telecommunications: 0 Fire Alarm: 0 HVAC: 1 Instrumentation: 0 Intercom/Paging: 0 Landscape/Irrigation: 0 Landscape Lighting: 0 Medical: 0 Nurse Calls: 0 Protective Signal: 0 Security Alarm: 0 Other: 0 Total $84.00 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 -.•• - • ork 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 adoptee .y the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma obtain o. . the rules or dire,t questions to OUNC by calling 503.232. 87 or 1.800.332.2 44. Issued By:‹...--- ..- y:‹ _. —i%f` Permittee '• _ Lr/A FYI 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 E FOR OFFICE USE ONLY CityofTigard RECEIVED Receive. mizr ` /_ ' ' g DateB o II '" 13125 SW Hall Blvd.,Tigard,OR 97223 FEBy Plan Review • Phone: 503.718.2439 Fax: 503.598.1960 C 1 3 2019 DateB : �/ ... •�� inspection Line: 503.639.4175 Ready Date/By: H See Page 2 for TIGARD Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information �I l.ON TSE OF' Wt ,> k`LAN REvit�W ❑New construction [[ Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 'tt' ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY`OF CONSTRUCTION 'k exceeds 10,000 amps at 150 volts or ❑Floating buildings. ❑ 1-and 2-family dwelling E Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOli SITE INFORMATION'AND,-LOCATION ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: /Woo I Job site address: fool-IP or more. ❑"A","E","t-r',"l-3", ❑Six or more residential units. occupancy. City/State/ZIP: ❑Health-care facilities. 0 Recreational vehicle parks. // 7-2--. ❑Hazardous locations. 0 Supply voltage for more than itaud ldgiapt.#: 3cS I Project name: S 2,NCo W — F'�M et,3 600 volts nominal. ❑Service or feeder 600 amps or more. Cross street/directions to job site: .:2.''':`,:':'- ;TEE SCHEDULE Description I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'1500 sq.ft.or portion 33.92 1 `• '. . • DESCRIPTION OF'W(i ,,, Limited energy,residential ( ita75.00 2 LOW (�OC 04.32, ti/V./9C mot/ 5r- Ne,LA) Wn�eY Limwitedh enbove sq.ft.)ergy,multi-family ,Sbt,.riz kJ' 1.� �'it+/d //4QV/.f A L f /.t' 1, ' 7s.00 2 f' residential(with above sq.ft.) Q pCA Q Renewable Energy I 0 See Page 2 Itc1,,POPIEttlf Y /OW ,„1S , ; ,. DF A , „-, " '.. " Services or feeders installation,alteration,and/or relocation Name: (,ep) 44.C.1Ps l Co NStrN di0N -2N C• 200 amps or less 100.70 2 Address: a/o g/ SW /Or 14 AVe.• 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: /A a 6,,,-r,,,,, O if goo 6a 601 amps to 1,000 amps 301.04 2 Phone:(S01 ) S/9 -Cool 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 Branch circuits—new,alteration,or extension,per panel *�PPi:.tCANCt3NTAC'C 1'EitS01 A.Fee for branch circuits with Business name:/_/ N ter_JG,V/,SsQN t Z ) G- above service or feeder fee, 7.42 2 each branch circuit Contact name: cuN /1,'fee, B.Fee for branch circuits without J service or feeder fee,first 56.18 2 Address: 806 ,S'�t- /°ersXt;J.9 SST branch circuit City/State/ZIP:/r'f( d 0 f (77 2O2 Each add'[branch circuit 742 2 Miscellaneous(service or feeder not included) Phone: 6o?)Sy,Z-?6 Rzp I Fax: :( ) Each manufactured or modular 67.84 2 it dwelling,service and/or feeder Email:4-f),�Q Q /,1 ,4 -7tQ� a�/�,S�ON COM Reconnect only 67.84 2 PON1:I4iC704 _ Pump or irrigation circle 67.84 2 Business name: JwSign or outline lighting 67.84 2 �j ��� Signal circuit(s)or limited-energy l� See Page 2 / 2 Address: panel,alteration,or extension. Each additional inspection over allowable in any of the above -- City/State/ZIP: Additional inspection(1 hr min) 66.25/hr Phone:( ) I Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: Inspections for which no fee is 90.00/hr CCB Lic./ /2 I Electrical Li i.:a4:- -a GeeI Suprv.Lic.:60 0 L8 specifically listed(%hr min) •• EI:EGTRICAIIJ PERMIT FEES , Suprv.Electrician signature,required: i i� Subtotal: Print name:7;m pct vt SSON Date: ja.,a/_/5 _❑Plan Review Required(25%of permit fee): _ State surcharge(12%of permit fee): Authorized signature: / _;.i."., TOTAL PERMIT FEE: q� ���� 02 *This permit application expires if a permit is not obtained within 180 Print name: Date: /2...2/-�� days after it has been accepted as complete. Number of inspections allowed per permit. l:\Building\Permits\ELC_PermitApp_ELR_ERE.doe 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: BESIDE fi ' �:` k SCHEDULEt i� * Fee for all residential systems combined: $75.00 A RenDescI Qty. I Each I T°tat Renewwaa ble 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 90.00/hr specifically listed(V2 hr min) t 11VIl!IERCIAL W© L 1 = tRt 3 X19 : , 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: ❑ 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 l.\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: 10200 SW GREENBURG RD 365, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Electrical Limited Energy ELR2019-00029 Inspection Type: Inspector: 198 Low voltage final Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor