Permit .
, CITY OF TIGARD ELECTRICAL PERMIT
I II COMMUNITY" DEVELOPMENT Permit #: ELC2010 00032
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TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/20/2010
Parcel: 1 S 134AA01800
Jurisdiction: Tigard
Site address: 10130 SW NIMBUS AVE D6
Subdivision: SCHOLLS BUSINESS CENTER Lot: 0
Project: Rapid Technologies
Project Description: Add /alter 1 branch circuits for exit lighting.
(2)
Owner: FEES
ROBINSON, CONSTANCE A & Quantity Description Date • Amount
ROBINSON, LYNN ET AL, BY KG INVESTMENT
MGMT, 10240 SW NIMBUS AVE #L3 • 1 ea 12% State Surcharge - 01/20/2010 $9.41
Electrical
PHONE: 2 crt Branch Circuits 01/20/2010 $63.60
wo /Purchase Service or
Feeder
Contractor: •
WINNER ELECTRIGINC
5950 SW PROSPERITY PK
TUALATIN, OR 97062
PHONE: 503 - 638 -5028
FAX: 503 -638 -4242
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $73.01
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'dhrou. O'R 952,001-0100. You may obtain 4 a 4 co f p l y n of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
1 % , OJJ
Issued By: 4 ` l.Y c ,,,,,C) ,,,,,C) x/ W he Permittee Signature:
OWNER INSTALLATION ONLY
The: installation is being made on property I own which is notintended for sale, lease or rent.
OWNER'S SIGNATURE Date:
• CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' I etitt Date:
LICENSE NO. 5\ g 3
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
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Electrical Permit, AiiplicationR ECEIVED, ''''''''FO.fi-OFFICE ' S
' '. . PA;i14 OW ./ '.,:!%,!1!;!4':' 41:' ' le1' ',.:,4,. : ■ '; '. :: : ‘.. 1., i: T , ,,: :,1 ,N ',,,:,.,Z,YZ,P;':Ilict.q].: ,,'''.: i :■ .:'■'!. 4; '
City f o Tigard JAN 20 . 2010 I R-64'tat'd )1 Permit or
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CL '
, .... , , , .., i Mite/BF
. bin) SW Ha BhAiLlitmad, OR 91223 :: • I PliaiRekvies
, 111 .trilar- • N 0)3 - 09 - 41711 Fmc: 5°35941' ' '7 1) 1 OF TIGARD J D''''''''' 1 Other ..,- A p , cx-2 (c
NG DIVISION lkeactiriBlr,
BUILDI lik.if-vm.i;id -.) 1
' k r ‘ C -
TYPE OF WORK . PLAN REVIEW
- 1 ..Pkase cheek attilatatmly rsubirm 2 sms. of plans IthreTILS- Cil.6 Pei6X);
kw ctotnaaructiidat ,Aiddittiimigallteraltionhepiarement
i D - . Service or feeder 4 amps or more 0 Building over three:stories.
. ' 0 iplmadkaitt.143a 111 Other.: is/there the available fault current 0 Marinas and boatyards.
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CATEGORY OF CONSI
RUCTION exceeds 10,000 amps al 150 volts or 0 Floating buildings.
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. 1 0 iidlin g ' Commercial/id
nustrial -. 0 ACcessory bu ilding ,
Eg ' - - - , less to.gound or, exceeds 14 000 0 Commercial agicultural
- and 2-family dw
amps for all other installations. buildings.
, .1 EaMultt 0 Master builder . 0 Other: 0 Fire pump. 0 Installation :of 75 KVA or
' . 0 Emergency system. larger separately derived systen:
JOB SITE INFORMATION AND LOCATION 1. , • ,0Addition of new motor load of
occupancy,
Job ME: 1 Joie site address: /.6 Igb, 5cti4gA1itur5
SIX or moreyesidennal units. 0 Recreational vehicle parks.
• City,IStatelZIP: • "Tista... Cr-- q7R .1 4 .5A . 011ealth-care facilities.
t 0 Hazardous locations. 0 Supply voltage for more than
690 vOiLS nominal
I Sailehldg./apt. no.: i Projectnarne: Sej _ i - .--S-- — Kiss - g . 5 0 SMviCe or feede 600 amPs or MOre-
p, .\ Qt
e6,, r , Des _ on : FEE SCHEDULE
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a
Cross streeedircelions to job site: 0 y.
‘ ' • New,residential single- or multi-family dwelling. unit.
. . - Includes attached garage.
Snixihvision: 1 Lot no.: 1,000 sq. ft. or less I 145.15 1 4
Ea add'I 500 sq. ft. or portion 3140 : 1
Tam uniaplpioxvi no.: • • • i Limited energy. residential i i 75 ( '
0 : )
• DESCR/PTION OF -WORK quitli above sq. ft.) .
Liurnited energy, multi-family ,
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7& 6 - /4 '14 ei 44 i
5re-A ' residential (with above sq. fl.) / 75.00 2
Series or feeders installation. alteration, and/or relocation
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no amps or less 80.30 1 2
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0 PROPERTY OWNER 0 TENANT 201 amps,to 400 amps 1 106.85 1 , _
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• 401 amps to 600 amps 160.60 2
601 amps .to 1.000 amps 240_60 2
Over 1,000 amps or volts 454.65 2
CityiStateiZIP: . Temporary services or feeders installation, alteration, and/or •
relocation , ‘,
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1.
Owner installation: This installation is being 'made on property that I own which is not 201 amps 00 400 amps 100,30 2
intended for sale,. lease_ rent_ or exchange, according to ORS 447. 449, 670, and 701. 401 atnps to 599 amps 133.75 2
Besmeh.cireuits = new. alteration. or extension,..rier panel
Ociwiratir s aute: Date: !
AFee for branch Circuits with
0 APPLICANT . 0 CONTACT PERSON above 'service or feeder fee,
6.65
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each-branch circuit
It usiiniels name: B.. Fee -for branch circuits
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. ni-nahout service or feeder fee. ; i L i e f' 1:-
C'tlact name: •
Itirsi branch circuit I 1: 1 46.85
en 1 - , 2
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Addiatessf ', Fir* add branch S 6.65 1. - 561 '2
. • NEWeellaneoui (Senicecir feeder uot•hoieliadedt
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CitiviStateiZIP: Each manufactured or modular
-i,
• 90..90 _
) 1
( ' - ) - duelling, service and/or feeder
Mame: ( Fax: :
Reconnect Only- . , 1 '1 . '7;
,
E-mitrail: ' Pump-or irrigation circle 5140 • 2
• CONTRACTOR , I Sign-or outline fighting - 53.40 2
, .Simtaf circtiins) or limited-
Business name: LOIAInk,A_- e-lAic- . •
energy panel, alteration. or - ■,
reldress:
6760 SIA-I P45 Rit Pqak- 4—
- - .: , . extension. Describe: Rage 2 ->
• City/State/ZIP: 7 O' q 7 06 Z - . Each additional inspection over allowable in any of-the above
• • - . i . 1 Permspection 1
I 62 50
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' Phone: (56 5 ) 63g .. 67bz g. .1 Fax: ( 5'0,3) C3e j2 'j) • invesuganon perhour (1 ter min) 1 62_50 1 -
1 : ll ut 1 I 1
CC:21 Lie.: /71 • 1 .El ii
etnlcall 3 4/45-6 (._ Supri_ Lic.: , 2S,5 - --1:5-' 'i - lind4rial planper hour 73.75.
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i ELECTRICAL PERMIT FEES ,
Elespician signature, reqfflired: 31,842 G . -E4214.: , 1 Subtotal:
1 • I Plan review (23% of pertnit fee): IMO*
Piing narne: j tA(A. i Date: 1 __ ti_., -io - .
State surcharge (12% of permit fee): - • 'V
2.6
Authorized signature: • TOTAL PERMIT FEE: 7 ii
This permit application expires if a permit is not obtained within ISM • Print name: Date: days after it has been accepted as complete.
• * Number of insp allowed per permit..
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