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Permit r CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT ENT Permit #: ELC2010 00045 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: "01/27/2010 Parcel: 2S102BD01600 • Jurisdiction: Tigard Site address: 9845 SW°WALNUT PL Subdivision: Lot: 0 Project: Tigard United Methodist Church Project Description: Add /alter (1) branch circuit for drinking fountain. • Owner: _ • FEES TIGARD COMMUNITY METHODIST Quantity Description " Date Amount CHURCH, 9845 SW WALNUT _ 1 crt Branch Circuits 01/27/2010 $56.18 TIGARD, OR 97223 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 01/27/2010 $6.74 Electrical Contractor: A & M ELECTRIC CONTRACTING INC 20922 NE 83RD ST VANCOUVER, WA 98682 PHONE: 360- 883 -1281 FAX: 360 -883 -1051 Type of Use: COM Type Class of Work: ALT Type of Const: Occupancy Grp: Total $62.92 Required,items and'Repoits (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 wit 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 N. .tion" Center. Those rules are set forth in OAR 952 - 001 -0010 through 'R'952- 001 -0100. You may 'obtain a copy of the rules or direct questions to OUNC by c- ing 51 ;.246.6699 or 1.800.332. ,4. Issued By: `o 1 11)lkiVY 3 P ermittee Signature: </0�•-_: �_ ' px 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. Cali 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall tie 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. { N` CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT q 11 . ;' 11 _ COMMUNITY DEVELOPMENT Permit #: ELR2010 -00045 TI GA b 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/24/2010 Parcel: 2S113AC00103 Jurisdiction: Tigard Site address: 7228 SW DURHAM RD, STE# 100 Subdivision: PACTRUST BUSINESS CENTER Lot: 0 Project: Style Shock Project Description: Low voltage for HVAC wiring. FEES Owner: PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 Restricted Energy Permit 03/24/2010 $67.84 PORTLAND, OR 97224 12% State Surcharge - Electrical 03/24/2010 $8.14 PHONE: 503 - 624 -6300 Contractor: • PROTEMP ASSOCIATES INC 9788 SE 17TH AVE PORTLAND, OR 97222 PHONE: 503 - 233 -6911 FAX: 503 - 238 -9767 Type of Use: COM Class of Work: ALT Total Number of Systems: 1 Audio & Stereo: N Boiler Controls: N CCTV: N Clock Systems: N Data & Telecommunications: N Fire Alarm: N HVAC: Y Instrumentation: N Total $75.98 Intercom /Paging: N Landscape /Irrigation: N Required Items and Reports (Conditions) Landscape Lighting: N Medical: N Nurse Calls: N Protective Signal: N Security Alarm: N Other: N Other Desc: 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 accord- . - , ith 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. ATTE •N: Oregon law re res you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0' 0 thro gh OAR 95 001- 00. Y ,may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issue. = : ✓�/�'� `�/ Permittee Signature: k' 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 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. kk -)Aoto - coo 4// Electrical Permit Application RECJVED FOR OFFICE USE ONLY CI of Ti and Received 2 Permit No.: p `J g Date /B : 01 / 7 149 E �--e, dole) -- ys q 13125 SW Hall Blvd., Tigard, OR 97223 MAR 1 1 t . Plan Review � BOO ' 0 Phone: 503.639.4171 Fax: 503.598.1960 Date /B : Other Permit: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By: lus� ® See Page 2 for Internet: www.tigard - or.gov Notified /Method: e.-- s;.--- lc� Supplemental Information RUP DING DIV :SION TYPE OF WORK PLAN REVIEW Please check all that apply (submit 2 sets of plans w /items checked below): ❑ New construction ® Addition /alteration /replacement ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ". "E' . "1 -2 ", "1 -3 ", Job no.: 9757 Job site address: 7228 sw DURHAM RD IOOHP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: TIGARD OREGON 97224 ❑ Health -care facilities. ❑ Supply voltage for more than �� ❑ Hazardous locations. 600 volts nominal. 0V ( Suite /bldg. /apt. no.: 60 Project name: STYLESHOCK CHEER & DANCE ❑ Service or feeder 600 amps or snore. FEE SCHEDULE Cross street/directions to job site: Description 1 Otv. I Fee. 1 Total 1 New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. R. or less 168.54 4 Ea. add'I 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential 67.84 2 DESCRIPTION OF WORK (with above sq. ft) Limited energy, multi - family 67.84 THERMOSTATS & WIRE residential (with above sq. 0.) Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 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 Phone: ( ) Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 Branch circuits – new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ® APPLICANT above service or feeder fee, 0 CONTACT PERSON each branch circuit 7.42 2 Business name: PROTEMP ASSOCIATES B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: BRUCE BUTNER branch circuit Each add'I branch circuit 7.42 2 Address: 9788 SE 17 AVE Miscellaneous (service or feeder not included) Each manufactured or modular City /State /ZIP: PORTLAND OREGON 97222 dwelling, service and/or feeder 67.84 2 Phone: (503) 519 -6199 Fax: : (503) 238 -9767 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: bruce @protmp Sign or outline lighting 67.84 CONTRACTOR Signal circuit(s) or limited- energy Business name: SAME AS ABOVE panel, alteration, or extension. Page 2 �7 $� 2 Each additional inspection over allowable in any of the above Address: Additional inspection (1 hr min) 66.25/ hr City /State /ZIP: Investigation (1 hr min) 66.25/ hr Industrial plant (I hr min) 78.18/ hr Phone: ( ) Fax: ( ) Inspections for which no fee is specifically listed (Y3 hr min) 90.00/ hr CCB Lic.: 38868 Electrical Lic.: 261036 Suprv. Lic.: 2613LEB ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: M Q _ Subtotal: (p 7 0 ` mast Plan review (25% of permit fee): ">9 Print name: MONTY SCHROEDER Date: 3/17/10 State surcharge (12% of permit fee): g • /y TOTAL PERMIT FEE: 75 . 9 ' Authorized signature: L J This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: BRUCE BUTNER Date: 3/17/10 * Number of inspections allowed per pennit. I: \Building \Permits\ELC - PermitApp.doc 10 /09 440- 4615T(1I /05 /COM/WEB , Electrical Permit Application n L. s '' ; '' bk FoR on I US { ON L \ -s' r t 1 44 ,, , , x. JAN 2 7 2010 Received II q City Of Tigard Date /B : , Permit No. OA 0. oOC S 13125 SW Hall Blvd., Tigard, OR 97223 'ITY OF TIGARD Plan Revie G ' • Phone: 503.639.4171 Fax: '503.598.1960 Date /B : Other Permit: I' I C. A R D Inspection Line: '503.639 BUILDING DIVISIO ' Date Ready/By: El See Page 2 for Internet: www.tigarckir.gov Notified/Method: Supplemental Information ;PYPE,OF 11ORK PLAN REV ❑ New construction Addition/alteration /replacement Please check all that apply (submit 2 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. . ' CATEGORY OF 'CONSTRUCTION ' < . t ` exceeds 10,000 amps at 150 volts or ❑ Floating buildings. • "` less 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- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or - . -, •. ❑ Emergency system. larger separately derived system. • JOB'SITE INFORMATION :AND ;LOATION C ❑ Addition of new motor load of ❑ "A ", "E "I -2 ", "I -3 ", Job no.: Job site address: °Dr— C + ,' L Q 100HP or more. occupancy. a 7 7 . , (4 14 A. /N Nv`/ 174 ce , ❑ Six or more residential units. ❑Recreational vehicle parks. City /State /ZIP: - {) R 0/1 z a 3 ❑ He facilities. ['Supply voltage for more than ✓ ID locations: 600 volts nominal. Suite /bldg. /apt. no.: Project name: II /' n. 1 ` ❑ Service or feeder 600 amps or more. r— ri J -�• ` ; FEE S CH E DU L E • ,Cross street/directions to job site: r /1 9 a ,-- Description � �, r t r / Qty. l Fee.. 1 Total y ✓ New residential single- or multi - family dwelling unit. b e 1,4,/ j r T ,fj L- i4jz rr C w a r X ed Includes attached garage. Subdivision: �. y/ / /Lot no.: 1,000 sq. ft. or less 168.54 4 l t z �lr,J /Me /h 0!'it�NK �� t+ Ea. add] 500 sq. ft. orportion 33.92 1 map /parcel no.: mited energy, residential . r 67 84 ax Li 2 . • DESCRIPTION OF WORK -,_ , ' (with above sq. ft.) ip Limited energy, multi - family A d; c j. • -e. r - (l, .�k C , r W c) a R( residential (with above sq. ft.) 67.84 2 -e( Services or feeders installation, alteration, and/or relocation (, \ 1.1 n 200 amps or less 100.70 2 ❑ ;PROPERT- OWNER, ❑ TENANT... 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 '2 . 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City/State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 I Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449,. 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑: APPLICANT , - ' CONTACT [ PERSON fee, 7.42 2 above service or feeder ee ` each branch circuit Business name: B Fee for branch circuits �� / without service or feeder fee, Contact name: 56.18 2 61 ./. #, + — C.1t_'C4h-C�1 first branch circuit Address: U 4 -Z /Lie �3 / j Each add'I branch'circuit 7.42 2 Miscellaneous (service or feeder not included) City /State /ZIP: /qA/64 t )J /; ,t' [A Lot . 4,2_., Each manufactured or modular 67.84 2 dwelling, service and/or feeder Q Phone: (3 40 ) U g3' / Z T Fax : LL .' ( ) 81s-4 Reconnect only 67.84 2 ^ e>dl C ! �Y►'rPJGG r:c E-mail: I : CONTRA I dz. fP.SI�"nezf'i � , 4e-14-- Pump or irrigation circle 67.84 2 Sign or outline lighting 67.84 2 Signal circuit(s) or limited Business name: A y rh / L, L 7 r , c e r --4.0 , energy panel, alteration, or extension. Describe: Page 2 2 Address: (72642 Z fi r3 r � s City /State /ZIP: i 4.) ( O v 17 ,, y e 409 9/4 g' --- Each additional inspection over allowable in any of the above Per inspection 66.25 Phone: (3w) fg „_ ` $'/ Fax: (60 t1 - /6S/ Investigation per hour (1 hr min) 66.25 CCB Lic.: /392,81 Electrical Lic.: 37- skz Suprv. Lic.:'Y`S3 Industrial plant per hour 7818 ELECTRICAL'TERMIT.;FEES ".'• .. A'"" ' " ' Suprv. Electrician signature, required: / r Subtotal: Print name: / v! / D ate: Plan review (25% of permit fee): 44e1 rn P �Z2 � �� �� Or6 State surcharge (12% of permit fee): Authorized signature: ,- ,' . / TOTAL PERMIT FEE: ' n 9 ,q `- 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. C\Building\Permits\ELC- PermitApp.doc 1 /01/09 440 -4615T(1 I /05 /COM/WEB A s\C- +n — fi r e � �bou. -� �rn l abet. A Electrical Permit Application City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: i`-`RESIDENTIAL WORK ONLY:'• • Fee for all residential systems combined ... $67.84 . Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* • ❑ Vacuum Systems* ❑ Other: COMMERCIAL. WORK ONLY Fee for each. commercial $67.84 • • system (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 alr'other installations 1: \ Building \Permits\ELC- PermitApp.doc 10/01/09