The URL can be used to link to this page

Permit CITY OF TIGARD ELECTRICAL PERMIT s u Permit #: ELC2011 -00230 ' a COM MUNITY DEVELOPMENT Dat Issued: 05/03/2011 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 5/03/2 B00600 Jurisdiction: TIGARD Site address: 16125 SW 72ND AVE Project: St. Jude Medical Center Subdivision: PACTRUST BUSINESS CENTER Lot: 0 Project Description: (3) branch circuits for lab area. Job No. 60499 Contractor: IES COMMERCIAL INC Owner: PACIFIC REALTY ASSOCIATES 16135 SW 74TH AVE 15350 SW SEQUOIA PKWY #300 TIGARD, OR 97224 PORTLAND, OR 97224 PHONE: 503 - 648 -1900 PHONE: 503 - 624 -6300 FAX: 503 - 670 -9572 FEES Quantity Description Date Amount 3 crt Branch Circuits wo /Purchase 05/03/2011 $71.02 Specifics: Service or Feeder 1 ea 12% State Surcharge - 05/03/2011 $8.52 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $79.54 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: L 7 4 / / 1 / K ZOMM/ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project Approved plans are required on the job site at the time of each Inspection. 05/02/2011 06:57 5036709572 NEW TECH ELECTRIC PAGE 01/02 Electrical Permit A li Ely ED l"Olz OFFICE USE ONL City of Tigard t6i PcrmitN L` L 2 ' i/ o;, ` po ? -;a. 1 n f 3125 SW Nall Blvd., Tigard, Ol A,23 2 Q Plan Review Phone: 501.718,2439 Fax: 503'.'x$ 96 DatcBy: OilierPanntt; r I (i A R 0 Inspection Zinc: 503.639.4175 Date Ready/By: .lurly gi See Page 2 for Internet: www.tignrd- or,ggjovv CITY OF TIGAR Notified/Mel /` Supplemental information .. -. n11'1: ❑ New constriction P-4 Addition /alteration /replacement Plasm check all tlutapply (submit 7< acts orplans w /items chocked below): Q Service or feeder 400 snips or more © Building over throe stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas end boatyards. CATEGY OR ,OF CONSTRUCTION exceeds 10,000 amps at 150 volts or CI Floating buildings. lcss to ground, or exceeds 14,000 ❑ Commercial -use agricultural T ❑ 1 - and 2- family dwelling Commercial /industrial ❑ Accessory building amps for all other installations, buildings. 0 Multi- family © Master builder ❑ Other: El Fire pump. ❑ installation of 75 KVA or separately l mcrtcn systcnt. tarter s derived s etem, :.* 91TG INFOitigi∎T Oarl AND L9c4:T'it7N p y y ❑ of of new motor load or Q " A" '•Q" �• (_2'^ •• 1 _3•' Job no.: ,fob site address; 1001-TP or more, occupancy. Cy. � � T /�� ' ❑ Six or more residentinl units, ❑ Recreational vehicle parks, City/State/ZIP: / ' „� de 0.4 + r 4 9 ❑ Heahlt.cnre facilities. El Supply voltage for more than �. / t/ F+ ❑ Harardrns locations, 600 volts nominal. Suite /bldg. /apt. no.: ,a Project name: R ,4're_, 90A. yydffri ❑ Service or reeder 600 amps or more. hilt StEDVLL , Cross street /directions to job site: peg - „ LA ,, S -- fi r- B s i st e_c 9 ncstrtptien - I OIv. I rec. I Tnmr Tr Nov residential single. or multi- family dwelling unit. ( Includes attached garage. Subdivision: Lot no.: 1,000 sq. It. or less 168,54 4 Tax ma /parcel no Ea, add'I 500 sq. R. or portion 33.92 1 p p D . .. .I'TIp Limited energy, residential 75 00 2 Li res d N OF ' WORK '.', . (with above sq. ft.) — Limited energy, multi- th.nily 75,00 2 Rj C- fI'�Ci / / y/a✓ �'` f/ w -� residential (with above sq. ft.) , L 9 Services or feeders installation, alteration, and /or relocation �! 200 snips or less 100,70 2 INI , i PROPERTY OWNI'R ❑ . TENANT 201 amps to 400 amps 133,56 2 Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City/State/ZIT': Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or Icss 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that T own which is not 401 amps to 599 amps 168,54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits new alteration, or extension, per panel Owner Signature:, , Date: A. Fee for branch circuits with above s ervice or f fee ❑ A d CON'T ACT . P . 1 7 50N 7.42 2 —.- — each branch circuit Business name: 13. Fee for branch circuits without service or feeder fee, first ✓ Contact name: branch circuit h � d 56,18 ,�b,)9 2 . - Each add'I branch circuit 7.42 y y 07 2 Address: Miscellaneous (service or feeder not Included) City /State/ZIP; Each tnanut?ICcured or modular G7 84 2 dwelling, service and /or feeder Phone: ( ) Fax: : ( ) Reconnect only l 67,81 2 Pump or irrigation circle 67.84 2 E-mail: _ Sign or outline lighting 67,84 2 CONTRACTOR Signal circuit(s) or limited - energy T3tfsiness name: , '� panel, alteration, or extension, Pace 2 2 �`�i /44..... Each additional Inspection over allowable in any of the above Address: /6, /35 g - ,!� 2- , A. „,, Additional inspection (1 hr min) 66,25/ hr City /Stage /ZIP: / ! C✓ / el , oe ■ 9 Q investigation (I hr min) 66,25/ hr industrial plant (1 hr min) 78.18 / hr Phone: .S3) ert /g' / ?ct:iia Fax: A, )6774> 957 - inspections for which 110 fee is • �4 CCB T.iC,; specifically listed (A hr min) 90,00 / hr U v / g ,2- 4f5, -- Ele ctrical Lie,: �y E Suprv. Lic.; 34? ELECTRICAL eta ne5, ' Suprv. Electrician signature, required: Subtotal: 7J p A. • - Plan review (25% of permit fec): Print name; fiksifef✓ey D e:9 y 2 / State surcharge (12%ofpermil. fee); • ,F�. ` TOTAL PERMIT FEE: Authorized Signature: this permit application expires if n permit is not obtainer within 180 Print name Date: * days after it hna been accepted ns complete. Number of inspect long allowed per permit, 1:11 turldirg McrmttaBtc4l'crmitApp,doc 07/01 /1 440- 4515T(11/05 /COM/WEa P CV Sc3 - 9'69 - 7902/