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Permit • ` a 7 CITY OF TIGARD ELECTRICAL PERMIT ii ' ?' 2 COMMUNITY DEVELOPMENT Permit #: ELC2009 -00622 Date Issued: 11/18/2009 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S101AB02703 Jurisdiction: Tigard Site address: 7450 SW BEVELAND RD 100 Subdivision: MCA OFFICE BUILDING Lot: 27 Project: Horizon Project Description: Add /alter (2) branch circuits for floor boxes and add restricted energy for voice /data. 11/20/09: Add (1) 200 amp service and (30) branch circuits. Owner: FEES MCCAFFERY, HUGH R & NANCY J TRS Quantity Description Date Amount 7450 SW BEVELAND ST STE 100 TIGARD, OR 97223 2 crt Branch Circuits 11/18/2009 $63.60 wo /Purchase Service or PHONE: Feeder 1 ea Signal circuit or Limited 11/18/2009 $67.84 Energy Panel Contractor: 1 ea 12% State Surcharge - 11/18/2009 $15.77 SQUIRES ELECTRIC Electrical PO BOX 16851 1 ea Services or Feeders - 200 11/20/2009 $100.70 PORTLAND, OR 97292 amps or less PHONE: 503-252-1609 30 crt Branch Circuits w /Purchase 11/20/2009 $222.60 Service or Feeder FAX: 503-253-5831 0 ea 12% State Surcharge - 11/20/2009 $38.80 Electrical Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $509.31 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 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: % 5 , 5 - 447(.13-e---- Permittee Signature: d/v I/)G/e/y 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 603.639.4175 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. : .. ,-. ---7. Electrical Permit Application _ „ ,., ! Ati. 4•-t F0.1. 0 b 14 Ct:1;4; S L. 0 .IL 1: - ;'1tr, ,;',. , M' ' ..1 c. ,, / il. ''''' ' ' • . ' ' ''' . ' . Nieffitdialiadalt - 231 - '41 . ` , - . ,■, : '4* o'''... WU : . '6:4:4:.1.,W■1 1 .P Ili .....Val • ''' ' " 1 City of Tigard t---c'f- ‘ 13125 SW Hall Blvd., Tigard, OR 9722 1 1 ".\.4. Plan Review ' -- • : , .1 m . • • g . - Phone: 501639.4171 Fax: 503.598.1960 *; y i 9 200q Date/By, Other Permit: Inspection Line: 503.639.4175 TIGARD 4 I, ''' Date Ready/By: Anis: HI See Page 2 for . . 4 , , • Internet: www.tigard-orgov Notifiealethod; • ..i!a . Supplemental Information ‘EWraT457r a .„4k.770* . "■ - : .,,. . ,, ,: , :r4i 3 ' '. '"2 , Cii I' ''" , ,. • tit . 2. I:i f ,.; Iii A/f /I . '4',."•■,,Z,,:'„n•.,,,,b..4,1 .??.,,, ..., ,. .,, • , ...,..,. ,,,,„,!,..., !,„,,,,;,,,,, .,,,,,t .., , 0 Ncw construction WI 'Addition/alteration rep acemcnt Please check all that apply (submit 2 sets of plans whierna checked below): 0 Service or feeder 400 ampn or mare 0 Building over ill= SIOTiefi 0 Demolition fill Other: Si bete the available fault current In marinas and boatyards. .; - Wctir - 7 7 7 7- 4-: ' IN exceeds 10,000 amp.: at 150 volt or 0 Maine buildint. ' 4 ' ' '' 4' '...' " Al..;•MJ .N ieSS to gexceeds 14.000 El Commercial a -use gricultural El 1- and 2-family dwelling - Commercialruidustrial 0 Accessory building amps for all other installations. buildings. ' 0 Multi-family 0 Master builder 0 Other: 0 Fire pump. El insinuation of 75 KVA or 0 Emergency system. larger sepamitely clerk. ed system.' . 007 ' 1-'7, i ' 7, r..' ri; ; :'F-WHP,:i"611, ig"lf:AVNX ,__, „. . • • r ....' 1.44.17 WC‘' Li Aaaution of new motor load of 0 "A", "E", "1-2", "1-3 100HP ar more. occupancY. Job no.: I Job site acldress: 7 ,1) ‘ . 1. 6t,0 Z a .... x . o f R , 0 six or more residential units. 0 Recreational vehicle parks. City/State/ZIPotcm-0,(/ ID Health faeiliti. 0 Supply voltage for more than - 5& / P Hazardous locations. 600 volts nominal. Suite/bldg./apt no.: Th.,0 Project name: 1.-1.C/rjxc...0..:__ El service Or feeder 600 amp. or more. aWIZAVig *W. :::4 Cross street/directions to job site: Description Orv. Fee. I Total l " _ New residential single or multi-family dwelling unit. Includes attached garage. . . Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4 Fa add'I 500 sq. ft. Or portion 33.92 1 Tax map/parcel no.: Limited enerey, residential • go with above sq. ft.) 67.84 2 • Lim e m th u abo lti- v f e am sci il ft y .) • -p(L4..L./ 67.84 2 Services or feeders installation, altera ion and/or relocation • 200 amps or less f 100.70 /f% • I) 2 _ 7.4... ;1:AtitirAtt ' '' 4 X*.14- 1 415P;O:M14 1 201 amps to 400 anIfIs 133.56 2 _ 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 City/State/ZIP: Temporary services or feeders 'list:illation, alteration, and/o relocation Phone: ( ) j Fax: ( ) 200 amps or less ,_. 59.36 1 • Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 125.08 2 intended for salc, lease, rent. or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 I - 2 Branch circuits- new, alteration. or extension, --- r panel Owner signature: Date: A_ Fec for branch circuits with I Fri."-fU4 "Ii:V .IY: !• '.."..' ''' ' `% :, .1. • ' • :_'' ' 'P*1•v , T - AymirF , 4 iE - ere ': • • ,i • r›, ,■.• ,,, „, ,. above service or feeder fee. ...., teo , 742 each branch circuit - • • Business name: B. Fee for branch circuits without service or feeder fee. Contact namc: 5618 2 • first branch circuit • - Address: Each addl branch circuit 7.42 2 - Miscellaneousiservice or feeder not included) City/State/ZIP: Each manufactured or modular 67.8A 2 dwelling, service and/or feeder Phone: ( ) I Fax: : ( ) Reconnect only 67.84 - 2 • E pump or irrigation circle 67.84 2 ., Mil '..'eiT. 7.4. ..,."7":4'=:tinins:.... , 'vr , i,,WA1541://5:Attv'EmsAscigg sign or (Aldine lighting 67.84 2 Signal circuit(s) or limited- Business name: f,..6 ' Lti y e._ 4 • - - -- 1 ' e- --z=r- ‘1 :- .. energy panel, alteration, or Address: Pp 7 ii / extension. Dsc.ribe: Pagc 2 2 City/State/Z1P: - 1 ) 04.-#16L i ke 0 4_ 97..19.1 Each additional inspection over allowable in any of the above , • / Per inspection 66.25 .• Phone: ( ),a5,4_, .-- /1,09 I Fax ( ) '50k:4 / Investigation per hour (1 be min) 66.25 • CCB Lic.: .1350051 Electrical Lict , //b/C ( 4 . 1 __ Suprv. Lic.: 4g: j Industrial plant per hour 78.18 .... Stlpflt_ Electrician signature, requir .: - Subtotal: , Plan review (25% of pertnit fee): me: E ' e„,_64. Lc,/ YE.-5 D ate: // t 9 6 . . ... ,--, , .- Print na State surchargc (12% of fee): cZ • - go c_..) Authorized signature: TOTAL PERMIT FEE: eae,). - i b • This permit application expire if permit is not obtained within 1 Print name: Date: duyt after it has been accepted as Complete. ' Number of inspections allowed per permit. • LABuddice\permits\ELC-PermitApp40C 10/01/09 440-1415T(11/05/COM/WES ZOO/ZOO'd 986C# 31H13313 s3ain0s 1.08989Z809 ZI7:191. GOOZ/GL/LI. CITY OF TIGARD ELECTRICAL PERMIT 1111 2 ' " COMMUNITY DEVELOPME Permit #: ELC2009-00622 TIGARD 13125 SW Hat Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/18/2009 Parcel: 2S 101 AB02703 Jurisdiction: Tigard Site address: 7450 SW BEVELAND RD 100 Subdivision: MCA OFFICE BUILDING Lot: 27 Project: Horizon Project Description: Add /alter (2) branch circuits for floor boxes and add restricted energy for voice /data. Owner: FEES MCCAFFERY, HUGH R & NANCY J TRS Quantity Description Date Amount 7450 SW BEVELAND ST STE 100 TIGARD, OR 97223 2 at Branch Circuits 11/18/2009 $63.60 wo /Purchase Service or PHONE: Feeder 1 ea Signal circuit or Limited 11/18/2009 $67.84 Energy Panel Contractor: 1 ea 12% State Surcharge - 11/18/2009 $15.77 SQUIRES ELECTRIC Electrical 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 $147.21 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. V Issued By: ` " V L in -d Q.l 0 Permittee Signature: Q 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. 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. RE C EIVE0 Electrical Permit Application . FOR oFFIc ELSE oN \ . ! NOV �Y City of Tigard CI OF T B y Permit No,: ; l l d �r b2 / III ' 13125 SW Hall Blvd., Tigard, opt Plan Review . i I Phone: 503.639.4171 Fax: 50375`1 o GAR p g Date/B : Other Permit: ■ TIGARD Inspection Line: 503.639,4175 u IN Date Ready/13y: runs: 0 See Page for Internet: www,tigard -or,gov Notified/Method: T le Supplemental Information • a °;v -u_i �'.'r 1 fey. ,.Ut,. qt ;'r ^ °I �,}, 9 :. :) a lt n ' ; »^ Y Oki t& Ew DoE, ... " > P, *_' �u,a°�" a F �:x tr 5 ,'t � � , � 9 . rN . �:.h �' �� ) � �� �r� t^ �I : pF i�"3 ; ,�F"� ti P '� ry � i' :+? , }�. ,:d�dU x'�',�i: �d � � rc e r - / n, , d :, � � Ir-.�, F��;;. ^ . ^�'+, `'�. " ° tM::, 1:1 New construction ' Please check all that apply (submit 2 sets of plans w/itcms checked below); J. Addition/alteration/replacement Demolition • Other: © Service or feeder 400 amps or more 0 Building over throe stories. where the available fault current ❑ Marinas and boatyards. ti,1:� ry,3 `Et'q ;4;2rix+ e: tt. , 4 ;, ' k s execed510,000 amps at150valts ❑Finstincbmldings. "� °'d"�'r" - less to ground, or exceedq 14,000 ❑ Comm�ial_ agricultural ❑ I- and 2- family dwelling lc Commercial/industrial ['Accessory building snips for all Other installations. buildings. ❑Mniti family 0 Master builder 0 Other: ❑ Fire pump. 0 Ittsl tlhttion of 75 KVA or Cy,y i . i � u - ' " ✓•• "lr.:l9$ r'• yl, l `;At rc g r y�^. yy�,,„'0 X �p��� PEN ,22; . : ' a t p Y O E system. larger separately denied System. h e r 4 rt A S � ! " > :: , VI IRI RK - ,N 4 e. ', '� i� 7 5'. ° 1' ` tIN �` ;;err clq, ; 4 J . .,, '' --* t 1 :' , ' "A k • , , ti, ,. i w .r" a � 0 0 :,' d . irAttt. "w. °,n Li Addition of'new motor load of .... en ," � ,,, a 9, r, '�Hv Jrl ❑ A �� , <: « 1 _ 2 I _ 3 " . "" . Job no,: Job site address:74 ) / . h 5eL e M - 100HP or twee. occupancy. 0 ❑ Sot or more residential units. Recreational vehicle parkas City /State/Z1Y - 6 , , ' ❑ Health-care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt no.: i l d Project name: - ,c, ; y ID Service or feeder 600 amps or more Cross street/directions to job Site: vi'',5 liYl ;�e ".^:�,R` p'P';i i' S,e { =? s rWM?k!,rM"".a,F;;i'M P Oty, rrce. Total 0 New residential single- or multi- family dwelling unit. • Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 - 4 Tax map /parcel no.: Ea. add'} 500 sq. ft. or portion 33.92 1 w^I'+ p tr��"' b ",,��"�' "�,Cr"q { y " . '�It /Yrr �• o i.' F •' � r .. „, Limited energy, residential kagla ''' sit• itit'W4 r R 'u `tit D : w y ri G l I ' 4.4 . ,e a �Ii% ' d� �, •t 4 i �. " " , . M with above ,. 8. 67.84 2 Limited energy, multi - family 11 (2,C,./1- 100-A e _6 - 0 $ : o.-- residential (with above sq. ft,) 67 -84 2 Services or feeders installation, alteration, and%ur relocation 200 amps or less 100.70 1 2 • rw �1' -PPFT. e iii a J l n` • ''' � + I F 0�, 1 l i } �h ; 7 • 201 amps to 400 amps 1333.56 I 2 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 ' City/State/ZIP: services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 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 for 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 extension, r panel Owner signature: Date: A. Fee for branch circuits with a : 574,. 16 4 .� Ni €a t �t e i�.° re C7 above service or feeder fee, /IY" 4ty�y K?r�i i�,� y� ... �,: EM ^r 742 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without st branch service or feeder fee, 56.18 ,/9 2 first bran circuit Address: Each add'I branch circuit 1 7.42 '7.4 2 Miscellaneous (service or feeder not Included) City /State/ZIP: Each manufactured or modular dwelling, service audio' feeder fi7, 84 2 Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 E -mail: Pump or irrigation circle 67.84 2 . FREMe "+k'7�:,? . � N.. ,�,l�;k°Ii� ^a ( u ..$ . .IMR,04,14,X Sion or outline lighting 67,84 Business name: y � Si tat circuit(s) or limited- r ( G'1�. energy panel, alteration, or i ? t 1 �, / e xtension. Describe: I Page 2 VI_ g�-' 2 Address: C City /State/ZIP: k CCU + o c) 7.9,...1-. Each additional inspection over allowable in any of the above Per inspection 66.25 Phone: ( ),,,_a S c)- `/ ()9 Fax: ( ) .. ,� ` Lj ../ Investigation per hour (l hr min) 66.25 - Industrial plant per hour 78.18 �� CCB Lie.: ) 3 5 � � � Electrical Lic� - '/ f � Suprv. Lie.: g�� Ip � _ _ •' ' ��$ r.''#r ,°>F- �. 9 ;t6i;,A?'�f.ir"n',` Suprv. Electrician signature, requir- 4, PS. t Subtotal: I ' gil wM Date: ' / ) g D9 Plan review (25% of permit fee): State surcharge (12% of permit fee): ) 5 , r i Authorized signature: TOTAL PERMIT FEE: 0 � Thi& permit application expiry* if a permit is not obtained within ISO Print name: Date: days after it bus been accepted as complet . Number of inspections allowed per permit, 1:1 BuildiAg \rornh& \ELC- PennitApp.doc I0/01/00 440.1615T(11/05 /cowweB E00 /ZOO d LL6E# Q 3 313 S3aIf1DS 1€8SE9ZE09 9E :ZL 800/81./11. V f Q C i. C_ ky-tc -