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Permit ELECTRICAL PERMIT CITY OF TIGARD i COMMUNITY DEVELOPMENT Permit #: ELC2010 -00339 mTitArtb 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/06/2010 a , y 4 Parcel: 2S113AC00103 Jurisdiction: Tigard Site address: 7236 SW DURHAM RD, STE# 500 Subdivision: Lot: 0 Project: St. Jude Medical Project Description: (2), branch circuits for exit lighting. Owner: FEES PACIFIC REALTY ASSOCIATES Quantity Description Date Amount 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 2 crt Branch Circuits 07/06/2010 $63.60 wo/Purchase Service or PHONE: 503 - 624 -6300 Feeder 1 ea 12% State Surcharge - 07/06/2010 $7.63 Electrical Contractor: IES COMMERCIAL INC 16135 SW 74TH AVE TIGARD, OR 97224 PHONE: 503 - 648 -1900 FAX: 503 -670 -9572 • 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 cor les or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. r Issued c+�! % .e Permittee Signature: ..i./.e - , OWNER INSTALLATION ONLY • The installation is being made on property l 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 shalibe 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. n + „ n rc 4 �N r'G '�, ' , q , 'x '.ti�t 1C,ayxc k, .v "r11r d�^C INwC„`,atN;.. r r„xtl r r� r r \ ercr `r ''" ,t r r c d�a `x .4 C C1N 4 rte = r• ` t "N1x4' 1„ ' ti• 4 i^ p B, 1 I ,T � ,y v , ,e k � ∎, x • 1 n,,. "h. 1b, :', IQKA , LS�LrOI�I: `, , �„., aW UCi` � � u�'f" • E lectrical . Permit Al p li c o 0 ^ 1 Cd ! 1 ,4� 4 I 4 r,,rc ?, k , d a, P permit NO,: I 1 � . .. 03 r. „r + of T><gar �� nateil 7,u t� 1 � � .City 131 25 SW kiu1181vd.• 1 O1 97 i >laa Review OtborPermit: 04 �� d Phone: 5036394171 Fax: 503.S98y �� llate /B - C' • — J a let9P�4ti m Lint:: 5o .63 >,41 - 5 �� t: ` — ',..,\\0\ �` \Unt edLt,udy /By, • SuYie; EX Patio 21IYr !! I .‘',,N.,,. A 1 { Ll fOrnet: www.tigard- or.gov r4 �` eul- Wi,luYormahun C . p �N r�, " ..! _ 1 t yotilicdJMuhud e , 'yam ('O 1Sup ttei .�dryry __ ylt�y�a' li�C' 1 itjYk9 CRN { r11A �n1'r n � d - 1 , + v ( l t ,I ' h ,4 - ., m a t r i a t. , 0<.. n f '� �iNBI';S d, Ah I �W y �} }} ' y �}' t } m +R 4' fl , .�� S.h LRN� r11i� G1: �. i " .1:.asrril isr t 1 6 . il:`A11�.. .f , .... .Ero41, t � '� a, k"i 6d �,�. dci p - • " . PIe i3c check all that apply ( 7, scls o f pl lads W /lte'ns checked below); ©New construction i ddltll )n/alleratlOn/re&OeYrtellt p 1J Building ()Ye 1 1 L ' O C 9 1 0 ne . o� 1:1 So v,eci 3' feeder 400 amps or ai0 ❑ Demolition [11 Other: wl,wc t1 available fault current E] Marinas and boatyards. " ;! . i4� i ra, ?1 hKFhi {�'' "rllf f �' i e a r ,,,,,,,,,,„i,, � „ � L � i ` 1 + r � exceeds 10 000 amps tit 150 volts or O Floa tia buildings. El l and fttmil dwelling ommerci a l Ac S �. .tt,.kaia r �� ! NE C, , , Wi'iNkUt 'F , �, +'',''' + 1''"' " h ''''' t `'' 6°W1‘1' Or axcaud 1 4 , 000 ❑ Coauna dial -u e'a�wultu o • Y g Q�C tai /rndustri (� cassory building amps for all other installations, buildklgs. Q ivlulti�lamily 1], Master liuilde < 0 Other: ❑Fire pump, 0 Installation of 75 KVA or �`�"}'.' ( I , rSG t{ ,� ' f' � p } 1 �t�' ry N�� ' gD { d I� t s ❑ L "•mar nne system. larger separately derived a seer l �lI IF'I' I S� , I: {' c g (:,,',1132,e W {14 w7' � , 1 ' M ����� i p, 6 Y Y b P Y Y § �f���.Fc'.,rr, „�•1n r��t °.111',7i,Tu,otn xdr,tW,.�r'�' h ? � � Bir ;i k�ImW�r » 4�s1 � ❑ Addition 'of' now motor load oP Q "A, "E' .. 1 , 2 , ,•'1.3 ", Job no.; Job site address: � , l uollP or morn. occupancy. �"�� �; 0 six or more residential units, 0 Reetcanoaal vaaialC' City/State /ZIP: 779,,x. rd. e� .. 9 7224/ ❑ Hcrllh -cars facilities, 0 Supply voltage for more than . .- 0 . ' J . 5r . - Y'tri c..r ,.L . .. :u locations. l c ~l I1J l al 0 ucations 600 volts nominal. Sall@ /bid ./a t no: job l ro a der 600 amps o, u10,d. ",(, /. ]� ,, ) l IM [ ' N)N y ^ ,wr Yr� 4 7 [ FN ,q�q}}'r p� C" 7 '� P /;L�. �."' �s 1 �Oi Cross Or feeder , z� I ),1Ilii ab, (. 11Y o „ � I t N 1 t�f�(�/i a ��,y; , 1 , street/directions to ob site. _ J �� ' Y New residential single- or multi - family dwelling unit. �/� -- .� Includes ntached garage. Subdivision: f'►� �`/ci�.Sf pu�5 Lot no.. J, 000's ft, or less CG�7"G r" q MI 168,54 4 lax trap /parcel no Eu, add'I 500 sq. ft. or portion 33.92 I with l }, ii( !r� } ''�f, y i �1 1. ` S � �a AYR i, '' .. ,y l,i; � ,N pe °�` 1 I rl � �y f tl Limited energy, residential _ 1 i �,,,, .' t r i4,,� I I r,li. 'w, th atiooe sq, ft) 67.84 2 � t.r_� Lc ) 4 $. y 1 j, d Limited energy, multi-family ' yr, residential (wilt above P. ft.) 67 2 • Selvicka ° feeders installation, alteration, and/or relocation l +,l F i I,,., I” >s "A,; Ifir ,,r it, +.1 . i ..,. a 201 nips o40 III 100 . 70 "t1 , r "Pr t "' 1 Z Y ,.ft4i+ 1 f�, t',h, 1! ,�t kl a` ', I ..)V� °t , amps to 40 0 tuns p " — ! C._ I > r.cc.L-7" 100.4 56 2 2 • � �7� ' ' � �. 401 tun to 600 titnps 200 34 Aiidress:O s 601 loops to 1,000 amps 301.04 e. r,4..0 i sq" i . .3OG City/State/ZIP: Over 1',,000 amps or volts 552.26 - Temporary services or feeders instillation, alteration, and /or Phone: ( ) relocation Fay.: ( ) • 200 anipsor less property that I own Owner installation: This installation is being made on which is not 2 amps to 400 amps 2936 intended for sale, lease, rent, or exchange according to ORS 447, 449, 670, and 701. Ot,tmi 125.08 Owr Sr � arc } � ,�,1 t ` � 1.' , ! � i � } • r, rl 401 snips to 599 amps � � I.{ . , r t„ a I .. u l t l ( e 1 1 :ranch urcwts new alteration, or extension, it , ._,._ Date anel 1111 II 8 J¢ I I �y 1ji 1 A.Fea.fbr br circuits with i .2usinnss'na ne. � „•. ��1 above service or fcCdl r lee each branch°cireult Contachnatne: B. kce °for•braltch circuits withuuf service or fader fee, first branch circuit _ Ad`dress. , Each odd I branch circuit l ' City/State/21P: Miscellaneous (service ul 'frcder' t 7`4? 2 City/State/21P: Phone;' ( �, Fax Each ur lnodul�u 11l`ludetl Pu cdnne cscrvruc and /or feeder 67,84, um E-mail:, ( ) l r, k t only i },1;1r� i' at: �V'tt } ;ny 67:$4 1 A .'' Fr M j � i r , } " 6y i , ; , t . 1 r ortrr, circle 11111112111 IEN Business name: IES COMMERCIAL 1 1 + �, n r .,� , , 8 l.. s t6'I or out ligh Address: 16135 SW 7 rtl A Signal'circuit(s) or limited- V energy panel, alteration, or City/State/ZIP: T[GAItD extension. Describe: 1111 • OR 9722¢ Page 2 P. Inc: (503) 648 -1900 Each additional ifS.eCt'i0n Over allowable in an ofthelbuvc 't free: (503) 670 -957 Per inspection CCB Lie.: 152. � Investigation per Dour (1 hr min) 66.'25 66,25 WM required: / I plot -per hou I' . 1,,I ' '. Ir`'tl t r �a . ...,7 r ,, 78.18 Suprv. Electrician signature, required: . Print name: �� Sub Pl + , d q 1�} �� +n ll - : - / total: � � Authorized Signatre: (r o (25% of • Mate surcharge (12% of permit fee): l Print name TOTAL PERMIT FEE: - jf V I ( n 114 permit appiklitiuu orptt es War obtained permit is nut obted wiww iglu t [ Suys utter it 4us Awm y¢eepted ua cumulete. PP'd% 11 1^./ • 'Number of inspections allowed per pe CA ' vl 7 et,Y "c (�( k 440.aors'I'(tt/os /COMMU Z0 /TO 3E d .. 3I�11O393 H03.1. M3N ZL56aL9EQS LE:ZI ,l /S /L8