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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2009 -00198 T [ G A RD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/05/2009 Parcel: 1 S134BC00403 Jurisdiction: Tigard Site address: 12505 SW NORTH DAKOTA ST 401 Subdivision: Lot: 0 Project: Meadow Creek Apartments Project Description: Install 200 amp panel for site power. Owner: FEES BEL -EQR III LIMITED PARTNERSHIP Quantity Description Date Amount BY EQR -REAL ESTATE DEPT, PO BOX 87407 1 ea Services or Feeders 200 05/05/2009 $80.30 CHICAGO, IL 60680 amps or less PHONE: 2 crt Branch Circuits w /Purchase 05/05/2009 $13.30 Service or Feeder Contractor: 1 ea 12% State Surcharge - 05/05/2009 $11.23 VANGUARD ELECTRIC INC. Electrical 3800 MORRIS ST NEWBERG, OR 97132 PHONE: 503 -537 -5006 FAX: 503 - 537 -5019 Type of Use: Class of Work: 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 t rou OAR 952- 001 -0100. You ma obtain a copy of the rules or direct questions to OUNC by calling 5 246.6699 or 1.8%4.332.2344. n /� J� (l cnl Issued By: G ,In� �� X/ �� Permittee Signature: QQ 1 it t �J"" " 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'N 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. • Apr 29 09 12:47p Vanguard Electric qc3.cDS'Z.. 5035375019 p.2 Electrical Permit A ti E lica F FOR OFFICIO [SE om.l �i ' n City Of Tigard IVE Received 'f� nn _ - ; 1 a 13125 SW Hall Blvd., Tigard, OR 97223 UatdBy: "c' d "'l• 0� Pcmit No.: (CI Z - � ( Phone 503.639.4171 FaX 503.598APR 2 9 2009 Driver. ` Onule �C7 r f 6 / 1 i; f - Inspection Line: 501639.4175 Internet: W W W.tigard•OLgov Ready/By. Notified/Method: mis See Page 2 for .......:.:... (Try l sa 1 infax ifl New construction ❑ Addition/alteration/replacement Please check all the apply (submit a sets of plans wIitems cbecked below) ❑ Desztof ition ❑ Other: O Service or feeder 400 amps or more ❑ Building ova three caries. when the available faith omens 0 Marinas and boatyards. CATEGORY; OF CONSTRUCTJON exceeds 10,000 amps a 150 volts as ❑ Floating Nitrates. CI 1 - and 2- family dwelling ©Comraaciatl/indautrlai 0 Accessory building less to ground, or exceeds 14.000 0 Commercial agricultural amps loran other insane:Was. buildings. G Multi-family ❑ Master builder 0 Other: 0 Fire pomp. ID Installation of 75 KVA or ' 'JOB SITE INFORMATION AND LOCATION • la la rger y der system. . a Ad� Onof nw►moporload of Q �q� - E;•12+•,_1.3•. lob no.: Job site address SOS I 2 AV ' O rtk L a. ' a IOOHP cc more. /� ❑ m Six or more rdeatial mats. 0 Recreational vehicle Omits. City/Staterz>P: 77 ;� g a. r ci , t ) R #LE O ( El facilities. Q SayDly voltage for more than p Q "d01n locaticas 600 volts nominal. Suitr/bld $✓�• no. , Project n ame: site. To we - ❑ Service orfader600 ramps orsnore. Gross street/directions to job site: �i o Its f rry � 0,`tl1 i , leaf 4 ocecripdow f Ow. . I Fee. l_ lead - � Y Gt., go fa New residential single- or multi-family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1.000 sq. R or less 145.15 4 Tax map/parcel no.. Ea add? 500 sq. R or portion 33.40 1 Limited energy, residential DESCRIP7701Y, .OF WORK (with above sq R) 75.00 2 Limited enemy. 2-00 i4 r M e-fe r Mn.� n ]co r s I a-e po w. residential ..its R � ) 75-00 2 I Services or feeders 1astalation alteration, and/or relocation . PROPERTY OWNFdf I ❑ Tt?NANT: 200 amps or less i 8030 4).30 2 201 amps to 400 amps 106.85 2 Name 401 amps to 600 amps 160.60 2 Add : 601 amps to 1,000 amps 240.60 2 Over 1,000 amps or volts 454.65 2 City/State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) J Fax: ( ) 200 amps or less 66.85 I, 1 Owner instafadon: This installation is being made on property that I own which is not 20I amps to 400 amps I 10030 2 1 intended for sale, raise, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133 2 Owner signature: Date Branch circuits - new, alteration, or extension, panel A. Fee for branch circuits with .IOAPPLUCA (r - I • ... 0: CONTACT PERSON above service or feeder fix, A 6.65 2 Business name: Van g b. arc( E( c tr i C I c, Fe e h branch a h r ci r c !� 13;50 B. Foe for blanch titaaits Contasct name: Chri S F fA nee. without service or Seder fee, 46.85 2 first branch circuit Address: . �� Morris s, Each aadd'I blanch circuit 6.65 2 City/State/ZIP: Miscellaneous (service or feeder not included) I Je It} I e r 6.1 Off. 9 Z 13 Z- Each d or modular - - Phone: (a) 5 57 - Soo ( 1 Fax:: (503 5 So I q dwelling, service and/or feeder 90.90 2 Rammecs only y 66.85 2 - Pump or irrigation circle 53.40 2 COrfi RACTOR Sigo or outline leg 53.40 2 Signal ci uit(s) or limited - Business name 11an 3 acte et e_L +r G Zr1 a , energy wet alteration. or Address: 3 600 t l Co r err i 5 s . extension. Describe: Page 2 City/State1ZIP: 1\1 f_ k) b ep I (/ fl R 9 7 / 3 Z Each additional inspection over allowable in an of the above Phone: (Lp3) 637--. 5904, F Per n 62.50 Fax: (SD 3) S3 7 - 50 / Cf investigation per hour a la min) 62.50 CCB Lic.: 1(o li no C J Electrical Lie.: j,- D li C I Suprv. Lic : q 88 - Industrial plant per hour 73.75 Suprv.1t or 3fgabture, required: (Y ` 1 f I o• 1• 1 O ELECTRICAL. PERMIT FEES C.11 � Subtotal: f(3. (a D Print name: C.11 r 1'5 S• St r 2 h e E Date: 4' -Z q -6 `! Rao review (25% of permit fee): 19 t� sad ruge{89 of permit fire) -y '3 6 Authorized signature: /1 J . Y ,,s,-497,3-251,9 TOT AL PERMIT FED Print name CA r �'S J, c ��� - I Date: y -2_1 D This permit application it expires n s is not obtained within 180 • accepted m complete i atdi don wawa; 48ara1mr i srcoMiwn Nt®Dam of inspections allowed per permit t C' pne foo (P Jer 04.8