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Permit a CITY OF TIGARD ELECTRICAL PERMIT .1111 is COMMUNITY DEVELOPMENT Permit #: ELC2010 -00632 T I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/05/2010 Parcel: SEG890 Jurisdiction: Tigard Site address: No Address Subdivision: Lot: Project: 99W Highway Improvement Project Description: (1) service, (1) feeder & (1) branch circuit for irrigation system located at SW corner of Greenburg & Center. Near Brake Team building. Owner: FEES Quantity Description Date Amount 2 ea Services or Feeders - 200 11/05/2010 $201.40 amps or less PHONE: 1 crt Branch Circuits w /Purchase 11/05/2010 $7.42 Service or Feeder 1 ea 12% State Surcharge - 11/05/2010 $25.06 Contractor: Electrical PRAIRIE ELECTRIC INC 6000 NE 88TH ST VANCOUVER, WA 98665 PHONE: 800 - 573 -2750 FAX: 360 - 573 -9866 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $233.88 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. ATT • '. . - eon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 .010 through OAR •2 -00 Y u may obtain a copy of the rules or direct questions to OUNC by calling 50 .46.6699 or 1.800.332.2344. Issu, d By: i� �� Permittee Sign. `e_ _ L4 ! ~� 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' , :� a rt, 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. 11/05/2010 12:10 FAX 360 573 9866 Prairie Electric Inc. 0 001 /002 Electrical Permit AppGcaLCED FOR OFFICE USE ONLY City of Tigard Received : ECG d_,006 g : // y �D Permit No.: , 13125 SW Hall Blvd., Tigard, OR 97, Plan Review 1 Phone: 503.639.4171 Fax: 503.598. tJ 2010 nate/a : Other Permit: • TIGARD Inspection Line: 503.639.4175 Date Ready/By: tuns: ® See Page 2 for Internet: www.tigard- or.gov CITY OF TIGARD Not Supplemental Information ate:. :t:,�t e�Y ijs eefl:i� )I';ra Eu y:;, ti ?: -asM . BLttfl•�r.: ...rs.. 4' 61: I d 1��P,- i, " �?::�..-:_;.;:H lit, •�„ Ely''_ "" 9ac• G6 r . 1 %¢fi I`�i: :.. i�s�. h ��' _ �. .h � lac: % fc -.:a.e '�.t: _ Gi. • �' • ..z %fir ` _ :�a... :rr a. . rc ... -.:^ .... ._, •.::�,,...m.:_ , ._. � car J�:.. .. T:e.3 i ....._. u. ,... _. .. ,. -...- _ ,�:i;L•'::nF�u•".r".'l": - n r��'c �.. i sS,�.iir .... • ''•:�. 1'-::r ,_, `IL_'„' . ... . ..... r ._�r., hr ' _ •• ' ,:...h ': ❑ New construction ® Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Demolition ❑Other: ❑ Service or feeder 400 amps or more ❑ Building over three stories. where the available fault current ❑ Marinas and boatyards. 2 " ::lei �.'� 1.444 F`: aa''f0G;b'r! .. ," : r $: .:. ri l_ _, _ - ',''€ e b0 7Vr: .' . >?.i�- ��''�"Yti:'':: "pi�•t_1f�?'`�c_ it >'�'- %��tx�'�13 C.: ' "'s ?' 4 ; " = i exceeds 10,000 amps at 150 volts or ❑ Floating buildings. ' c- 4 + 6:`.. @ . :-. � building less to ground, or exceeds ons. ❑ Commercial - use agricultural ❑ 1 - and 2- family dwelling 0 Commercial /industrial ❑ Accessory g amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or w '' ° , * pt ,� r `o t a x ` rM ❑ Emergency system. larger separately derived system. wt,_:is�i l ry fxaclti, • :5 ' ' : ,..�. _ t,1 y :..:_ -appio F;iLsi,-§:::: ,, :::., Be 8eP Y Y ,tx•.: - 1 _. .:,Msg'E:•rar� is .e,....0. e .,. it v :' -5 r r : - „ii :4 --;w;a ❑ Addition of new motor load of ❑ "A" "E" "1 - 2" "1 - 3" " Job no.: 6,0; Job site address: _ b ` � b i f , 5W e y� I00HP or more. occupancy, .. Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: - "r" - " - af> OI el 7 Z Z . + . - ❑ Health -care facilities. ❑ Supply voltage for more than o f 'I � ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: b( f v i Q � i YY ❑ Service or feeder 600 amps or more. I S 'n� Z•*r: ?'�`._' e "'" t ' 3.3 `afa F�: '�.T:i! Cross street directions to job site: °° Description 1 ra �s � F o ta l :rir•' � Qty. Fee. Total • n New residential single- or multi - family dwelling unit. tF • , jl 1 4 includes attached garage. Subdivision: -&.. - -4 S/0 Lot no.: 1,000 sq. ft. or less 168.54 4 Ea. add'I 500 sq. R or portion 33.92 1 Tax map /parcel no.: 6 162. 4 ) A 6 i _ y .r writ/ ai}� .. _. _ ;uatt� r�� w; ::=;- wussa7•••.' ' a,.iifu,: y a t�l.t :iii.$s . 6}'L'p� I:144::y.:rs";;;f -fp iiiiiVii:: Limited energy, residential 67.84 _ (' .m t..• S: ^: ::�' ��r' ... � :•;9i...::- s;,:.. �,,'��'"i -- . - '^ - isiar'_ �_:. rii ?c�nit�u"_••�:::...= .�`.,:;�:__ with above s i. ft. '� Limited energy, multi- family ■ © �e�y� ��'`� y rtr� /'� �- ��1�- residential with above ft. 67.84 . 1 s. Services or feeders installation, alteration and/or relocation rri ' 7 04 - ' t! '-.7 At " =' -- 200 amps or less DA 100.70 . .....+3,7,- 4 ^- " ` ' f ' � �i ., 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: ( ) I Fax: ( ) 200 amps or less 59.36 t 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 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, er panel Owner signature: Date: A. Fee for branch circuits with �„. ; =: ?t'� '��> �` :•;t yet.€ °t- ��;;,•. la-; fir_ . ,i ,� -. _ •��,:.t above service or feeder fee, / yx 741.-- ' '� eyi. 7` each branch circuit Business name: Prairie Electric, Inc. 8. Fee for branch circuits wishore service or feeder fee, first 56.18 2 Contact name: Anita Paso branch circuit Each add'l branch circuit 7.42 2 Address: 6000 NE 88 Street Miscellaneous (service or feeder not induded) Each manufactured or modular City /State/ZIP: Vancouver, WA 98665 dwelling, service and/or feeder 67.84 2 Phone: (360) 573 - 2750 Fax: : (360) 573 - 9866 Reconnect only 67.84 2 Pump or irrigation circle • 67.84 2 E - mail: anitap®prairielectric.com �i�y ' Sign or outline lighting 67.84 - ,.nry..:.-':r. +'.°:°cc. M"'� na. ci_!fL'': F I r a . - @c . .: r . �oEW '.41"� ? : (3 t..`2•'- `.'..•r. r ir a .,..'a."r ' :a l ••' . ._, _ Si circuit(s) orlimite e nergy Business name: Prairie Electric, lnc. panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: 6000 NE 88 Street ` Additional inspection (1 hr min) 6625/ hr Investi on min 66.25/ hr City/ State/ZIP: Vancouver, WA 98665 CA t 1' Industrial plant (1 (1 hr hrmi n) 78.18 /hr Phone: (360) 573 -2750 Fax: (360) 573 -9866 14 \ Inspections for which no fee is 90.00 / hr s. -cificall listed Y, hr min CCB Lic.: 60178 Electrical Lic : 37 - 491C Suprv. Lic.: 3562S }l, :." :t 'c""Pg�r Subtotal: r F Suprv. Electrician signature, required �• PS! P lan review (25% of permit fee): A E� Print name: Bill Halberg Date: / f a, / o State surcharge (12% of permit fee): 1.5 O TOTAL PERMIT FEE: Zv i �-g Authorized Signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete, Print name: Date. • Number of inspections allowed per permit. l.\ Building \Permies\ELC•PermitApp.doe 10/01/09 440.4615T(1I/05/COM/WE9