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Permit CITY OF TIGARD ELECTRICAL PERMIT II - COMMUNITY DEVELOPMENT Permit #: ELC2011 -00350 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/23/2011 Parcel: 25101 DA00900 Jurisdiction: Tigard Site address: 7110 SW FIR LP 200 Project: Transmutation Sciences Subdivision: 72ND BUSINESS CENTER Lot: 9 & 18 Project Description: Electrical for TI. Contractor: BACHOFNER ELECTRIC LLC Owner: WESTON INVESTMENT CO LLC 12031 NE MARX ST 2154 NE BROADWAY, STE 200 PORTLAND, OR 97220 PORTLAND, OR 97232 P PHONE: 503 - 284 -2147 HONE: 503 - 327 -8872 FAX: 503 - 327 -8869 FEES Quantity Description Date Amount 2 crt Branch Circuits wo /Purchase 06/23/2011 $63.60 Specifics: Service or Feeder 1 ea 12% State Surcharge - 06/23/2011 $7.63 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $71.23 • 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 O� AR 952 - 001 -0010 through • • -. 0 6 " 2- 001 -0090 You may ' _ f t. - . - • -ct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �� - . Permittee Signature: WSW 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. ' e C t . i - r r a � - r . s,' °�� lectrcaermit A licatilon � Application �p� 1 , &a go, Current Planning } -� Washington County, 155 N. 1" AV, Suite 3501 WV n11 to, OR 97124, Approval °R 'tca Phone: 503- 846 -3470, Fax: 503- 846- 3993ni�wTv nn Tin An Project # Inspection Requests: 503- 846 -3699, ww L ,v'hsQE fclir aY t, {BI !� lV{ l , TYPE OF` :V110RK ='� S Q W� =' %��','`;;` h AN:; s :. �> , .. ` 'PL REVIEW = -:..,, - ES�� ^J -•r. .,��,� ,,,,,,as>. -•�� ,., - - «. ..<... w.. sew':- :� 2 ..- .,`�'Me >�� ._.,�.��',...,�,��'��. >- x -., ". w....r.4�: >�. - .. ..�c�: r'�•��. .,�.a ,_ ..,, w. ❑ New construction © Addition /alteration/replacement ❑ Other: Please check all that apply: ❑ Service or feeder 400 amps ❑ Hazardous locations ;,,; ; : „..:, . -,<� - or more where the available ❑ Service or feeder 600 amps or more _ '` Si ''ATEGORY__ OF•i :00:*1 :040 ", - ,: -;.� = ;-- ��s. :� ,.,� �_ � - , -... ....,� .�, „��,�. �. ,� a , ., �� -„ = ,,��,. ri, fault current exceeds 0 Building over three stories ❑ 1- and 2- family dwelling © Commercial/industrial ❑ Accessory building 10,000 amps at 150 volts or❑ Marinas and boatyards less to ground, or exceeds ❑ Multi- family ❑ Master builder ❑ Other: 14,000 amps for all other ❑Floating buildings ^: ^ '' w :Et' `: installations. ❑ Commercial -use agricultural - t ir. ;' :00)T 7 INFORMATION 4140 . LOCATION C �;? it buildings Job no.: 525 Job address: Fir Loop, Suite 200 ❑ Fire ❑ Emergencgenc y system ❑ Installation of 150 KVAorlarger separately derived system Tigard, Oregon 97223 ❑ Addition City/State /ZIP: TI ❑ "A, " "E, " "I- 2, " "I -3 "occupancy 9 9 load of 100HP or more Suite/bldg. /apt. no.: Suite 200 Project name: Transmutation ❑ Six or more residential units ❑Recreational vehicle parks ❑ Health -care facilities ❑ Supply voltage for more than Cross street/directions to job site: SW Fir Loop and 172 Ave - `c�;,�:���:;�: 600 volts nominal ,i, ';FEE: = �` °.`'�''F =y ^:;�; �, SW Fir Loop and 172 Ave . #:� �.. . .. .. a� p Description I Qty. I Fee Total J Subdivision: Lot no.: Residential single -nor multi- family dwelling,unit: °: _`"" ° �' 1 �: � Includes atiactiee ar a ' � ° a g ..g , r, z . �� : ,. < Tax map /parcel no.: 1,000 sq. ft. or less 153.00 4 •. DESCRIPTION ,oti VORK ` , `:' `w :• ' . Ea. add'1500 sq. ft. or portion 43.00 Limited energy, residential 61.00 2 Small tenant improvement (with above sq. ft.) Limited energy, multi- family 67.00 2 residential (with above sq. ft.) x '� , - N 3,-.,:,z..w�.,: .- ':, �f�h A :._::_„�;�.. ,,._ 4`e6 ^ - ": WTt #�'Y'. ...�,..: »3�`.`�'�....�. - �4�" h'-. te': t, 1... rwxat�g� ,;K+£3P':&;,w.'3,.,b„'.� "'u ❑ �: PROPERTY,�OWNERa . -�, ;,, . 'it'`' - ',4- ^`ri ' ; „ 16.14 or feeders rnstallahon" alteraton sand/or retocahon::, �_ _ Y .� ,� ... - . .,_ .. .w„ e�M. � ,:��. .a,,,�, ,_> ,'?'sr EN ANT °';�'.,,, : i ., � ���� 200 amps or less 92.00 2 Name: American Property Management 201 amps to 400 amps 122.00 2 Address: 2510 NE Multnomah 401 amps to 600 amps 184.00 2 City/State /ZIP: Portland, Oregon 97232 601 amps to 1,000 amps 275.00 2 Over 1,000 amps or volts 514.00 2 Phone: ( 503) 224 -9554 Fax: ( 503 ) 284 -8869 0:0p0 , servicesror ;feedersins'tatlation ;'alter Owner installation: This installation is being made on residential or farm property owned by me or a member of 200 amps or less 79.50 2 my immediate family. This property is not intended for sale, exchange or rent. (ORS 479.540(1) and 479.560(1). 201 amps to 400 amps 110.00 2 Owner signature: Date: 401 amps to 599 amps 2 °' s, r == w B ranch - ct =.new^ alteration "or'e 153.00 zteiisio ` e` an _ '� ;,, �,' A?PLICANTfeWIO .CONTACT I?ER a M =P..r..P _ ., >,- A. Fee for branch circuits with Business name: Bachofner Electric LLC above service or feeder fee, 8.75 each branch circuit 2 Contact name: Rob Bachofner B. Fee for branch circuits Address: 12031 N E Marx Street without service or feeder �yh e f 61.00 fee, first branch circuit 7. -,_ 2 City/State /ZIP: Portland Oregon 97220 Each add'l branch circuit 1 ,� 8.75 31VIIscellaneous. ses sce or`.feederxnoti i nN ;;'; ; 3- , ' Phone: ( 5 ) 327 -8872 Fax: ( 5 327 -8869 Each manufactured or modular dwelling, service, and/or feeder 104.00 2 E -mail: rbachofner @bachelectric.com Reconnect only 79.50 1 ;CONTRACTOR` e: ° Pump or im ation circle 61.00 2 w�., ��_�, �- , r . ��!�;'�•�.�'�.: >::...,.,...., .,. <a,,. >.�..�,,, "`:�a.... v:..., .��;,^��•;�,iF �w;��� umP o g Business name: Bachofner Electric LLC Sign or outline lighting 61.00 2 Signal circuits) or limited- Address: 12031 NE Marx Street energy panel, alteration, or extension. Describe: 61.00 City/State /ZIP: Portland, Oregon 97220 2 Phone: ( 503) 327 -8872 Fax: ( 503) 327 -8869 E addit oval inspection over allowable in any of the aboveas :' Per inspection 90.00 E -mail: rbachofner @bachele tric.com CCB lie, no.: 187062 (/f?-/ 1 3 Investigation fee (see compliance) Electrical lie. no.: C514 7 City or metro lie.: 10053 - Other: 1 vi ,i3 s Supervising electrician EL T EC RICAL:. R ERM "R'. F ESs` signature, required: �‘ J Subtotal G S (/,' Print name: Troy C nor 5625S jcj/ Ii) Date: 6 -16 -11 Plan review ( 25% of permit fee) / State surcharge (12% of permit fee) $30' °I iz i TOTAL PERMIT FEE " signature: `` �� f°4c This permit application expires if a permit is not obtained : Print name: Rob Bachofner Date: 6 -16 -11 within 180 days after it has been accepted as complete ,//,'/ ' ' Number of inspections allowed per permit. Revision 6/08 73