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Permit
1v CITY OF TIGARD ELECTRICAL PERMIT .1 s : COMMUNITY DEVELOPMENT Permit#: ELC2013-00571 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/2013 Parcel: 1 S134AA02100 Jurisdiction: Tigard Site address: 10300 SW NIMBUS AVE PA Project: FMC Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 3 Project Description: (4)branch circuits and(1)data telecommunications system. Contractor: CHRISTENSON ELECTRIC INC Owner: HANSON, RONALD D 111 SW COLUMBIA ST, STE 480 ROBINSON,CONSTANCE A PORTLAND, OR 97201 ROBINSON,CHESTER TRUST ET AL 203604 EAST FINLEY RD KENNEWICK,WA 99331 PHONE: 503-419-3300 PHONE: FAX: 503-419-3695 FEES Quantity Description Date Amount 4 crt Branch Circuits wo/Purchase 09/25/2013 $78.44 Specifics: Service or Feeder 1 ea Signal circuit or Limited 09/25/2013 $75.00 Type of Use: COM Energy Panel Class of Work: ALT 1 ea 12%State Surcharge- 09/25/2013 $18.41 Electrical Type of Const: Occupancy Grp: Total $171.85 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 OAR 952-001-0090. You may obtain a c••he rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: aor 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. SEP-24-2013 TUE 02:01 P11 CHRISTENSON ELECTRIC, INC FAX NO. 95034193695 P. 01 Electrical Permit Applicati ECElVE 'till,)evict:usi.or i,., City of Tigard _ y, PcmtitNo.! t-a -1)1�,�0os? j u 13125 SW Hall Blvd.,Tigard,OR ')722 EP 2 4 2013 Plan Review at) f t g' Phone; 503-718 2439 Fax: 503.598.19_0_ Mate/gy; Other Pemtit: T I L:r\It 0 inspection Line: 503,639,41 75 CiTYY OF TIGAR D note Ready/By: Jena: 0 See Puce 2 for Internet: wvvw.ugard•or,8ov I it 11 i II Notified/Method: '75' Suppknlental Information New construction y, • ,�. lip •TV'. Q ED" �t1 tU(" i.l. I, �,a:'.'' ..1.''' t ',:•,_•r ll 1.,,: .PIAN.{1EVIEW ©Ne uction [�Addition/alteration/replacement Please check all that apply(submit_2 Sots of plan t wlitenrs checked below): 0 Service or feeder 400 maps or more ❑Building over three atones. Q Demolition Q Other: where the available huh current ❑Marinas and boatyards. tAIT ( O yY N exceeds 10,000 snips at 150 volts or ❑Floating buildings. ivy' 1+1'^. fI,.: ' � � r less to ground,or exceeds 14,000 ❑Commercial-use agricultural 1-and 2-family dwelling Ea Commercial/induslriul 0 Accessory building ,iipS for all other installations, buildings. • 0 Multi-family 0 Master builder ❑Other: ❑Fire pump. ❑Installation of 75 KVA or , ❑Emergency system larger separately derived system. .. ,) 4.;91 0 ry * j n n 1aM 0i, 1,f, ❑ Addition anew meter load of 0„A-.,e....1_2" ..1 3.. Job no.:01686 lob site address: 10300 SW NIMBUS IoOHPormore. Oeeapmlcv, ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP: ❑Health-cartocatioics, ❑Supply voltage for more than PORTLAND, OR 47223 0liazardouslocsdons. 600 volts nominal. Suite/bldg./apt.no.: A i Project name: FMC SCHOLLS FSRRY 0 Service or feeder 600 amps or more, - 7#iii. ;:i.:;i';1 split;.U)„ '`�d:) ED.pC�;ca a,'t;, Cross street/directions to job site: MATT Wkt.1THER 503-93 6-2141 nrscrlpdun I qty. 1 Fee. I Total i • New residential single-or multl-family dwelling unit. Includes attached garage. _ Subdivision: I Lot no.: 1.000 sq.ft.or less 168.54 4 • - -- Ea.add'(500 sq.ft.or portion _ 33.92 t Tax map/parcel no.: Limited . energy,residen tial tial I .. �rr. h l ,-. i 7f'-�.f!' Y: '�,..:;IF , r (with above sq.ltL 75.00 2 .. L ':,?;r„!,:", 11..i,u` ;1• 4 1 r �• .- ." :,,,il r G. , IL Limited energy,mutti•fantily LOW VOLTAGE CABLING (4) CKTS FOR OUTLETS residential(with above sq.R.) , I 75,00 2 Services or feeders Installation,alteration,-and/or relocation _ :''1.1 I` 201')amps or less 100.70 2 r `: � ? L ; ,.Ej� t if9,- .1,. 1 l, a.,...,q[Qii. a y 1 a I.L.:.,.p 133,56 2 '.} j.; •'rREAY ,'.; .; ,IF11ii,�r:.101.�yl 1i IYr r [ 1 S:1 NT.,y Ja ti G:n(fir.. p rry 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 service.or feeders Installation,alteration,and/or relocation Phone:( ) I Fax:( ) 200 amps or less 59.36 T 1 Owner installation:This installation is being made on property that I own which is not 201 amps 10400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 70 l. 401 amps fo 599 amps 168.54 , 2 Branch circuits-new,alteration,or extension,per panel Owner signature: - Date: _ A.Fee for branch circuits with 1 .r.. �' , r, ..y i'";7.` -411 +,!. ,' '' r' j 'a1 - cif above service or feeder fee, a..,.,, i;.l..,;j.il`�.i'F'.i:1�i1C`�-`',h i�, b'Y:'�4,llla'tE.111°Y ll fl��.1iu.� la'�1 1.PFi �P 1;17, each 2 i 1 •, 1"..IL uch branch circuit Business name: CHRISTI_TISON ELECTRIC B.Fee for branch circuits without service or feeder fee,first 1 56.18 56.18 2 Contact name: branch circuit _ - Each add'I branch circuit 3 7.42 22.26 2 Address: Miseellaneoua(service or feeder not included) CAI /State/ZIP: Each manufactured or modular 67.64 2 Y - dwelling•service and/or feeder _ _ 1 Reconnect only 67.84 2 Phone:( ) Fax: ( ) _ _ Pump or irrigation circle _ 67.84 2 Email: • !t:',..,:', �rd,11S rt Stem or outline lighting 67.84 2 . ,,r .' ,i ia,! I .:I,/,:tiVim M 40tOi Pifr$it".' 11i�rlln „:;.!,t.i .1i, 1'!!'i� Signal circuit(S)or timitcd-cncr - Business name: CHRISTENSON ELECTRIC nand,alteration,or extension. 1 `)<'a1;e 75 2 - Each additional inspection over allowable in any of the above Address: 111 Sw COLOMBIA, SUITE 0.60 •Additional inspection(1 hr min) 66.25/hr City/State/ZiP: Investigatlanphrmin) 66.25/hr - PORTLANI7, OR 97201 Industrial plant(1 hr min) _ 78.18/hr Phone:(503 ) 419_3354 1"403 ) 419-3695 Inspections for which no Ike is g0,D01hr s eeiftcall listed f.hr m(n) CCB Lic.:4,5a Electrical Lie 26-3,Ar Su Lie.S215 I „i �.'1''£ cR i> A'L!P r� 'op Suprv.Electrician signature,required: Subtotal: 15 • Aga. ,+- -.• , , Plan review(2S"/n of permit fee): -• Print nameROBERT BRUENE Date: 9/2 h/13 State surcharge(12%of permit fee): 18.41 TOTAL PERMIT FEE: 171.85 Authorized signatures _ Title permit application expires It a permit la not obtained within 180 Print name: = Date: • Number days after II has been accepted as complete. umber of inspections allowed per permit. P1 Duntsin\Pormitr\ELC-PerrrlhAppdoc 07/01110 4e04613T(I1f0S/COM/WE1 1 rear }‘7 ,a-i(K/-7.-- . - • SEP-24-2013 TUE 02:01 PM CHRISTENSON ELECTRIC, INC FAX NO. 95034193695 P. 02 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORS:ONLY':. . ... Fee for all residential systems combioed $75.00 Check Type of Work Involved: [] Audio and Stereo Systems* O Burglar Alarm ❑ Garage Door Opener ❑ Hearing,Ventilation and Air Conditioning System' ❑ Vacuum Systems" ❑ Other: CQIVI .IERGTAL WORK,ON Y: . ..... ... ... E Fee for each commercial $75.00 system. (SEE OAR 918.309-0000) Check Type of Work Involved: [] Audio and Stereo Systems ❑ Boiler Controls ' ' ❑ Clock Systems ' . • 4.Data Telecommunication Installation ❑ Fire Alarm Installation El HVAC ❑ Instrumentation ❑ Intercom and Paging Systems O Landscape Irrigation Control` ❑ Medical ❑ Nurse Calls El Outdoor Landscape Lighting' ❑ Protective Signaling ❑ Other Total number of commercial systems: ./ No licenses are required. Licenses are required for all other installations I:,0alldli1OPermla\12 LC PCrmitApp doe 97/71/10