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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2009 00575 0 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/29/2009 Parcel: 2S 112AD00900 Jurisdiction: Tigard Site address: 14800 SW SEQUOIA PKWY Subdivision: Lot: 0 Project: Home Depot Project Description: (2) branch circuits for fire alarm system. Owner: FEES THE HOME DEPOT Quantity Description Date Amount 2455 PACES FERRY RD. ATLANTA, GA 30339 2 crt Branch Circuits 10/29/2009 $63.60 wo/Purchase Service or PHONE: 770-438-8211 Feeder 1 ea 12% State Surcharge - 10/29/2009 $7.63 Electrical Contractor: E C COMPANY PO BOX 10286 PORTLAND, OR 97296 PHONE: 503-224-3511 FAX: 503-295-3012 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $71.23 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2,46..6699 or 1.800.332.2344. Issued By: 40 r? ee f:jc Permittee Signature: 4A 19-PdOZ'1 &77.0 / OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. Ell Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Oct, 28. 2009 3:46PM No. 4026 P. 1 rl~h ~ Electrical Permit Application ECE ■ C12s,sw Hul s$ aaTiQ d oR 972z3 O C T 2 8 2009 Romved ~9 9 Permit No., Phone: $03.639.4171 Fax: 503.598.1960 base a Odw Permit: /:;OSao 0 9-9,0& 0 Inspection Lino; 503.639.4175 CITY OF TIGARD >aateReaxb/By: > el See Page 2 for , Internet: www.tig/trd-or.gov RI 11 nmdr, DIVISION N NoLSed/Method. Supplemental Information TYPE OF WORK PLAN REVIEW . [j New construction ® Addition/alteration/replacement Please chock all that apply (submit 2 set of plans w/items checked below). ❑ Demolition Other ❑ Service or feeder 400 amps or more ❑ Building over throe stories. whero the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUMON exceeds 10.000 amps al 150 volts or (I Floating buildings. ' Ims to ground, or exceodR 14,000 ❑ Commercial-ruc agricultural 1- and 2-family dwelling ® Commercial/industrial ❑ Accessory building amps for all otbar installations. buildings. © Multi-Family ❑ Master builder p Other: Q Fire pump, ❑ Installation of 75 KVA or JOB SUE INFORMATION AND LOCATION ❑ F-mergemy system. larger sepsretely derived system. ❑ Addition of new motor load of ❑ W, " "1-2 , "1.3", Job no.: 709010-63 1 Job site address: 14800 SW Sequoia Pkwy 100HP or mote. occupancy. ❑ Six or more resideatial units. ❑ Recreational vehicle parks. City/State/ZIP: Tleard, OR 97224 0 Health-care facilities. Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg,/apt no.: Project name: Home Depot Cl Service or feeder 600 amps or more. Cross streWdirections to job site, lion PEE SCHEDULE sK Tour Ncw residential single- or multi-family dwelling unit Includes attached garage. Subdivision: Lot no... 11000 sq. ft. or less 145.15 4 Tax map/parcel no.: Ea. add'I 500 s . ft_ or portion 33.40 1 Limited energy, residential 75.00 2 DESCRIPTION OF WORK with above . ft. lnstallatioa of 2 Ckts to power new Fire Alarm System Limited energy, multi-fhmily residential with above N. ft. 75.00 Z Services or feeders installation, ahem on and/or reloeation 200 amps or less 80.30 2 PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: Home Depot 401 amps to 600 amps 160,60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City/State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: Fax: ( } 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for We, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits- new, alteration or exteM9i0a, r panel Qwncr signature: Date: A. Fee fbr branch circuits with ED APPLICANT ❑ CONTACT PERSON above service or f~edef fbe, 6.65 2 Business name: EC Company each branch circuit B. Fee fbr branch Circuits f t Contact name: Cindy BeGell wuhow service or feeder fr:e, 46.85 93.70 2 Erg branch circuit Address: PO Boa 10286 Each add'1 branch eixeMit 6.65 z Miscellaneons service or fteder not included City/State/ZIP: Portland, OR 97296 Each manufactured or modular 90,90 2 dwellin service and/or f:cdcr Phone: (503) 224-3511 Fax:: (503) 295-3012 Reconnect only 66.85 2 E-mail: eindyb@"-co.com Pump or irrigation circle 53.40 2 CONTIt4CTOIt Sign or outline lighting 53.40 2 Business name: EC Company Signal cscuit(s) or ]imited- mtrgy panel, alteration, or Address: PO Box 10286 extension. Describe; Page 2 2 access control winn City/State/ZIP: Portland, OR 97296 Each additional ins ctlon over allowable in-any of the above Per Wpaction 62.50 Phone: (503) 224-3511 3)-295 3 12 lovestigation per hour (1 hr min) 62.50 CCB Lic.: 49737 > lectrical 'e.: 25-46C upuv. Lic.: 2950S Industrial pleat per hour 73.75 F,1.F.CMCkL PGi)!Mff FEES Supty. Electrician signature, required: Subtotal: 93.70 1.141 Plan review (25%of permit fee): Print name: Greg Smith Date: 10/27/09 State surcharge (12% of permit fee): 11.2Q , l0~ Authorized signature: TOTAL PERMIT FEE: 104.94 ,j 07 This permit appl;ea$oo expires if a perah t is not obtained withln t Print name: Andrea Stinger' /27/09 days >tfkrit has been accepted as complete. 1:1BwldinglPn its\EIC•PmtritApp,doc 05M/% 640.461 ST(t VOS/COMlwP); t Number of inspections allowed per permit. 17 I ' . 40--