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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2010 -00627 T t G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/04/2010 Parcel: 1 S134BC00100 Jurisdiction: Tigard Site address: 12100 SW SCHOLLS FERRY RD Subdivision: Lot: 0 Project: 7- Eleven Project Description: (3) branch circuits for exterior lighting. Owner: FEES GREENWAY CENTER LLC & Quantity Description Date Amount ANA KALAKAUA CENTER, 2155 KALAKAUA AVE #602 3 crt Branch Circuits 11/04/2010 $71.02 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 11/04/2010 $8.52 Electrical Contractor: BOYLES ELECTRIC, INC. P.O. BOX 1227 BORING, OR 97009 PHONE: 503 - 668 -7440 FAX: 503 - 668 -7615 Type of Use: COM • Class of Work: ALT Type of Const: Occupancy Grp: Total $79.54 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 • • - • •y of • - les or direct questions to OUNC by calling 503.246.6699 or 1.800.332.234. Issued By: Permittee Signature: o SC) 3/� �=e` d+ 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. 11/03/2010 15:48 5036639048 BOYLES ELECTRIC PAGE 02 Electrical Perm . it Avalication FOR 0111( 1.1 1 .•;11: L/N1.1 II City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223 ° ' Phone: 5017111,2439 Fax: 503.598.1960 • Kg1117111MIMII permit Na.: .., . - to, , Plan Review Date/R , Other Permit: i id • r . i (.., A. r , , n Inspection Line: 503,639.4175 CE\NI ED p Ready/B Intatiet: wwwligard•er-grm Notified/mow. Eianilli!ea2M111 '::::: ; ': .,1f ., . ••...:.:;'..' . ..il . ,...,... ::::,„'..;:. •:::." ....:,.....; ..:;..'''.':... .;..":'. ...''...::.::..! . 0 New construction CO Addition/ahem; . ''..i. f, . Picric check all that apply (vabmit A sets afplans w/items checked below)! El Demolition 0 Other. • linr,..ttnbiP8C1 ID Service or Rieder 400 amps or MOM CI Building over throe stories. v i t t e r e the available Rath G i n t e l l t M beatrardg• ?: : - a ' ;'■:.. ' tier . • - 1 ... %1V.V0iM `; .■,.; !..*:•- '.: '...; exCeedS I 0,000 Paw at 150 volts o opmmi badi k!SatO ground. or exceeds 14000 0 Commercial-me agricultural 0 I - and 2-family dwelling E g i Commercial/ind :1 - • A c c m s o r y building amps far an other inNtallatimq. buildings. D Multi-family 0 Master builder 0 Other: 0 Fire p CI Installation of 75 KVA or 408 StitiffititiMitirldR4filiCIWCAtibW:':' : ; :. ";.,';'' :: '' ....."::;:i ; ' El D Ei sYgleIn' larger separately derived system, Job no.: I Job site address: 12100 SW SCROLLS FERRY mow or more, occupancy. CI Six or mere residential milts pRecru vehicle parks. City/Statc/ZIP: TIGARD/OR/97273 0 Hm1th facitiii, 0 simpty voltage fbr more than ...... a liamrdous lawdiors. 600 volt nominal, Suite/bldg./apt. no.: Project name: 7 ELEVEN 0 Service or feeder 600 emir of marg ...-._.-- ■+..,'. ! ....:1: i .. ‘, /i/..i. ' .; : ..;:. !. :FEEI : SCH 1 40%,„ E': .-:. , ,. ,. ..4:;:.4 . .. ', 1; ,:.......:...: .....-:'. Cross strcct/directirms to job site: • mieripuem ' - L on. 1 Fee. j Toltd . • ' New residential single- or multi-family dwelling milt Include; attached garage. Subdivision: 1 Lot no.: 000 sq. it or 1ort 168.54 4 Ea. add" 500 sq. R. or portion 33,92 I Tax map/parcel no.: Limited energy, residential Y;.: .: . i :1:-: ;;,..':-: :. : litgtt ''"4.''... ::; ' 1 • : ;::i... .•:.:;:::......:,.]:,^".'!•' ; ',-: (v^th ab°v° sq. ft) 7500 2 '- Limited cnory, multi NEW LED OUTSIDE LIGHTING ON 7 ELEVEN residential above so. tt...) 75.00 2 Services or feeders Insbillalionotteration, and/or relocation 200 =ga 2 _ s or I 100.70 ''.' '' critkomttvmvstiit: 3 ''' tv.itt4titte--.',?:.i...;;;;.i. P?:: ::,':.:!i.' (.: 201 arm to 400 amps , . 13156 2 401 amps to 61 amps 200.34 2 Name: - 601 amps to 1,000 amps 301,04 2 Address: Over 1,000 ;Imps or volt; 552.26 2 — ' Temporary services or feeders installation, alteration. and/or City/Statc/ZIP: relocation Phonc: ( ) Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 imps 125.08 2 Owner installation: This installation is being made on property that 1 own which is not 401 amps to 599 amps 168.54 2 intended for salc. lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Aram* cicuits- twor or extension, p panel Owner signature: Date: A. Fee for branch circuits with ... . : : .: :: .: . '; :' :1 ',:: ''. )•• '::::Igr 001164 !.:.:: ::.•:::.r ; ::0 i ; r 7 At: r ' ? f ces 742 2 E. Poe for lirimcli i.iii.tila without Business name: BOYLES ElLF.CTRIC, INC. service or feeder foe, first 1 55.18 56,18 2 bram:Ii circuit Contact name: JOHN E. BOYLES Each add'I branch cin:uir 2 7.42 14.84 2 Addrms: PO BOX 1227 Miscellaneous (service or feeder not included) Each manufactured or modular 67.84 2 City/Statc/Z1P: BORING/OR/ dwelling. Service and/or fccdcr Phone; (503) 663 I Fax : (503) 663 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E BYELEC@FRONTIER.COM Sign or oudirte kng 67.84 2 ':',•! ::'' " ..''',Y2 '..:': .: Signal cimuit(s) or Iimited paid, shiportion, or extension. Page 2 2 Business name: BOYLES ELECTRIC, INC. Each additional inspection over allowable in any of the above Address: PO BOX 1227 Additional i. (l hr min) 6625/ hr taw-litigation (I hr min) 662.5/ hr City/State/ZIP: BORING/OR/97009 • Industrial plant (1 hr min) 78,1 81 hr Phone: (503) 663-2628 I Fax: (503)663-9048 Inspections for which no fcc is 90,00/ hr , specifcally listed PA hr min) CCB Lic.: 137002 Electrical Lie.: 3 C Suprv. Lic.: 34048 • •..'.>.:•',...::'.. ... ..,;... %PERNIFE,fEES; ', .; . ' 4 /A i i 1 ( I Subtotal: 71.02 Suprv. Electrician signature., required: Wag , / Plan review (25% of permit fee): Print name: JOHN E. BOYLES / ate: 11/03/2010 State surcharge (12% of permit fee): 8.52 TOTAL PERMIT FEE; 79.54 Authorized signature: i This permit apprreation mipirm iia permit is not obtained within 180 dayx after if Mb been accepted as complete. Print name: Date: • Number of inspections nlInvoccl per moth. ----.--•••••••.•■••■•—•-•—•-•••-••••••••• 1:113tulding1PermIrActLC-Vemill App,(100 07/01110 44046 I 5T(11/05/COMMED e ' So•-(te 5 1dAN