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Permit , CITY OF TIGARD ELECTRICAL PERMIT 11. ' COMMUNITY DEVELOPMENT Permit #: ELC2011 -00352 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/24/2011 Parcel: 2S101 DB01100 Jurisdiction: Tigard Site address: 7070 SW FIR LP 100 Project: Spec Space Subdivision: 72ND BUSINESS CENTER Lot: 13 Project Description: Suites 100,200: 2 branch circuits for TI. Contractor: WEST SIDE ELECTRIC CO INC Owner: CRUMPACKER, JAMES FEIR REVOCABLE 1834 SE 8TH AVE BY CRUMPACKER, JAMES FEIR TR PORTLAND, OR 97214 02107 SW GREENWOOD RD PORTLAND, OR 97219 PHONE: 503 - 231 -1548 PHONE. FAX: 503 - 736 -0677 FEES • Quantity Description Date Amount 2 crt Branch Circuits wo /Purchase 06/24/2011 $63.60 Specifics: Service or Feeder 1 ea 12% State Surcharge - 06/24/2011 $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 OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You - a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. • Issued By: _ / /_-i. .�� - Permittee Signature: ..� 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. Jun 21 2011 6:26PM West Side Electric 503 -736 -0656 p.2 Electrical Permit Apalic ; E I V EE D , 0 1 , , , ) , . 1 . 1 , 1 . . 1 .1 e)!t1 City of Tigard Received �I - - X r l •� 13125 SW Ball Blvd., Tigard, OR 9 12 2011 PI: , . R eview ' / i � [' I � - PI: R rrc Phone: 503.639.4171 Fax: 503.59r. 60 Daiele : Other Permit Inspection Line: 503.634.4175 er $ go C ITY OF TIGAR® NQ Ready/By: y: Internet wvvw.h and or v Nopfied/Mett � Supplemental fo n?- 1J }TM �r��"s t a n s r C : . r 1. �� -u t M 1 'i Ory �`' F �..1� "�'`f3 ?i.. 'fY � 7 � r ,:.� f, AI I r-Y.+s.. dx �, �.� } a Y ': K: a 7 •� � v.'mt*i,m,.r,.y ,'r't Information r•, +.:.?,... N ��ri+ ,....s - . ), , ;�- [� t .... C a'SHx ro �,._ _. ii +r�,�i'� :sirh��+Frx"' S '.Fn.. :. ��1tb7. x. :.�4^"�3�X�a..x." �' .� H, a: e: r. �i' �'( it�Ui :D?alM0%.'A ❑ New construction %Addition/alteration/replacement please cheek all that apply (submit 2 sets of plans w /items checked below); El S ©Tyke or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition El Other -.. ' a: �.� } irT rr' �; ;�` .�F.mrr s� ?�a o a:, � •^( -,�. , n + 3 exceeds 10,000 amps et 150 volts or ❑ Floating buildings. whore the available fault current ❑Marines and boatyards. 4 d 3 e 1 r t} w, st r x' t...0 a ,.� l .f�� z' : .n1T... q. }3!: __. .a.- a:^rkL •c: - T� -[m n,: iy7+r7n�ttr�lar�. .. r_��z 75 . S f� p5 �� less to ground, or exceeds 14,000 ❑Commerei al -use agricultural ■ I - and 2- family dwelling IK Commercial/industrial ❑ Accessory buildipg amps for all other installations, buildings. • Multi - family • Master builder ❑ Other i Cl fire pump. ❑ installation of 75 KVA or . 3'', Fla O;P • +s ' °" 4( i'' y : s' G vyr } -•,'a' '}�JV�t,A' Ais4+£ru�r2 ' a k .?" xsr TV,. Y M ❑ Emergency system. larger separately derived system. I _. ; :::r.'' 92.,rraw^rrwvc�dm �''} 9t ! ".`vi .dt.•. s kith ` '` r: : : r ' ±1 ❑ Addition of new motor load of ❑.. «l 2...:1 lob no. :.TS Job site address: ? 7 a S ■ lc J 6 dQ k0011P or more, occupancy. ` ❑ Six or more residential units. El Recreational vehicle parks. ity /State/ZIP: ! g a,.,i O 22 ' ❑ Healthcare facilities. 13 Supply voltage for more than G— J ❑ Hazardous locations vice or feeder 600 a 600 volts nominal. . uitelbldg. /apt. no.: 1 , o \ Proj name: �� f d ��� L ❑ Service or more. V ` •' y site: [y � r n�' + . e : +aw _, ,..:.••••)', s'� m 7N . t , k, }ii �l�i t : toss street/directions to jo s ( / ; f f < °ei0 ^ o ne " [ Orr l Fee. I Total I V New residential single- or multi - family dwelling unit Includes attached garage. .111)division: I Lot no.: 1,000 sq. ft or less 168.54 4 E add') 500 sq. ft. or portion 33.92 1 ax map/parcel n0 . Limited energy, residential igEM ,,�,� ht lal^ ex? e'e ?b. k., "+,sqG " )�, y; " ° " " ,�, us aR 9 ,,., _ , i i F d `' ;caw ,.. ..-r ., :aw».,,, ` „ : is :: !`_a.. , , , _ w ith above sq. ft.) 75.OU 2 2 /' , �[ Li ( mi ted energy, multi- family 75.00 2 vC (r //' v1 /—J r kit!? / fonPr© t-, 4' ff-t f residential (with above sq. t1.) Services or feeders instatlatio n, alteration, and/or relocation ( �.. i;x�.�a,u, ui }� rL�a ''- 200 amps or less 100.70 2 t3' :�ad i .t' - ar e h%w•w ` t i ' a.. .5,� ~`,"r4 ' •bi:.. 1 0 ' ' } `, ' :� 201 amps to 400 amps 133.56 2 time: "emu 401 amps to 60D amps 200.34 2 ti01 amps to 1,000 amps 301.04 2 - ddress: Over 1,000 amps m volts 552.26' 2 ity /State /ZIP: Temporary services or feeders installation, alteration, and/or relocation 'hone; ( ) I Fax: ( ) 200 amps or less 59.36 t • net installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.D6 2 mended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and :701. I amps to 599 amps )66.54 2 Branch circuits - new, alteration, or extension, per panel • vvner signatur Date: A. Fee for branch circuits with "fa • uq ,p � " 1r { µ}} ;ra '''" + ' ;Sid' above service or feeder fee, ti" 1 1 ! ..a : ,.u.: _ �. ' a r„ri,TTA„ % ` . „`A Mi s ill.. 4 tio. 4e1 :3W3� above service circuit feeder 7.42 2 I : usiness name: B. Fee for branch circuits without '' 1 � T service or feeder fee, first / 56.18 s� 2 ontact name: 21 to branch circuit /� e t J Ehadd'I branch circuit / 7.42 `?.� 2 Each manufactured or modular ddress: 4U Miscellaneous (service or feeder not included) modular ity /State /ZlP: dwelling. service and/or feeder 67.84 2 hone: ( ) I Fax:: ( ) • Reconnect only 67.84 2 _ P utnp or irrigation circle 67.84 2 11]811 S i n or outline lighting r3}1+l ao u4 •:r ;, C s N �4yw w NC nu i L: i + } B rg g 67.84 2 ' T23' ` h •.' gtgalt S ignalcircuit(s)orlimited-energy uSirie33 name: panel alteration, or extension. Page 2 2 W Side Electric Co., Inc. Each additional inspection over allowable in env of the above ddress: 1834 SE 8th Ave. Additional inspection (1 hr min) 66.25/ hr ity /State /ZIP: Port land /OR/97214 Inves 66.25/ hr Industrial plant (1 hr min) 78. 18/ hr ' hone: (5 C 3) 231 I Fax: (503 ) 736 - 0677 Inspections for which no fee is �/ - s crfieall listed tech- min CB Lic.: 13306 Electrical Lic.: 26-].35C I Suprv. Lic.: 46 54—S *.. rte: �z1 -;,' ry":��""� �" ° p ` '—:''''' 1 r . uprv. Electrician signature, required: j i� ! Subtotal: 3 �== Plan review (25% of permit fee): Tint name: Randall F Roberts Date: State surcharge (12% of permit fee): 7 e =s • TOTAL PERMIT FEE: 7 � 3-3 • uthorized signature: This permit application expires if a permit is not obtained within 1110 days after it has been accepted as complete. 'Tint name: Dace: • N umber of inspections all owed per permit. I: ∎ ; eildisg\Femms1ELC•PormitApledge 07/0100 440.461 ST(II/05!COMIPIEB