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Permit ),P, h ' CITY OF TIGARD ELECTRICAL PERMIT '� . 2 -' •' COMMUNITY DEVELOPMENT Permit #: ELC2009 -00464 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/08/2009 __ Parcel: 1S126DC04800 Jurisdiction: Tigard Site address: 9495 SW LOCUST ST Subdivision: Lot: 0 Project: Oregon Medical Research Project Description: Install 10kw generator for (3) freezers. Owner: FEES BAKER, JAMES & Quantity Description Date Amount MATHESON, ROBERT T &, BAKER, DIANE R, 9495 SW LOCUST ST STE G 1 ea Services or Feeders - 200 09/08/2009 $80.30 amps or less PHONE: 2 crt Branch Circuits w /Purchase 09/08/2009 $13.30 Service or Feeder 1 ea 12% State Surcharge - 09/08/2009 $11.23 Contractor: Electrical DYNALECTRIC 5805 SW HOOD AVE PORTLAND, OR 97239 PHONE: 503 - 226 -6771 FAX: 503- 226 -7720 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $104.83 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 gh OA '9 -00 : 00. You may obtain a copy of the rules or direct questions to OUNC by calling 55 46.6699 or 1.800.332.2344. Issued _ 0 ' _J' .. �� Perm ittee Signatur•. " tl�. __ ^:, 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' C:R _/ Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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. .: . SEP. 04. FRI 08:09 DYNALECTAIC SALEM FAX No, 503 391 -2817 P. 002 , \fjr , Electrical Pelrmit.A.pp1 ,- FOR (VICEUSEONIX C E \ i City of Tigard IN a 71 ®4 200 Received a -7 El ( Per-m- E Q/c ao 69' .: " 13125 SW Hall Blvd., Tigard, OR 972 t? Plan Review ' `t/V Phone: 503.639.4171 Fax: 503.598.1960 p} Datefay_ Other Permit: `T1GARD inspection Line: 503.639,4175 C t „ t I�,11. •x DIVISION v OF "iIGpB Date Ready /By: -- ron ® 5ee Page 2 for Internet. www.tigard-or.gov t r r � Notified/Method: f� Supplemental Informatio ai 7•' .A , p. 5 t ,1-1• r A =� ;tfee k« as !k" .,, : F ' : {x X PR 'e" r: :, h?ia t,1. i �� e s P lease c heck a ll that a p � � � ID New construction 14 Addition /alteration /replacement apply (submit sets of lens w /items checked below ) ' ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available thult current l7 Marinas and boatyards, r6'7i r.)y;V.n ti ;r ''Sblat` R5 �, 1�'I . r vn�. t ,t %iy exceeds q '1', ,y r t 0 t* 0 t to ii• a �? 10000 at 150 10,000 amps a volts or ❑ Floating buildings. �;�7�':V,tlil:l' }a lJtrar�h'1M�k �n � 'v 7�1. � �.�t' : ;l�"�t�� x�a3� 1 Y :41-,i? p g less to ground, or exceeds 14,000 ['Commercial-use agricultural ❑ I - and 2- family dwelling DI Commercial /industrial ❑ Accessory building antes for all other installations. buildings, ❑ Multi- family ❑ master builder ❑ Other: ❑ Fir. pip. ❑ Installation of 75 KvA or r, r \iiR \ k , c r, ••u r „• ro + - r.� a Emergency system. ', �g t' i y ,� f s ❑ Addition of g y larger separately derived s stem. rtq; . ak <i� R 8 6 Y = �hb�i r7 o motor load of ❑ Y �0 ,p ; lo olip or more, oec at. Job no -: . i� � Jab site address: . 9 ' r n Six or mare residential units. ❑ Recreational vehicle parks. City /State /ZIP: • e'%''' -"Jos( ©'''. El Health Bcillties. LI voltage tbrmo than ID Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: Ky . ' ❑ Service or feeder 600 amps or more. Cross street/directions to job site! _.1_.A ∎V a 'la " �Y ` S '`,> iiTtin :T ''iliS? {. ;,:; ; :�f Descdptlon a • Pee Total x New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map/parcel no,: Ea. add'] 500 sq. ft. or portion 33.40 1 - — Limited energy, residential' 75.00 2 = r • 1 e t� i �,Tir m�^ H 1 't G ii. Z f � t Y`b u; ° ,V '4.1 �� r5 , 2 .6: c i' u.. { :r 1 ti rx, Via. ,,1s na y �{:''• (with above sq. ft.) 0 �� Limited energy, multi - family • / '4. _ f ' : ; +. Jy� - e� residential (with above so. R.) 75.00 2 AP' Services or feeders Installation, alteration and/or relocation � '. .. b.s e a e 200 amps ar less i $ 0.30 f0, 2 �. ., . . f e r a l iA RV-� tf W dY gik : ,, " I,`i ` . rG7 0t r .. x ra a " ` 0 201 amps to 400 arms 106.85 2 Lek Name: 401 amps to 600 amps 160.60 2 - '^ - 601 amps to 1,000 amps _ 240,60 2 Address: Over 1,000 amps or volts 454.65 2 City /Staff /ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( • ) Fax: ( ) 200 amps Or less 66.85 1 Owner installation: 'Phis installation is being made on property that I own which is not 201 amps to 400 amps 100.3 2 • intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133 -75 2 Date: Branch circuits new, alteration, or extension, per panel Owner signature: 1� i t . pp ' ; �: - �, a LkL i r A. Fee for branch circuits with do t q,1 l. F / lts ;s. rW� ir+i); 's y ls.t 1 �tr,;7 +i,.n1. abovoservice or feeder fee /1 Bust err rl4me: each branch circuit , 2 6.65 ./3 v � 2 __ P F ee for branch circuits im' y without Contact name: Q /7 / a first t branch circuit 46.85 2 Address: Each add't branch circuit 6.65 2 `— - Miscellaneous service or feeder not Included City /State/ZIP; Each manufactured or modular 90.90 2 �` 1 `� J dwelling, service and/or feeder Phone: p - 4 / 9 Reconnect only 66.85 2 Pump or irrigation circle 53.40 2 .:',9a.,`•.i.,ilil ;,Wj a At {;;r . r v.i rM. ,i .el.i4,„M '. :": "1 ;'i• Sign or outline, lighting 53 - 4 0 2 / 7� „ r/e f Signal circuit(s) or limited - Business name: ���`'" energy panel, alteration, or Address: V 0 O , } 40 y � d _ extension. Describe: Page 2 2 City /State/ZIP: �� /� zy r' � �. ! Each additional inspection over allowable in any of the above �h� � - 7 Per inspection 62.50 rr Phone: 1 ' , 77 F; : („503) - � � � r ' / 7. AillP Investigation per hour (1 hr min) 62.50 GCB Lie.. , a 79 Electrical Lic.: ' ' '-sf" Suprv. lic.: t Industrial-plant hour 73.75 _ * Rib V:st 1;; n '�P ' tt+'k',, , .tw i '�v / ... i , ; , c :. ��, �lC l � ?'. '. ; {:i ",�, in .�,��,,..« � � �k.> ��' �Ai� •v,t�('�1'� :�,Ia�.M1,�_ ? } ' • tj Suprv. Electrician signature, required: .. �' - J .l l�% �r .l , Subtotal: Q . t,/1e9 Print name: iA.ILt r -` 4 -' Date: ` hI' Pl re view (25% of permit fee): a State surcharge (12 of permit fec): Al A 3 Authorized signatur i ! � `,/7 TOTAL PERMIT FEE: l4" T g EMMEN / This permit application expires If a permit is not obtained within 180 Vii, / Date: /��� days after it has been accepted as complete. I:,Huildi \Permits \SLC•PmmitA doe 05!23!06 • Number of inspections allowed pm- permit_ n8 pp 440.4615T(t I/05/COMM/TR