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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2010 -00037 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Dateilssued: 01/22/2010 Parcel: .1S126BC01500 Jurisdiction: Tigard Site address: 9000 SW WASHINGTON SQUARE RD Subdivision: Lot: 0 Project: Embassy Suites Project Description: Add /alter (2) branch circuits for dryers. Owner: FEES NESBITT PORTLAND PROPERTY LLC" Quantity Description Date Amount BY WINDSOR CAPITAL GROUP, THOMSON PROPERTY TAX SERVICES, 2235 FARADAY 2 crt Branch Circuits 01/22/2010 $63.60 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 01/22/2010 $7.63 Electrical Contractor: CHRISTENSON ELECTRIC INC 111 SW COLUMBIA ST, STE 480 PORTLAND, OR 97201 PHONE: 503 - 419 -3300 FAX: 503 - 419 -3695 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 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: V Ok.k ' �.K QJV" 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' p A AVp 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. — I' 'f.• : : l JAN - 22 - 201.0 FRI 07:25 AM CH E }Ii IC., INC FAX N0. '950341:93695 P. '01/02. Electrical Permit Applacation n : ° 4s �I r►li�;(,1 i 1c a i1 Tt) r l ` iir2, 1 4" ; JAN 22 201 - " .: . q _ f. ., ., r... %.; _. n pry ` , Ci of Tigard Received e DatelBy: / J Permit No.: /,( t , � 37 n 1'3125 1-1aII.DI d , Tigar OR Plnn Review 1 / i s 4 Phone: 503.639 ` 5 , i� F TIGARD DateB : OtherPemit: I I Ln It lip inspection Line: 503.639:4175 ' I Z ING DIVISION Date Ready/By: BI See PnQe 2 for fi ak 1°; Internet. _ . www,tigard- r.gov. Notified/Method: , _ Supplemenlalin(ormation • + lF , l r.. tJ �� kF7,,:, 0 Il, ,,,, • , ,r f , . r .., r l + 2.01 ,8, y. ' 4 n r, ,, :,ei ! ti p .I ,.. i .., .. ,pv %0 , ^ 1 , I t o • I - ii . - p , , f ,, I , 04 J I ' + •; " r a ' y y , � r« . ;::I; 4 r∎t t ,R ^ � il l , r, i . I , " (' ° d I, .. r I tl � ' Ii ( ,!I t� .,C 9 2 t ;} 11lil ;/'!'l il. '�. 11 • i, t: ! j �.,,.. sill, Ld.i .P. ,Ir.11alk: + +�1lrlt q'; r' � T'�T�^>,f;t r !"T T ^ I � r ?.:'� { .o 'i* ..o� n: .! u : +I 1 ?; t i �I, rrh'i., � .r a 1 I h d 1i114rt. ,1)n P lease check all that apply submit 3 sets of plants wirenw checked!below): few construction P;t : ddtttat► /alfcrattonlreplacemcnt ?p ?' ( 0 Service ar feeder 400 amps or more ❑ Building over three stories. 0 Demolition 0 Other: where the available fault current Floating , � :!,i,X II .1 ,., amps at 150 volts or El Marinas and boatyards. 4 ; f ir I r l , r_,lii 0 t6n q . : l i fin t sr ! 1„r 1 + exceeds 10,000 Floating buildings. I 1 , r 111 +�, I +Q ;11 In �l I � ell a� �„ 1 , �s�IF1�l >�SL i"K >d �T���J�rxil�l l il I ^ h ., �. 1 i © I - and 2-family wellin mmcrcial /industrial Accesso building less ro a,nwtd or a l n p commercial -use agricultural Y S ' � rY g amps forall other installations. :buildings. ❑ Multi family 0 . aster builder ❑ Other ❑ Fire pump. ❑ installation of 75 KVA or ❑ Hmergen y system larger separately derived °system. '�rJr 1 ,r I I L r *F � ,th +i.,a I I J :, d, : li , U i . ';, X0,0 1 Q 4 A•TO i L AN N � 1 ,.;t4'0 T,.f'ti� 1, 1 �� r „r o • " N r :' ° 0 Addition of new motor load of © ,. 1 - ,. Job no.: lob site addres 10o1q> or more. occupancy. �� ► .iRJ 1.. six, ormorer caidcnoolunits, Q ttecrcaiional vehicle parks. � �� D • f7 HcaIth -cart facilities. ❑ Supply voitasc for more than City/State/ZIP: /State/ZIP: 1 a `A G00 volts nominal: SU ite/bldg. /apt.no.: Project name: iI<•' ❑Servi` , or rtw re ,y A �m�' -rct • ) '. II 1 ,: Y I ■I ET$g4�g.t Iii. 1 0,1 i +l lkiir 'i �:l I 1 :, � Cross street/directions to job site: F Udc�lp<3nn 1 Q 1 pre. 1 Tmet i ! � New residential single or multl�ramily (livening unit. � Al vi — "�— cAt, 1-'N 1_p Includes attached garage. Subdivision: Lot no,: 1,0005g. ft, or'less 145.15 4 Tax map /parcel no.: �4,N ,� ,i �� r Ea. 'add`) 500`sq. ft., or portion 33.40 1 , 1 1 . p :' - ,'4,l, i i . IL l i ;' ; � 0, ' C,KIP1951 ' .�QR(I�',1, ..1�`XS,111 fl ; 6 �!�� J � r� �l k I 111 1 " i! - I .. . LII` (with above gsq. residential 'J .00 2 5 ` � ^. Lienited,energy, multi - family 75.00 2 .) Wei •. (f,, f �J�(L�] P �1'� residential (with above sq. R) ii Services or feeders Installation, alteration, and /or relocation , 200 amps or less 80.30 2 . :r I ,:I . 1 : . i ii Iq' ; ? la fin kij °! ” i V I v +, 141'1, r r t 0 17 i 4 I ' i 201 amps •to'400 ani s .106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps.to 1,000 amps 240:60 I 2 Address; Over i' ^;000 amps or,volts 454.65 2 r' I$tateIZlP: Temporary services - or f eeders installation, alteration, and/or relocation _ t rwne: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on.property'that 1 own which is not 2 01'amps to 400 amps 100.30 2 intended for sale; 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 extension, Per panel Owner signature: _ Date: A. Fee for branch circuits with 1 " r r l� �` gdl9 r +4t r .. + + , {above Service or feeder fee, 6.65 l I i � � l � q'� + V , � ,I h I 1 � rl I .� �- t���;�''"T , ,t000,;,;.,,,..:!;4.,,:,,,.,,:,, ' .. each 'branch circuit Business name; 13. Fee for branch circuits wit' how service or feeder fee, �. Contact name; first:branch circuit 46.35 Address: Each add'I branch circuit 4 6.65 2 - M1scellatieous (setwice or feeder not Included) City /State /ZIP: Each manufactured or modular 90.90 2 dwelling, service and /or feeder Phone; ( ) Fax :: ( ) Reconnect only 66.85 2 E-mail: Pump or irrigation circle 53.40 2 ICONTP.AOR Sign or outline lighting 53.40 2 Business name: Christenson Electric, Inc. Signal circuit (s) e rlion , or energy panel, alteration, or Address: 111 SW Columbia, Strite,480 extension. Describe; Fagc 2 2 City /State /ZIP: Portland, OR 97201 Eacli additrunal'Inspcction over allowable In any of the above _ Per inspection 62.50 Phone; (503) 419 - 3300 • ' Fa ) Q + n- _ °� + lnvcstigalnon.pn r hour p hemin) 62.50 CCB Lic.: 458 Electrical Lic.: 26 34C Suprv. Lic.: 1994S Industrial - plant per hour 73.75 ; : ;L ECT1U1Zi:l:4,fln4 1(Vi:l+ l s l Suprv. Electrician signa P . Subtotal: Print name: Rober fi�l .1 0/A ' • Drs , ��, , k ,\ Plan review (25% of permit fee): (p • •C col aa" w`-" ^ ` K 1 .. - ! J l State surcharge (12% of permit fee): 0 ' 7 • (03 .,iorized signature: , TOTAL PERMIT FEE; rv�o"rila This permit application expires 1f n permit is not ob wi hen 130 Print name: Dater days after it has been accepted as complete. — • Nafihcrofinapectio allowed par pemlit. 1 i r Z g3 l fluilding 1Permiel5LC.PermitApp.doc 05/23/06 140- 76I5T(11 /05!COtrtlwlil