Loading...
Permit �� CITY OF TIGARD ELECTRICAL PERMIT C :- COMMUNITY DEVELOPMENT Permit #: ELC2009 -00460 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639 4171 Date Issued: 09/08/2009 . .. - Parcel: 2S101CA00200 Jurisdiction: Tigard Site address: 7904 SW HUNZIKER RD Subdivision: Lot: 0 Project: Spec Space Project Description: (1) 200 amp service Owner: FEES WALL STREET INDUSTRIAL LLC & Quantity Description Date Amount A RICHARD VIAL EXEC CENTER LLC, 7000 SW VARNS ST 1 ea Temp Services or Feeders - 09/08/2009 $66.85 200 amps or less PHONE: 1 ea 12% State Surcharge - 09/08/2009 $8.02 Electrical Contractor: 67 da Investigation Fee (Equals 09/08/2009 $66.85 Permit Fee) IES COMMERCIAL INC 1 ea Investigation 12% 09/08/2009 $8.02 16135 SW 74TH AVE Surcharge TIGARD, OR 97224 PHONE. 503 -648 -1900 FAX: 503 - 670 -9572 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $149.74 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 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 / Issued By: 41 �� Permittee Signature: eN / /5 r SON 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 603.639.4175 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. fr. •09703/2009 13:37 5036705572 f' _ '\ 1 NEW TECH ELECTRIC PAGE 01/02 L Electrical Permit Application FOR OFFICE USE ON1..\' City of Tigard SE? 3 '.0 Received � :/ n^ lig `J �; Dm : 7 '.1� Permit No ; ; 2, CR60 /+ "'W . 0 o 1 3125 SW Hail Blvd„ Tigard, OR 97223 Plan Rcvi Phone: 503,639.4171 Fnxl: 503,5981W ; , , ; . D . OtherPcrmiA,,W00 lap` o2' T1G ; \RfJ inspectionLinc: 503.639.4] , a -, . 'I DatcRcady /By: HI See Page 2for inland: V{ w or,gov Notified/Method: / Supplemental Information iI i11�'1 � I , �rjld lit °, ,dC� MENHIR Ilrl'411 u, U �gy�1 yl , � � � „ , 1' 1 � 1 'll�� lil � 1�'ti 4;1 a I� ,,�, t ,�� y , � l'. 1� Pig1 i 77 {{,)) �yy' r ! Jas p { I ((l 1 ,M7'J7+ ryVWM �LL�1,i1{ ��r 1 y ' r l I F, . k� i ■ 1{ 4 I �{m� S I , 1 r r r r -. iJ�l {� 1{ �II h i��i ���''�')11!( Ll +, �'IiIW�7J4,,I�t�I1MfhAWl 11�,ircrl. J1111ia,..� ,.ldl.'14r ��dh i ti�'G','ii �cl'Ir: ('If rllY. f.�R K7Nl�ll�rilln��t � ( r�N; lt�l 'V1 .1 I � i � ❑ New construction Addition /alteration /replacement Please check all that apply (submit2 acts of plans w /items checked below): ID Dcmolitiott Other: O Service or feeder 100 amps or more 0 Building over three stories, g(p f �{� W�. 11 where the available fault current ❑ Marinas and boatyards. 71 i Eil ll; {�4 NI , 11� �t 1� l iggit fill + ll+'llLQil / 'YSi �i�� �l� ' %' {li'j i, +:;Iwif1+2111I }!(4;1; exceeds 10,000 amps at 150 volts or ❑ Floating buildings. iIr tcm r i ,�rl 1 ,1��,�w'i; ,l sTmldllrvnaur r,n rgkifdll, IrallnrR 'r"'i`htrtrrla,r, r�n�t r- r. r!;!r, it ; Icss to rmaund, or exceeds 14.000 ❑ Commercial -rise ¢gnctilttiral El 1- and 2- family dwelling Con•Imereial /industrial ❑ Accessory building snips for all other installations buildings ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ installation of 75 KVA or BIM- nw + i 1 ^; l , Y'4 ;, r „ ©Emergency s larger separately derived system, ll,�ul 4 > -1 d in ►,iggi ` i ► :,._.. it nR ��'!;iG.; :! ��l�y6Ii!IN:' ❑ , w,.k�rrrmralr�rl�,1, r .n rlLru ,rn .r��1tiri 11 -• � ill, Addition 10more. , -r� r 0HP or occupancy Job no.: �� 1 Job site addrbss: (� � � f f � (/ Is1. /j r I ❑ Six or mor rCddcnlinl units, f ! s - 0 Recreational vehicle parks, City /State/7TP: � �1'i,�c,vt j// �i �] �� El Hus -care facilities, El Supply volinga for mart than Vt- — ` // ` ,,�� ////� � (6 ❑ 1 {az¢dous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name; 0 751_ , I ( G , 1 ['Service or feeder 600 amps or more. VVTT llfC �� � `� `" t . S: :3'1!'01"Mllfl1M( Il 9t ' i l c lllI l I°Lkilt, ,>n i{FYNl 1 Cross street /directions to job site: ErITIN® Total • 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'l 500 sq. ft. or portion 33.40 Limited energy, residential 75,00 2 �„ rly�y i. �i 1 � f IO iII ►1 KIN IVI y,� 1 1 r;!,tai(i"'�1''i; l ,,','I �.':°' ill 1' ,{11�11!,��',�� � •ri r�l',Illr;lr.il r r w ,,,,,, "r „ti,,,S41; ' a'„ i�tfn, f” ��1�r������l� ra+ rV, f�' brr.',, �r,'IC�IG'rr,l >•,�p,�����f��l!i (wirh nbovcsii.ft,) twcsww" "�" It liu l Limited ens y t energy, multi-family 75.00 2 f �� ��� [ � Q � J residential with shove sq. fl,) Services or feeders installation alteration, and /or relocation n "sr' I � �j� U i t uy ,1 1 u � 11 , {�,�;, 200 amps or less 80,30 2 ,,i'! i91 t l i;'iklll� On i r di i tl dli)v 44'' i�1,1i; li Wi l;t!11, I ,�r �,{ I i ' 1 ;I�'if';k�'° r � >rt �t � i r, x ' (W l I r, Ji;� ! I{, �, �{,o+'� " ', l;�rl l 201 amps to 400 amps 1015.85 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 /SmtefzIP: Temporary cervices or feeders installation, alteration, and /or relocation f Phone: ( ) Fax' ( ) 200 amps or lest 1 66.85 l,(t/r 1 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 salt, lease, rcnt, 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 "n l I(r f it , jji r {I , y� � 12,' 1 n t "r�WikN ry� ,y��1�,y� v° r p ,r r r p �!Ilh �i15 �,�M' t {Ililll�l � "rA tl { , jC)��������I ire /1•,W' RG t'SO Y�1�'th,I,�i(�' °MJ,'iy'�I above service or feeder fee, each branch circuit 6,65 2 Business name: B. Fee for branch circuits without servic or feeder fee, Contact name: 46.85 2 F me: first branch circuit Address' Each add'] branch circuit 6.65 2 Miscellaneous (service or feeder not Included) City /State/ZIP' Each manufactured or modular 90,90 2 dwelling, service and /or feeder Phone: ( ) Fax: : ( ) Reconnect only _ 66.85 2 E-mail: Pump or irrigation circle 53.40 2 ,, 'hiil� ' lr , , � r iii y . y r r r , r yywy!y 7 ' r ^'i i ' 1 r , ) ra,w ,,,, i . i I 4+ liEi� LL;5''i''�dr'� :� .,.. , I i i I� I {li 11111 v i Mc2r �iil � " ';"1 I Sign outline lighting •x .��'li� ll.t „h..,�,,,,� ' 1� g g g 5340 2 l3uainess name:' W l '\ .& ( Signal sin i , al er limited- o - 1 0 ( �' ` el energy panel, n. e Describe: alteration, or Address: UV - lo o - extension. Describe; Page 2 2 City /State/ZIP ( C i r C/v (' 0 6' O� r''j � }t '► Each additional inspection over allowable In any of the above / t Per inspection 62.50 Phone: `” l (0 - (ate �[✓10 _ Gj r7 2— investigation per hour (1 hr min) 62,50 r k CCB Lie.: g - Electrical ;,; . 103 e5 .. Suprv. Lic.: LOU j Industrial plant per hour 73 75 ' ;i T 11i o ; 0 ll?tta liI,�f i a o.,.' . „ : x llh p,IN Supra. Electrician sigmatu , /0// Subtotal: i .T. Print name: fe Ca S �� - / 3 / Plan review (25% of permit' fee): Dote: 9 a State surcharge (12 %n of permit sec): �/ .0 2_ Authorized signature: TOTAL PERMIT FEE r''f Gf. s / `.-- Print name' This permit application expires If a permit is not ohtnlnrd within 180 Date. days after It has been accepted as complete. • Number of inspections allowed per permit, iA Rniidlnl \Permils\FT,C- rermitApp,,Wc 05/2. 4n0-46 ts'rtl uns/com/wEa