Permit ELECTRICAL PERMIT
,, CITY OF TIGARD f // � ,
COMMUNITY DEVELOPMENT AIM. Permit #: ELC2011 -00031
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/13/2011
Parcel: 1 S 135 B800500
Jurisdiction: Tigard
Site address: 10355 SW CASCADE AVE
Project: Fisherman's Marine & Outdoor Subdivision: Lot: 0
Project Description: (1) temporary service and (8) branch circuits for wiring in new restrooms. 2/11/11, reprin to change scope of wo rk
Change temporary service to regular service. add (10) addtional branch circuits (for a total of 18), add (2) low
voltage for data and paging system.
Contractor: ALL COUNTY ELECTRIC LLC Owner: RAM /CASCADE CENTER LLC
15515 NW 2ND AVE. BY ELLIOTT ASSOCIATES INC
VANCOUVER, WA 98685 901 NE GLISAN ST
PORTLAND, OR 97232
PHONE: 360- 904 -7923 PHONE:
FAX: 360- 314 -2244
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 02/11/2011 $100.70
Specifics: amps or less
18 crt Branch Circuits w /Purchase 02/11/2011 $133.56
Type of Use: COM Service or Feeder
Class of Work: ALT 2 ea Signal circuit or Limited 02/11/2011 $150.00
Energy Panel
Type of Const: 1 ea 12% State Surcharge - 02/11/2011 $46.11
Occupancy Grp: Electrical
Total $430.37
Required Items and Reports (Conditions)
This permit ' `. • -: - •'ect to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable I- . All work will
be do• - in accordance with : • •rove• • a This permit will expire if work is not started within 180 days of issuance, or ' work is suspende�or m/ •° the 180
day.. ATTENTION: Oregon la - quires you . follow the rules adopted by the Oregon Utility Notification Ce•te . ose rules a set /h in OAR
9 i- 001 -0010 thr ugh OAR 952- 01 1090. ou fain a copy of the rules or direct questions to OUNC by calling 503.232,t�• / "
23�
sued 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:
- ON - ' CTOO . ' T ATION ONLY
SIGNATURE OF SUPR. ELEC' ' Date: 4
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.
CITY OF TIGARD ELECTRICAL PERMIT
•
'> COMMUNITY DEVELOPMENT Permit #: ELC2011 -00031
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/13/2011
Parcel: 1 S135BB00500
Jurisdiction: Tigard
Site address: 10355 SW CASCADE AVE
Project: Fisherman's Marine & Outdoor Subdivision: Lot: 0
Project Description: (1) temporary service and (8) branch circuits for wiring in new restrooms.
Contractor: ALL COUNTY ELECTRIC LLC Owner: RAM /CASCADE CENTER LLC
15515 NW 2ND AVE. BY ELLIOTT ASSOCIATES INC
VANCOUVER, WA 98685 901 NE GLISAN ST
PORTLAND, OR 97232
PHONE: 360- 904 -7923 PHONE:
FAX: 360 -314 -2244
FEES
Quantity Description Date Amount
1 ea Temp Services or Feeders - 01/13/2011 $59.36
Specifics: 200 amps or less
8 crt Branch Circuits w /Purchase 01/13/2011 $59.36
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 01/13/2011 $14.25
Electrical
Type of Const:
Occupancy Grp:
Total $132.97
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 0' c "52- 001 -0090. You ma • - ,, y of th- • r direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
/ I
Issued B . _ ! _i - • Permittee Signature: j
'� 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.
Thursday, January 13, 2011 7:14 AM All County Electric LLC 360-314-2244 p.01
.
Electrical Permit Application r OR 01 r ICE I SE ON
, s .
City of Tigard ri Received
- .." Hall 'Blvd., Tigard ; C/ ::, '.
1 13125 SW 4
- • c: 503.7182439 F ax: sovv i l'Inn14,1t,w
DaterBv: Pimnit No.: _p_co / ,_ r i
PhOn
..--, . . .. _..
. . ■ 1
Other Penna. 0 , I)._
Ili .
1) Ft n1
Inspcetion Line: 503.639.417 t t ,o, tq,y/Vy: . i.:i:;. --- [21 S ec P;2 for
Interne a
TIUAK1J % 7... \\
t www.tigard-or.gov 3 6■1\‘ 1 '' Nontitd•Methott ; Supplemental Ile formution
... ........_
TYPE OF WORK nSt r PLAN REVIEW
,,, ,,,,t.,' A
0 New COritCliOn Ell Addition/al tcrtiftlacelll teAvIsi P ch:Ck 01 that npply Inulnail 2 NiLla 4 ' ,law. Wficrerm Liml.kqr1 -h 'v)5
0 Server, in f'..‘te, 400 mops ur morn ID Building over three stoiiiis.
C Demolition 0 Other Vikt.DMG where the available fault coo oit 0 Morons and boatyards.
CT
AEGOK I' OF CO STRIATION eneethl, i OAK) ;unp, id 1511 volts or ID Floating buildings.
leas to vound, en ...,,,,,,....1, I 11M0 C:1 0.,..1,..i.1-0..vi,,,Ity,..1
0 1- and 2-family dwelling El Commercial/industrial 111 Accessory building amps fm ull tubtrInsiallatims. buildions.
0 Mulli-flunily 0 Master builder P Other: El Fire pump. 0 bOallidloo p575 KVA or
••••• ID Imiermeney system. large, s/411U ivm12..) , Nien,
JOB SITE INFORMATION AND LOCATION l., a ly dm
1=l AdMlion of nnw atOtOt lnad 4
.. . ...
'
.101) no.: Job site iuldress: 10355 SW Cascade Ave 100111or mole occupnticy
0 six tit- more residential units. 0 Recreational vehicle parks.
City/Stale/71P: Tigard Oregon 97223 0 Hciaali-emc Leib tibs. 0 Supply vnllagc lin more ileer
1,311mmrdoro lknmtionn. n0O voter nominnl.
St/ire/bldg./apt no.: 1 Prcije,C1 porno: Fisberrnans 0 Service or fccde, 600 :tops or satire.
._,.,..., . .....—__
F'ER $(111;01,
Cross street/directions to job site: Dill1111000
' — ---- ' . - — Nets residential single or mum-rtuntiy dwelling unit.
Includes attached garage.
Subdivision: I .ot no.: ipoo i14 ft, or loss 168.54 4
La. addl 500 SQ. ft. or portind
Tax map/parcel no.: . .. ......... _
Limited encr7y, 1'050cl
75.00 '.,
,.. OFSCRIVI'ION OF WORK (vidktitnlvc sq ft) 75. .
Luniied energy, multi-family
75,t10 2
Wiring for 2 new restrooms and miscreplacing old fixtures with new ones rmidentialwithabnve 9. ti )
Services or feeders installation, alteration, and/or relocation
200 amps 0, Ic.ss 100.70 2
0 PROPERTY OWNER { ..,... , ....
0 TENANT 201 amps 400 to amps
..... ... .. 133.56 2
...._
401 amps to 600 amps 200.34 2
Milne: ...
.._. 601 amps to I 000 amps 301.04 2
. ..___.
Address: Oyer 1,000 arnpsor volts 552.25 2
. . . -- —
Temporory serviee5OFfee inslallalion, alteration. and/or
City/Statc/ZIP:
reltmalion
,...„„
Phone: ( ) RUC: ( ) 200 says l
01 ess
......_ 59 36 - - . 5- r/ s. 3L
,
'.7.
- Owner installation: This installation is being made on property that I Own which is not ' - to 4"1..... 125 OR ' _...,.... .......
401
intended for sale. lease, rent, or exchange, according to ORS amps to 599 amps 168.54 2
RS 447, 449, 670, and 701.
Branch circuits - new, alteration, or extents „Err panel ..
Owner signature: Date: A. rm., ft;i gancITctrcuits with
- 0 APPLICANT E--4 ONTA(71 PERSON :Move service or ItgAcr MC,
each branch circutt I ./.42 ,-.., c7 .) 11
. .....__
ilusiness name: 11 FCC 15)i• branch chic( _ its with — service 01 feedei fee, First
, . Sli.
Contact name: 41/ .7 7.1. ' - T - 6 (. kil c - ; C' >." braileli circuit
— IS 2
_
Each add'Ihranch circuit 7.42 2
Address: ___ ...... ..._
Nlifil!1:111111elburs (service or feeder not included)
FM;:lioiatitil or modular
eity/Ntatc/Z I I : ' (0,84 2
doe)lin5. SC:IVICe a ( ce d er
.
Phone: ( WI)) • c/oz/-- 7 (4;2.3 Fax: : ( ) Reconnect only ...... 67.84 2
Pump or irrigation circle 57.tc4 2
E-mmil: 4 // e ,:., 4 3,77- y i'77/:'('" , 7 e ... e:'.0
Sign or outline lighting 67.04 2
CONTRA .
CTOR
Signal circuit(s) or limited elle' gy.
_......... ... .... . . .- .
.anel, altcn
ausiness name: All County Electrie 1.11.,C 2 ratio, or evIelision. Pa „ 2 2 . . ......—
Each additional inspection over allowable in any of the above
... . _.
Address: 155(5 NW r A,ve Additional inspection (1Io olio) 66.25/ hr
— . .. .. ......_._
.........__. .. . ...
Investigation (1 hr min) 66.25/ fir
City/State/ZIP: 'Vancouver WA 98685 . ....... -
Industrial plant (1 hr min) 'M t& hr
Phone: (360 ) 9047923 I lax: (3130) 3142244 inspections ills which no fee' i —
90.00/ lb'
0 VtlifiCilitY 'Vali (V.. hr min)
COI Lie.; 177347 Electrical Lie.: C-310 Suprv. Lie,; 55765 1.0 fl ELECURICAl. PERMIT FEES
.... •
Subtotal: 118.72
Sorry- I ',Test rittimv z mquircd: . ....___
Plan roicw(215% of permit fee):
Print name; Mitch Johnson Date: I/14/2011 State StliChafff,r (12% of permit rec 14.25
‘. ,....•%;,';'.."'
71 - A ,P14KM I F1:42: 132.97
Authorized signaturc. /••( (C . c ...., / t, - ..-• ,-- --_ _
Tins perm l it appuranna espMe; i ii Permit T is am obtained .iilda ISO
_..
days after it bas been accepted s
Print name: At: 7 (r - / 7.7 s ).-; Date: / Z:,,
'• Number of itispeetittits ahowea p p it as ...white erm