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Permit � t CITY OF TIGARD ELECTRICAL PERMIT • COMMUNITY DEVELOPMENT Permit #: ELC2010 -00142 t ? Date Issued: 03/26/2010 TIGAkd 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S101 BD00100 Jurisdiction: Tigard Site address: 7650 SW BEVELAND RD 200 Subdivision: BEVELAND CORPORATE CENTER Lot: 0 Project: Paychex Project Description: (1) 200 amp service Owner: FEES PNWP LLC #2 Quantity Description Date Amount PO BOX 2206 BEAVERTON, OR 97075 1 ea Services or Feeders - 200 03/26/2010 $100.70 amps or less PHONE: 1 ea 12% State Surcharge - 03/26/2010 $12.08 Electrical Contractor: CAPITOL ELECTRIC CO INC 11401 NE MARX STREET PORTLAND, OR 97220 PHONE: 503 - 255 -9488 FAX: 503 -257 -7121 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 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 0 952 - 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: em/ Permittee Signature: g-// /e4 / 7O `, 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. CaII 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. Electrical Permit Application 1 - '' ,- ` :. , i ceived / FOR OFFICE USE ONLY l City of Tigard Hate/By: Permit no.: �LCo2010 -CQ / y� 1114 • 13125 SW Hall Blvd., Tigard. OR 97223 Plan Rev w / C Phone: 503.639.4171 Fax: 503.598.1960 MAR 2 6 2010 Date/By: Other Permit: T[GARD Inspection Line: 503.639.4175 DateReady/By: Juris: ❑ See Page 2for Internet: www.tigard- or.gov :, i, Notified /Method: �� Supplemental Gdo ma mi • �k��.y ti•S ::: .::1.: :1:1: :1: :1: :1: :1: ::: :1: :::1 : ::: 1: :1: : :1: :: : :1:::::::.::1:1::1: : ::::: :: ll::: 2::: t::% :::::::::::::::::::: is ;::::::::: %:::::::::�: ::.: •r'.'• . ,::: :::' : ":::::%%:::::: ::: 1 1 1 1: ::5:::::`:::::: <::: %: % %::i::: ::: :< :::::<:::::::::::::::::%? it-::: fC�.''.......................... ........................... LJ New construction Addition/alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more ❑ Building over three stories • �+ !�� : ��, �}' j' a1;,', 1Q�j:;: i;: c;;;: ;::;;: ;:;; :;; c;: <;:;;;:;;:;;;:;<;:;;:;;: where the available fault current ❑ Marinas and boatyards : :;:::;::;;::;::::::::::; : :: is : ::::: • ;;; .Sx t� • :s.'�7 �V1��: � .' .:: .......:. : ............. : ..................... ............................... ❑ 1 - and 2- family dwelling 'J Commercial/industrial ❑ Accessory building exceeds 10,000 amps at 150 volts or Floating buildings ❑ Multi family ❑ Master Builder ❑ Other less to ground, or exceeds 14,000 Commercial -use agricultural buildings installations. bu d I other ` ��t` �N `tS�F£��2I:'Ti4J'3d3�t'•�` # ?�E ``Et ? ?: E'•`EEE` , ``F.'• ' amps all ❑ <� #::Ik38��FE`�Elx'EFE7.fiti¢/i� s for a P Job no.: 100572 Job site address: 7650 sw Beveland Street ❑Fire Pump ❑ Installation of 75 KVA or ❑ Emergency system larger separately derived system. City /State /ZIP: Tigard, Or ❑ Addition of new motor load of ❑ 'A ", "E ", "1 -2 ", "1 -3 ", 100HP or more ❑ occupancy ❑ Six or more residential units ❑ Recreational vehicle parks. },,ac��•;r:;;.,';; t:.: app Project name: Paychex UPS ❑ Health -care facilities ❑ Supply voltage for more than Cross Street/Directions to job site: ❑Hazardous locations ❑ 600 volts nominal. ❑ Service or feeder 600 amps or more Subdivision: Lot no.: ::.:: •::. ...:: •:::. ,.. .; .,.. •:.... ...:............. ..............: Description I Qty. I Fee. I Total I Tax map /parcel no.: New residential - single or multi - family dwelling unit. •:;};:; l:: ll»>: lllll: lllllll' lllllll 'lllllllllll':l:l:l > : .; ::::5 . AM :. Includes attached ara e. ........ ............................... garage. Replace the existing UPS with new. 1000 sq. ft. or less $ 168.54 4 Ea. Add'I 500 sq. ft or portion $ 33.92 1 ' .•�: �::•::::.::.: ::.:::::: L imited energy residential :: >:ll .; P3�L�#? J�`£ I": CYb�? 4�iEitl' ll:<< : 1;;:::: i:: isli:: l: il: lll< z:'<: i:':':::: l: l : �:::' PE1�tA' �I .......... ............................... EY (with above sq. ft.) $ 67.84 2 Name: Limited energy, multi - family residential (with above sq. ft.) $ 67.84 2 Address: Service or feeders installation, alteration, and /or relocation 200 amps or less 1 $ 100.70 100.70 2 City /State /ZIP: 201 amps to 400 amps $ 133.56 Phone: Fax: 401 amps to 600 amps $ 200.34 2 601 amps to 1000 amps $ 301.04 2 Owner installation: This installation is being made on property that I own which is not Over 1000 amps or volts $ 552.26 2 intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 Temporary services or feeder installation, alteration, and /ur Owner signature: Date: relocation 200 amps or less $ 59.36 1 ;:; ;: J :i: ::: :1 a 201 amps to 400 am Ps $ 1 _5.08 l> 1< z:?:_'_: I.. �. . . .• AI?' F' 1, 1` vAl?7<('.: .:;.::.:;.;: �;:.;:;:;:.; ;:::;:.:. �:.;:.;:.;:.;:.;:.;:.;:.::; :.:.:;.;:.::::.L�..::.�1�'l'. .. .... p I 401 amps to 599 amps $ 168.54 2 Business Name: Capitol Electric Branch circuits - new, alteration, or extension, per panel A Fee for branch circuits with Contact name: Jim Eddington service or feeder fee, each branch circuit $ 7.42 2 Address: 13. Fee for branch circuits without service or feeder fee, City /State /ZIP: first br -.neh circuit , 6 56 16 2 Phone: 971-506-3388 Fax: 503 - 257 -7121 Each additional branch circuit: 1 $ 7.42 2 Miscellaneous (service or feeder not included) E -mail: iricrr z.T.r .CC•C'r: Each manufactured or modular l � se 8 4 2 :i::::::l:l:; :1: :1 ::1::1::1:::::1::1::1:::::::::: :::;1::1::1:;1::1:;1::1::1::1:: dwelling, serv a nd or feeder $ 67. Business Name: CAPITOL ELECTRIC CO., INC. Reconnect only $ 67.84 2 Pump or irrigation circle $ 67.84 2 Contact name: Jim Eddington Sign or outline lighting $ 67.84 2 Signal circuit(s) or limited - Address: 11401 NE MARX ST. energy panel, alterations, or extension. Describe: Page 2 2 City /State /ZIP: PORTLAND, OR 97220 -1041 Each additional inspection over allowable in any of the above hone: 503 - 255 -9488 Fax: 257 -7121 Per inspection $ 66.25 f/ V ✓ Investigation per hour (1 hr min) $ 66.25 CCB Lic.: 48748 [Electrical L : 26 -496C ISuprv. Lic.: 3132 -S Industrial lant er hour $ 78.18 Suprv. Electrician signature, required: / ) ...................................................................... ............................... �,/ Subtotal $ 100.70 Print Name: DARFRLL Date: 03/24/10 Plan review (25% of permit fee) Authorized signature: J w . State surcharge ( TOTAL PERMIT FEE 12% of permit fee) $ 12.08 $ 112.78 Print Name: DARRELL MCNEEL This permit application expires if a permit is not obtained within Is0 ✓ days after it has been accepted as complete. * Number of inspections per pemut allowed.