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Permit CITY OF TIGARD ELECTRICAL PERMIT 1111 COMMUNITY DEVELOPMENT Permit #: ELC2011 -00510 Date Issued: 09/15/2011 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 parcel: 1S134AA01800 Jurisdiction: Tigard Site address: 10240 SW NIMBUS AVE L6 Project: Almar Contracting Subdivision: IKOLL BUSINESS CENTER, TIGARD Lot: 2 Project Description: Electrical for TI in units L6 and L7. Both units are to be combined into one space. Contractor: ALL AMERICAN ELECTRICAL CONTRACTORS Owner: KG INVESTMENTS PO BOX 1426 10240 SW NIMBUS AVE SUITE L3 GRESHAM, OR 97030 PORTLAND, OR 97223 PHONE: 503 - 657 -4351 PHONE 503 - 245 -7100 FAX. 503 - 496 -3995 FEES Quantity Description Date Amount 8 crt Branch Circuits wo /Purchase 09/15/2011 $108 12 Specifics: Service or Feeder 1 ea 12% State Surcharge - 09/15/2011 $12 97 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $121.09 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 OAR 952- 001 -0090 You may obtain a copy of the or direct questions to OUNC by calling 503 232.1987 or 1.800.332 2344 Issued By. Permittee Signature: v /Il• 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. Electrical Permit A pp licationl 1r d E D 1:lrlt011 1 1 til. \l l Ci off Ti and oiiod �' g S F 4 2011 natrJB : Permit No. .z__. - If •— 13125 SW Hall Blvd.,1i wd, OR 97 I III i Phone; 503, 718,2439 Fax: 503.598.1.960 Chile /0 Plan Review Miter Permr� � j/ _ # 2/9 y' 'I' 1 i.; A It p Inspection Line: 503.639.4175 U I Y OF T!GA RD Date Ready/By. curie, la See Page 2 for - Internet: www.tigard -or,gov NG f U1� DING DEVIC+In61/ Notified/Method: 77 - Supplemental information - TYPE OF WORK PLAN REVIEW ❑ Ncw construction Addition /alterAtion/replaccmcnt Please cheek all that apply (submit Z sets of plans w /items checked below), ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition 0 Other: whore the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less 10 ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling 0 Commercial/industrial ❑ Accessory building amps for all other- mstallatiuns buildings. 0 Multi - family 0 Master builder Ci Other: ❑ Fire pump © Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION © Emergency system. larger separately derived system 0Addition of new motor load of ❑ "A ", "I; "I.2 ", "1 -3 ", Job no.: - ) Job site address: 1 02 ki 0 30 woo bu, �hi 1001 rP or more. u +tv n w 0 Six or more residential masts, 0 e c reational vehicle parks. City /State/ZIP: " r1 ` Q Health -care fhcilities. ❑ Supply voltage for more than 9 a D G ❑ Hazardous locations, 600 volts nominal Suite/bldg, /apt, n0.: i _• Project nam .�L e; i- / © Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: (// /,NiN6 L - c' ne.raptioa t gtv. uK, Tow 1 • New residential single- or multi- family dwelling unit. Z — 7 /�� r v / , • ` Includes attached garage. Subdivision: / Of_�. --(e4 t / .fin Lot no.: 1 sq R, or less 168,54 4 p ine Ea. add') 500 sq. ft. or portion 33 92 Tax map /parcel no.: f v r 7 /S 4/ Limited energy, residential DESCRIPTION OF WORK (with above sq ft.) 75.00 2 �} ( 1 Limited energy, multi - family 75.00 2 pct cn (1� : V (, u ` i 5 ^"dam V L / 4 � ' � -, residential (with above sq. ft ) tti lX e.C�J / 4 h Services or feeders installation, alteration , and/or relocation 200 amps or less 100 70 2 0 PROPERTY OWNER G ' ENANT 201 amps to 400 amps 133 56 2 401 amps to 600 amps 200 34 2 Name: /94 /1A9 , 6 01 am w 1,000 am 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City /Stale /ZIP: Temporary services or feeders installation, alteration, and /o _ relocation Phone: ( ) Fax: ( ) 200 amps or leas - 59 36 1 201 amps lo 400 amps 125 08 2 Owner installation: This installation is being made on property that I own which is not 401 scrips to 599 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. amps Owner signature: Branch circuits — new, alteration,. or extension, per panel Date: A. Fee for branch circuits with 0 APPLICANT i 0 " " CONTACT PERSON above service or fbeder fbe, 7 42 2 _ each branch circuit Business name: B. Fee for branch circuits without service or feeder fee. first Contact name: branch circuit ( 56 18 �(`. (Q 2 "" -- -. - - - Each add'I branch circuit I 1 7.42 4tJ 2 Address: Miseellancous (service or feeder not Included) City/State /ZIP: Each manufactured or modular 67,84 2 dwelling, service and/or feeder Phone: ( ) I Fax :: ( ) Reconnect only 67,84 V 2 E -mail: Pump or irrigation circle 67.84 2 Sign or outline lighting 67 84 2 CONTRACTOR - t Signal circult(s) delimited- energy Bi#gines8name: 1) 414(1 l! ti £L EtrT - (q- Co A rbiL and a dditi on or extension Pa: 2 2 S T{- ` t r+ Each additional inspection over allowable in any of the abov Address: , V r 'Ro x 1 L ( g Additional inspection (I hr min) 66.25/ hr Investigation (I hr min) 66.25/ hr City /State/ZIP: c„ $14- i ,, p y_ '7 Industrial plant (I hr min) 78,1 hr Phone: (503) (, 51 — 143 57 I Fax: ( 5 . 03 ) i yC . 795 Inspections for which no fee is t specifically listed (h hr min) 90,00/ hr CCB Lic.: (5 2 ciCJ () I Electrical Lic.: Z(, — i f t/( Suprv. Lic,: 7 3 / -5 ELECTRICAL PERMIT FEES `�� Subtotal: '�, L Suprv. Electrician signature, required: Plan review (25% of permit fee): �-' Print name: j) p/� G 1V' 14 � J 4.��� v�-�) 1l / 1y Fr �! S tate surcharge (12 ° % of permit fee): it Date: „ d/ 111 � � �•7.41 / TOTAL PERMIT FEE: J 24,09 Authorized signature: X 4 0 , his permit application expires If a permit is not obtained within 180 Print name: I ` - Ird Date: / - 1/ days after it has been accepted as complete '� t. L"1 r I ° Number of inspections allowed per permit U0 1hritding1Pormits1[LC- PcrmitApp.doc 07/01110 440- 4615T(I1/05)COM/WB0 200 'IVOI2I,LDd'Id NVDI HDTV — 'I'IF CLbb T6b COS XVd Zfi :ZT TTOZ /17T/60