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Permit s, CITY OF TIGARD I .,II PERMIT COMMUNITY DEVELOPMENTi�- �1 , Permit#: ELC2016-00628 1111 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/11/2016 Parcel: 2S102AA04100 Jurisdiction: Tigard Site address: 12230 SW MAIN ST 100 Project: Paddle Palace Subdivision: None Lot: None Project Description: (8)new circuits for restroom,kitchenette,lights&receptacles.9/26/16,REPRINTED to add(6)branch circuits. Contractor: ARON ELECTRICAL CONSTRUCTION LLC Owner: HOBO PROPERTIES LLC 15704 NE 70TH ST PO BOX 8087 VANCOUVER,WA 98682 PORTLAND, OR 97280 PHONE: 503-516-3139 PHONE: FAX: 360-882-7978 FEES Quantity Description Date Amount 8 crt Branch Circuits wo/Purchase 08/11/2016 $108.12 Specifics: Service or Feeder 1 ea 12%State Surcharge- 08/11/2016 $12.97 Type of Use: COM Electrical Class of Work: ALT 6 crt Branch Circuits w/Purchase 09/26/2016 $44.52 Service or Feeder Type of Const: 45 Misc Administration Fee 09/26/2016 $45.00 Occupancy Grp: 0 ea 12%State Surcharge- 09/26/2016 $5.35 Electrical Total $215.96 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 cerance wi .•proved 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. A ENTION: Oregon la requir-- yo to follow the rules adopted by the Oregon Utili - - - --• -r. Those rules are set forth in OAR 952-00 -0010 throug OAR 952-001-$0•$. You ma in a copy of the rules or direct questions to• 'C by ca ' $3.2 . $:7 or 1.800.332.2344. Issu d By: / % Permitter Signature: i /. AI OWNER INSTALLATION ONLY I 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. CITY OF TIGARD ELECTRICAL PERMIT a COMMUNITY DEVELOPMENT Permit#: ELC2016-00628 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/11/2016 Parcel: 2S102AA04100 Jurisdiction: Tigard Site address: 12230 SW MAIN ST 100 Project: Paddle Palace Subdivision: None Lot: None Project Description: (8)new circuits for restroom,kitchenette,lights&receptacles. Contractor: ARON ELECTRICAL CONSTRUCTION LLC Owner: HOBO PROPERTIES LLC 15704 NE 70TH ST PO BOX 8087 VANCOUVER,WA 98682 PORTLAND,OR 97280 PHONE: 503-516-3139 PHONE: FAX: 360-882-7978 FEES Quantity Description Date Amount 8 crt Branch Circuits wo/Purchase 08/11/2016 $108.12 Specifics: Service or Feeder 1 ea 12%State Surcharge- 08/11/2016 $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 la. •II work will be done in accordance—with approved plans. This permit will expire if work is not started within 180 days of issuance, r if work is sus.-••-d for more the 180 days. ATTE N: Oregon law re.• - you to follow the rules adopted by the Oregon Utility Notificationr Those es are set forth in OAR 952-001-0 0 through OAR 952 00.1090.•may obtain a copy of the rules or direct questions to OUNC by calling 503.232. 1.80�. 2.2344. Issu d By: k_ ,01 Permittee Signature: 4111p. 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: i -• RACTOR INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' ( ` . Date: LICENSE NO. 1)7 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 Applicata -+ l '� ` � FOR orFici: t:sl:0\IA r Received ,� Permit#: E'I-c_�9 U -t (Q p- City of Tigard, 'I Date/B . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan I Phone: 503.718.2439 Fax: 503.598.1tMG 11 2016 Date/RevB :iew Related Permit#: Au AA:90/&d(�p� f Q7 Inspection Line: 503.639.4175 Ready Date/By: Juris: ® See Page 2 for 1 16 A R D Internet: www.ti and-or. ov ;., i ALARA/ ` Notified/Method: Supplemental Information g g i� l; s ' Iais / TYPE OF wo / �I PLAN REVIEW ❑ t r f f' Please check all that apply(submit 2 sets of plans w/items checked): New construction Additio cement 0 Demolition ❑Other: 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. 0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Z y�J ❑Addition of new motor load of system. Job#: Job site address: Z3 0 S j'\ \ S 1 100HP or more. ❑"A» «E" "I-2" "1-3„ City/State/ZIP: i (,f\2 I) C) 7'Z Z -S o Six or more residential units. occupancy. 1 ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: /QO Project name: f'ck a A 1 e Ge<\,c.C R.. 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential g (with above sq.ft.) 75.00 2 (1 C<f `u T tl t 5�y 9�-w.S I� ��t { Limited energy,multi-family tt3[ecfi I-ece(Ac.cCe , residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 0 PROPERTY OWNER 0 TENANTServices or feeders installation,alteration,and/or relocation Name: 200 amps or less 100.70 2 Address: 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 II APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,Per panel A.Fee for branch circuits with Business name: Ala o ok4 E—t- E C j rZ l C IA- L above service or feeder fee, 7.42 2 each branch circuit Contact name: E L.i_- iia 3 1`f B.Fee for branch circuits without service or Address: / 5 7(t j 2--f /. / 70 �f(i 9 1 branch circuit der fee,first / 56.18 D�d g 2 City/State/ZIP: / CO ./ ' Each add'l branch circuit 6 7.42 5-1.9f 2 ty I/ �(� ,9" 4 6 Miscellaneous(service or feeder:4 included) Phone:(5-0'3) 5/ ,(, --3 1 3 GI Fax: :(% ) as-2_ "7 7 g Each manufactured or modular 67.84 2 n s! (_ e dwelling,service and/or feeder Email: /� 1�\' a �y �`��' Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: P RAJ 1.--\ �A__rC( `C i\--L CQ.JNkVC t\?V(T\Oti`\ Sign or outline lighting 67.84 2 1 t 0 j' R e 7(-3.\- .� Signal circuit(s)eron or limited-energy 0 See Page 2 2 Address: 'rl v L. panel,alteration,or extension. City/State/ZIP: +c C O\) •1 V. g b Z Each additional inspection over allowable in any of the above C, ) Additional inspection(1 hr min) 66.25/hr � Phone:( 5 I b 7 I `"1 Fax:(3 6�) 2 2—79-1K Investigation(1 hr min) 90.00/hr Email: A 2 r.)(`k _ .-Q cck 6\, ) , c% Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.:4S2_1 4 Electrical Lic.: C & (3 Suprv.Lic.: _5188" 5 specifically listed(1/2 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: /O 8..i A Print name: �(J s-c..1= '; _ R r`.J(`\ Date:g/Alt b 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): l 9•.q 7 TOTAL PERMIT FEE: Authorized signature: %a i 4.09 This permit application expires if a permit is not obtafned within 180 Print name: r y›\,F _ ()--.2{J NA Date: / .{ 1 / ( ro days after it has been accepted complete. * Number of inspections allowed per permi. C\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I1/05/COM/WEB /9-/, el) Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE .:.. Description I Qty. I Each I Total I * Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 n Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 n Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is charged at an hourly(1 hr min) 66.25/hr 1 Inspections for which no fee is 90.00/hr specifically listed('h hr mm) COMMERCIAL WORK`ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems n Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical n Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELRERE.doc Rev 06/17/2015 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12230 SW MAIN ST 100, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical ﬁnal PASS - No C of O ELC2016-00628 Jeff Grove Violation Summary: Inspector Contractor