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Permit 7 go CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2011 -00316 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/09/2011 Parcel: 25101 DC00200 Jurisdiction: Tigard Site address: 13535 SW 72ND AVE 200 Project: Optilink Subdivision: 72ND AVE OFFICE BUILDING Lot: Project Description: (4) branch circuits for TI (reduction of suite 200) Contractor: TIMBERLINE ELECTRICAL CONTRACTORS Owner: PNWP LLC #2 PO BOX 918 BY PACIFIC NW PROP LTD PTNSP LAKE OSWEGO, OR 97034 PO BOX 2206 BEAVERTON, OR 97075 PHONE: 503 - 459 -4089 PHONE: FAX: 503 - 254 -4227 FEES Quantity Description Date Amount 4 crt Branch Circuits wo /Purchase 06/09/2011 $78.44 Specifics: Service or Feeder 1 ea 12% State Surcharge - 06/09/2011 $9.41 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $87.85 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 0 952- 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: ©A/ / 7"AG. / C .1 9 - % /C> /V 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. 06/08/2011 00:22 FAX [j002 /002 Electrical Permit Application C I (1a' F 1( 1: (' I'. (1 \ 1.1 City of Tigard 2011 Date ve ( 9 ft jlgI Permit No ( a0 // _ 00 i 13125 SW Hall Blvd., Tigard, OR 97223 \\J P a n R • I N -- n Phone: 503.639.4171 Fax: 503.598.1960 P {� Review .. � �' �� D Ready/By: . i �e�W0/ vQ 0 0 c •,. fit : 1 , Inspection Line: 503.639.4175 C1TY OF Tl a • r ! . Sec Paget for Internet www.tigardor.gov V � gt/i5 r hi Notified/Method: V Supplemental Information nt {11 glll\1 . V . . K.., zki' a V;? _. c ��;;1 ;,� - '� ?i ,- i:.:^ , �;,'.,r fig q +. r -1?'.. ,i wX�. . , 'Y L .,.;k Z ^ .} T, do "�Jq � �� 9 Y ,.., c . Y'^01. -:rS •� � Z - 4 �.. ` . � . _ ' �� ' , i :• : : = ; =x a.. :?r + ��sa 5't4.1 :>� .x? K1':1� ' El New construction / '' Addition/alteIation/replacement Please check all that apply (submit 1 sets of plans' w /items checked below): • ❑ Demolition Other: ❑ Service ' or feeder 400 amps or more ❑Building over three stories. where the 'available fault current ❑ Marinas and boatyards. 54;N: ps i ,it:V .1 a t . t , . i r ; ' {Y. �. • ,,Igc "'.r„ r : ' :Sh.,. 1 ;/ . • {a exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial - use agricultural ❑ 1- and 2- family dwelling P. Commercial/industrial ❑ Accessory building a mp s for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or '.' , : : > �" r *rA e ; t ar;a :' .:sz -, _ ❑Eme sys tem. larger separatelyderived system. = 11141'41.4 :; ,t r; , . :' :O y; ?'6� . r ,. :�u�i':$itx�. � x,.= w.w���� .�'- ����,� <.F'�"c�'� ". *. :� � ?7i- i'�o =� :, ., n• ❑ • J� z,:,, - :. . ❑Addition of new motor load of Job no.: 8GD Job site address: 135 35 50 73 t A 100HP or more. occupancy. ❑ six or more residential units. ❑ Recreational vehicle parks. City /State/ZIP: ` b �' q Z ❑ Health-care facilities. ❑ Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no, e g Q 0 Project name: 5 L io t , ryt) ❑ Service or feeder 600 amps or more. � I � �' ` 0 iJrt " Cross street/directions to job site: D/ 774 //v, Description • Q ty. Fee. I Tofal I • - New- residential single - or multi- family dwelling unit Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4 Ea. add'l 500 sq. ft. or portion 33,92 1 Tax map /parcel no.. Limited energy, residential ry ;X ((�� �'r�' ., '"'' (With above ft) 75.00 2 '�lyt ,S�^.`^ :Yt .��, � '� .... ��� { t h ^'+SS, ' £ � ' ''Y M � I , � t.� wib ( `4Q. yti Limited energy, multi- family �I• reesidential tial (with above sq. ft.) 75'00 2 <i u ` Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70. , 2 rn 1.-k ' •w: , amps to 400am s 1 3 .56 2 - :',� �. i��'�i, .r,. ;� ;r�. - �?1� j� , Ps P 3 C,+ �,� 1111 .. :� "a... �. .. ..fir.. F n��,. - - .. ,"^ d!? ��' �� !��� ;�:�,r�y'>i2 ?'r :,�,(�� . 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 Temporary services or feeders installation, alteration, and/or City /State /ZIP: relocation Phone: ( ) F ax: ( ) 200 amps or less 1 59.36 1 . 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. amps 168.54 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with :Y AW! . +i`� r'" ` y ,'i. ` ' iki - : t , , . ^ � x:, above service or feeder fee - +a ' tit, � z;= w < ^ :_ t . . mss :•.1.., ' . , i> . ,;. fir: r = - EOl `t[F1" - -e r r y _ each branch circuit 7.42 2 • Business name: 13. Fee for branch circuits without service or feeder fee, first 1 56.18 tie .2 Contact name: branch circuit Each add'I branch circuit 1 7.42 - 2,, ,./.4 2 Address: Miscellaneous (service or feeder riot included) City /State/ZIP: Each manufactured or modular 67.84 2 dwelling, service and/or feeder Phone: ( ) l Fax: : ( ) Reconnect only 67.84 2 P{anp or irrigation circle 67.84 2 E -mail: :,. -1M A=31 t t „' `: t :. i11 '= ':r,. Signor outline lighting 67.84 2 - .,- A, ;'- '.,n ;.''.r� ;F :<F °. %' : �z :y _,..._'' : .: o .� va ^.,.` : " Signal ClrCUtt ( s)M limited-energy � Business name: �rl'� l gis (A lk Acrit panel, alteration, or extension. Page 2 I T I Each additional inspection over allowable in any of the above . Address: Pb . &A Qlt Additional inspection (1 hr min) 66.25/ In City /State /ZIP: LA.41 b f R_ q i 6 t3 ( Industrial plant (1 hr min) 78.18/ hr • Phone: (553) Jim- <to 6i I Investigation (1 hr min) 66.2.5/ hr Fax: ( ) ; — /t2Z Inspections for which no fee is 9000 / hr ✓ s clfica. listed 'F, hr mm O / CCB Lic 16 60 57 ectrical •c. :, . ', tr i ;I - 'rv. Lic.: y c , i TA " : f. lj i ` a ' Suprv. Electrician signature, required: 4 1 / J Subtotal: ■vu u AA _ Plan review (25% of permit fee): Print name: I "IL "- kinIMIIIII Date: State surcharge (12% of permit fee): Miff • Authorized signature: TOTAL PERMIT FEE: • r This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: • Number of inspections allowed per permit R . �� l:\D Aiding \Pemrits\EI.C- PamiiApp.doc 07/01/to 440- 4615Tp1ro5 /COMwea �',�r