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Permit (96) 101CITY OF TIGARD ELECTRICAL PERMIT I: COMMUNITY DEVELOPMENT Permit#: ELC2018-00552 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/16/2018 T I GA9 Parcel: 2S112ACO2400 Jurisdiction: Tigard Site address: 14655 SW 72ND AVE Project: LED Fixtures Subdivision: None Lot: None Project Description: (4)branch circuits to replace fluorescent with LED. Contractor: KASKI ELECTRIC LLC Owner: EASTERN WESTERN CORP 19319 NE 214TH PO BOX 3228 BATTLE GROUND,WA 98604 PORTLAND, OR 97208 PHONE: 360-904-3349 PHONE: FAX: FEES Quantity Description Date Amount 4 crt Branch Circuits wo/Purchase 08/16/2018 $78.44 Specifics: Service or Feeder 1 ea 12%State Surcharge- 08/16/2018 $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 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: ,CC /74-77<--- Permittee Signature: ‘)AI ." /V)G.<C`� 7C�� % 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. RECIAN Lb Electrical Permit Application Holz OH l(I: I SE oNl.) City of TigardAl.�GII r1 Received te/B : G, / �r_ Permit G It 13125 SW Hall Blvd.,Tigard,OR 97223 � pDaa„Re,;• o ��'� ���' ©`'sem S' Phone: 503.718.2439 Fax: 503.598.1 �}. OF TI C A i�6 i Date/B : Related Permit 4: Inspection Line: 503.639.4175 +1 F P t S fOPJ Ready Date/By: Deas: H See Page 2 for I D Internet: www.tigard-or.gov BUILDING t D V w otified/Method: Supplemental Information TYPE OF WORK . PLAN REVIEW D New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY`OF,CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 OtheI: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition Job#:1 Job site address:14655 SW 72"d Ave I OOHP Hof new motor load of system. or more. ❑"A","E","1-2","1-3", City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:LED Fixtures 0 Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site:SW Bonita Rd and SW 72"d Ave FEE SCHEDULE Description I Qty. I Each I Total I s 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 Replace Florescents with LED (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) 0 PROPERTY OWNER 0 TENANT Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name:Josiah Lake 200 amps or less 100.70 2 Address:14655 SW 72"d Ave 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Tigard OR 97224 601 amps to 1,000 amps 301.04 2 Phone:(503)598-0777 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 APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Kaski Electric LLC above service or feeder fee, 7.42 2 each branch circuit Contact name:Joel Kaski 7 4/L �D / 7 B.Fee for branch circuits without Address: 19319 NE 214th St / service or feeder fee,first 1 56.18 56.18 2 • branch circuit T` City/State/ZIP:Battle Ground WA 98604 Each add'l branch circuit 3 7.42 22.26 2 Miscellaneous(service or feeder not included) Phone:(360)904-3349 Fax::(360)687-4098 Each manufactured or modular 67.84 2 Email:joel@kaskielectric.com dwelling,service and/or feeder Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Same As Above Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ see P 2 2 Address: panel,alteration,or extension. City/State/ZIP: Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/In Inspections for which no fee is 90.00/hr CCB Lic.: 197386 7/g/*ectrical Lic.: c863 7 i ` uprv.Lic.: 5841s loll11l y specifically listed(1/2 lir min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: _ Subtotal: 78.44 Print name: Joel Kaski Date: 8-3-2018 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): 9.41 Authorized signature TOTAL PERMIT FEE: 87.85 This permit application expires if a permit is not obtained within 180 Print name: J00L kits / Date: 8-3-2018 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Pennits\ELC_PeanitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: „v`k3- Description I Qty.' Each ( Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01to15kva 133.56 2 Ft A• udio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: u Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 1-1 G• arage 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 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr listed 1 Ica y � "` f4.*** f�,, s ('h „assw Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 (SEE OAR 918-309-0000) * Number of inspections allowed per permit. Check Type of Work Involved: Audio and Stereo Systems Boiler Controls I I Clock Systems n Data Telecommunication Installation U Fire Alarm Installation HVAC n Instrumentation n Intercom and Paging Systems Landscape Irrigation Control* Medical f] Nurse Calls 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_PennitApp_ELR_ERE.doc Rev 06/17/2015