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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2010 00637 T I G A R. D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/10/2010 Parcel: 2S102AA00600 Jurisdiction: Tigard Site address: 11940 SW PACIFIC HWY Project: Pacific Plaza Subdivision: Lot: 0 Project Description: (3) branch circuits for new parking lot sign. Contractor: EA MARTIN LLC Owner: ALPROP CO 4233 SE 182 #202 6149 SW SHATTUCK RD GRESHAM, OR 97030 PORTLAND, OR 97221 PHONE: 503 - 310 -9745 PHONE: FAX: 503 - 622 -6612 FEES Quantity Description Date Amount 3 crt Branch Circuits wo /Purchase 11/10/2010 $71.02 Specifics: Service or Feeder 1 ea 12% State Surcharge - 11/10/2010 $8.52 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $79.54 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accord nrw with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTE ON: Oregon law uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0 10 throu h OAR 952- -00 ou may obtain copy of the rules or direct questions to OUNC by calling r . 2.1987 or 1.800.332.2 .4. Issu d By: . 4��� `�C Perm Signature: " • - /A#' C OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' or Date: LICENSE NO. (/$� Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. 11/09/2010 08:11 5036226 SANDY RIVER ACCTG PAGE 02/02 Electrical Permit Applies CE 101; vl.1 1i1:1 •1 0\1..1 City Of a ft B ard �, 9 2010 Data 4 � 44114M Pamir No.: loo -966 37 . � " 13125 SW Hall Blvd„ Tigard, OR 97223 Plan Phone: 503.639,4171 Fax 503.598.1�9 TIGARD Review y: Other Permit: Inspection Line; 503.639.4175 C11 OF l E ? Date RcadyBh: kris: El : UIL DING DNIS10 Noliffed/method: see Pent l for Internet www.1igard-or,gov supplemental Information P 1 w , 71 Felsyi t . F'' _._ � �, ri 7 N ectic , e 1 ..' : Chi (ii'�lite�t,` f L , , .16r-^}�;l y, twurSS?!'r:- '.:,i:r <�y47, ?'i?h7 : 1;!,i 110 nth- w.S,. r r 7 .. E7.. :. . .i•1 ia•., . ; 2 __7'fCa:,�.. t,�.,i,.a,.., !�C13EG,i: t...a. r Rv+e1' �•a�i. r. : C - ❑ New construction ►:1 Addition/alteration/replacement Please cheek all that apply (submit 2 sem of prang wfite ens checked below) 0 Demolition 0 Other ❑ Service or feeder 460 amps or rooks 0 Bm7dmg over three stories ,�,��, � � �,� where the available rank current ❑ Marinas and boatyards. 'h net a ! s 71. t , r , r , . ,5 "�f��y' i 1'd( �, .«,''`y '' 5i d 16 000 emends at volts or Floating boil :ul4maR :ny.v.o'ttil ,, ,T. , !-rro r, glrg "�14, ?t ,rra -Ss z :: A 4.'>,i r;: .-„;. 1i. . 3 - -, ,, 2; .,- 44.r ?; . a 1 t 9: GPs 150 ❑ g diegs. ' loss to ground. or exceeds 14,000 ❑ Commercial-use agricultural ❑ 1- and 2- family dwelling :1 Commercial/industrial 0 Accessory building 0 Multi - family 0 Master builder a for other installations. otst of 7J building'. �yy l [] (.)inlet" prim pump. O ttptdl K VA or ME r ' i " (,` n J . 1 r'kccx r' �t ,' "' r c al ' +?tf ? b K i 7 ref ! � r a t '"1 .. •t 0 Emergency system larger separately derived system. r A),u, bz �� , rIT c . i ; r •f s; . ` ,11' 0 A ". "E ". "1.2 - 1 -3`, ..�., .,w u:z:: gym; �t7i4i�i ❑Ad�tion of motor load of Job no.: Job site address: ` \C/(° $0 1 OOxP nr more occaymlcy. _ ❑ Six or more residential units. 0 Recreational vehicle park. City/State/ZIP: 1 s(3 C 11 Cl ©Health.eare facilities. 0 Supply voltage for more duct t y�� ❑ kla dour locations. 600 volts nominal. Suite/bldg. /apt. no.: ?rojeCt name: • nAlregwarL 0 Service or ikxxlcr 600 amps or more Cross street/directions to job site: d »" r a► 0 , % l r� .1.l. / _fir M?e ' 4 .w, ; i /t 1 C C.4 _ L ' Qn Peat. eau New rttidtotin) single- or multifamily dwelling unit. Includes attached garage Subdivision: Lot no._ 1,000 sq. ft. or less 168.54 4 Ea- s d'1 500 sq, ft or portion 33.92 1 Tax map /parcel no • Limited energy, residential 73.00 2 �,: �T�,yt, dr y s � � r t�a • t � 4 „- C �T? 5 k i*,..� (with above sq. R.) ,. .. . Af 's�1..a9... �;. �, �. F' a�# t m� . •�M•-- � :,.s�s.!.�, ur.,�a! ,- r: ra,.,'�� r,! 1.,���.. t• w. th Limited energy, multifamily • .. . • k residential (with above sq. ft) 75.00 2 Services or feeders insta l& , aHeratio , and/or relocation g1, � � 200 amps or less 100.70 mown 11 tr�ta � r ti nrt;; • �I1,, f ,ir:� pp,, E, I iF " ai }x+x, C • i e;wa 201 to ips to 400 amps 133.56 2 /l'.1[Plli,�ll�'..ry�M��M... �L 11. riff," 1�1Q• IV. +' FI�1�... M, MA•. A1 1m �M'.Y.v l� • '� {t- .1.•t.i #l�. ��y Name: 401 autos to 600 amps 200.34 2 Address: — A01 amps to 1.000 amps 301.04 2 Over 1,000 amps or volts 55226 2 City/State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) F ax: ( ) 200 amps or less 59.36 made on 201 menus to 400 amps 125.08 Owner installation: This installation is being property that I own Which is not 401 amps to 599 skulks 163.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 70I. Owner Signature: Dam: Branch circuits— new, alteration, or extension, _peel A. Fee for branch circuits with 1 *� e° "+ Y �"tr �df' � 3 tw a + �ttn r ; sh ave cervit nr frmier felt, e ci :!.:�:liiY:l h.. 4 ek r.a r m .. ^ '� 7.41 r 4r =r3i. �it. t ,r?e�?�a :reel <= ,- i `�- r': ".�.r�` „�c��. O4. `( -- eade braeclt cittxtit Business name: B. Fee for branch Limuit, wrthout service or feeder fee. fist Sb. TS ` 2 Contact name. branch chuntt Address: Each add'I branch circuit 7.42 2 Miscellaneous (service or feeder not included) t lty/Jtate/LI Each nuueuftunuol a, u nulutm 67 set 2 dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 E-mail: Pump or irrigation c7.84 2 � : *iii; �!•°P'�. rA m.�!Y; bA ; 4 ''H' j "J" ? ti v , 1e?lE a .,f- -• + t : - �, Sign or outline lighting 67.84 2 , u •t ' t'ty : ,+ .. , i u fie„ lA,a,.- .r.,,: ■S r -s ,S,t u c 4. „J-Y,2, a,: a, i' u Simi eircuit(S) or limited -cncrgy Business name: -- A ` • ' panol, alteration, or CxtCruion. P 2 2 Each additional inspection over allowable in e any of the above Address: l g .. 3rD !'3 Additional inspection (1 hr min) 6625/ hr CIty /State /Z1K: Inwai on (1 hv ) 6625/ hr 5 d 9 ` Ir a. Industrial plant (1 hr min) 78.181 hr Phone: ( 7) Z. 1 - S Fax: (5D3) , 22 . r . Inspections for which no fee is 1 l s • Ties] listed 1 A hr min 90,00/1m I gyp C - - `Ca4 o2'-tfe Electrical Lic.: C[�`v"1 i, , U \ C"? Suprv. Li” e6C 1 . f< , ' ,. • bt : %;y.: a , „ : k i'. v . ,, . — ,, ., . » tiw.:Lt .». 4 . }7 M• ,�a�v�: tmtF� 5 subtotal: °`j f Suprv. Electrician signature, required: f .� . , ' 7/ „?..z , .- Ilan rovion (2596 of permit cos). Print name: • Qom: `\ _ q_ ' State surcharge (12% of permit fax): S , IL TOTAL PERMIT FEE: r ,, Authorized signature: ' I a+ This permit appGottiron expire' if a permit is not obtained within 180 Print name: days after it has been accepted 4s complete. Rate' • Number of inspections allowed per permit. r:\ BuildrglPemits ■ELC- PermitApp,doe 07)01/10 440.451zr(11/05/COM/P/Ea