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Permit (10) ii CITY OF TIGARD ELECTRICAL PERMIT `�'� COMMUNITY DEVELOPMENT Permit#: ELC2016-00493 6 00493 T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/06/2016 Parcel: 1 S136CB04400 Jurisdiction: TIGARD Site address: 8500 SW SPRUCE ST Project: Japanese International Baptist Church Subdivision: WEST PORTLAND HEIGHTS Lot: M Project Description: (3)feeders for interior work. Contractor: PARKIN ELECTRIC INC Owner: JAPANESE INTERNATIONAL BAPTIST C 14001 FIR STREET 8500 SW SPRUCE ST OREGON CITY, OR 97045 PORTLAND, OR 97223 PHONE: 503-657-4958 PHONE: FAX: 503-557-1059 FEES Quantity Description Date Amount Specifics: 2 ea Services or Feeders-200 07/06/2016 $201.40 amps or less 1 ea Services or Feeders-201 to 07/06/2016 $133.56 Type of Use: COM 400 amps Class of Work: ALT 20 crt Branch Circuits w/Purchase 07/06/2016 $148.40 Service or Feeder Type of Const: 1 ea Signal circuit or Limited 07/06/2016 Occupancy Grp: Energy Panel $75.00 1 ea Plan Review Electricial 07/06/2016 $139.59 1 ea 12%State Surcharge- 07/06/2016 $67.00 Electrical 5 Misc Administration Fee 07/06/2016 $5.00 Total $769.95 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 rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �i� ' 1-111111b �� -•rmittee Signature: L► 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 Application FOR OH.IC F LSF O\LI City of Tigard i Received ;l 13125 S W Hall Blvd.,Tigard,OR 917314.4* Date/By: l /'i 14, ermit#: s�,�16-- tl �it9 Phone: 503.718.2439 Fax: 503.598.1960 `, D16 Plan Review �` W Inspection Line: 503.639.4175 11N Date/By: J Z7ll(.� /w Related Pe,mit#: °���� ) r 1 t A!z Internet. www tl and or ov a Ready Date/By: loris: ee P l g g -�� 2 See age nr " it Notified/Method 1�I s g � Ir' � y)/ Supplemental Information ®New constructionrt �I �W e. sr c that (,� of ns � e 0 Addition/alter.n i�> agement oa. 1 Please check al]that apply(submit 2 sets of plans w/items checked). 0 Demolition 0 Other: s`•.te' ,i ' xehl et or feeder 400 amps or more ❑Building over three stories. l5o here the available fault current .� � - ,,r :, ❑Marinas and boatyards. ,:, - t a exceeds 10,000 amps at 150 volts or ❑Floating buildings. El and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use ❑Multi family ❑Master builder ®Other JIBC amps for all other installations. gs agricultural buildin ��� '� � �'�� _ %).",,Z.' �: � � ' a,' ' 0Fire pump. 0 Installation of 150 KVA or r� =" _:i: „ .., „ t; � 7 ' ❑Emergency system. larger separately derived Job#:16-8686 Job site address:8500 SW Spruce St. ❑Addition of new motor load of system. City/State/ZIP:Tigard,OR 97223 ❑Six or more residential units. occupancy. Suite/bldg./apt.#:NA ❑Health-care facilities. 0 Recreational vehicle parks. Project name:JIBC addition ❑Hazardous locations. 0 Supply voltage for more than Cross street/directions to job site:SW Hall Blvd-head East on Spruce ❑Service or feeder 600 amps or more. 600 volts nominal. South side of Spruce � , _ �;,,,/ � ��". q,1‘4,:-,,,. Description Qty. Each Total Subdivision: New residential single-or multi-family dwelling unit. Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 � �� , Ea.add'l 500 sq.ft.or portion 33.92 1 - : Limited energy,residential New Addition of Muti purpose building (with above sq.ft.) 75.00 2 Limited energy,multi-famly A y residential(with above sq.ft.) 75.00 2 g3 ❑ See Page 2 Name:Japanese International Baptist Church " `�' Services or feeders installation,alteration,and/or relocation 200 amps or less 2 100.70 201.40 2 Address:8500 SW Spruce St. 201 amps to 400 amps 1 133.56 133.56 2 City/State/ZIP:Tigard,OR 97223 401 amps to 600 amps 200.34 2 Phone:(503)317-4262 601 amps to 1,000 amps 301.04 2 Fax:( ) Over 1,000 amps or volts 552.26 Email: Temporary services or feeders installation,alteration,and/or2 Owner installation:This installation is beingmade onpropertysrelocation intended for sale,lease,rent,or exchange,acording to ORS ,449,670,and 701. 201 2001 amps toor 100ess 59.365 1 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps ,.a ' '4111I;',."-X74:71144,14140 ]68.54 2 �' � w X r .4- 't„,: ' 0 , -. t t r ' 7'" Branch circuits-new,alteration,or extension,per panel Business name:JIBC A.Fee for branch circuits with above service or feeder fee, 20148.40 Contact name:Glen Stanfill each branch circuit 7.42 2 Address:8500 SW Spruce St. B.Fee for branch circuits without service or feeder fee,first branch circuit 56.18 2 City/State/ZIP:Tigard,OR 97223 Each add'1 branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)317-4262 I Fax: :( ) Each manufactured or modular Email:glenstanfill@comcast.net dwelling,service and/or feeder I 67.84 2 argt' i is , Reconnect only 6`'-,a ez 'AO67.84 2 Business name:Parkin Electric Pump or irrigation circle 67.84 2 Sign or outline lighting 67.84 2 Address: 14001 Fir St - Signal circuit(s)or limited-energy panel,alteration,or extension. 0 See Page 2 7S, 2 Each additional inspection over allowable in any of the above City/State/ZIP:Oregon City,OR 97045 Phone:(503)657-4958 Additional inspection(1 hr min) 66.25/hr Fax:(503)557-1059 Investigation(1 hr min) Email:tammy@p 90.00/hr arkinelectriC.COm Industrial plant(1 hr min) 78.18/hr CCB Lic.: 35151 I Electrical Lic.: 34 4C4243, Inspections for which no fee is Suprv.Lic.: - specifically listed 'A hr min 90.00/hr Suprv.Electrician signature,required: �di,14,;( ...„� - ` .v., Print name: Dave Parkin Subtotal: 6 Date: 06/14/16 ®Plan Review Required(25%of permit fee): ....,1.3.9,.59--- State 3q.59---State surcharge(12%of permit fee): �...6.2,043/ Authorized signature: TOTAL PERMIT FEE: 764.9s� Print name: Dave Parkin This permit application expires if a permit is not obtained-within too I Date: 06/14/16 days after it has been accepted as complete. I:\Building\Res\ELCPermitAppELR_ERE.doc Rev 06/17/2015 * Number of inspections allowed per permit. 440-4615T(11/05/COM/WEB /tat 9 Realms Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: e.�� a��.. � �.d cx v x � �g�,..r '1a. Desert,lion Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or Tess III 100.70 _© 5.01 to 15 kva 133.56 © ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 _© Wind eneration s stems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva - 301.04 _© 50.01 to 100 kva 1111 552.26 _© ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) MI 552.26 —© ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 I. 7.42 _© ❑ Vacuum Systems* >100 kva—no additional charge - 0.0 _© Each additional ins ection over allowable in an of the above: ❑ Other: Each additional inspection is ■ 66.25/hr —� char•ed at an hourl (1 hr min) Inspections for which no fee is ■ 90.00/hr —. s.- ificall listed(''/z hr min) '" " ;4't .,,w Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 s Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation • HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: 1 *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8500 SW SPRUCE ST, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Electrical ELC2016-00493 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor