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Permit �Jr l ttAC c. ` � "c' r t C` r� Sc i ( t C.0 _ZA C 7 ) 1� E" t t t■ � q CITY OF TIGARD ELECTRICAL PERMIT a , COMMUNITY DEVELOPMENT Permit #: ELC2009 -00461 Date Issued: 09/15/2009 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 639 4171 Parcel: 2S 101 CA00200 Jurisdiction: Tigard Site address. 7904 SW HUNZIKER RD Subdivision: Lot 0 Project: Spec Space Project Description: (1) 1000 amp service and (2) feeders Changed scope of work to include all work on plans reviewed under this permit number TOTAL NEW SCOPE of WORK (1) 1200 + amp service, (2) 200 amp or less service, (2) 201 -400 amp services Owner: FEES WALL STREET INDUSTRIAL LLC & Quantity Description Date Amount A RICHARD VIAL EXEC CENTER LLC, 7000 SW YARNS ST 2 ea Services or Feeders - 201 to 09/15/2009 $213 70 400 amps PHONE: 1 ea 12% State Surcharge - 09/15/2009 $54 52 Electrical 1 ea Plan Review Electrical 09/15/2009 $113 58 Contractor: 2 ea Services or Feeders - 200 09/25/2009 $160.60 DICKINSONS ELECTRIC amps or less 8449 SW BARBUR BLVD 1 ea Services or Feeders - Over 09/25/2009 $454 65 PORTLAND, OR 97217 1000 amps or volts PHONE 503 - 246 -3550 0 ea 12% State Surcharge - 09/25/2009 $44 95 FAX 503 - 213 -6049 Electrical 0 ea Plan Review Electricial 09/25/2009 $93 66 Type of Use Class of Work: Type of Const: Occupancy Grp: Total $1,135 66 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 at 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 -0100 You may obtain a copy of the rules or direct questions to OUNC by calling 503 246 6699 or 1 800 332 2344 f. 4 (j Issued By: , . � ,\C & Or\ � .0 C`• Permittee Signature. ' 3 11 COQ 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 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 CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2009 -00461 4{Gf1..RD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/15/2009 Parcel: 2S 101 CA00200 Jurisdiction: Tigard Site address: 7904 SW HUNZIKER RD Subdivision: Lot: 0 Project: Spec Space Project Description: (1) 1000 amp service and (2) feeders Owner: FEES WALL STREET INDUSTRIAL LLC & Quantity Description Date Amount A RICHARD VIAL EXEC CENTER LLC, 7000 SW YARNS ST 2 ea Services or Feeders - 201 to 09/15/2009 $213.70 400 amps PHONE 1 ea Services or Feeders - 601 to 09/15/2009 $240 60 1000 amps 1 ea 12% State Surcharge - 09/15/2009 $54.52 Contractor: Electrical DICKINSONS ELECTRIC 1 ea Plan Review Electricial 09/15/2009 $113.58 8449 SW BARBUR BLVD PORTLAND, OR 97217 PHONE 503 - 246 -3550 FAX 503 - 213 -6049 Type of Use: Class of Work: Type of Const: Occupancy Grp: Total $622 40 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 ATTE. • *re. • • law require you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0 ' 0 thr• gh OAR 952 -501 -0 t s u • obtain a copy of the rules or direct questions to OUNC by calling 503 246 6699 or 1 800.332 .. Issue By: eta 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: Ts '-F ( ION ONLY SIGNATURE OF SUPR. ELEC' �� 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. -Electrical Permit Applic FOR OFFICE USE ONLY City of Tigard EIUED Received 11 , 1 1 II . Permit No 6 ---. � OD • q E1 i 13125 SW Hall Blvd., Tigard, OR 97223 p Plan Review �� /, Phone' 503 639 -4171 Fax 503 5909 2009 Date/B % 'D 0 c7 Other PermI ii/ 0 p % // 71 GA RD Inspection Line: 503.639.4175 Date Ready/By Juns ® See Page 2 for Internet• www tigard- or.gov CITY OF TIGARD Noufied/Methad: / /� � /6" � Supplemental Information r,�� TYPE G DIVISION e p /t) /4i PLAN REVIEW ❑ New construction . aadition/alteration/replacement Please c eck all . pp (submit 2 sets of plans w /hems checked below). ❑ Service or fee. er 400 amps or more ❑ Building over three stories El Demolition El Other: where the available fault current ❑ Mannas and boatyards CATEGORY, OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ,ommercial/industrial ❑ Accessory building amps for all other installations buildings ❑ Multi- family El Master builder El Other: ❑ Fire pump ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately derived system ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", 0 100HP or more occupancy Job no.: Job site address: .i 7 U �j �� /4L _ ❑ Six or more residential units ❑ Recreational vehicle parks i/ ' ❑ Health -care facilities ❑ Supply voltage for more than City /State /ZIP: ✓ ❑ Hazardous locations 600 volts nominal Suite /bldg. /apt. no.: Project name: _ E ❑ Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I 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 Ea. add'I 500 sq. ft. or portion 33 40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq ft ) ! L (i) � Limited energy, multi - family 1a 11 c�(�LG�i e e )t s residential (with above sq R) 75 00 2 l Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 _.,t ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 x1,6.70 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps / 240 60 pq .00 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 l Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A Fee for branch circuits with ❑ APPLICANT , ❑ CONTACT PERSON • • • above service or feeder fee, 6 65 2 each branch circuit Business name: B Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 • 2 CONTRACTOR - Sign or outline lighting 53 -40 2 /' Signal circuit(s) or limited - Business name: D I � � u r j eAil energy panel, alteration, or Address: 3q' 1 S _/ / r l_ 6 extension. Describe: Page 2 2 City/State /ZIP: 69-r fi r p Each additional inspection over allowable in any of the above Per inspection 62 50 Phone: (, j(J g6 3 s O Fax: (s‘cS 2 ( 3 �7 Investigation per hour (1 hr min) 62.50 CCB Lic.:7i S -5-3 / Electrical Lic.: . Z - /q(7LSuprv. Lic.: 3/170-5 Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: � �< Subtotal � , / �r_�, 30 Print name el ,' f--- `� � � Date: v "� 7 Plan review (25% of permit fee): / / 1, • 5 g State surcharge (12% of permit fee): 5Y. 5.2, Authorized signatu TOTAL PERMIT FEE. (D 22. "/d Print name: Date: This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. " Number of inspections allowed per permit 1 \Building\Permits\ELC- PermitApp doc 05/23 /06 440 -4615T(I1 /05 /COM/WEB Electrical Permit Application - City of Tigard r Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee ) for all 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 ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I \Building\permits\ELC- PermitApp doc 03/23/06