Permit CITY OF TIGARD ELECTRICAL PERMIT •is ' - COMMUNITY DEVELOPMENT Permit ax: ELC2009 -00354
T t GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/22/2009
Parcel: 2S 102AB03600
Jurisdiction: Tigard
Site address: 12297 SW MAIN ST
Subdivision: Lot: 0
Project: Oriental Food Shop
Project Description: Add /alter (3) branch cicuits to add roof top plug and a 60 and 30 amp circuit for heat pump.
Owner: FEES
PACIFIC REALTY ASSOCIATES Quantity Description Date Amount
ATTN: N PIVEN, 15350 SW SEQUOIA PKWY
#300 3 crt Branch Circuits 07/22/2009 $60.15
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 07/22/2009 $7.22
Electrical
Contractor:
ALL COUNTY ELECTRIC LLC
15515 NW 2ND AVE.
VANCOUVER, WA 98685
PHONE: 360 - 904 -7923
FAX: 360 - 314 -2244
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $67.37
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 throug OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Perm ittee Signature: O S�1T 4. )p
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 an inspection that business day.
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.
.. Monday, July 20, 2009 12:39 PM All County Electric LLC 360-314-2244 p.02
. . .„,
Electrical Permit A lication LIltUIII
City of Tigard
2 Receiv.
Datelsv: . • .1.4 _
,IN .... • 13125 SW Hall filvd., Tigiull, OR HMI Rv ed
ico Permit No.
i Phone: S03.639A 17 I Fax: 503.598.1960 r rast/liy Otber Permit:
Inspection Line: 503.63 JUL 20 2009
9.4175 DatEt
e c ady.liy: huiv lil Svc Pagc 2 for
TIGARD
Inlernci: www.ligard-or.guy NotilictlAfdlusl _ _ 1 I Suppkosental Information
.. , ....
TIPE °F unitri OF TIGARD PLAN REVIEW
..... . ... . .. ___._
0 New construction 0 Ad(IitionhilbtilLIUARGOVISION Plcasc ,:hcck .0 that emoly Ialdnisii 2 M.. a ,,/....,,, ulmukcal bah mr)
0 Nc•vica ilr len ler AIM) :imps or more 0 lAttilding over throe stories.
0 1)entolition 0 ()the r: where the available Cloth um Ind 0 Maria ,nd boatyards
....... ..- _ _. ... . ..
C.,V111;O14 V OF (1)NS'1111.1CIVIN evcreds 00.000 amps at 150 volts or 0 Floating buildings.
14:■s ler grouol, ta vsuccala 14,060 0 ( N ssumn L.41 /MC elr.T1.,Iii11,1i
El I- and 2-litmily ()welling El Connnercini/industritil El At:cos:wry building amps Mr all other installations. Istrildiallis.
El Multi-family 0 Mastcr builder 0 Other: 0 rile pimp 0 Installation of 7 KV/i. or
0 Emergency system. Luso i.epit hiciy &lived Ny steal.
1011 SEIT. INFORNIATION AND LOCATION 0 Atialiiiml aim.. unthn Imm.1 VC
. 1001IP nr more. occupancy
Job no.: --- ... Job sitc address: 12297 sw main at
City/State/ZIP: tigard oregon 97223 3r( Qirrk rtk VnC1C(SA-10P D Six
_ . . . .
or 'nom residential wts. 0 Receaonal vehicle par.
ks
0 Supply vollage fur 1110IC Um
CI Hazardous locations. NO volts nominal.
Suite/bldg./apt. no.: Project name:-BenIrteating I) 0 Service ln Rieder 6410 amps or more.
F1; I: St:HI:1)111.F:
(:ross street/directions to job site: 1 5 to tigard I)nrriplivu 1 ON. 1 nes 1 TWA 1 •
New residential single- or main-family dweUlng nod.
Includes attached garage.
Sulnlivision: 1 L tio. 1,000 sq. ri.. Of less 145.15 4
Fa. addi 500 sq. ft. or portion' 33.40 1
IM map/parcel W.: _______ _..
' ' ' • .
I imited energy, resitIentifli
75.00 2
, DESCRIPTION OF WORK (,sidi above cc' A )
Limited energy. multifamily
Add a roof top plug and *odd a 60 and 30 amp circuit for a hcut pump aysidential (with above sq. n.) 75.00 2
Services or feeders installation, alteration. and/or relocation
200 amps or less 80.30 2
1:1 PROPERTY OWNER I 0 TENANT 21)1 amps to 400 amps 106.85 2
Nome: . 401 amps to 600 amps 1(0.(t) 2
• --•• • - •- - 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 iunps or volts 454.65 2
Cily/Stale/ZIP: Temporary servkes or feeders installation, alteration, andior
relocalioa
218) amps or less . . ..... . . . _. ____. 1
Phone: ( . I. as.: ( )
) . 6685 _____........ ..... .......... .... ..
OWnerinistailationTiiiis iii is h; 'mode or' properly I hat I owl' which is not 701 amps to 400 omps _... .... ...... 100.30
intended for salc, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps ,13335 2
Branch circuits- new, alteration, or extension, per panel
Owuer signature: Date: A. Fee for hrarchC;ictots with
0 APPLICANT 1 la CONTACT PERSON alarm service or feeder fee,
6.65 2
Business 'mole: all county .. each branch circuit ty electric Ile • • .- --
14. Fee for branch circuits
wilhotri Service or tivdcr fee, 1 46.85
(;orliact. mune: Mitch .1ohnson 46
first hrunch circuit
....._....... .. ..... . ..... . . .. . ... .__.._
Address: 15515 nw 2' ave Each add'I Intuall circuit 5. 6.65 13.30 2
- Misteilaneous (servii-eor feeder not included
City/Smtc/ZIY: ynnenuyer Wa I0i6ft5 Earls manufactured or modular
- . dwelling. service and/or feeder 90.90 2
... .
Phone: (360) 904 F ax: : (360) 3142244 Reconnect only 66.85 2
__. ..... .
F.-mail: alicountyelectriclic(ipyaboo.coni dump or irriEfaion circle 53A0 2
... . ......_
, _ .......... _.__. _
CONTRACTOR Sign or otnlinc lighting 53.40 2
Sumalcirciiit(s) or limited-
Rusinms mane: all county electric Ile
energy panel, alteration, or
.......... . . .____....... . • . .. ..
Address: 15515 nw 2 ave extension. Describe: l'uge 2 2
City/Stale/ZIP; Van Wa 98685 Each additional inspectinn over allowable in any of the shave
Per inspection 62.50
-
Phone: . (360)9047923 - I Fax: (36 3142244 0) 31422
invesiigution per hour ( I lir min) 02 50
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CCli l.lC.: 177347 I Electrical I.ic.: (3 0 I i >:,7 Sillily. Lie.: 2178s Industrial plimt per hour 7:3.75
- 7 • 1 / • ‘ N . .
A 0 ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: ?. _. . _ • , I • •
Subtotal: 60.15
..--•
______ ..__...... . .. . '
Plan review (25% of permit fee):
Print name: Wayne I .ease I !Me: 7/20/2009
----7 .- . • . .i7L. State surcharge (12% of permit fcc): . ... . 722
.. .. .. . .
Atilhonced signtatire. ,/,„.., , , ./.;,„
- i. _
. i ...,ot . ToTAI.P1.:Rmr P.: r t+ 67.37
..._. ... . .... .. . . . . .... .. . . , ...._
. / . permit application erp rrs if a permit is not obtained within inn
Print narnc: Mitch Johnson ._ Date.: 7/20/2009 1 hs days after it has been accepted as complete.
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