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Permit CITY OF TIGARD ELECTRICAL PERMIT s COMMUNITY DEVELOPMENT Permit #: ELC201300253 T t GA.RO 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/02/2013 Parcel: 25101 DC04603 Jurisdiction: Tigard Site address: 7405 SW TECH CENTER DR 100 Project: HR Specialties Subdivision: TECH CENTER BUSINESS PARK Lot: 2 Project Description: (3) branch circuits for TI Contractor: RELIANT ELECTRIC OF OREGON LLC Owner: WPC TIGARD LLC 20200 SE OLDENBURG LN 307 LEWERS ST 6TH FL SANDY, OR 97055 HONOLULU, HI 96815 PHONE: 503 -701 -4562 PHONE: FAX: 503 - 668 -4190 FEES Quantity Description Date Amount 3 crt Branch Circuits wo /Purchase 05/02/2013 $71.02 Specifics: Service or Feeder 1 ea 12% State Surcharge - 05/02/2013 $8.52 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $79.54 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 52- 001 - Yo may obtain a copy of the rules or direct questions to OUNC by calling 503 I`T 23 1 2.198 /PPLI 7 or 1.800.332.2344. Issued By: , 4 L/.t t' Q Permittee Signature: N Cl�l IO/W I OWNER INSTALLATION ONLY /V 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 she at the time of each inspection. Electrical Permit ApplicaltE City of Tigard !' < n,y 0 2 2013 5 (3 P Permit No.: 61e 3 - o0. -53 !3125 SW Hall Blvd., Tigard, OR 972 Plea Review Phone: 503.718.2439 Fax: 50,11/1i960_ TIGARD Date/By; Other Permit: i , , , i , i , Inspection Line: 503.639.4175U OF testa Ready/By: f (_ la see Page 2 for Internet; www .tisardor.gorBUILDINGDIVISION "°''`�di""°'"°°' - �-- -- .. - _.. - l 'S�/ Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction 2rAddition/aheration/replacemcnt a all that apply (eahatlt refs of plane w /items checked below); ❑ Service or feeder 400 ompv or mom CI Building over throe stones. ❑ Demolition 0 Other where the available fault =rent ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings, 1- a 2 dwelling A C ommercial/industrial Accessory building see to ground, other a or exceeds ons. ❑ Com -use agricultural 13 Y R ❑ I'Y S amps for all Other installations. buildings. ❑ Multi family ❑ Master builder ❑ Other: I] Fire pump. ❑ Instaltarioa of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Addition system. larger separately system (] Addition of new meter fond of ❑ "A' "G ", "I-2" ". " <' l 1 -3" , 100t1P or more. occupancy. Job no.: 13 ._Z!4 -7 Job site address; .1111)5 SW I CI'i e - P3r. ©Six or mote residential units. ❑ Recreational vehicle parks. City /State /Zip: u i ❑ H CAW IiIios. ❑ Supply voltage for more than T /�/ �� ❑ 1lazardous locations, 600 volts nominal. Su id ./ t. no.: Project name: 1x0 amps or more. B aP I �� I 1 ( { C� poi-, W I �1e ❑ Service or feeder 6 FEE SCHEDULE Cross street/directions to job site: Aeeertpuea x I:17. L Fee. 1 Teal I • New residential slagk- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1 ,000 sq, R. or less 168.54 4 Es. add'I 500 sq. ft. or portion 33,92 1 Tax map/parcel no.: Limited energy. residential 75.00 2 DESCRIPTION OF WORK - (with above sq. ft.) , ,��` limited energy, multi- family 75.00 2 01 I s e tttkh W.�U -a ,� C C n Ct l J Y residential /with above EL ft.) Se rvices or feeders inadtllatiwt, aheratioa, and/or relocation le_Ai (,y�1. rte °.t-7'ZQ_yt•+ 200 amps or less 1 100.70 2 9 PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133,56 2 Name: 401 amps to 600 amps 200,34 2 601 amps to 1,000 amps 301.04 2 Address; Ova 1,000 amps or volts 352.26 2 City /Slnte/7.TP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I 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. Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Pee for branch circuit, with above service or feeder fete, ❑ APPLICANT ❑ (:ONfA("1' PERSON 7.42 2 each branch circuit Business name: R-C ,,l ( A - t -vi C Or ' �Q ,M intuits S. Fee for branch without � j Vi service or feeder Ire, first , I O Contact name: -1 (,l jra ittl -'t(t . .4 -'5--, branch circuit x,.l g 2 1 n Each add'I branch circuit 7.42 2 Address: 0. U J ei 0 C.I GL4• g La. 4.--,, Mbedlaueous (service or feeder not Included) ^I Each manufactured or modular City /State/Z1P: 5(l N � ~ c O l ry f _q l 0 5 dwelling, service and/or feeder 67.84 2 Phone: (532) tj d..f 14-00 Fax:: cj p �� g -4 u i v Reconnect wily 67.84 2 - z. 1 Pump or irrigation circle 67.84 2 F -mail: �e �� ,1� . -<} l�. n( Q k" 0 D I CO e ■ 1 Sign or outline lighting 67.84 2 cowatAcrom I Signal circuits) or limited-energy . Business name: panel, alteration, or extensim. Page 2 2 Each additional inapeetioa over allowable in err of the above Address: Additional inspection (l hr min) 66.25/ hr City /State/ZIP:A r A - ,, »� wimig � 2-7 investigation (I hr min) 66,25/ hr Industrial plant (I hr min) 78.18/hr — - W v . a. •r � - [nspertioru for which no fcc is Phone: ( Fax: --~-- ---W specifically listed ('r4 hr mm) 90.00/ hr CCB Lic.: }$� 4g 2.�Eleetrical Lie.: le p .c..4-43.3_5 Su r __.. ELECTRICAL ELECTRICAL PER NIT FEES _.. .__ - .. . . /'/ 4/ Subtotal: r/ , I Y Suprv. Electrician signature, required: �� �. � / • Plan review (25% of permit fee): Print name: Ay-tt4.,/f(/� I (/ -)a r /: Il 4 Dale: 5 - 2 — 1 _ St ate surcharge (12% of permit fcc): g, 53 Authorized signature �1 r, 'Vta p- , TOTAL PERMIT FEE: '1 ey, jS PS -- - lll...��1 l j.(0,.."154.--eta. 1 1 1 nit permit appicadea expires s it a permit is net Obtained within 150 has Print name: GV/ S tv l.(, y 1 1. ` 1.4.114 „,.., I Date: 5 -2 ,. ( s Number of days after it inspections snow accepted per permit, as eorapkoe. il. I lnuildioigertmrs \PLC- PermitApp.doa 07/01/I0 440-4615T(1t/O5/COMWSB ' 7q 1 Z /Z 'aDVd 06I6899£O9 obaa° JO OT1 O Ter qut=TTBg Wd 00:ZT EIOZ'ZO'AEW Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 7405 SW TECH CENTER DR 100, TIGARD, OR, 97223 Commercial - Electrical 125 Wall cover 05/06/2013 00:00 ELC2013-00253 PASS Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 7405 SW TECH CENTER DR 100, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical final 05/22/2013 00:00 ELC2013-00253 PASS - No C of O Violation Summary: Inspector Contractor