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Permit ` CITY OF TIGARD ELECTRICAL PERMIT ` ;' . i, : .: ` ,,= COMMUNITY DEVELOPMENT �� Permit #: ELC2009-00563 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/23/2009 TIGARD g Parcel: 2S101AB02703 Jurisdiction: Tigard Site address: 7450 SW BEVELAND RD 100 Subdivision: MCA OFFICE BUILDING Lot: 27 Project: Horizon Project Description: (4) branch circuits for repair of fire damage. Owner: FEES MCCAFFERY, HUGH R & NANCY J TRS Quantity Description Date Amount 7450 SW BEVELAND ST STE 100 TIGARD, OR 97223 4 crt Branch Circuits 10/23/2009 $78.44 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 10/23/2009 $9.41 Contractor: Electrical SQUIRES ELECTRIC PO BOX 16851 PORTLAND, OR 97292 PHONE: 503 - 252 -1609 FAX: 503- 253 -5831 Type of Use: COM 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 246.66999 1. orr1.8 l 0 � 0.332.2344. Issued By: Permittee Signature: 4A/ i/ L / Ce9 — � 7 d /N/ 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. • r • I: Electrical Permit Application ru l 1(F FOR OFFICE USE ONLY � � . i�cziv e d % / 9 �^� n ,. P ermit No 4..C ,2oo 40 54 Cit of Ti Date/13y: —_ 13125 SW hall Blvd., Tigard, OR 97223 ' • Phan Revapsv l: 1, . _ , .., her Pen i Q� k/ f f ' ' . Phone: 503.639.4171 Fax: 503.598,1.960 Date /Dy: Other I 1 Inspection Line: 503,639.4175 Dato RcadyBy I /y El See Pa�c 2 for '1� =1•� - ;1 Notified /method: S lcmcnulInformati �' TIGARD Internet: www.tigard- or.gov on C,a l Y Li ��1 -,�� pp 1 TYPl� or 4 F , , , c . ` t • 4 REVIEW a PLAN L Ii Plea::e check all that :apply (' ubmit 2 ';0tr Of plat::. whtem,, clicc'red Cdo ) ❑ New construction Addition /alteration /replacement ❑ Sw vice oa teedc: 400 amp or more C Buaidar� Over rltioC Stoner. ❑ Demolition 1=1 Other: wt. iii available Lill current ❑ Marinas aad boatyards. i l ; . . a' •' - 1 , ..; ;OF CONSXK1;Ci70�i- - : re 150 Ors or ❑ 1'Irratina: butldhl ,s. I. ' . ' • exceed' i 0,000 amp: !cis :e ground, or oxccods 11,000 ❑ Ca:mcrcial -use -� - icultur:a ❑ 1- and 2- family dwelling , Commercial /industrial ❑ Accessory building 3 runil3 for all other iuslallalaons. boiltn,t: I: Viuln fa ❑ ❑ builder ❑ Othcr: Fire pump. :nstallataon of75 KVA c- mlh Master bUlld° __ I � ❑ P.i.:ei cency .y:.ie::: levee aet�.uately dc: nC t s) >tcin 3O13 MA SITE. INFORMATION AND •LOC TION I ❑ Addition of now motor load of ❑ "E' "1 -�° '1 - :" 1 Job no.: Job site address: /7460 Od t 2U�� Iou an ,na,te occupancy. ❑ S ix er mere residenmal uniti. ❑ Recrenluanal vehicle parks. City/State /ZI ), t 97_1,13 - Qlle;alh.cxrefocthncs ❑ Supply voltage for mor.;hen ❑ 1tlzardc:a 10Ca■ions. PM wit_: nominal. Suite/hldg /a t no.. Pro nartle: a feeder 601 amp. Or mCrc I { FEE SCHEDULE. Cross street /directions to job site: nncriptien """"" -"`" j oty. Fc . 1 Total " New residential single- or multi - family dwelling unit. _ Includes attached garage. _ 1.000 s 1 68.54 4 ,; Subdivision: - -- - -- Lot no.: .J... 9 fl or Tess � La. add'1 500 sq. ft. o; portion 33.92 { 1 Tax map/parcel no.: L cner?v, residential 1 • 078 2 ';a)C$CRJPTION or Yq.)RK • : (with above sq ft.) �--- Limited crier y multi- tamily k 1 re e. ‘in •- re residential (with above sq. n) 67.44 2 " Services or feeders installation, alteration, and /or rclocation _ 200 amps or less 100.70 2 ❑ :;KOk :P'Etr Al ow1�ER ❑ TENANT 201 amps to 400 amp, I 135.76 21 ! Name: 401 amps to 600 amps — � � 7 { 200.34 2 ' , ......— 6(11 amps to 1,000 amp.. 301.04 I 2 • Address: f 2 I Over 1,000 amps or volt, 552.26 1 /ZIP t /S ■ I; City tae : Temporary services or feeders installa alteration, and /Or relocation C 1: Phone: ( ) Fax: ( ) 200 amps or less 50.36 1 I Owner installation: This installation is being made on property that 1 awn which is not 201 amps to 400 amps ` 125.08 • I 168.54 2 I. intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670. and 701. 401 amps P to 599 amps 1 Rranch circuits — new, alteration. or extension, per panel Owner signature: DuIC: A. Fee for branch circuits with - ' `" ' r1 ' - ab ove se rviLe or feeder fe 7.4 2 is 1P .. XG T ❑ GON I AC.'T PERSON 1 ' each branch circuit �i $uSine�g name - H Fee fur hranu h circuit: I • witiwu/ service or fader Iee. �� ,,,..,,)) � �j o Conttet name: first branch ci rcuit -_� - 56.18 1� � - 1 • -- 1 Each add'I branch circuit 1 7.42 2 1 Address: j : Miscellaneous (service or feeder nor included) _ City /Statc/Z1?: -`° i Each roanufa;,luicd or modular f I 67.84 J 1 dweliine. service and /or feeder Phone: ( ) Fax: : ( ) I Rcoonnect only 67.84 I 2 • • — E -mail: 1 rPurnp or irrigation circle 67.82. - '2 • ~' �CONTRA'scrok 1 1 Sign or outline lighting 67.84 2 (R (YQ�/ 41p Ay; UY energy rcuit( >) r limited- Business rtanie t energy anel. alteration Or I — if �� j , extension. Describe: I'a2c 2 2 A d dress: ,� 4 / l 'I Clty /State/ZIPT 0 ) (� {� 9 '7.9, i 1 f each additional inspection over allowahle in env of the ,ytx)ve / 1 Per inspection 6u 25 . l Phone ) �� r L19 F x: ( ), 5 ,50� / Investigation per hour (l hr min) j - 66.25 1 C:C,Ii i,ic.: ? C �� , Electrical l,ic�' , ' 1 ' b i Suptrv. Lie.: LiM1 _5 Industrial plant per hour 78.18 1 n •, .ELECTRICAL PERMIT. FEES - I • 1 Suprv. Electrician signature, requi d: . Subtotal: ,`11`cf' 1 - 1 Plan review (25% of permit fcc): I Print named E `3C� Lt a Yew State surcharge (1 Date: ~ r 7 7.4 '. of permit fee). . Authorized signature: TOTAL. PERMIT FEE: 17 4.."--- 9 1 This permit application expire. if a permit is not obtained within 1x0 I I Print name: f Dat days after it has brr.n .L,:epted as complete. „ fr"9t 0.J Nuuabci of m_pauers a per penn, I'\ Ltuildl u;ni'e,mir§\Rt.C- PermitAPP.doc 19/01/59 440- 4 015'r (1 i /1 i,COi.1 /Web I ZOO /ZOO d 1789C# 3IE113313 S3HIfJS 1-88909Z003 85 :5L 600Z/ZZ/0 e ► td - ccsZ.s.ci c,d L- . �''� ELECTRICAL PERMIT I, .' CITY OF TIGARD ' � COMMUNITY DEVELOPMENT Permit #: ELC2009 -00563 , '4' Date Issued: 10/23/2009 T1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S 101 AB02703 Jurisdiction: Tigard Site address: 7450 SW BEVELAND RD 110 Subdivision: MCA OFFICE BUILDING Lot: 27 Project: Horizon Project Description: (4) branch circuits for repair of fire damage. Owner: FEES MCCAFFERY, HUGH R & NANCY J TRS Quantity Description Date Amount 7450 SW BEVELAND ST STE 100 TIGARD, OR 97223 4 crt Branch Circuits 10/23/2009 $78.44 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 10/23/2009 $9.41 Electrical Contractor: SQUIRES ELECTRIC PO BOX 16851 PORTLAND, OR 97292 PHONE: 503 - 252 -1609 FAX: 503 - 253 -5831 Type of Use: COM 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 -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: 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' j� ) � f ; v - r , Q Date: LICENSE NO. !�`�SL V 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.