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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2011 -00042 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/19/2011 Parcel: 2S 112AA00600 Jurisdiction: Tigard Site address: 6713 SW BONITA RD 206 Project: Thermal Supply Subdivision: NELSON BUSINESS CENTER Lot: 0 Project Description: (5) branch circuits and (1) limited energy Contractor: BEAR ELECTRIC Owner: WALTON CWOR NELSON 13 LLC PO BOX 389 BY TTA/EPROPERTYTAX DEPT 735 DONALD, OR 97020 PO BOX 4900 SCOTTSDALE, AZ 85261 PHONE: 503 - 678 -1355 PHONE: FAX: 503 - 678 -1108 FEES Quantity Description Date Amount 5 crt Branch Circuits wo /Purchase 01/19/2011 $85.86 Specifics: Service or Feeder 1 ea Signal circuit or Limited 01/19/2011 $75.00 Type of Use: COM Energy Panel Class of Work: ALT 1 ea 12% State Surcharge - 01/19/2011 $19.30 Electrical Type of Const: Occupancy Grp: Total $180.16 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 O • R �• '' 1 -0190. 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: o-v 1'°'. / '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. JAN — 17- 2011(MON) 15 :19 Bear Electric (FAX)5036781106 P.001 /002 REC8 Electrical Permit A lication FOR OFFICE USE ONLY City of Tigard ^ E > Received � • r' ;vim Permit cze: `/ - ey , 13125 SW doll Blvd., TitidelTCli, lO_t7223 Q Plan Revi 7 Phone: 503.639.4171 d; 303" 98610 , idA r s O Pena 3j J '5J i gt���( ��t� AarelRv �a� 7 TIGARD Inland: Line: 503.6 4 . l l2 1.'1 V .. r I+� � 7 2 O i i Date Ready/By: 3�aiy, RI See Page 2 Inland: www,tlgard- or.9Qv NounecvMetltod: /I l c'� Supplemental information .. ... , . r a . ..i '... .., . y ,,.., �a,�:', .A •,i. .... '' a „�. qZ, r .. :...u... .. ' . , . ,r .,L . ; ., ,I, L: :i y... : , .. ,, �ry 4 1 r i "''' ; , 3: � r ,.,,, I „., "z {',. ,., ,. 'w �i�}dia {�� A S: ���i�. N�� abti�� ,�,ti:li.ar. r.�rMn�sir.�i.�awY�;:�1 '� "�'. .. ��i.,..:..,°: 1,iL•a;;�M✓;�AY;��i1 11 a.pr.} ,ra.., -.r ^ 1'' au�l.� '^ ' J ❑ New construction {. Addition/aiteration/rrplacement Please chock all dun apply (minuti j seta of plans w/ terns checked below): Demolition 0 Service orfeeder400ampsormore ❑ Building over three stories. 0 Other here the avallabfe fault current ❑ Marinas and boatyards_ > :.:..:,.•,M.;,r,nAr�:r.�r....r o7 �i ',,, ,...., .......... ...... ^ ' z : ,..,'!.`µra m� a or W1� buildings. g Commcrc3al /Industrial ❑Acr t ssory exceeds o 1D d a r 150 ,0 0 o © Co 011d dwelling leas t e. ground, all tc6 1 ons ❑Comm Commercial-use agricultural ❑ 1 - and2 - famil 2 � , building slaps for alt odAer inatn114d«ri buildings. ❑ Multi- family ❑ Master builder ❑ Other: 0 Fire pump. i0Installation of 75 KVA or r o , rr, , , <pr t :. .r �q ): r a.M , r, separately derived system. y e / +I ,,s , I, ', n Alf :4 ,1 1 1)•,e 14 sokllpts i M . YI + �, r rr M r" Aadi genty system brYe raepA[n ,' .. {, �., �flrW + 4, � " +'M6 ,b +i' ❑Aafdllianofnevrtnolor to�� � "A ". "B ". "1.2 ". "t.] ". Job no.: I Job site address: b7/3 A) a/.) IrA- S C L Slop or more. Reors atn. SLR. or more tesldential units 0 Recreational vehicle parks. City /StatcIZ1P` t- , Q c7.?• ❑ Health- ore facilities. D Supply voltage for mote than Q Hexerdoos locations. 60o volts nominal. SuiteibldgJapt. no,: e 9is t Project name: 1 t . tt,~•,.A -L -S'f.1. Ala 0 Service or feeder 600 are .1 or more. ,M± -nwrr: yrr �a�.d, ". ,,;,, c... r � � '.' I M n{ ll T11 Cross street /directions to job site: '2rY �.l .�,- 13 Q _� t „,A., l J F+rw'kaL Siin;�: : %ikt:a:r:Shi :fwaf dti w ^ wi3A7lint'� t KO 4ll lQ `� rr� New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no: 1,000 sq. ft. or less 168.54 Lis. add•I 500 aq. ft. or portion 33.92 Tax map/parcel no.: Y, 1 ° A�' i acr yy T y euv r ' ( raervsrm�arr�yU� •P��� ., M 'tC YM,9n179f}4W`lltrpf4?w.f ','�}SI�'L Limited Cr7y, abut 75 -00 1 e CR ,real c • l.a c,'; r . o�” _"� a • 7s i , S, 4 r,i(.:.L:4,144i.4 -4 .4 wits above . , ft "; ,� ...,rte 7 . ; tix' u,.,..r�.,.l. ,.� Limited energy. mull! - fatally III 75.00 M© A b, blvp Pty Dv °I a V Pre residential with above ... it ea l 1 l k' [ , Services or feeders Installation alteration and /or relntlnn �� N yyry J � 200 amps or less 100.70 eiilri �� l ic l, IM r ,,"7/ + 4' : i ✓✓ itYF Ni r i TMtf j 2,i1',g31 ,5ryl'` 1r SS.�W�ri:',Sj:� ur ?�' .7 iC / 201 amps to 400 amiss 133.56 � ® Name: •` TM 6n 401 amps to 600 amps MI 20034 111111111111E 601 amps to 1,000 amps II 301.04 � II Address: over 1,000 amps or volts 552 ,26 Temporary service' or feeders installation, alteration, and/or City /State/ZIP: relocation Phone: ( ) Fax: ( ) 200 snips or loss 59.36 I 201 amps to 400 crops 125.08 Owner Installation: This installation is being made on property that 1 own which is not 401 amps to 599 amps 1 168 54 2 2 intended for sale, lease, rent, or exchange, according to ORS 447.449, 670. and 701. Branch circuits— new, alteration, or extension, • r panel Owner signature: Date: A. Fee far branch circuits with p1 „. nr +clw e>'jJt11,gi”{ t i 4 . 7x a •, .i u xm r r r M tl{ st y y An v��pe P+ rlr i r (l r ig Iw �wrsl n above Service Dr feeder fee, .l l,.5.,,dlPl.lvA it, t l i'c� a at •" ''" ' -u n . Y F . I .! 2.r� "W.2. ,eeh, $ '' lg i b ° 3 i ,a^"Jr ,!I,,,,,,,,,,,' 7.42 2 each brnnch circuit Business name: U Fee for branch circuits without service or (ceder fee, first I 56.18 ,7`p . / 2 Concoct name: branch circuit - Each add branch circuit y 7.42 9' -6J- 2 Address: Miscellaneous service or feeder not Included City /SState/LIP: Each =nut or modular iimEnume dwettin service and /nr seeder Phone: ( ) Fax:: ( ) Stveonncctonly = 67,84 - Pump or Irrigation circle ' 67.84 IMMO E Sian or outline lighting -, • • MI o7.84 — ,.., v r , A, pw t x t �. rti,. r .: t •, » -, v:.�r :.,, Ur .�- ,wiYlil"'1' ate e� w : =S t t • � THEEi�i hat�i�: ril�,fai`i(id'"tl�Geiii it EHIE16"s11,I Si �im 7. a0 Business name: '. a .,72Le. �,r.J and alteration or extension, Each additional ins.cctlon over allowable in an of the above Address: pp BOY- d/ Additlnrlal lnspeolioo (1 brul{n) 66.25! hr - Investigation(' 1- hernia) — 66,25/1r�- City/State/ZIP: (�� t.):11 N / , lncluatrial plant (1 hr min) 7R.1 R/ ter Phone: ( 9 3 ) ( p >8'j', Fax: ( . r63 ) 4•'f- -/ /9 f Inspections for which no fee is s ccificnll listed 'V hr min 90.00/ hr 4/TCCB Lie,: �} G jf Electrical Lie. alb Iyf� L Suprv. Lic.:,� 2 "q� r' 1 F,;3 "liYi; t r :1 c a. h: f utY�rti o '�""•. } ,. I { { , Ir - ��,, Suprv. Electrician signature, required: � Su fm ) : f (p / � Plan review (25% of permit feet' Print name: �' � 5 Date: l a - 1 �/ _ d // State surcharge (12% of permit fee): - -30 / —"" TOTAL PERMIT FEE: /j) , /(Ft ;/ Authorized signature: This permit application expires If a permit is not obtained within IAO Print name: Date: • days after It has been accepted as complete. Number of fnspcellons allowed per permit. L113u0dinaormits /fLC.AemdtApp.doc 07/01/10 440- 44t3T(11/11 ;0 QM/Wt!It