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Permit CITY OF TIGARD ELECTRICAL PERMIT 111 COMMUNITY DEVELOPMENT Permit #: ELC2010 00699 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/20/2010 Parcel: 2S101 DC04000 Jurisdiction: Tigard Site address: 7500 SW TECH CENTER DR 110 Project: Tyco Subdivision: Lot: 0 Project Description: (10) branch circuits for warehouse lighting. Contractor: BEAR ELECTRIC Owner: WALTON CWOR SOUTHRIDGE 12 LLC PO BOX 389 BY TTA/EPROPERTYTAX DEPT 325 DONALD, OR 97020 PO BOX 4900 SCOTTSDALE, AZ 85261 PHONE: 503 - 678 -1355 PHONE. FAX: 503 - 678 -1108 FEES Quantity Description Date Amount 10 crt Branch Circuits wo /Purchase 12/20/2010 $122.96 Specifics: Service or Feeder • 1 ea 12% State Surcharge - 12/20/2010 $14.76 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $137.72 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 0A' •52- 001 -0090. u m- • • - - l,I1 Imo•,, direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By; _i � d ' .�I_ 'ermittee • Signature: � r A ' /1.:4 � 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. DEC- 17- 2010(FRI) 10:40 Bear Electric (FRX)5036781108 P. 001 /002 Electrical Permit Application -c \I v IVs roll OF 1�•ICl USE ONLY City of Tigard n Re iv ved / 1 * 13125 SW Hall Blvd., Tigard, OR 0 � r Plan Reri '� " —� 1 - �/ • � - Phone: 503,639.4171 Fax : 503598.1960 N t. V el d . Other Penult: •r l GAR t7 inspection Line; 503,639,4175 V':-:_,C., Date Ready/uy: Jun.: B See Pagel tar Internet: www.tigard- or.gov rv1.0 ` lotif1 d/Method: r Supplemental Information pis Ili + r . .�vJ. 4^', r : . ' y ` '1.'4 i' ‘I'''' ! t A .: e: :� +: "ahrlJ�,7awt2'i r . , n7 ,L' � 1.'00 a p + " . . I ; ;� ' M t „4! M�,rlyklWik�1 R1,i,a ` (,J111 u,1� +� ; %i {� ' 1 1: ' �,.r.: 4 q a .y,V,, Cw ' �"4a � Ah "FS "' "P J ❑Newconstruction Z1 Addition /allcrud` T`�• ent Please check all that apply (submit 2 seta ofpl�rw/itema checked below): ►° la Setviu or feeder 400 elope or mare © Building over twee starlet. ❑ Demolition ❑ Other. where the available fault cement ❑ Marinas and boatyards. n,. 4tA , , .., i h v 4 ,0 , ; - , 1 �' �0:ofti Qf GQ 11 Q , G�' c. -,;,,,,..t,,.,, t "iii fo i, ..ti ;. s1., exceeds 10,000 amps at 150 volts or 0 Floating buildings. wr,w r leas to ground. or exceeds 14,000 0 Commercial -use agricultural � I- and 2- family dwelling J. Commercial/industrial ❑ Accessory building amps for all other installation. buildings. LJ 11- t Multi-family ❑ Muster builder ❑ Other ❑Pero pump. ❑ Installation of 75 KVA or ^'�q 4 . a "l , , ` 4 ❑ Pmagency system, larger separately derived system A r1i k e s 'a , , t^ - Q i:: 011 0 Q O 1; , j ' 4 1 1 . 1?, ef «a ` y �y : * l ❑Addition of now motor load of 0 - A ", "E"."1-2"."4-3", Job no.: Job site adclresa: r I- y -� 1001-1P or more, occupancy. 7 SD d she / • .e eert'f'l�r f,1 r ID Six or more residential units. ❑ Roeteational vehiete parks. City/State/ZIP: 0 Health -cart lgaltles. ❑ Supply voltage for :note then ty /S/ZIP O H I /� y c r 1 J t J / e { Service or feeder 600 amps or morn. nominal. Suite/bldgJapt no.: -Ts 0 P Project name: 'j' � / e r'C 9, r!M„is ❑ c Hazardous locations. ' , I ` - Y r ',! ?. ; 'S ,,r, ! ,5,Vi ^"5..,�, ...,, ar "r�.,a .IIie:ea ' MID, ii 6 e'c'a'�l".it i,.i. .:W. o ,�t�,1:,w�.,P1', • voila no Cross street/directions to job site: Daerlptlae 1 qty. I Net. 1 Teter 1 - , New residential single- or multi- family dwelling unit Includes Attached garage. Subdivision: 1 1st no.: 1,000 sq, ft. or leas 168.54 4 Ha. add'/ 100 so, f1; or portion 33.92 1 Tax map/parcel no.: Limited cncrgy, residential 75,00 2 ... w sam r!' ii x1 1.1., I 0t�yt�p . ,r �p� ,, , .,, ' t (with above sq. f C w! //� • q � Limited energy, multi- family 75,00 2 R e ter p. r (ere_ C/ , . �, , ate a t'ft e , residential (with above aQ. ft) r Tr Services or feeders ingtallation and /or relocation 200 amps or less 100.70 2 r �i'. :. " ad/ V w, '., 1 v, + • , r l a . a + rr y / , . , , /t fun ,,,S, " , , , !' 0,01p .1. ' r "h °a1. r'. i s op„, 201 amps to 400 amps 133 -56 2 401 amps to 600 amps 200.34 2 Name: . _ . 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps orvalts 55226 2 City/5[ate/ZII': Temporary services or feeders installation, alteration, and/or relocation F Phone: ( ) j Fag ( ) 200 amps ar less 59.36 1 Owner installation; This installation is being made on property that 1 own which is not 201 amps to 400 amps 125.05 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670. and 701. 401 amps to 599 am 168.54 2 Branch circuits new, alteration, or extension, p er panel Owner signature: t-� , Date: A Fee for branch circuits with z ryi ;rJtus +wJlw..:' "1' 'r.,'1., _ ... . W.t...rle', . r;�'kaS;k�1Aw 4 . ;,r y.M1r LI O ,.... - , - °'. .,,u, above service or feeder fie, each branch circuit 7.42 2 I Business name: 13, Fce for branch circuits without service or feeder fee. first 56 5 �- (ifl 2 Contact name: branch circuit _ Address: - Path add'1 branch circuit 9 7.42 4 , Is 2 , Miscellaneous (service or feeder not Included) City/StutelZlP Each manufactured or modular 67.x4 2 dwelling, service and/or feeder Phone: ( ) [ Fax:: ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E Signor outline lighting 67.114 2 9,gt fY v ;f ;' !' , , ,,,VOII)i r ,r CQ ll^1 WCTO• 7 t�l " n•ra�- Signal circuit(s)orlimited- energy /y �;�;� ! ry ; r , 'Ir w , r: tyg . o Business name: 1 < o "le panel, altoration, or extension. , PaRc 2 - 2 � J��SA , E ach additional inspection aver allowable in any of the above Address: /go a r 13„ 383 Additional inspection (1 hr min) 66,25/ hr City/State/ZIP: ,C),",, R a Q ! 7-. 2-6 -. -- - �Investit etion•(1- brmin) —� -66:25 /-hr- — - -- Industrial plant (1 hr palm) 78.18/ lir Phone: (5'c ) ( 7k— / 3 s,g J Fax: (SCJ3) 6 7i — if c' i Inspections for which no fee is 90.00/ lir �t A a • 'Beall listed 1.i lir min CCB Liu.: 2 D R l 9 i Electrical Lic.: it/ /6,741 Suprv. LiC.: S 7 �/ 0 Q 0 2 e N + 1Mt w ;.I , r a • 1 y• - ci ', N 4 1 lice A" 'e- '? Suprv. Electrician signature, requittd: � J ,.-1 Subtotal: l Z2 . ' Lis c+.•. a 1 �.� Plan review (25% of permit fee):_ Print name :SSA Date: l 2. _43 _ 0 Stale surcharge (12% of permit fee): i y" Z 5 i H , 1.(7 o N V h roTAS PritNuT PEE (37 (7?„ Authorized signature: • Thia permit eppueaton wires ifs permit b not within 150 dare alter If h.e been attepted as eomplda Print name: Date: a Number of inspections allowed per permit. t: lnuildine Wermitel0LC- PennitApo.dot 07 /01 /1n eau- 4051niI07ICOa1/Wifh