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Permit CITY OF TIGARD ELECTRICAL PERMIT �-' COMMUNITY DEVELOPMENT Permit#: ELC2013 00506 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/22/2013 Parcel: 1 S134AA02100 Jurisdiction: Tigard Site address: 10340 SW NIMBUS AVE NC Project: Greentowne Real Estate Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 3 Project Description: (4)branch circuits for TI for new walls,electrical,sprinkler and HVAC drop for new tenant. Contractor: WINNER ELECTRIC INC Owner: HANSON, RONALD D 5950 SW PROSPERITY PK ROBINSON,CONSTANCE A TUALATIN, OR 97062 ROBINSON,CHESTER TRUST ET AL 203604 EAST FINLEY RD KENNEWICK,WA 99331 PHONE: 503-638-5028 PHONE: FAX: 503-638-4242 FEES Quantity Description Date Amount 4 crt Branch Circuits wo/Purchase 08/22/2013 $78.44 Specifics: Service or Feeder 1 ea 12%State Surcharge- 08/22/2013 $9.41 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $87.85 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 OA 2- - 90. Y u may obtain a copy of the rules or direct questions to OUNC by calling 5032321987 or 1.800.332.2344. Issued By: - Permittee Signature: 7`N 151-77.°G/("'52-%/O fV 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. Aug.22.2013 02:55 PM PAGE. 3/ 3 Electrical Permit ADnlicati IhJ J •-' . . I itr,tin.! l( ,. ( �1.e),(i City of Tigard _ Recel�+ed 13125 SW Hall Blvd..Tigard,out 97223 AUG 2 2 2013 Plat Review - / / /«l/ --' -' - Phone: 503.718.2439 Fax: 503.598.1960 Dates , Other Pormip6 Q/j' r a0.' ..i,i Inspection Lino: 503.639.4175 CITY OF TIGAR D nay Reedy/Hr Ms: ® see Page 2 for Internet: www.tigard-or.gov BUILDING DI1 ncinn' Notrfied/Mottnd: Supplemental information ation TYPE OF WORK FLAN REVIEW ©New construction Addition/alteration/replacement Plante chock ell that apply(submit a sots of plans w/irons oho:And below): El Demolition ©Other ❑Service or feeder 400 amps or more ❑Sodding over throe stories. where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 crape at 150 volts or ❑floating buildings. lass to ground,or exceeds 14,000 ❑Commereial.use agricultural 1-and 2-family dwelling LA Commercial/industrial 0 Accessory building snips for all other installations. buildings. El Multi-family ❑Master builder ❑Other: 0 Fire pump. ❑Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. largos separately derived weans. ❑Addition of new motor load of 0"A""L'•."1-2","1.3". Job no.: I Job site address: /03e/0 /1 era/44" IooHP or more. Recreational❑Six or more residential units, ❑Recreational vehicle parka. City/State/ZIP: To»-•PLr,4. er- ❑Health-care facilities. ❑Supply voltage for more than D Hazardous locations. 600 volts nominal. Suitt/bldg./apt.no.:/VC— I Project name: ,(-L 4 ,e:e.2 ❑Service or fonder 600 amps or mom. (A),Sit'e`. 4�+"'� FEE SCHEDULE Cross street/directions to job site: O 4 S�4 4f-s ev4,c,3 r?p3 u.ecrtawa f"Qry. [ F e.' T Tdd - 1 New residential single-or multi-flunk dwelling melt, V l\p-�\\11 (V S C.., Includes attached garage. Subdivision: \ Lot no.: _1,000 sq.ft.or less 168.54 4 Tax map/parcel no,: Ea.add'1500 sq.ft.or portion 33.92 I Limited energy,residential 75.00 2 DESCRIPTION OF WORK (with above sq.ft.) 1— . Linuted energy,multi-family 75.00 2 AD 0-KA-C. \ k-5 CtIc\ ln5 kOs(■rj residential(with above eq R.) - \ l Services or feeders lostallatton,alteration,and/or relocation { \���-\V\�C\$.v1Ca� z00eogtsorltma 100.70 a ❑ PROPERTY OWNER 1. 0 Tg 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 601 amps to l,0)0 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 F21 Owner installation:This installation is being made on property that I own which is not „?ol amps to coo amps 125.08 intended for sale,lease,rent,or exchlmge,according to ORS 447,449,670,and 701. 407 amps to 599 amps 168.54 Branch circuits-new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits with • 0 APPLICANT IT CONTACT PERSON V above service or feeder fee, 7A2 f� 2 each branch circuit , a6 Business name !� B.Fee ten branch circuits without w ► `� �► ._.._..,,._ _. scrvicc or folder fce,first Contact name:7-0,.s. �J l.• r branch circuit 1 56.18 ,5.J 6( 2 Each gel branch circuit 7.42 2 Address: SQL O _ • V c1, _ Miscellaneous(service or feeder not included) `-- -- Each manufactured or modals: City/State/ZIP: dwelling,service and/or feeder 67,84 2 Phone:( ) Fax::( ) ' Rtecomicct only 67.84 2 E renal!; ——i Pump or inigation circle 67.84 '- 2 Sign or outline lighting 67.84 2 CONTRACTOR _ Signal circuit(s)or limited-energy Business name: \ �- panel,altaationtor extension, Page 2 2 .+`3_‘�.�°- °�` \�- ` \ ( Each additonal Inspection over allowable In any of the above Address: '� �.� �r C1 ( (' \ J‘ \C'►r IC Z `x.„, Additional inspection(l hr mein) 66.2x/la Ciry/State/ZIP:` J\ Investigation(1 hr min) 66.25/hr V C'-\Q•T <� c:VIQ 2- lndustridl plant(l hr min) 78.l8/hr Phone:( PS)63 ir a Z,; Fax:(66,-7 (d S$/.1 Inspections for which no fee is ytl,OQ/hr specifically listed('/.hr thin) CCB Lic.: a Electrical Lic.:3r.1-,�0 C� Suprv,lose.:a56asS ELECTRICAL PERbIIT r s Suprv.Electric ^.1 ('1i ,required: t ` Plan review(25%of permit fee): 7 31/46e Print name Tj` „(T iat Date: i / /\.3 State surcharge(12%of permit fee): 9.&47 a�J+ ^"7! TOTAL PRRMIT FEE: Authorized signature: M1Y _ 1.8 Ci lltis permit apps expires If a permit Ie not o lthfn 180 Print name: ; days after tt bas been accepted as complete. �, ' Nmmhor of inspections snowed per permit �j� p Muilda PnaibmELC.PamgAppdoc dente MO•eesrr(II/51COM WEB J( r d Aug.22.2013 02:55 PM PAGE. 1/ 3 Winner Electric Construction, Inc. 5950 SW Prosperity Park 80ad,Tualatin,Oregon 97062 Phone:15031 638-5028-Fox 15031638-4242 FAX COYER SHEET Date: \ `.. ./\75 Numbers of Pages Including Cover; To:CA © \ \ C3.C C ATTN: \ Fax Number: ,1 SC\ kg1oC) From: \(1,\rvp,4\o. kis- al.A 1 Regarding: \as.k �' , V ( ". ` Sk_9„),SjZo. , \CS\c\4h vc._.(10S25%Szisz,, '\V\Z\ 1C.C) L �Y\ \ V_J) fi=g\ �-- � . `QV.se\.) �, •�N4'� � Cr\r•-9-- V\i")) 4" -° CCB#:14794-Oregon License#:34-150C Washington License#:Winnea*050N5 E-Mail wlnnerelectric@contceanot Waite:www.wlnnerelectrie,cum