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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2013 -00350 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/26/2013 Parcel: 25101 BD00200 Jurisdiction: Tigard Site address: 8001 SW HUNZIKER RD Project: Tigard Distribution Center Subdivision: 1994 -025 PARTITION PLAT Lot: 2 Project Description: (5) branch circuits for replacement of (2) ground mount NC systems Contractor: WILLAMETTE ELECTRIC INC Owner: TIGARD DISTRIBUTION CENTER LLC PO BOX 230547 4800 SW MACADAM, STE 120 TIGARD, OR 97281 PORTLAND, OR 97239 PHONE: 503 - 624 -3631 PHONE: FAX • 503 - 624 -2938 FEES Quantity Description Date Amount 5 crt Branch Circuits wo /Purchase 06/26/2013 $85.86 Specifics: Service or Feeder 1 ea 12% State Surcharge - 06/26/2013 $10.30 Type of Use: COM Electncal Class of Work: ALT Type of Const: Occupancy Grp: Total $96.16 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 ATTENTIO • -!on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 rough OAR • 52- 09 You may obtain a copy of the rules or direct questions to OUNC by calling 5 2 1987 or 1 800 32 2344 • Issued : y: 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: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' i ,i/ Date: ce1-- 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. 06/25/2013 TUE 8:31 FAX 5036242938 Willamette Electric ,Z- 002/00,2 . . I Electrical Permit A A. , II c � k�� ® FOR OFFICE USE ONLY City of Tigard Date/By: 4'2-5 r'3 �I / I Permit No .LC�+ � / 7-00.5.5P II • 13125 SW Hall Blvd., Tigard,OR?3 5 2013 Plan Review Phone: 503.639.4171 Fax: 503.9 .1 6 Date/Ey; Other Per mie.I ',201/3 0033 0 TI GA R0 Inspection Line: 503.639.41751 I Y ®F TIGARD Date Ready/By: . Rms. / , /� H See Page 2 for Internet: www.tigard- or.gov 1 d2 Notified/ � v Supplemental Information I'LAi- IZyIw• ' ----__ • ❑ New construction E Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ' ❑ Service or feeder 400 amps or mare ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current 0 Marinas and boatyards. _ exceeds 10,000 amps at 150 volts or ❑ Floating buildings, •' ,, OP COx$ f N , . -' less to ground, or exceeds 14,000 E] 1 - and 2 - family dwelling © Commercial /industrial ❑ Accessory building amps for all other installations. ❑ buildings. l� use agricultural ❑ Multi family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or '140)1 1 E. �1s1PORit'[ATi,e0 4,h�, I:OCAl'It7N ❑ Emergency system, larger separately derived system ❑Addition of new motor load of ❑ "A", "E", °I_2" "1-3", 1001-TP or more, occupancy. Job no.: 9/4-,,, j Job site address: e� 0 , c ,/ 5 f r.,... ) 8 ,, �f lP,� ^`f r 0 Six or more residential units. 0 Recreational vehicle parks. City /State /ZIP: � C � ❑ Health-care facilities. El Supply voltage for more than / / ^e �f f ` ❑Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: ( Project name: y ! ❑ Service or feeder 600 amps or mere. SC13E>SIILE Dneri Cross street/directions to job site: sae plion I Qty. I Fee. I ' Soul I New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: , Lot no.: 1,000 sq. R, or less 168.54 4 Ea. add'l 500 sq. R. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential 75 2 DESCRIPTION OP WOI4X (with above sq. it) ' • Limited energy, multi - family 7500 2 f n �%� J �S /t'Y �^ residential (with above sq. R.) / l cc/ G L / S Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 ❑ PROPE tTY ;OWNER I 7 TENANT 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: 601 amps to 1,000 amps 301.04 _ 2 Address: Over 1,000 amps or volts 552.26 2 City /State /ZIP: Temporary services or feeders installation, alteration, and /or relocation I I Phone: ( ) I F ax: ( ) 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. Fee for branch circuits with above service or feeder fee, 0 APPLICANT. I ' - 0. CONTACT .PERSON 7.42 2 each branch circuit Business name: B. Fee for branch circuits withou f service or feeder fee, first 56.18 ,, / 2 Contact name: branch circuit / -> L T. Address: Each add'! branch circuit / 7.42 0 ,27 e t; 2 Miscellaneous (service or feeder not included) Each manufactured or modular 67.84 2 City /State /ZIP: dwelling, service and/or feeder Phone: ( ) I Fax:: ( ) Reconnect only 67.84 2 E -mail: Pump or irrigation circle 67.84 2 Sign or outline lighting 67.84 2 'CONTRACTOR Signal circuits) or limited - energy Business name: Willamette Electric Inc. panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: P.O. Box 230547 Additional inspection (1 hr min) 66.25/ hr Investigation (1 hr min) 66.25/ hr City /State /ZIP: Tigard, O R 97281 Industrial plant (I hr min) 78.18 / hr P hone: (503) 624 - 3631 Fax: (503) 624 - 2938 Inspections for which no fee is 90.00 / hr specifically listed (%, hr min) CCB Lie.: 75059 Electrical Lie.: 34 -283C Suprv, Lie.: 4226 -5 - _._ ... ELEZ`Y'RICAL• PE IrPFllsS ; ,- T Subtotal: f 5 e ?_ Suprv. Electrician signature, requ' Plan review (25% of permit fee): ` 3 r Print name: David Fife Date: 6, /g �/ State surcharge (12% of permit fee): /) e / Authorized signature: ! TOTAL PERMIT FEE: 0 f 4 ✓ This permit application expires if a permit is not obtained within 180 Print name: Date: • days after it has been accepted as complete. ed / Number of inspections allow per permit Ci / Q l.\Building\Permiu5ELC•PermttApp doe 07 /01 /10 440- 4615T(t l /05 /COINWEB �