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Permit
v CITY O TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT E1�ISEp Permit #: ELC2012 00629 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 ( Date Issued: 11/05/2012 Parcel: 25101 DD00703 Jurisdiction: Tigard Site address: 13950 SW 72ND AVE B Project: Hyder Graphics Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4 Project Description: (1) feeder and (4) branch circuits for air compressor, press and flashes. Contractor: FARNHAM ELECTRIC Owner: HYDER GRAPHICS PO BOX 7 13950 SW 72ND AVE MCMINNVILLE, OR 97128 TIGARD, OR 97224 PHONE: 503 -472 -2186 PHONE: 503 - 644 -8191 FAX: 503-472-4042 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 11/05/2012 $100.70 Specifics: amps or less 4 crt Branch Circuits w /Purchase 11/05/2012 $29.68 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea 12% State Surcharge - 11/05/2012 $15.65 Electrical Type of Const: Occupancy Grp: Total $146.03 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 52 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: D ii-PPO.64-770t1 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. Y OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2012 -00629 TIGRD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/05/2012 A Parcel: 2S 101 DD00703 Jurisdiction: Tigard Site address: 13950 SW 72ND AVE B Project: Hyder Graphics Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4 Project Description: (1) feeder and (4) branch circuits for air compressor, press and flashes. Contractor: NORTHSIDE ELECTRIC Owner: HYDER GRAPHICS PO BOX 7 13950 SW 72ND AVE MCMINNVILLE, OR 97128 TIGARD, OR 97224 PHONE: 503 - 472 -2186 PHONE: 503 - 644 -8191 FAX: 503 - 472 -4042 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 11/05/2012 $100.70 Specifics: amps or less 4 crt Branch Circuits w /Purchase 11/05/2012 $29.68 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea 12% State Surcharge - 11/05/2012 $15.65 • Electrical Type of Const: Occupancy Grp: • Total $146.03 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 thro R 952- 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. .1987 or 1.800.332.2344. Issued By: Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept In a conspicuous place on the Job site until completion of the project. Approved plans are required on the Job site at the time of each Inspection. From:FARNHAM ELECTRIC 503 472 4042 11/05/2012 10:01 #039 P.003/003 Electrical Permit A li EI %ED FOR OFFICE USE ONLY Receive C /)_ <�_�/ A City of Tigard Dates : © � i Permit No.: C O W COA 11 • 13125 SW Hall Blvd., Tigard, 0 8' 8 1 9 5 2012 Plan Review Phone: 503.718.2439 Fax: 503. 2 f8.19 I Dates : Other Permit: T I C. A Ii Il Inspection Line: 503 Date Ready /By: Josis: 65 See Page 2 for Supplemental www.tigard or.gov � i OF T�� Notified/Method: pp lemental Information ❑ New construction 0 Addition/alteration /replacement Please check all that apply (submit a sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. ' GO CATE$Y'OF:CONSTRV ..'='•-' '. , -, _ CTJO . _ ' exceeds 10,000 amps at 150 volts or ❑ Floating buildings. .: ; " - _ tem to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ I - and 2- family dwelling eE4 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.StWq.NFORMATION,4ND LOCATION :: • .. - . _ ' ❑ Addition of new motor load of ❑ `A" Job no.: OObe, Job site address: i 9,C1 so '2Y Ptv.P 100HPormore. occupancy. ❑ Sl/U I 0 Six or more residential units. Recreational vehicle parks. City/State/ZIP: 11 9a ,- 6 o � C ❑ Health-care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: I Project name: p.1(4 e l' G rap k( cs 0 Send= or feeder 600 amps or more. PEE "$CH_EDl7_.LE Cross street/directions to job site: D escription I city. I Fee. I Tout 1 • New residential single- or multi family dwelling unit. includes attached garage. Subdivision: I Lot no.: 1,000 sq. ft. or less 168.54 4 Ea. add'I 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: _ Limited energy, residential :: 'DESCR PTION Ole WORK' - - , ,'' y y "r (with above sq. IL) 75.00 2 ' Limited energy, multi - family 75.00 2 CAA( CA.4 P(Y ( c o INl pressor, pre 5 S residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation I C{ f Lashes. c,c_./.69.. 200 amps or less 1 100.70 %al 10 2 "" —' IF PRQPERTY OQVNER` . '' r ® N NT ,-.= ' - - - Ii.*.i 201 snips to 400 amps 133.56 2 Name: rI.(e 6 r ctVVlie5 401 amps to 1,00 amps 200.34 2 .04 2 ,J 601 amps to 1,000 amps 301 Address: I a So SGU 7 2 Ayr. Over 1,000 amps or volts 552.26 2 Tporary City/State/ZIP: �(/f%( }1 I c 1-- c'7 z i4 relocation services or (ceders installation, alteration, and/or Phone: (503) q �� ` Sig I I 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 above service or feeder fee, �1 7.42 2`t - 2 ".. j :1 P,1-LT TT< . - I X : CONTACT PERSON - 4 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: branch circuit Each add'l branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) Ci / State/ZIP: Each manufactured or modular 67 84 2 ty dwelling, service and/or feeder Phone: ( ) I Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E -mail: r v � „ Sign or outline lighting 67.84 2 '�s" =. , - - '_ ='?:' :,:os T RA►c'O :: , . .- " ;` _`l< Signal circuit(s) or limited- energy Business name: J j vi tka IM E I ft n L Con S'I L 1' `,I L'h O in panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: I" 0 EU x 7 AI Aril 51 7) Additional inspection (1 hr min) 66.25/ hr City/ State/ZIP: M t (1 I'1 VI 1I fv oK "J 7 / L 2 Eke.ee re_t(— Investigation (1 hr min) 66.25/ hr 1 Industrial pleat (1 hr rata) 78.18/ hr Phone: (503 ) 4 7 2 - z j g( I Fax: (513) 247 2 -e/0q 2 Inspections for which no fee is 90.00/ hr / specifically listed (h hr min) CC Li .: S O Sq 3 I Electrical Lic.: Z/.4 - I LI G I Suprv. Lic.: L/ B/D S : ti " : :.. j. " ;''-:'ELEC.TR10Ati::pg FEES- '.'- �,;zAf1",:.; , �t g �J - 146 PS Subtotal: t.30,3g S prv, Electrician signature, required: �i Plan review 25% of ( permit fee): -&- Print name: 4: ( . , Lp 1L- ( ( . ,,.p .2 Date: f I 1 '' I 'z State surcharge (12% of permit fee): /S, l 1 TOTAL PERMIT / � �J v FEE: A n r� Authorized signature: ,/ e e I ! , / 371 J � This permit application expires if a permit is not obtained within 180 Print name: • OA ? /�( �� // Date: I `• I * r� . days after It has been accepted as complete. Number of inspections allowed per permit. d 1:\ Building \Permits\ELC- Permi5App.doc 07.01 /10 440- 4615T(I1+05 /COM WEB i1ifir From:FARNHAM ELECTRIC 503 472 4042 11/05/2012 10:00 #039 P.001/003 FARNHAM ELECTRIC CONSTRUCTION Serving the Community Since 1920. SOLAR • AGRICULTURAL • INDUSTRIAL • COMMERCIAL• WINERIES • RESIDENTIAL FAX COVER SHEET TO: i ; TU nyri FAX: 5O� 5 "l p i G �0O ATTN: (� -lv\Vk ik\j :Li a,R, �(1/\,( AA- DATE: FROM: 1\-5 k3 d PAGES INCLUDING COVER: RE: 5tebtri C,61 -1 ? � � i i t - Q p l i . h Pak. vvvevcr AAAA- myiZAt URGENT 0 FOR REVIEW 0 PLEASE REPLY 0 PLEASE RECYCLE COMMENTS: 4S1111A- 4 j o 7z - ,r. ® MCMINNVILLE 503A72.2186 N SALEM 503.581.6287 O PORTLAND 503.222.7138 B FAX 503A72.4042 B AFTER HOURS 503.434.5185 PO Box 7 MCMINNVILLE, OR 97128 PROUD MEMBERS OF NECA I IBEW