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Permit (61) CITY OF TIGARD ELECTRICAL PERMIT 114 q COMMUNITY DEVELOPMENT Permit#: ELC2019-00212 Date Issued: 07/25/2019 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S136DD02300 Jurisdiction: TIG Site address: 11799 SW 69TH AVE Project: HAMPTON INN&SUITES Subdivision: Lot: Project Description: Electrical for new hotel. Contractor: KEC ELECTRIC INC Owner: DVKOCR TIGARD, LLC 761 SW BAILEY AVE 1419 W MAIN STREET, SUITE 110 HILLSBORO, OR 97123 BATTLEGROUND,WA 98604 PHONE: 360-723-0024 503-439-0904 FAX: 503-640-3838 FEES Quantity Description Date Amount 13 ea Services or Feeders-200 07/25/2019 $1,309.10 Specifics: amps or less 16 ea Services or Feeders-201 to 07/25/2019 $2,136.96 Type of Use: COM 400 amps Class of Work: NEW 6 ea Services or Feeders-601 to 07/25/2019 $1,806.24 1000 amps Type of Const: 1 ea Services or Feeders-Over 07/25/2019 $552.26 Occupancy Grp: 1000 amps or volts 828 crt Branch Circuits w/Purchase 07/25/2019 $6,143.76 Service or Feeder 1 ea 12%State Surcharge- 07/25/2019 $1,433.80 Electrical 1 ea Plan Review Electricial 07/25/2019 $2,987.08 Total $16,369.20 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rg.Ies are set forth in OA 952-001-0010 throughOAR 952-001-0090. You maobty ain a cop f the rules Qr direct questions to OUNC by calling 503: 32.1987 or 1.800,3• 44. —‘14 Issued By: Permittee Signature: ,/ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Electrical Permit Application RECEIVED FOR OFFICE USE ONLY City of Tigard APR 2019 Received ,Date/By: I/ � Permit � 0D r et, c,„ ad ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 T Date/By: it Related Permit ig a,7.-ero A.5'9 Y OF TIGARD Email: Ti ardBuildin Permits a�Ti ard-$r���d ReadyDa-B is: ® See Page 2 for T I G A R D Inspection Line: 503.639.4175 rater + ��v0,- , otified/Me d: Lir ' Supplemental Information TYPE OF WORK PLAN REVIEW Q'New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 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. CATEGO1pY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. 0 1-and 2-family dwelling 0` -ommercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 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 JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived 0 Addition of new motor load of system. Job#: Job site address: (/7 5 ? S ct} G,rrjc'. IOOHP or more. ❑"A "E",`°I-2",°°1-3", City/State/ZIP: 7—‘5:73---e• ❑Six or more residential units. occupancy. ©7 0 Health-care facilities. 0 Recreational vehicle parks. /��X� Suite/bldg./apt.#: Project name: �/nn 077p i,/, Pthl /" 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: FEE 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'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 l'/ ( 6 � �'� �� �� � �� � � �� •7•45-4 (1 3 )/�� Limited energy,multi-family 75.00 2 � Ar-,94e4 € residential(with above sq.ft.) Renewable Energy 0 See Page 2 0 PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: 200 amps or less J 3 a 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 6 • 301.04 2 Phone:( ) Over 1,000 amps or volts i t . 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 a Owner signature: :i.......) Date: 401 amps to 599 amps 168.54 2 2 ❑ APPLICANT I ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: above service or feeder fee, rt-,-;), t . 7.42 Nfi\-,-.• each branch circuit l Contact name: B.Fee for branch circuits without Address: service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 �, Email: Reconnect only 67.84 2 y_ f� CONTRACTOR Pump or irrigation circle 67.84 2 ', Business name: C>7r C , C C' E� Sign or outline lighting 67.84 2 \\\\ ��_;, ' A, 7 ' 4 1 Signal circuit(s)or limited-energyxes0 See Page 2 2 Address: :/// panel,alteration,or extension. City/State/ZIP: Aft C�c ,4' / ©t ?a 3 Each additional inspection over allowable in any of the above C �j Additional inspection(1 hr min) 66.25/hr Illik Phone:(�e),,) Z �-f(' (() Investigation(1 hr min) 90.00/hr �/ Industrial plant(1 hr min) 78.18/hr ,• Email: i`�A/e(� (6c��.C�lf ,C,9#41 r Inspections for which no fee is 90.00/hr CCB Lie.: ) /, 7 I Electrical Lic.: y�6(I Sy lrv.Lic.: ... f specifically listed('A hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name:7,4,„y.‘4, .. 7c 7 6 c2,,,,:q�- Dater 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: 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. I:\Building\Permits\ELC_PermitApp_ELR ERE.doc Rev 10/26/2017 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 Description Qty. Each 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 n A• udio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: n Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 n G• arage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 n H• eating,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(%hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES 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 3 o t ❑ Clock Systems 3© S,,, ❑ Data Telecommunication Installation to ( /`, ❑ Fire Alarm Installation I� csa ❑ HVAC t 15 5 )a /7n Instrumentation jI Intercom and Paging Systems n Landscape Irrigation Control* C X y) .., n Medical ❑ Nurse Calls 3 / n Outdoor Landscape Lighting* r ElProtective Signaling _l/ 9 n Other: `Ic Total number of commercial systems: f. -- *No licenses are required. Licenses are required for all `et other installations ) t:\Building\Permits\ELC PermitApp_ELR_ERE.doc Rev 10/26/2017 /cp .g.... t