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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2012 -00387 T [ GA RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/27/2012 Parcel: 25101 DA00104 Jurisdiction: TIGARD Site address: 13333 SW 68TH PKWY, STE# 010 Project: National American University Subdivision: VARNS ACRES Lot: 9 Project Description: (1) branch circuit and (1) fire alarm Contractor: E C COMPANY Owner: TRIANGLE POINTE LLC PO BOX 10286 901 NE GLISAN ST, #100 PORTLAND, OR 97296 PORTLAND, OR 97232 PHONE: 503 - 224 -3511 PHONE: 503-297-8791 FAX: 503 - 295 -3012 FEES Quantity Description Date Amount 1 crt Branch Circuits wo /Purchase 06/27/2012 $56.18 Specifics: Service or Feeder 1 ea Signal circuit or Limited 06/27/2012 $75.00 Type of Use: COM Energy Panel Class of Work: ALT 1 ea 12% State Surcharge - 06/27/2012 $15.74 Electrical Type of Const: Occupancy Grp: Total $146.92 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 0 R 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.. Issued By: J . Permittee Signature: pact. 4ePue-J l7m1 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. 26. 2012 2:04PM No. 0760 P. 1 'Electrical Permit tApplicatiof CE D FOit 01.1 F l 817, ONI., City of Tigard 11 d 11 Received q DatdBy Permit No.: (P aDr Z -too 3 SI • 13125 SW hall Blvd.. Tigard, OR 97223 I Plan R evtew : 3 Phone: 503,639.4171 Fax: 503.598,1960; U N ho 6 2 0 2 older Perm' 1640 10 I a - col i 1 T H.; A I U Inspection Line: 503.639.4175 TIGARD Dale ReadyBy: I la See Pee 2 for Internet www,ligord- or.gov CITY OF TIGARD ed/Mel Nodfhod: Supplemental Information TYPE OF `' Irk! f . L PLAN REVIEW ❑ Now construction ® Addilion/alleration/replacement Please check alt War epplr (submit a revs of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over throe stories. ❑ Demolition ❑Other: where the availablelhuhcurrent 0 Marinas and boatyard,, CATEGORY OP CONSTRUCTION exceeds 10,000 amps at ISO volts or ❑ Floating buildings` ID 1- end 2- family dwelling ®Co,nrnerciaViltdustriel ID Accessory building less to ground. or exceeds 14,000 ❑ commercial-use agrialtuml ry ng amps for another installations. buildings. ❑ Multi - family [1 Master buildcr 0 Other: _ ❑ Fire pomp. 0 Installation of 75 KVA of JOB SITE INFORMATION AND LOCATION ❑Energeoy larger separately denved ❑ Addition anew motor load of ❑ "A ", `E " "1-r, ‘.1.3', Job no - : 74631 Job site address: 13333 SW 68th Parkway IOQHP or more. occupancy. Q Six m more residential units. El Recreational vehicle parks. City/Stale/ZIP: Tj Qard OR ❑ Health-cant @cililies. ❑Supply voltage ilk more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt,no.; I Project flame: NAU / Triangle Point O Semiceor [ceder 600 amps or more. Cross street/directions to job site: PEE SCHEDULE oried!len I Qn. 1 Pas I Tact I • - — New residential single- or multi- fancily dwelling unit. Includes attached garage. Subdivision: 1 Lot no.: • 1.000 sq. R• or less 168.54 r Tar; map /parcel no.: Ea, add'l 500sq. R. orponion 33.92 Limited energy, residential 7500 DESCRIPTION OF WORK (with above sq. R.) ' — Limited energy, multi - family 75.00 Fire Alarm Install residential (with shove sq. It) Services or feeders Installation al teration, and/or relocation 200 amps or less 100.70 2 ® PROPERTY OWNER + ❑ TENANT 201 amps to 400 amps 133.56 2 Name: amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 55216 — TT CilylSlatelLlP: Temporary services or loaders Installation, alteration, and/or relocation • Phone: ( ) I Fax; ( ) 200 amps or less 59.36 Owner installation: This installation is being property 201 amps to 400 amps 125.08 2 g made on p petty that C own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Drench elrcults ne alteration, or e xtension, er anal Owner signature: Date: A Fee for branch cire trits wish - ►:: APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 7.42 2 each branch circuit Business name: EC Company S. Pee for branch circuits w/ihota service or feeder fee, first Contact name: Kathy Kelley branch circuit 1 56.18 56.18 2 Each addl branch circuit 7.42 f 2 Address: PO Box 10286 Miscellaneous (service or feeder not includedL C;ry /State/ZtP: Portland, OR 97296 Each inanulitcturedormodular 6784 2 dwelling, seavlce and/or feeder Phone: ( 503) 224-3511 I Fax: : (503) 295 -3012 I Reconnect only 67,84 2 E-mail: kathyk@e -C -CO, Com Plirnpor inigalioocircle 67.84 2 Signor outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited - energy Busin mom EC Company panel, alteration, or e:tension - , 1 Paget , 75 2 Each additional Inspection over allowable in any of the abov Address: PO Box 10286 Additional inspection (1 hr min) 66.25/1v City/State/ZIP: Portland, OR 97296 Investigation (I hr min) 66.25/hr Industrial 0=1 (1 hr loin) 78.18/ hr Phone: (5 0 3) 224 — 3 511 1 Fax: (5 03 ) 2 9 5 - 3 012 inspection for which no fee is specifically listed ('% hr min) 90.00 / hr 1. Lie.: 49737 I Vlectri • ;26- 5 1 C rv, Lie.: ,23 455 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: / Subtotal: 131.18 Plan review (25% of permit fee): Print name: Ron Coif n 1 Dale: 06/26/2012 State surcharge (12 %of permit the): 15.74 s Authorized signature: TOTAL PERMIT FEE: 14 6.9 2 This permit applieanon mires If a permit i1 not obtained within 180 Print tcame Lela Gra m (Date: 06/26/2012 da} s aaer It has been accepted ascomplete. ' umberofimpectieosallowalperpermiL n tuiainal➢enniu?8LC- Peemitnpp00e 07mp1110 440 46IST(11/0saCOmAVED Jun. 26. 2012 2:04PM No. 0760 P. 2 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Pee for A ll residential systems combined........ $75.00 Check Type of Work Involved; ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation © Fire Alarm Installation D I4VAC ❑ Instrumentation ❑ Intercom and Paging Systems El Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ O ther Total number of commercial systems: 1 *No licenses are required. Licenses are required for all other installations LtDuilduVemiits1ELC.P®iUPpQpp 07/01/10