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Permit CITY OF TIGARD PERMIT 4 .: , COMMUNITY DEVELOPMENT Permit #: ELC2010 -00654 1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/18/2010 T i GARL Parcel: 1 S135BD00100 Jurisdiction: Tigard Site address: 9600 SW OAK ST Project: Subdivision: Lot: 0 Project Description: (2) branch circuits for disconnect switches in electrical room. Contractor: DYNALECTRIC Owner: PLAZA WEST LLC 5711 SW HOOD AVE BY NORRIS BEGGS & SIMPSON PORTLAND, OR 97239 121 SW MORRISON ST STE 200 PORTLAND, OR 97204 PHONE: 503 - 226 -6771 PHONE. FAX: 503 - 226 -7720 FEES Quantity Description Date Amount 2 crt Branch Circuits wo /Purchase 11/18/2010 $63.60 Specifics: Service or Feeder 1 ea 12% State Surcharge - 11/18/2010 $7.63 Type of Use: COM Electrical 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 0 2- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: -��� -'" Permittee Signature: c�� S A 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 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. Electrical Permit Applicator rcirrc,l r It i tl,h..t:,iN°,. , �l� 0� Tigard ClLe1f V7 �d� !jew ; ccl : ' Permit No. �• d 13125 SW Hall Bl Tg ard , OR • R 1 Phone; 503.718.2439 Fax: 503.598.1960 Date/8 ' Other Permit: :It f A It 1') Inspection Line: 503.639.4175 NOV 1 7 2010 Date Ready /Dy: IMIll R See Page 2 for Internet: www.tigard- or,gov Notified /Method: S ppletneatal Information i— I �ii ri;jl f i 4 � i !l9 EMr "^l:T2 7. y i f 1 y ; '� t j f .!; , 'k f . ,�. ,1j 3� . r, 9 `i,d i 1 -' �:IiN,. 6 :l l'E ;l' ; 1i ;tE €'(I l; '� ` I9I', E�Eii #i`1' ;I p.,iii,`..i _„ , II {�, :€1?! 111E '`I {�E:� :3;',4r,I' {'?i liana i' ' -.:I.! f i'i .., :. N H�lilf kI11R 1 i11Yt11tniilirti,�aiirrhttrrrE lfi ��{sn+�tmnl i ll ��'dif !�'� I { I r3 � F'i ^eit T" 11611 Milli ' i ` S,f I . a, 1���It i�,� r�y>_��.� -,.,.' �.i..l�bi�ULGIu�M,;.;� 3,If611,lltiis Iva;, ,,,,,� c i9t,:,:, l,.miiEce,�:.:.: ...,: } ;ij,i D New construction • dditioi �:i V " Please check all that apply (,uhtnit 2 sets of Oa s w/iteins checked below): ❑ Service or feeder 400 amps or more n DI ilding over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ M rings and boatyards. R i 11 t ?i l Ii ,; f! ! Dill ! t t t r n l ! ' , r.. 1 • d i Ei f �.�..:.,! i 9 �l' Eili f i i It' , � R ' � 9 w a9r � t ���i � , SxGCCds 10.000 ampc a! t i0 witty or [] PI sting buildings. R.;; '. 1 - if i1tt lilt t tt . f t i' I 1 h . ' less to ground, or exceeds 1.4,000 ❑ C minercial -use agricultural ❑ 1- and 2- family dwelling ..Commercial /industrial ❑ Accessory building amps for all outer installations. bu idings ❑ Multi - family 111 Master builder ❑ Other ❑ Fire pomp. ❑ In tallation of 75 KVA or ' ., -.. . - ,; , , "::i f' ,, -. ,. "!t . as+ {� rt 0 fiiJ l ' ;,ron =i "t {� I ❑ Emrr me s stem, la derived > ! ;cr separately c e s =, stem. ;' `ir6°f.1::.1) i i l: ' . 1 , trf � ..�:�: , E' tttlitrit r oN ` , r ill t r�:41W ,. li gnin 1 . ntlN�� iNifW' .ii''a t 11 li I ��f :111 l 1 ❑ Addition of new motor load of ❑ ,,. , ''E", "1-2", ,1 Job no.: 1 • 4 ° 1° ,,t p — Job site address: *e) l / 1 OOHP or more. oc upaucy, ❑ Six or more residential units. ❑ Rt :manorial vehicle parks. City /State /ZIP: / /] 12 H azar -earl facilities. ❑ Su , ply voltage for more than ! � ❑ Hazardous locations. 60 1 volts nQn)utal, Suite /bldg. /apt. na.; i ��� Project name: Pro J r 5 ❑ Service or feeder 600 amps or more. � /�� 1 f lif 9 vl " a r,' vc.. ... .,, v mil.. i'. �.�,sEE ' .. 'i'`' + i u „ ,, ,s ' i l la i.,{M. , 3i` l a xh - 1 . .. ,, .... . i Cry 58 street /directions to job sift: Desc don qty. Fee. ! Tatar 1 " New residential single- or multi - family Iwelling unit. Includes attached garage. Subdivision: 7 Lot no.: 1,000 sq. ft. or less 168.54 4 __,. ..__ l a. add"' 500 sq. rt. or ponion 33.92 I Tax map /parcel n0 - t ;imited energ , residential I �{�1 =,( i� 11t F +! „ y it ( 1: I ;' k ?:� r 1tp ! t ' ' n pdt l a , av µrs ji 1 1,;.1.1.6i:1440111 75.00 2 SSE �.. i t , i l It , 1, 6f ' l�i� l lft� ! tll'1g. i'iSlitlln I. _ (with above 5q. ft.) 1l9^1: x , ! - htt1t )ilt h liit . 1 � ",, ( , Limited energy, multi - family 410.0 w. - 1 no' 6 1, ✓J 1 ` !4 f / - ` residential tial (with above sq. tt.) 75.00 2 � �"� Services O t fe in stall at i o n, a lt etat i i n, and /or relocation / N e : ca Ir V\ 200 amps or less 1 00.70 2 4 ” " 3 " ' 1 .. a> t 1* l� i1 Si, i d i...i c d R i a :iIi di iit : ill : iii 1 u 4 'l� y ' i it n l ttliv' l r 1 1 % 201 amps [0 400 amps 133.56 2 Name: 401 amps to 600 amps 200.31 � 2 _601 amps to 1 ,000 amps 301,04 2 Address: Over 1,000 amps or volts _ 552.26 2 _r. 2 services or feeders installati m, alteration, and /o City /State /ZIP: relocation Phone: ( ) Fax: ( ) 200 amps or 1e55 59.36 I 201 amp; to 400 rug 125.08 2 Owner Installation: This installation is being made on property that 1 own which is not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, 401 amps to 599 amps 168.54 2 Branch circuits - new, alteration, or ex( msion, Rey' panel Owner signature: Date; _ A. Fee for branch circuits with Ti* ���,, f`�, ` �` 1 "n' tt It ��� J 11 " I ;: above set - vice `;; vice or feeder fee, 1E ,r:,,f� c1 _ ;�.� � ‘,1 ::::, i l l4 �¢, Uel3i la� n lrl i l k:i 1 Ml1: '': each branch circuit 7.42 2 .e ,. to a Business name: • - / J +' 8, Fee for branch circuits Witham _. :,..w.. -- service or feeder fee, first d p Contact name: e,if �Q� 6 ''') / branch circuit - 56.18 ,567./ 0 2 .. ......_.,._..._.._,.-- Bach add °l branch circuit / 7.42 79 2 Address: _Miscellaneous (service or feeder not incl ided) F,ach manufactured or modular City /State /ZIP: dwelling, service and /or feeder 67.84 2 Phone: ( — d f 9 Fax : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 „`' 1 } ,, i E-mail: Sigt) or outline lighting 67,84 2 { .i'1" � �.;, l � }lr.f.lr�r�y__'r.l " le ��yl . f.9, .',f:::r ",'. ° 1 'f . 1! II II �. ,�. 1:.: I IEa 9 l . I`'1,i16tl i l a. li Il ,�i}�,ii{li31 n f i III11 't1i E Rr ! 4 , l 1 i 'EE si circuit(s) or limited- energy Business name: C �i )�a�1�/./ CI panel, alteration, or extension Page 2 2 Each additional inspection over allowab a in any of the above Address: ' /1 4 , AO t / • Additional inspection (1 hr min) 56.25/ hr City /State /ZIP: 4 © { I . 7,,z3,,9 Investigation (1 hr min) 56..25/ hr • Industrial plant (1 br min) 78.18/ hr Phone: ' / a d— ' , 77 / Fax: Z ) _ 411,.. ' 7 inspections for which no tee is 70.00/ hr lr1tilli speciflcallyy listed (/z 1)1'1'041) C (� ;13 Lic.: �/1 ��1'7 Electrical Lic.: +.. Suprv. L r 1l!�Ei' 1 IG;,liillsl�llZliii� l ,,,'�'.r'r „ , 1 ; 1' Ei1 ; I1i i• 4Y C.�[ -+ , } l _ �",,, V "„ 1,1110 l iiV / +"' ;• U iY ry I7t�.L LT$�s"I J i i i0 , Rif t/ Subi)tal: 60 Suprv. Electri �/a -, required: � . (25% mt .. L. 1 1. .Ai (_5io l' w Plan review of permit ' Print name: A,3 ate: 4/4/,./ State surcharge (12a / of permit ce) 74,3 TOTAL PERMIT) EE: 7/ Authorized Signature: r This permit application expires if a permit is not obtained within 580 Adippv. i� .• // f' P PP p Print name: L r A/ Dale: // /� 1 days after it has been accepted 1 f complete. �� / r b ,�.-- Nu mber , of i nspections allowed per permit. I AlimildfrIMPer »,its \Fi.C- PermirApp.doc 07/01/10 W40 -4i'l ST(11 /03 /COMnuro )E ; G I C;n ,", -►-4