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Permit CITY OF TIGARD ELECTRICAL PERMIT 2 COMMUNITY DEVELOPMENT Permit #: ELC2011 -00121 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/03/2011 Parcel: 2S101 DA00101 Jurisdiction: Tigard Site address: 13190 SW 68TH PKWY 140 Project: CES NW Office Subdivision: TRIANGLE CORPORATE PARK Lot: 3 Project Description: TI Contractor: LANTIL LLC DBA THREE PHASE ELECTRIC Owner: PACIFIC NW PROPERTIES LIMITED PA 493 NE 3RD AVE SUITE B200 STERN FAMILY LIMITED PARTNERSHIP & CANBY, OR 97013 STERN, HELEN R REV TRUST 6600 SW 105TH AVE #175 BEAVERTON, OR 97008 PHONE: 503 - 889 -6615 PHONE: 503 - 626 -3500 FAX: 503 - 651 -3540 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 03/03/2011 $100.70 Specifics:, amps or less 12 crt Branch Circuits w /Purchase 03/03/2011 $89.04 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea 12% State Surcharge - 03/03/2011 $22.77 Electrical Type of Const: Occupancy Grp: Total $212.51 Required Items and Reports (Conditions) This permit is issu • - • 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 ac••rdance with - •proved plans. This permit will expire if work is not started within 180 days of ce, or if work is suspended for more the 180 days. ATTE ION: Oregon la -qui -s you to follow the rules adopted by the Oregon Utility 'cation Center. Those rules are set forth in OAR 952- 001 -001' thro .h OAR 952 -r • -0090. ou may obtain a copy of the rules or direct questions to OUNC by ing 50 . kii or 1.800.3332.23. . r Issued B _ _■Lt _ ., �/ • Permittee Signature. ■ `i !i J � �`_' • 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 INSTAL TION ONLY SIGNATURE OF SUPR. ELEC' �► �� 1I� Date: ? ©� LICENSE NO. 33-957 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. 2011 -03 -03 12:26 503 - 651 - b t.nr•• rl - • •t t.f - p t,' Electrical Permit Applicati cENED ? l-t►1c (h I 1 Si (1 \1.1 City of Tigard Rate /B BO Penn i lie ,Poll- / ./ 71 s 13125 SW Hall Blvd., Tigard, OR 97223 ce Plan Review Phone' 503,718.2439 Fax: 503-59F4* ilat /By. Other Perini[: T i r . 1i ft Inspection Line; 503,639,4175 Date Ready /By; Juno. BI See Page 2 fur Internet; www.tigard- cr.gov 1,-,- y OF ' 1"1,_, f''ii k iii' Notified/Method: Suppltaleitel information ,v r r -, , r 1 laaTd7AWt 4 i' ]� A ntw, r �t. '"" 4 ' T s s d Htlt d MdlorMd ` y yrt p .±� ti t yy�yd )'y' , ,.y� p7.tly1..yry �,...�,l.,yi,.... 75 .. �11� ff11f 'I T il f7 rrdMid!} :t�El fld1If •�A n Y / L1011fT 71110 !rmv IA tt ' f i d + � k � , d �� lil4f X z sllkfi u d , d , . �t,,�� t��qf l r � iF . ' rrrM�,i a r,l. sit)) h ,1 s�t , �frste r Y F t t ,d6 a 1nt l ,i ' r ' 1 wkA tl � > M i'1..4 f Please check all that apply (sutanit 2 sets (Ohms w /items checked below): - ❑ New construction ❑ Addition /alteration /replacement ❑ Service or feeder 400 amps Or more ❑ nudlding over three stories. ❑ Demolition ❑ Other where the available fault current ❑ Marinas and hoatyanls. FR IF 1/u � r l d I ii • r r ' ; f "' 1 i , �4: , raria( , ailn 1/d 4 „ , � rs i a�iwnsr d riilr , i i °. ; gr �1i1t� :1 exceeds 10,000 amps at 150 volts or ❑ Floating buildings, less to gmund, or exceeds 14,000 ❑ Commercial•u.e agricultural ❑ 1 - and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ fire pump. ❑ Installation of 75 KVA or t; ''. yaadu rW lw larpseo tiswwl lbd ❑ Emergency syatem. largerseparatelyderivedsystem. " VA ai UMW i i ° I. � � is 4di IGwnF. � l: t%.dr . ' 1� � d6i wry d ... 1 � i r.d,l%MSUtilmoAr oar v le. iWid�mdd.. t lf� p 1 e t ' 1r .i.. r • ,�l i © Addltimh motor load of ❑"A" °E" "t -z" "1-3", Job no.: 8116700 Job site address: 13190 SW 610 Parkway 10011P or mom, occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State/ZIP: 97223 0 11e;d11h.care l;u:ililies. ❑ Supply voltage for more than ❑ Hazardous locations. 60(9 volts nominal. Suite/bldg./apt. no.: 140 Project ionic: CES NW ❑ S ervice or feeder 600 amps or more ._. 'gi y ( ^: W r lil" #l'i1 1 r t �r5 4 6 t d r) i f 1B 4 •tlr�r� 1 Ir'�nlill t�f w r r �' A > '. r r 1 r1'Ir Id 11 wwr, t w'jp,rww wwwArwrn,mr w + I h L l ,l~t,t;t; , -. -� Cross street/directions to job site: Description Dry, Fee, Total • New residential single- or multi - family dwelling unit. Includes attached garage. _ Subdivision: I Lot nu.: 1,000 sq. IL yr less 168,54 4 Fa. add 500 sq. ft or portion 33.92 1 Tax map /parcel no --- . Limited energy, residential r r A dA I p� f 1 r 1 7 f 4 rwVrw 8rf >V we rg l4 w ! 4 lq+rwa %Id V Ap 1 9 4 /4 l4 rd t N r q ,� , f� .'i 75.M) 2 yy ]$$ k j r ifSl! 4! 1 (( 1 Y �y � 1 (1M 1! (( f t i ��d�r r� ' ,V� 1 t� dr ngra?r� {l „r i a r:G y r i l =alli 4 r � r �1 14r � r i ! 1r ` ern i4 (with above eq. ft.) r rat,rir,w 4144 i: ri ri4 r w. wiiretttrw >4 { r „a,lr „ rrllils A..rf� t u Limited energy, multi- family 75.00 2 Slight new tenant revisions to subdivided existing larger office space. residential (with above sq. ft,) Services or feeders installation, alteration, and/or relocation ��y {+ 200 amps or less 1 100.70 100.70 2 . E f ilfdl f { , 1 d i J s, ! r d t ut}a de i e z tip lrta aµ rnj(11�d y l i8 �� 11 IlUC ' l l l{If!''1 1 ' , . 01141 aps 15 �wtrl 3 l i�y 1 h 201 amps t0 400 stops 133,56 2 r i d r ir ; ' ”, r d o t f '' 4 ” r fk1 .1d r , l. mdt.t r , dot : ,11116it tide niltblvila C unibliliiii '.,ns4 411i1L d title i 1 n r� i, i mw,,, am d vd d ,d i. . l'.,. t 'A . M 4 2. 401 amps to 600 amps 200.34 2 Name: 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and /or City /Statc/ZIP: relocation m Phone: ( ) Fax: ( ) 200 amps or leas 59.36 _ 1 201 amps to 400 amps 1 25,08 2 Owner installation: This installation is being made on property that I 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 extension, er panel Owner signature: Date: A. Fee for branch circuits with I, 412 r a r 1 d d t tr il(1 r 6 14'(r� iw x tr �u gw>r 4 v d w 1 d •r ��u { r f , r prr +r 17, 'iwnw9,r tr d r wrd+gl+ d ir t ,5 �f above service o feeder tee, 7.42 2 i�4,�l � k3�'..." `� i t.i �'i "' 1 lit f 11 �° h r t lr or r I ..wt ..�.., i r .nn d. di,,,da u; . t . , . .11,,, 1 t, riS,,,y „rol,,, ;1 ;1,r,uo , ,r , , 1! , d o 1, ! ,n [d , r , 44 >.,v ,ll'lI each branch circuit Business name: B. Fee for brunch circuits without service or feeder fee, first Contact name: branch circuit 56.18 2 Each add'l branch circuit 12 7,42 89.04 2 Address: Miscellaneous (service or feeder not Included) City/State/ZIP: Each manufactured or modular 67.84 2 dwelling, service and/or feeder Phone: ( ) I Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E-mail: Sign or outline lighting 67.84 2 c� „ wr r t` y w y ar � �4{"'"°t""I°"�tP"w "rte nr ryR ^n f d 1 r rn y , r,r r, :r +r r � fi "�'�"' f r r i�t C 8 Y .i.- + ;,Il rJl�l, r !'I'.i °trs ESEBIZ f. zi nc d ly � TLITECi a l l� ��a�l�ll ITR, elic `ltE si circuits) or limited -emu Business name: Lantill LLC DBA Three Phase Electric panel alteration, or extension, Pups 2 2 -- Each additional inspection over allowable in any of the above Address: 493 3 1i1 Ave. Suite 200 Additional inspection (1 hr min) 66.25/ hr Investigation (1 hr min) 6625! hr CitylState/LIP: Industrial plant (1 hr min) 78.18/ hr Phone: (503) 263 -2558 Fax: (503) 3540 Inspections for which no fee is 90.00 / hr s.. •ifcully listed X hr min) CCB Lic.: 162368 Electrical Lic.: 3 Suprv. Lic.: 3398S ,' ,� 4�„”' , i ' "R',i1 ( „� i " °d � r mr , 'i ; � r � r (; , O ,,,r " i ` E � . 4i(�t Subtotal: 189,74 Suprv. Electrician signature, required: ; ./, 41441 Plan review (25% of permit fee): Print name: Dennis Welch Date: 3/3/11 State surcharge (12% ofpermit foe): 22.77 _ TOTAL PERMIT FEE: 212.51 Authorized signature: Thus permit application expires if a permit is not obtained within 180 Print name: Date: days after It has been accepted as complete. N umber of inspections allowed per permit. 1: Viuiidles \Permi,s \P.1.C•PrrmitApp.doc 07/01/10 440- 4615T(11/051COANWEB