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Permit (4) CITY OF TIGARD ELECTRICAL PERMIT li s- COMMUNITY DEVELOPMENT Permit #: ELC2012 00736 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/27/2012 Parcel: 2S112ACO2400 Jurisdiction: Tigard Site address: 14655 SW 72ND AVE Project: John Deere Landscapes Subdivision: FANNO CREEK ACRE TRACTS Lot: 48 Project Description: (4) branch circuits for circuit work for TI Contractor: PRAIRIE ELECTRIC INC Owner: ALPHA LIMITED PARTNERSHIP 6000 NE 88TH ST 14725 SW 72ND VANCOUVER, WA 98665 TIGARD, OR 97224 PHONE: 800 - 573 -2750 PHONE: FAX: 360 - 573 -9866 FEES Quantity Description Date Amount 4 crt Branch Circuits wo /Purchase 12/27/2012 $78.44 Specifics: Service or Feeder 1 ea 12% State Surcharge - 12/27/2012 $9.41 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $87.85 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 OA 2- 0011 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.. 4 Issued By: X.C.� t'il 4 j' Permittee Signature: taL1 4PPL1L.W--ied l 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. 12/27/2012 09:43 FAX 360 573 9866 Prairie Electric Inc. a1001/002 Electrical Permit Applicatilie EIVED FOR 01:F IC t tit C) \L1 City of Tigard Received DaieB : ( al7 1 a- sr Permit No : '.9pG ' Q77 3k III n 13125 SW Hall Blvd., Tigard, OR 97PA C 2 7 2012 Plan Review Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 Date/B 1 WAR') Inspection Line: 503.639.4175 Date Ready/By: June: B See Page 2 for Internet www.tigard- or.gov CITY OF TIGARD Notified/Method: 77 b Supplemental Information •w- . ;: t-- ;... ...._. ...: _ - _ 4. . _ i{r y t m � ,. � � �aa � .'Y.. r .:= s ^ ;aa.ii ,'rl, ❑ New construction a ddition/alteration /replacement Please check all that apply (submit; sets of plans w /items checked below). ❑ Service or feeder 400 amps or more ❑ Building over three stories, ❑ Demolition Other: where the available fault current ❑ Marinas and boatyards. r' • : 2f ?.i:^ " _x °' _' - w� 1 / - ° ^110:2 :,. ' " ` ;iuAlile ; 't exceeds 10,000 amps at 150 volts or ❑ Floating buildings. . " = =A ., sL it : e'e�i.' % n M1 ,..,.. ' r ..�.11r -,:'l' -..... . :'•'_ ,- hs w yg .';�.« mz.. +- ^'•- - rxa.. »:+ �t'.:�: atu't":3._^Y. leas to ground, or exceeds 14,000 ❑ Commercial -use agricultural 1- and 2- family dwelling " Commercial /industrial ❑ Accessory building amps for all other installations. buildings. Multi- famil • aster builder I I Other: ❑ Fire pump. ❑ Installation of 75 KVA or t �_�,• . n r. Emergency system larger separately derived system. : OFF r y'" xt1 ,4 :1y .. 1x040 �+^+�o0 . 00: k ", ,, ' ❑Additionof new motor load of . address:/if ❑ A" E I_z 1_3 ,�,,.n .. ,- r_ .: _�. Job no. , C © 4 Job site {p5 � I claw or more. occupancy. /J� y� ❑ Six or more residential units. ❑ occupancy. vehicle parks. City/State/ZIP: - 6 it� R4 eK 72.2-II ❑ Health-care facilities ❑ Supply for more than 7 � ❑ Hazardous locations. 000 oils is nominal. i 7 Service or feeder 600 amps or more Swte / bldg. /apt no.: Project name ��� � • s , Cross street/directions to job site: Descriptio I Qty. I Fee. I Total I New residential single or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. tl. or less 168.54 4 Ea. add' 1500 sq. ft or portion 33.92 1 Tax map /parcel no.: Limited energy, residential 75.00 s i � cK iiitt'1f Y: WIi. = (with above sq. ft.) .:= '' '•� Limited energy. multi•famiiy C / " L — I —. 71/4 1 71/7 ---- V /7" `I �a � / �jJ residential (with above sq. ft.) , 75.00 2 YL/V 2! � E ` !•6 ho ho 100 0 o relocation , 2 ;Mir•... M1 . • . ,...� 10 6 . Y ; :, 200 amps to less amps alters ' o and/or �.„ tti 1 201 amps to 400 am s 133 56 2 = 401 amps to 600 amps 200.34 2 Name: _ 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and /or City /State /ZIP: relocation _ . - . _. t 2 00 amps or less 59.36 ,, , _ 0 I Phone: ( ) Fax: ( ) 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that 1 own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange. according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or extension, er panel Owner signature: Date: A. Fee for branch circuits with t ` gi above service or feeder fee, :- .,:ar : AFP1;ffC'> I' COT1TA PE J R. O ? ` _ 7.42 ' each branch circuit Business name: PRAIRIE ELECTRIC, INC. B. Fee for branch circuits without aI service or feeder fee, first 56.18 . a 2 Contact name: ANITA PASO branch circuit Each add'I branch circuit 3 7.42 ZZ 2 Address: 6000 NE 88 STREET Miscellaneous (service or feeder not included) Each manufactured or modular t City/State/ZIP: VANCOUVER, WA 98665 67.84 2 dwelling service and/or feeder Phone: ( ) 503.286.9209 Fax: : (360) 573.9866 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: anitap@prairielectric.com Sign or outline lighting 67.84 2 4 . 7 i ice .... •1- :saaE x44 '{'• , tt "`'. ':.Ql _11- •a s • - _ 41: m =;_ `1 "'K : ,..:.:.!Vr Signal circuit(s) or limited-energy Business name: PRAIRIE ELECTRIC, INC. _panel, alteration, or extension. t Page 2 2 Each additional inspection over allowable in any of the above Address: 6000 NE 88 STREET Additional inspection (1 hr min) 66.25/ hr Investigation (1 hr min) 66.25/ hr City/ State/ZIP: VANCOUVER, WA 98665 Industrial plant (I hr min) 78.18/ hr Phone: ( ) 503.286.9209 Fax: (360) 573.9866 Inspections for which no fee is 90 / hr -- specifically listed (h hr min) CCB Lie.: 60178 Electrical Lic . 3 491 C e .c.: ' r -.,, r + i Subtotal 'mi L Suprv- Electrician signature, required: A. `_ r , _ Plan review 125 %of permit fee) _ Print name: BILL HALBERG Date:1Z I J State surcharge 1.12% of permit fee): I r a y V TOTAL PERMIT FEE: Authorized signature: A _,o( This permit application expires if a permit is not ohm.— rtitht 180 {'^ days after it has been accepted as complete. • g Print nam Date: �i ' Num s alto t tt8ullding\P 7/01/A it fief I 40- ,c. o •) • .__ -.-? 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