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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2009 -00195 TI GAAD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/05/2009 Parcel: 1 S135BD00100 Jurisdiction: Tigard Site address: 9600 SW OAK ST 400 Subdivision: Lot: 0 Project: Plaza West Project Description: Install (4) branch circuits for water heater, and cadet heaters. • Owner: FEES PLAZA WEST LLC Quantity Description Date Amount BY NORRIS BEGGS & SIMPSON, 121 SW 4 crt Branch Circuits 05/05/2009 $66.80 MORRISON ST STE 200 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 05/05/2009 $8.02 Contractor: Electrical OREGON ELECTRIC CONSTRUCTION INC 67 da Investigation Fee (Equals 05/05/2009 $66.80 1010 SE 11TH AVE Permit Fee) PORTLAND, OR 97124 1 ea Investigation 12% 05/05/2009 $8.02 PHONE: 503 -234 -9900 Surcharge FAX: 503 - 535 -2763 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $149.64 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 oug OAR 957001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1 800.332.23 Issued By: 7\ kV \A ,_� 1 Permittee Signature � Q, W Mt O 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. 4, • MAY- 1-09 11:10 FROM-OREGON ELECT MA 5032349900 T-606 P.001 /001 F -188 x- Electrical Permit Application , r, FOR OFF ICE USE ONLY City of Tigard at ey: By: Y • 1 , C (.4..b Permit PermirNo.: c • �ts ? 71 ■ 1 3 1 2 5 5 w Hall Blvd., Tigard, OR 97223 MAY 0120 e Phone: 503.639.41 Fax: 503.598.1960 D B Permit: Date/By: _ T i C A ft D Inspection Line: 503.639.4175 CITY OF TIGARD Datc RcadyBy: El See Page 2 for Internet: www.tigard- or_gov Notified/Method Supplemental Info II , i1 rmatiba i,e� y��hiIli.� Oil- �t�. q � i.ar ��^ :� ° ` � , w i r y. m �: �. :0-^, . y�''itr 'w(t si .':>'�11•a. ?u'•(��.''�9�L�c'<�U.'.`:�^i� = •-K.,� . ,;; Q/a.: ;�: +_'�cls..�r %�' -" ��� ' �... �, -. a' .G :�'l�,Jr,_��'' �::' . ,•' �^ '.;!I: 7� ,.' ".,,qq,, Please check all t hat apply submit a sets of Tans whtems checked below): ❑ New construction Addition/alteration/replacement aPp y ( p 1 ❑DemolitionOthet ❑ Service or feeder 400 amps or more ❑ Building over three stories, t _ where the available fault current ❑ Maubms and boatyards. tV' t } 2 � PI. jr,,.x ` %r41 £s` 0 �f: 1 i it . ar t j S exceeds 10.000 amps at 150 mo El molts or Floating buildings. �. �.i . xi`.4 t:r r S:'�'�c., -., !R1 00 7 .. .. _. vY1, .- ' ���:rrON h , l�i.? , �a.' r iFr �.,e].K".. � ,.+d• leas to ground, or exeoods 14,000 ❑ Commercial use agricultural ❑ 1 - and 2- family dwelling NIZCommerciallindustrial ❑ Accessory building. amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other. ❑ Fire pump. D Installation of 75 KVA or i:x :# ;' ='' r a I � y�.i y � O Emergency syste 0 larger separarey derived . •' m?� *' '•'x.... � �>.r ..-.: �..I.. • , .. �. n ; _ ...... .. .. ....... 'T,I© O . O r.:,... • c �.. � . '�' -• • �"+ "'- Addition of new motor load of ❑ ..A....E,... , 2 ", - 1-3 - , Job no. :13 5 (,Q1 Job site address: R 1Q00 6u) Oak S7 , 100HP or more. occupancy. �-7 0 Six or more residential unit:, ❑ Recreational vehicle parka, City/State/ZIP: -5 t � r a g. 47 700,2 ❑ Hcahhtsre facilities. ❑ Supply voltage for more than za 1 D Hardous locations 600 volm nominal. Suitc/bldgiapt. no.: I Project name: '7 14 7,4 J35'i L ❑ Smvire or feeder 600 amps or more. . Cross StreevdicectioAS to job site: 4-�'��`. '"+A;! y' t li l»'t 11 :E�iFe`:r• "'li(1 �.i: y hd nne.;prc I Ot,. I a "1 Total I 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 ti '�= �t rfip , h lF� rl . f h'r:. { - 75.00 2 , +, ` i t i. t.� ; �' .1 ' .F Cl =NO'* *{O {', - I < , rf y ` •'�w:,•a'. p� i 0' (with above an,. R) . ma ` 1 T) i,.i energy. multi- family 75.00 2 t`r residential (with above sq, R,) Services or feeders installation alteration, and/or relocation � ` •� �' r� .y 201 amps 200 amps or tess 80.30 2 ; e- Y'1,',.1 '.,' 110_ ll'ir* 1r?;`QV 1E'IFi:+I }�:1,- 41�.(s h.,.'.! 7 + : :p 1 -. . � '� I: '"� L t, , .I .': rti. 'tr . _ a to 400 amps 106.85 2 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/State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps 10 599 amps 133.75 2 Owner signature: Daze: Branch circuits— new, alteration, or extension, per panel i. ,r '� e , - y . r r ... r r — A. Fee for branch circuits with �r'l,:a•:•• K e.:1Y -0l0 ri /`:1 �fi .ti,. r 0.. !i. above service or feeder i!1r'r.Tiii r ~ )~ ,t ¢{ F =,ii. O ;.COIVACI%'d'IrItS01![, fcC, r t', each branch circus 6.65 2 Business Warne: 0 • OV e €av I. G- A c j / ) ) C B. Fee for branch circuits iAA ' , • „ 1 �/ 50. - gq f rj .- + f� without service or feeder fee, Contact name: I - ( �'[� T -1 O[ J , first branch circuit 46.85 ( HP' 8= 2 Address: 1 e-0 SE (I A Each add•I branch circuit 3 6.65 ($.Q5 2 f � (J A K C7 � 14 Each Miscellaneous (service or feeder not included) City/State/ZIP: a Each h manufactttr ued o or modular 90.90 2 ( 434 -g c/Q F ax :: ( R3, "IOW rOO Reco n e service and/or feeder Phone: �(J� a( �( - �TJ Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 pane a ": e. ;; ;. ;: ;''' - lri -2'Ik'�y 7 � 1 rr 7 f'��r.^ -:a t +t t " ••;:�•."' %•.r.• Si or outlineli li ghting .. :K. .5 ti. , risCQ / }ahlvf�:.iN���♦I ":.. 7 ��i �• PY'= �!,:. "�- ' .. ... rF: . ;.):... i+ * -`r ! ri 53.40 2 ng _ Business name: O• 1eC `� ct ►G n, Inc Si gr u l dr,uit or limited - �J r v energy l, alteration, or Address; 1 0 1 0 l I÷i'l occasion. Describe: Page 2 2 City/State/ZIP: 1b 1 -! I 1 v1 A OK 9-7,z 1 (4 Each additional inspection over allowable in any of the above Phone: (J 93 C 770 1 Fax: ( j) IR34 — 10Q 1 Per ve s ti ga lo on 6250 1 Investigation per hour (t hr min) 6250 CCB Lic.: QO3 I Electrical Lie.: 1p —q 4 Suprv. Lic. • Li g «5 Industrial plant per hour 73.75 / .:,e. • ::r , : ; P.ER1I rIT5,'FEES -': y: <'et _, ' Suprv. Electrician signature, required X Subtotal; (p( - TO Print name: yE, / if A '.4A • Date:.. ..77./ Plan review (25% of permit fee): Stat D y e surcharge (12% of permit fee): - 0 j Authorized signatur<��� l / TOTAL PERMIT FEE: 8 1 J Print name: I I , e. tit vl , r .e Dare: 5 1 a This permit application expires if a permit is not obtain within 180 days after it has been accepted as complete. • Number of inspections allowed per permit. 1: 113 u 0 dingTermicWLC- PermitApp.doe 05/23/06 440- l615r(ti /05/COM/w