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Permit
j EL ECTRICAL PERMIT n .. CITY OF TIGARD t • = COMMUNITY DEVELOPMENT Permit #: ELC2010 00539 " ,t,�.,s 4. Date Issued: 10/01/2010 TIG 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 .4 ,,__„< Parcel: 2S113AB00500 Jurisdiction: Tigard Site address: 16083 SW UPPER BOONES FERRY RD 110 Project: Spec Space Subdivision: Lot: 0 Project Description: Electrical for TI. 11/24/2010: Reprinted to amend total branch circuits to (7). Transfer remainder circuits to suite 122 ELC2010- 00663. DLH Contractor: LEAR ELECTRIC CO INC Owner: G &S FC LLC PO BOX 573 16850 SW UPPER BOONES FERRY RD GRESHAM, OR 97030 STE A PORTLAND, OR 97224 PHONE: 503 - 665 -9840 PHONE: 503 - 693 -0108 FAX: FEES Quantity Description Date Amount 7 crt Branch Circuits wo /Purchase 10/01/2010 $100.70 Specifics: Service or Feeder 1 ea 12% State Surcharge - 10/01/2010 $12.08 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 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 OAR 952- 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: ' lV /7 Permittee Signature: EY/t/ P e -7 76 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. CITY OF TIGARD ELECTRICAL PERMIT IS • COMMUNITY DEVELOPMENT Permit #: ELC2010 -00539 T 1 G A R C) 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/01/2010 Parcel: 2S113AB00500 Jurisdiction: Tigard Site address: 16083 SW UPPER BOONES FERRY RD 110 Subdivision: Lot: 0 Project: Spec Space Project Description: Electrical for TI. Owner: FEES G &S FC LLC Quantity Description Date Amount 16850 SW UPPER BOONES FERRY RD STE A PORTLAND, OR 97224 12 crt Branch Circuits 10/01/2010 $137.80 wo /Purchase Service or PHONE: 503 - 693 -0108 Feeder 1 ea 12% State Surcharge - 10/01/2010 $16.54 Electrical Contractor: LEAR ELECTRIC CO INC PO BOX 573 GRESHAM, OR 97030 PHONE: 503 - 665 -9840 FAX: Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $154.34 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 R 952- 001 -0100. You may obtain a cop of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: � 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' Date: LICENSE NO. Catl 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. 09/29/2010 09:05 5036616389 LEAR ELECTRIC CO INC PAGE 02 Electrical Permit rAp B-1 lV V i/D 1 ( i 1(i) i• 1 I1 • I : 1 I <1 \I 1 City of Received , OR. �+ 9 n'O i /..... w ' i1 ,r t�tl�or L . d —., _ ' Phony 503.639A171 Fax: 503 Other Permit id See Pegg 2 for 75 F _ l z e , �` Co I Supplemental es r 0 O �T i c y ' "I',--,5' , 1 . i. r /. : r t 1f ; � . `y : -♦r - - , � � v S i ' .. . ..'_'f.. u..... •:. ,__ ti'. ... _ _ z_ _ , .. ., ' ., x; .�..._._ �1,i1-4j_...: :; ::,H3.. ? _. _.. G. � . 2.. _. ._ I 1 l 0 New conslrmation /: a ` '.. • Pinta Oxtail that mmly (submita ens ofD a w/leems e � � �� O Service mffader400ampaamore O Buildiogovermmeswias. x s where to available theft current O Medea' and boatyards. • t > : •. , c . r , \ . 'ti i s ' 1 r' 7 . 0.000 amps at 1501'0116 or 0 Fie gbeiltmgt. L . . ..: ).,. W:e;�r r.— IV ,‘ . ad _ -' ± , v , ::',',, S .:— '__.-rte. s:.:__.: _ .. . y l ?Y `i =cede 1 ©1- an fmmtlydwdling 1-i 1i " '' less nu m d, or 14,000 CI Co sa ieattse0 ❑ AtMeaSory building amps Pow all other instolladone. buildings. OMuW -family • Master builder ❑Omer: OFrepnmp. 13 lasudhstiauof751cVAor m u s .. . , t r 7 , c N ._7g ❑ Em Ygym. brgeea rderivedsystem t, ... ._. -ti ? . 1r . -. , ,::..:r 1, L. 1... 3 _ .i, . ,a d� ,,,, .;, ,,..._s � � .,. ; �' ..i k . L ril..i > " 1 .. L ..- i ...L '11 °Addition Carew moeorlead of O ° "y, ./..,r, 14 ' 100SP armora Job no.: • - <i Job Site address: . 1 e e,' ' ti •.a 1 , D Six or moue railcards! matte. O Reematomat vehicle pads. City/State/ZIP: - . , • ,. P c rLs • . • ..k.(.. 1l0 O ila1& -cue saw i ea. Cl Supply wanes mrtome than ' jr a Etheardoue loathes. 600 volts mmlael Suite bldgJapt no.: Project name: S ic,. °t lo Clsetvlae feeder 600 • or more. r Cross street/directions wn8 to job situ N' c 4'Ty err ' r ° �i m o t " r te r ; New real fie. or mn i •fir dwelling melt includes attached garage. Subdivision: Lot no.: 1,000 sq. t. or less 168.54 4 Tax no.: Ee sdd'I500 sq ft orportitm 3392 1 Limited energy, raaldeatiai 3 .co , ' 7 ' y s .;'',.4::: 3 ? �'c (with aim"lic . it) 75.00 2 :4= ti .G?'� e.�.i� .�.. [. _s _.n,.w.�.' Y:.2 _ .."..‘ 1� v _ : i4 � ... � .. l+ntlited 75.00 2 J • alt► a ' . ►u:' . A. ry endal (whh1"im 84.1) Serfdom or feeders installation and/or relegation 200 amps or has 100.70 2 u ". .. _£..: i ' L i i2 s , < j 4 , .1.-,.:.`L' � ' ` ?V ,' ' • , , ? i r " 7 ' `=, 201 to 400 I3356 2 Norther 401 mops to600amp 200.34 2 601 amps to 1,000 amps 301.04 2 Address over 1,000 amps or volts 1 552.26 2 �: Temporary services or feeders Installation, afteafon, and/or Macedon Pbana ( ) Fax: ( ) 200 amps or leas 59.36 1 Owner installation: This ins is being made on property that 1 own which is not 20I t0400 125.08 2 intended for lei rent, or exchange, to ORS 447 449 6 401 amps m 599 amps 168 54 2 Be, asx�ng 70, and 701. that h circuits — mess. alteaatiso or ester don, per panel Owner signature: Date A Fee err broach chenits with w ^''� ' . �r,T c'' r ( _ Y' service of O i finder Ste, s q � .S i < � e e r � s ' < : „f,,,--- v..,:Y Y c. �. .,,r-N above a 7A2 2 • ,.... .aa_ .._. < .�:i:a� - f,.. .,__. .___...,:..i.L,._..•” G, ... yx-2_ , 4 , ,:..._.",, ,,i . _2,-,, . .,._ _.: , :-.; ,, "v nth bmD h chwft Business name: B. Fee for Wench circuits wttoii service or feeder Ote, dna Contact name: blench cheait ` 56.16 a $ 2 Bach WC blench circuit t 1 7A2 t ,(03 2 ►mesas (service or feeder not indnded) City/State ZIP: Each n eed or modular 67.84 2 dwelling, service andlar /seder Phone: ( ) Fax:: ( ) Reconnect clay 67.84 2 E - math Pn or hrlgatioa c rcle 67.84 2 k x � S` x i � ..'.,f , '_ � � 1 , s` } } _ • E .1 �S��J.ig�,lh...O��rantlia eii tfng 67.84 2 .. _ _ .... u.w.v.::vu.+a.lt_ u.' ` dredge) oflimited-energy " Lear Electric Co., Inc. additional I =tension. e over of the ahem 2 Each Address: PO Box 5 7 3 Additional inspection (1 In min) 66251 hr itY : Gresham, OR 97030 m mn(Ihrnritt) 6623/br Wendel plant (1 hands) 78.18/hr Poaa (503)665 -9840 Fax(503)661 -6389 Inspections tat which no fee is 90,00/1a listed Abrmin CCB Lim.: 52278 Electrical 11 c.:26-411C Ste'• Lc.: 3 7 8 6 5 ::. � `;;.I '. :,. (7' -'.,, r,' < <v.,f, er r , ' : Sums. Meth feint* . , , . A _ Subtotal: 1 O Plan of pesm ): P,mttudne: David Mumford r. a .act • \• State surcharge (12%ofpamitfee): `(11, i, The permit a 1i expires Br . permit b net abn.ed stabs lsO Pry •' David Mumford Date: days after it bas ns slim bseaaeeaptedaseomplaer • Number ofmspeeitowedimpends r. ammo 44046is1(rrl0s/COasAV® v r , 1 1‘1 lnM —EzWO