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Permit CITY OF TIGARD ELECTRICAL PERMIT 14 ' : • COMMUNITY DEVELOPMENT Permit #: ELC2011 -00667 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/30/2011 Parcel: 1 S 134AA01900 Jurisdiction: Tigard Site address: 10105 SW NIMBUS AVE Project: Burger King Subdivision: IKOLL BUSINESS CENTER, TIGARD Lot: B Project Description: (5) branch circuits for appliances. Contractor: FIVE STAR ELECTRIC, INC. Owner: ROBINSON, CONSTANCE A PO BOX 555 BY KILLIAN PACIFIC LLC BANKS, OR 97106 500 EAST BROADWAY, STE 110 VANCOUVER, WA 98660 PHONE: 503 - 324 -0948 PHONE: FAX: 503 - 324 -0973 FEES Quantity Description Date Amount 5 crt Branch Circuits wo /Purchase 11/30/2011 $85.86 Specifics: Service or Feeder 1 ea 12% State Surcharge - 11/30/2011 $10.30 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $96.16 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 co• of the • direct to OUNC by calling 503.232.1987 or 1.800.332.2344 1 Issued By .% `_ ■ 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. prerilirr% Fax; Nov 29 2011 10: 21 am P006 007 • City of d Ti an, ReceitEd Tigard DRateB : /f Z y Pe nitivo.: //,, ..., : 13'125 5W I'Ia11131vd,, Tigard, 'OR 97223 NOV 2 9 2011 Plan Revicw i r • ��. Phone: 503.718.2439 Fax- 503.598,1960 Dare/5i Other Permit' .1 1 • • I - Inspection Line: 503.639.4175 • • • „� • Date ReadyBy:. rvos: /� 8. See Page 2 fora • • .Internet: www.tigard- or.gov '' Uri', OF. T GA9D Norii c.tifiVbthod: ' / /(7 6upplcma,sal rafb,matfoa. •'nr,� .r. rr , r , i r .I =,"*+ %';,, i1" /r dF;, �.�rr ra °r �rY' %'r %, r:•, -.Y. °.�:f7;',:;rrXrF�;� %T,&: '•Y . r: "; �:.. ,. r, .. n .. .Nr•iN..- �..r � ° "n�::rrr— � ^ -.r,_ _ _ /'i. :/.,, .f,,:r .Jr ��' :��,is'Er 1„ • r7; s "r ",.,r;•�•, ,n... 6 / /r` !r /`: dJ :. .., /•. ,:LJrurr r.'. .t Y,:. v2>t ,fi,,. ✓P .J,. ! , / k . r , .I , r. _ /r, a =.,.,.,ar „✓ .. n ,r: .N % „rl, -. , :ir' �:. �.�...r. ,, ✓.. / „ ^, - wr /.., �l, ? �fi)�i ?: r.. r dr. I ,( ,r _( , rr,r ..r.Grc r,., / 6 r r. /'•r, ,� r,. :! r. r.. �,r •rr r:��r r .,f ,••t•; ,.,.d<, r:: ./ .r .s !;l ! .. /,;: ''rc�,• �•.�� G,r �r . /J ,. •/ rPe„ . /., ,1. . r,.. r . . // r: �l. ,' a r, .:/ • c,,, , l,n..r._ / „c__l. u,.crc ri,. _�cldJnr�,.,,,.,.,1.v /i?i�df�• .. i,lrt, � r. I/ �r..,r' s ,.,F .,✓a` f ,S'.+r rd/ . 4, J. „,�, c �� 1,�d. a,h., a.t.a. ,. 1J(`•�'` �'r�r. ....:; r:!'ti'_, ifP.2.,uaG.'d,., a< �... �c,_.r)'w�c, /.' ri._ <a,�)un ::r... r..i �f,;<fr•i`i !`li7,c,:..,�,„•,( „!r .D New cofstructioxl Addition/alteration/replacement ?lease ob ck all that apply'(submit Z sets ofplans.w /rums cb6ciced below): • © I)etzaOlitiOtl : Q5cryioe or feeder 400 amps or more ©-Building Over tht'ee•stories. • Othe ,rrr :x- r ;'..,::,; ;,,,: :.;,,,.: ; y . : , ,,,, ;,:, - ,, - r s: r where the available fault current ©Nlarines' and boatyards. ' . , r .;j : %!iii` % ' nxls' iy • • � rF 'r'';`. , „ lY .r �;c7 ii ^i, i .. nl ' �fr; "r:i •vl„ � %t • ,n , .r ;rrr ,. ,l: r r! !S. �,:r;Y':^ �;'!:`•; Gr :�� '.`'y. v rs�'SFi 'i %i " ' r. 4 ' " %i' ^cvr. : i 1 %,, ,.( .d,,j ..` :,. ,.i, :ii. • =•r,., /�rr, r / .,( >rrrr;'r e� . !d:r �.:, r -i . .x;.=.ky•r� =: .,f�tr ..:. ,. :rr .,r.r eacc adsI0,000�D satlSOvolt •�Flo b >V, %+�,. z=;nyl.•�>.l..r :'; ;4 %,.1. ,.rY,n . +r�r,n„ .l. :,: ui, !r. " ";'md. .f,.,�5',: �; /.r. ��i� P B trilditigs., :fir..,,a/,r:k:., {,,, ( .4S: ! ,! „rri:^ :K ..Ir.>. ; „=,i;v . f : i.:Y.i,. !�,7 nr,;n,,.,;Jeir r.nr,., < +>'y,,,, • .. • :,rr, ,lx „n, ,r,7,<,.,<br uri. ; d . r:, ous; 7 ,., frzr P . ;i: ..•.. 1ll iz iJlL' ;:. ,s Sft i3 less'toground,-or'exceeds14,000 I]Comm ercial_ a• D 1 -'and 2- family dwelling f Cotntriercial/mdustaial: ❑ A,ccessoty building am f or.all.otklax. iuStraUzttioms. buildings. • �] Multi fairllly . . • Master builder . . tiler, Clare Pump C� lu srallagou of7S Kv.A D0 or 1r�!!. J ! r rr:4;., . / :,1.r . ,1;,, f :::u•',:. .�.,r r ,; n.r � r4'G, r;k�' r::;)< '', f ' s,,r.. x�:: -rs,r° v:;+r... .r f`�r /,.rf,r ..,Y.,,,Yy.�G” f.rr 'r "r�.'. .'G + e;;74„ 'i:, 5,! r,H'' .. r. ?c,7r",.r `F %h ,r, ;Yr' ": , ; , ailHF7 ' :'r:r!!us: Q�•mer D '6 Sfem. .. , ./ (d' .. r,'l , .aJ.. .6r, :•. /,N /4�!y. , y:. .; •nsf r , .r /,'. ,•1 , , a ' a !rs „! ,J_,,(si+:. 8e ,e1' Y #airgcr separately d�ivcd s ' fes "l:' •. >'- :, r ,t j4,!• >•r., ,vrrr ' i'�`ra • t : 'u: , /,,:.. ,,4 ; .,,� �+r <,, /r1, . �'r k�” J' D .Y't.. :`JS? +' &. J - vJir'. : 1• r,a'.. 1 ,r,� ' > %7' ^a: , ryi „7 e .. ?J• /+t'S4' v.:� . , o-.C�: ^:G'” ..,ti� .l Bic' . r!1.... sir %' �� .. ,: : 'rr„ . s >.,'. ';', f r r r��r ,r.an,.. ., ,,.. ,.c...,f.G'. :.:r,.. , ;jtlrila e � /�rfa /...f M Rc k:7:,:;f.'� [�'Add1t7 OD ofnew Motor load of "A ", "E", "1-r, "1:-3", 3 >;, Job no::, FS2611 -17 Job site address:. 101Q5 SW Nimbus 1 or more.. • occupancy. • • . ' lQ Six or more residential units. ❑ Reereationat vehicle parks, • ' City /State/ZIP' Tigard, OR 97223 0 Health-cite fadiiiiim: • ❑ supply vo1 g fo more t h y , D Hazardous locations. : ' • . ' 600 volts tomiaal. • • Suite/bldg', /apt. no Project name: Burger King 0 oz £cedes 600 amps or more. • & , Cross s11 ei 4; i fIcri � e;r %} street/directions to job site:, nexr;a� . oo- Pe® roil: • New r single- or multi- family dwelling unit . . Includes. attached garage. . • Subdivision: Lot no,. - 1,000 sq. R. or less 168.54 ' 4 Tax taaap /parcel tan.: . Ea' add'15 ft.•orportion 33.92 I r ,.: ,., „ , ;r;r. r r. n: r• r,;:: per:.- i-r-'- - - -'sr,: - - ::,.c,.L,1tlJlte$ en rESltlErrl151 r=, ,i;'. r,(ru .r'•: , �;n5'i, rC t. ..•C „' :'; ,, " 7;:c ? ` %t`r. 7 S.AO • %4$� of /:p..,." r�rLr , :, ✓...rr ; ,.yi;:r :<�1: q<•'x ' &'s. %: ^,, 2 Gr %o ,p(rir ,. s , r k., <h, ..:'tf.C. `� {q �. r:rz, ( ;; , .;r %' � +i'' S' a - ;`:1iii ,r :f�,. „:; I %” r ; with above . ft. •r % r. of . .. r . ;,4�r,G' '';,+ . 3'�:r ( Sq /,. ,'. ;: / f :!r:,;;: , •, :i. ; ::n; ^,.; o.n >rr „r.. %''ir,F. r %r 4r.• = =- �r >'�':`i'rr,r ) ..:_ , n , ;a , u , r ,, . ,, n. ,, .... , . , + r:: L:: V JJ. Nr.(:? r.. � L y. j. � , 7;;: , ::rpu,c , ,r,•::. r 'tE:r. fit...,, err:;.,,,. w,. r(/- ril.,xffi��'z�,L.u:,r.,InLd:k.a<r FTiz•rS,t�v$,� { %,!r. ,r:dr /.rt,,; /,6 ?:: ,.,l,,: • , .Limited energy > 'rflUlti , family • 75.00 • 2 Applianee Cireuits • • residential (with above sq. ft.) . • ' • Serriees or feeders i nstallatiou t alteratioea, and/or (T104atio11 200 amps or less:' 10030 2 -.: s., rr a;= r::H„• r. r;c::!isrsr<� >.; ; ;- :,.:,, r:..:- , ; , . , :: ,..:. _; i..ar: .. ; :. _. :,'r. ; .�, v : - "i ", d ;r.r;,7... e .,J ; .v,..r r �, • .,; r : ^: ✓ . > rnr;;; i:N:'^ wvrr • 'C "f":::ty "'4 " 'tr'';:r , 201 at ips to 400. amps 133.56 2 Name: . 401 amps to 600 amps. • 200.34 2 601'ampsto1,000-asnps 301.04 2 Address: : Cher 1,000 amps or volts . 552.26 " . ' • 2 City /State /ZIP: Temporary services or feeders installation, alteration, and/or • relocation Phone: ( ) Fax: ( ; . ) 200 amps or less .. . 59,36 I Owner installation: 'Phis installation is being made on ro that I own w s' not hich i 201 amps to 400 amps 125.08 p '' P4 401 amps to amps' 168,54 F 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 ,. ' $ � ;n• ^r„,Sr • rr: %' :;:err'; :✓srr ... ,xar :' i.4q: ?r, #:,ln. ,..afi:.:rrf, � � ,.,7 :r..n- r,Y;•,r.r:..;c.;.,�,:riP !., abD !:r.•r r , .,. , r; , r. % s r y ; : .4, C V a servi C1), Ctrl ce or feeder fee, .. / /;,h "i7 ,ru'::;r••,v4,:n.:r', '; riirr p:, r ../ /l:ar,l,a ?�7. /r. +': §3 /q, :Nr(,.dl': >i:i' i;r iE�. 'r, /n$n,l:r ,vl�r• �,, %'. ,r- 's::ia )a. ,,,(;. r ';fr,,,l; . , i ",. / , �' ...! „' . "i'ti;:'1S, �''�'.'•; u "s 'r�! ,=, � (Lr 7.42 rr..,.,.r.,r,Lru.. ,. 1e..Gf ,,., �d , lr l.,.,.., xr r;,:° r; n,[ rrr: a,,._. r. 4ii:, rA.,,..... reV. s;' if:,,.,,,, r..•!-,,, ..l,.:Y;.;9rrr;.:,.,....,„ .... r,, ,.,, trr ,,. !'.., r,T.::,.r.?.",a,;,,.�..6rh5:,.. e8 �'aC1 Business name: . .. . B ' Fee fbr circuits without ' : service or feeder fee, first • 1 56,18 Contact name: branch 'circuit • . . 56.18' . Each add'l brunch "circuit 4 7.42 • 29.68 Address: Miscellaneous (service or feeder not included) • • • . Each manufactured or modular • City /State/ZIP: dwe lling,'.service.and/or.feeder 67.84 • Phone: ( ) F ( ) 'Reconnect.onl • 67.84 Pump or ' irrigation circle' . • 67.64 • • B- taa�il: , ...,,, . . lighting . 67:84 r,r!ir .,�1!!,';i, j:�iJir / / i /A f, /4! /mY,•tt��;:xr1r✓i ° rinr "G lr, ,r.:F�l.�+;y� /Js: ;J {'.;� t�$r�rkz vrK 7k 3ry,�liy ,,, % ✓r> .S .. z,., rn.1: .,�:.,,l.�r .,Yflri f! aT %„ +c. iC,, Ni,.r.,aa:rsr•c<;;:�a, %Nnn::r[. G( ,t ! rr 4 rr,w,a gr � 1 g n31�� ,tYC(IAt(S) OrliltlftE(I^8ner�' Business atone: . Five Stir Electric, Inc. . • panel. al canon, or extension. Page 2 Each additional ins . ection over allowable in an of the above Address: PO Box 555 • Additional inspection (1 hr min) 66.25/ hr • City /State/ZIP: Banks, OR 97106 Investigaciort (1 hr men) • 66.25/ hr Industrial plaitt.(.1 hr min). 78•1$1 hr Phone: (503) 324 -0948 Fax: (503) 324 - 0973 , inspections for which no fee is 90,00/ hr. s. cificall listed.(i4'hr'tnin W' g ;i': %s1?'<i % " ;: 4' iiy;: v,.• rp;: d[ %:!c „ �;y ^F.r3r -r. CCB Lic.: 155231 Electxieal Lic.: 34 -665C Su v_ I;ic.: 4.6225 • u.r../ ;;.<(, d,'�r�,,,r:r.J-,n -r,G. elr.� l•, ,.., (. r.. r6 .....,_, r I lrl.,..r� /, ..x,.,w. LrCc rri� Supry ] lectrician signature, required: o Subtotal: • 85.86 . Nan 'review (25 /o of permit tee): Print name: Royal Stearns _ . • -, -Date: - 11 /29/11 State surcharge (12 %'ofpermit fee): 10.30 • • Authorized signature: TOTAL PERMIT FEE:: 96.16 • . This permit appltcatloia expires if a permit is not obtained within ISO Print name: Date: days after it buss been accepted as eoruple .. . • Number of inspections allowed per permit, • i:\ uil4lacr\l 'aradsAEi.C- 7?ar0)itApp.doc 07 /01 /10 440.4e151(I1ro5/COM/WEB . •