Permit CITY OF TIGARD ELECTRICAL PERMIT
1 , 111 1 if
n COMMUNITY DEVELOPMENT Permit #: ELC2013 00279
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439
o � Date Issued: 05/20/2013
Parcel: 2S 101 AB01606
Jurisdiction: Tigard
Site address: 7357 SW BEVELAND RD 100
Project: Mission Increase Foundation Subdivision: HERMOSO PARK Lot: 17
Project Description: (3) branch circuits to add lighting. 5/20/13 Reprinted to correct project name.
Contractor: JARMER ELECTRIC INC Owner: MIF LLC
5105 SW 45TH AVE #200 5665 SW MEADOWS RD #160
PORTLAND, OR 97221 LAKE OSWEGO, OR 97035
PHONE: 503 - 246 -5381 PHONE:
FAX: 503 - 244 -8037
FEES
Quantity Description Date Amount
3 crt Branch Circuits wo /Purchase 05/20/2013 $71.02
Specifics: Service or Feeder
1 ea 12% State Surcharge - 05/20/2013 $8.52
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $79.54
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. ATTENTI N: 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 rough OAR 952 -001 -r ' 90. You may obtain a copy of the rules or direct questions to OUNC by calling •-. - 2.1987 or 1.800.332.2344. ///
Issued By 01, LL�±�. Permittee Signature: •' 07( 1/1 -- -0,
OWNER INSTALLATION ONLY a
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.
, •
74 '' - w CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2013-00279
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/20/2013
Parcel: 2S101AB01606
Jurisdiction: Tigard
Site address: 7357 SW BEVELAND RD 100
Project: Beveland Street Coffee House Subdivision: HERMOSO PARK Lot: 17
Project Description: (3) branch circuits to add lighting
Contractor: JARMER ELECTRIC INC Owner: MIF LLC
5105 SW 45TH AVE #200 5665 SW MEADOWS RD #160
PORTLAND, OR 97221 LAKE OSWEGO, OR 97035
PHONE: 503 - 246 -5381 PHONE:
FAX: 503 - 244 -8037
FEES
Quantity Description Date Amount
•
3 crt Branch Circuits wo /Purchase 05/20/2013 $71.02
Specifics: Service or Feeder
1 ea 12% State Surcharge - 05/20/2013 $8.52
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $79.54
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 9 1 - 001 -00 0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
o e Dxl j4PPl_r �4" 1 <o I .
Issued By: .�� 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.
05/17/2013 08:41 5032448037 JARMERELECTRIC PAGE 01
p • CEI� ,
Electrical Permit Ap ltcatio :fir , ,,,; ,,,:,:,, ,'. , " ■„ ,
City f Tigard Received a .
• 1 3125 S W Hall Blvd., Tigard, OR 97223 M AY 2 0 2013 Date/13 : a-01i Permit No.: j3 - ..
Phone: 503.718.2439 Fax: 503.598.1960 • Datplamlte. Other Pamir.
I 1 I U
Da I Inspection Line; 503.639.4175 CITY OF TIGARD a R
lteadY /8Y: 85 See Peke 2 for
Internet www.tigard _ G DIVISION Notified/Method: (7 Supplemental Information
N 7 yi b3 i4 fi q 1 p ' na
S I I vc�.a r •w ?t tm �y'1 �Fi14" w w� r�s4, r ^r , r . +I. ins'" 7. ;� P rn� -w,i PY ns� L-.1 i t r . :' -�;; y
Z: inri *e FO, .1 t rtrt � ii twX T1W ;17 Oa f ] g G• . 4 $ vtr , y . � � p i +�. y w,', '' r ' 7"'C�'' r 2 { . l Y ^ fT r Y . �} Sri i�
IS' 2Sw�7i7.51�{�tr:i_ n�.x CR t1']1•. '� Ynf r:3a.nL ,U �ti1.1b 11C , . w" El '. ;iTP.:�ZJ..ii.il'_tt'llx' C 1 fit( pp x �y,, r
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ri, ! t ..ifYa,.�. t..,t,�,,,.� F sr:•�hi'�. fr G �bLSA,+ 5725,? x.t..!W ?�.._.,I..U,�'Jr.,.�.,. � W'•
0 New construction � 1 Addition/alteration/replacement Please check ail that apply (auhmtt 2 seta of plans wntems checked below)
❑ Service or feeder 400 amps or more D nvildivg over three stories.
❑ Demolition ■ Other: where t available thuit current Q Marinas and boatyards.
e r^' x �via FLT 3 x^7 'r'�'•3'17' r > c 'q a .i •'. W' ❑ Float build
Il !"i� k Y, cm �d n / e ? ` y ; 4x }� r1w� "�u u exceeds 10.000 amps 150 vokr or
CsY ,, ' �+ .� f �'"�+�,. � £a r Ti 1 t � ` ': ., r � • a i ra. `� p Floating imp•
w s+3�..i 1*u.rtnon .:.....5.,«.z -,� yi !iu:z �3. :.,s,,a,,; �; „.,w ixs,4xsa k,w wi nr LfY, lot to ground, or excveda 14,000 0 Commincial -use agricultural
❑ 1- and 2- family dwelling P. Commercial/industrial ❑ Accessory building amps Grail other installations. buildings
Multi - family 0 Master builder ❑ Other: D u
Job no.: e ❑ lnaauatlan of 75 KVA or
;,. v�c8: „ '::._pr:uvil ;CS'i . ;�< r_- i a Lev .: .i:cxa^ - s •�
pump.
it f;,.0'.; � �'� >F' ; f` rr • ^n 9' �'� �� � n � r -1+ lr , ,c �, ty + w ia•i ❑ Etttergency system. larger separately derived eYatom
,rl.nur i- r re 1 Vrn1 y _. ni. .�� J fy S -�, . q,. i_.,.s. tt ..c,..,., . . . rG>.,h . } rt ,, - v 4 .., ut� , Su Addition of new motor load of "A", Wall Job site address: I � * 100HP or more. ocCemmcy.
1 . 1 1 . y _ V I J1 ❑ Sin m more residential unite. in Recreational vehicle perks.
A � r �� O Health-cam Miklos. 0 Supply voltage for more than
❑ Haterdoas locations. 600 volts nominal
u Servlco or 600 . ' . . • .
S rtcJbldg /apt, no.: M . �' Project nam D tr»+ or .,
r�- � }ti�'�.A.. �i,m:..,.,z .7a3,y� ;lGa'.,., .. .,'h ,`:�.}'- V5!1 tt:0:i,�, :•i5hw .:ili ;�.�:
Cross atrect/directions to job site: + •-h+ ^ , ;••:� t:.,a ,.., -. -e Toad ri
Daertptbe Qtr To
Fen Total
New residential single- or multi-family dwelling unit
Includes attached galena.
Subdivision: Lot no.: 1,000 sq. R or less 168.34 4
Ea. add'l SOO sq. ft. or portion 33.92 1
Tax map /parcel no.:
Limited 1 nor enmity, residential 75.00 2
L"C w z ° r , y �n ;n �aJ' v r i••�ra7$•nti, t Te '^• F . •I ^m o�� m }��g , [, S r} ° ,.D��i " , s j ) T t :� ! � : ti +. 7, �' ■ r +. 5 r •: � ' A ` F 1 ! I .,. S , I t . N Y f r th in Y r Y ' A 1' (W ttb H}MVC Sq. i,1.)
a t� •a lb.nyr In �, .. 1 ; t�hi ;.. r:.a. ,i �� : _av:_ ,m��thV- .da:kntawna tr. W.. 4a+`'�. 1 "�'� Limited energy. multi-11=11y 10 1 L.1�11/� ,-- residential (with above sq. ft.) 76.00 a
- Services or feeder. inatallation and/or re location
200 amps or leas - 100.70 2
; 4 <, . ' "wG w 2 j4 " J,'i'� ,� . - t z r .� f @ Y Cf /;y � �k . 201
T ', t Ste\ amps to 400 amps 133,56 2
: � _.a. ?,�..l,.,::,,.,,,,.) „v , nna, �nrr. r9rr; 'w._ ,. ait., fas�atr: 3a.' wrui ,rcknxiE „' rxr rh4 .,zL T
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
Temporary services or feeders installation, alteration, and/or
City/State/ZIP: retention
Phone: ( ) Fax: ( ) _200 =fps or leas 1 5936 I 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended fbr sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits -• new, alteration, or ex tension, per panel
Owner signature: Date: - A. Fee for branch circuits with
44K +t ,;1:7+ g �� x ,, ; --- r ' - ;z:.¢b'� ilz t ' qFi e 0 z,/x r S`z 4 on .., ;rc f 7 -- 2 w .: above aervice or fader foe,
t s. i d.,,�,5, _ ; J 4 r A' 1 c ,4L7 } �a r ; • each 1msnc circuit
i'..rl, � � �i x, •to^e n^u . ;' �fi7, 'l� `� 'i � i: � � n » a rn' �.?w ,3'�Ff3� 7.42 2
Business name: B. Fee for branch circuits without
w
.ervice or Roeder fee, Bret `I 56.18 EA, 1 $ 2
Contact name; : bran cir cuit
Each add'I bra circuit 7.42 2
Address: Miiea41aneous (service or header not Included) -
City/State/ZIP: Each =unthawed or modular 67.84 2
dwelling, service and/or feeder
Phone: ( ) j Fax: : ( ) Reconnect only 67.84 2
E ramp or irrigation circle - 67.84 2
ff �7yk^}I« <' d��It- iv:.},�� n
.�1 as i h"i,'ja•' , y .. rat , � � ; }� ,� }.,.; �j '.��,
Signor outline lighting 67.84 2
]ii C t.•.+.�- *ul I,.�. f dr...N, u :.: rtW�<r.'7:a.'cu...- =iii .�l.�a ill i V 1?t i +L"L :fc � w dt.I' 1 Signal circuit(s) or limited -energy
Business name: ,J e rye 6 A g ek � i t e _ i- panel. alteration, extension. Page 2 2
l Each additi t Inspection over allowable in any of the above e
Address: i' jl,. rr` .tie az.cYC- Additional inspection (1 to min) 66.25/ hr
Investigation (1 hr min) 6625/ hr
City/State/ZIP: '' �-- ' r .. • 7
�"t.','._ r e- (%'4 0 4 .2 ` / industrial plant (1 hr min) 78.18/ lir
Phone: (V 3) t ��, "1 72 r / Pax' ( f63) ,l . V ' - .0'6/ 5 ..- Inspections for which no fee LI ■ 90.00 / hr -
a' citcall listed lir min
CCB Lic.: 1, E lectrical I ic.: t% Suprv. Lic.: � /C:'f4f 5' iv, 'ti. .ir`::i`ii - , .,. „.., -*- - ;. .f`;. _;,a 7 _u,. a.:ir:lin4 4t-
�-' if pc, i 4C .5 5 -1.it... � .�w, 44,, ..- ,�4 1 ,, , ,-
-- ,•� ! Subtotal: r
��
Suprv. Electrician signature, required. red `
�1 1 .111. i.■11L . _ p, Plan review (25% of permit file):
Print name: ,5 i . c /4.4,e r,e /3 Date: ) J State surcharge (1246 of permit fee): r :.�T
TOTAL PERMIT FEE: i fr\
Authorized signature: Tbb permit application expires !f a permit la not obtained within 180
Print name: Date: days after it ha. Deem accepted as complete. • N um b er of inspection)) allowed per permit.
I:lauiNrnglPermeAft e- PermitApp -doe 09/01/10 440.4615T(ll/os/COM/WEB
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7357 SW BEVELAND RD 100, TIGARD, OR,
97223
Commercial - Electrical
125 Wall cover
05/21/2013 00:00
ELC2013-00279
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7357 SW BEVELAND RD 100, TIGARD, OR,
97223
Commercial - Electrical
125 Wall cover
05/21/2013 00:00
ELC2013-00279
PASS
Violation Summary:
Inspector Contractor