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Permit
• ELECTRICAL PERMIT CITY OF TIGARD `• = COMMUNITY DEVELOPMENT i/9 �'�" Permit#: ELC2013-00453 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/05/2013 Parcel: 2S113AB00500 Jurisdiction: TIGARD Site address: 16083 SW UPPER BOONES FERRY RD 310 Project: Sterling Bank Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37 Project Description: (10)branch cirucits and(1)fire alarm system for TI for new tenant. 8/19/2013: REPRINT permit to add(1)limited energy for HVAC. Contractor: LEAR ELECTRIC CO INC Owner: G&S FC LLC PO BOX 573 16083 SW UPPER BOONES FERRY RD, GRESHAM, OR 97030 STE TIGARD, OR 97224 PHONE: 503-255-0733 PHONE: FAX: 503-255-0676 FEES Quantity Description Date Amount 10 crt Branch Circuits wo/Purchase 08/05/2013 $122.96 Specifics: Service or Feeder 1 ea Signal circuit or Limited 08/05/2013 $75.00 Type of Use: COM Energy Panel Class of Work: ALT 1 ea 12%State Surcharge- 08/05/2013 $23.76 Electrical Type of Const: 75 Restricted Energy Permit 08/19/2013 $75.00 Occupancy Grp: 9 12%State Surcharge- 08/19/2013 $9.00 Electrical Total $305.72 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 9 2- 090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / Issued By: Permittee Signature: o' �/ L/ 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 503.639.4176 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. CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2013-00453 T t GAR O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/05/2013 Parcel: 2S113AB00500 Jurisdiction: TIGARD Site address: 16083 SW UPPER BOONES FERRY RD 310 Project: Sterling Bank Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37 Project Description: (10)branch cirucits and(1)fire alarm system for TI for new tenant. Contractor: LEAR ELECTRIC CO INC Owner: G&S FC LLC PO BOX 573 16083 SW UPPER BOONES FERRY RD, GRESHAM,OR 97030 STE TIGARD,OR 97224 PHONE: 503-255-0733 PHONE: FAX: 503-255-0676 FEES Quantity Description Date Amount 10 crt Branch Circuits wo/Purchase 08/05/2013 $122.96 Specifics: Service or Feeder 1 ea Signal circuit or Limited 08/05/2013 $75.00 Type of Use: COM Energy Panel Class of Work: ALT 1 ea 12%State Surcharge- 08/05/2013 $23.76 Electrical Type of Const: Occupancy Grp: Total $221.72 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. c Issued By: Permittee Signature: 45F—P----e- OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept In a conspicuous place on the job site until completion of the project Approved plans are required on the job site at the time of each inspection. • 08/15/2013 09:23 5036616389 AR IC PAGE 01/03 Ni se it Electrical Permit Application r ltjl'FR-T.r,sE Oi I V . %� Permit No. CaO/3- O 0 E L/$City of Tigard RECEIVt :i .v° /9 13125 SW Hall Blvd,Tigard,OK 97223 Plan Review '• II`.. Phone: 503.718.2439 Fare: 503.598.1960 AUG 15 2013Date/By; Other Permit: Inspection Line: 503.639.4175 Date ReadyrBy: ruri,�/r/ 41 See Page 2 for I'IG.ARD p Notified/Method: Supplemental Information �J Internet: ruww.tigrtrd-nr.gov CITY OF TIGAR b . TYPE_OF WOREthinfic n' PLAN REVIEW !?1 V ISION Please check all that apply(submit Z sets of plans w/items checked below): ❑New construction 15a Additionlaltt tatioNrep acemt nt O Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas 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 �: Commercial/industrial ❑Accessory building amps for all other iusmnations. buildings. Other: ❑Fire pump. 0 Installation of 75 KVA or ❑Multi-family ❑Master builder ]Emergency cysts m larger suptutaely derived system. JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑"A","E "1 2","I-3", Job no.: Job site address: , f 1.001W or more. occupancy. ( � 3 (Q�g •I' I�OOne ❑Six or more residential units. ❑Recreational vehicle parks. ❑Health-care facilities. ❑Supply voltage for more than City/State/ZIP; 'r l qQr d Q�d 6--12. (4____ �r� 0 locations. 600 volts nominal. Suite/bldg./alit.no.ppt-_- Project name: r alit. ❑Service or feedt 600 amps or more. FEE SCHEDULE Cross street/direeti site: 1.4-‘1"-t--'44"3/o _ pmp ee tioa 12n- 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 168.54 4 Ea add'1500 sq,ft.or portion 33.92 I Tax map/parcel no.: Limited energy,residential 75.00 2 DESCRIPTION OF WORK (with above sq.ft.) Limited energy,multi-family 75.00 F. residential(with above sq.ft.) _ Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 PROPERTY OWNER 0 TENANT 201 amps to 400 amps 133.56 2 • 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 . 2 Address: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or relocation 200 amps or less 59.36 1 Phone: 201 amps to 400 amps 125.08 2 • installation " On property 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 • A.Fee for branch circuits with ■ CONTACT above service or feeder fee, 7.42 2 uit each branch circ B.Fee for branch circuits without service or feeder fee,first 56.18 2 Contact name: branch circuit Each add'1 branch circuit 7.42 1 2 •• Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s)or limited-energy t r panel,alteration,or extension. 1 Page 2 16 2 Business name:Lear Electric Co.,Inc. Each additional inspection over allowable in any of the above Address: • Box Additional inspection(1 hr min) 66,25/hr Investigation(1 hr min) 6625/hr City/State/ZIP:Gresham,OR 97030 Industrial plant(1 hr min) 78.18/hr I I I 255-0676 Inspections for which no fee is 90.00/hr specifically listed('h hr min) `r t ELECTRICAL PERMIT FEES ®� Subtotal: Suprv.Electrician Sigratu ,required; . � Plan review(2590 of permit fee): Print name: David Mum 'rd •:i e:t?',tf/3 State surcharge(12a/o of permit fee): 9 TOTAL PERMIT FEE: FLj( Authorized: gnature: r t �� LA.. This permit application expires if a permit is not obtained within 180 • Print Warn David Mumford days after it has been accepted as complete. •' � + Number of inspections allowed per permit. 1:\suiIatng\Permits\ELC-PcnnitApp.de 07101/10 440-4615T(trloS/COM/wfi,n • Electrical Permit Applicati IF , `I EIVED ED . FOR USE ONLY. • City of Tigard q O1 Received permit No.: 13125 SW Hall Blvd.,Tigard,OR 972 2 �7 Date/B : 7 31 1:6AI 4 ae 3- ©e 9S ti : g �UL, 2 13 Plan Review Phone: 503.718.2439 Fax: 503.59Q�n 1 n� Date/B : Other Permj�s�i3 —�Q�� T IGARD Inspection Line: 503.639.4175 111,I OFT GARD Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW r]New construction g.1 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below): El Service or feeder 400 amps or more ❑Building over three stories. ❑ Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. �-7� less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑ I-and 2-family dwelling J Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ID Emergency system. larger separately derived system. ❑Addition of new motor load of ❑"A","E",'l-2","1-3", Job no.: +ej�3 S Job site address: ( ((J 3 (,�) L�-tl " f 145 100HP or more. occupancy. f ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP: '-r i l a r d b le... q 1 a y Ferry 44 ❑Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: 3 10 1 Project name: s.k r i t rn +off, / 12 Service or feeder 600 amps or more. Cross street/directions to job site: 1�` FEE SCHEDULE J 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 168.54 -_ 4 Ea.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 i'e na r'T y T ro pro ve✓ri er'- residential(with above sq.ft.) Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 ❑ PROPERTY OWNER ❑ 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: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or City/State/ZIP: relocation Phone:( ) Fax:( ) 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension,Rer panel _ Owner signature: Date: A.Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 61 7.42 Li476 2 each branch circuit Business name: B.Fee for branch circuits without service or feeder fee,first I Contact name: branch circuit 56.18 5(1,1-$ 2 Each add'I branch circuit 7.42 2 Address: Miscellaneous(service or feeder not included) City/State/ZIP: Each manufactured or modular 67.84 2 dwelling,service and/or feeder Phone:( ) Fax: :( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E-mail: Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s)or limited-energy Business name: Lear Electric Co.,Inc. panel,alteration,or extension. I Page 2 7 5— 2 Each additional inspection over allowable in any of the above Address: PO Box 573 Additional inspection(I hr min) 66.25/hr Investigation(I hr min) 66.25/hr City/State/ZIP:Gresham,OR 97030 Industrial plant(I hr min) 78.18/hr Phone:(503)255-0733 Fax:(503)255-0676 Inspections for which no fee is 90.00/hr specifically listed(%2 hr min) CCB Lic.: 52245 Electrical Lic.: 26-41 IC Suprv. Lic.: 3786S ELECTRICAL PERMIT FEES Subtotal: 1o(1. �� Suprv. Electrician signature,re red: o..r 1i1( �Z. Plan review(25%of permit fee): Print name: David Mumfo d 2.'• 1 - a5,1 3 State surcharge(12%of permit fee): a.3,7KQ Authorized ure: TOTAL PERMIT FEE: j 7d 1�� / ! This permit application expires if a permit is not obtained within 180 Print n (gnat Mtimford Date: M days after it has been accepted as complete. 3' Number of inspections allowed per permit. • I:\Building\Permits\ELC-PermitApp.doc 07/01/10 440-4615T(I I/05/COM/WEB Electrical Permit Application - City of Tigard 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 1:\Building\Permits\ELC-PermitApp.doc 07/01/10 08/15/2013 09:23 5036616389 LEAR ELECTRIC PAGE 02/03 Electrical Permit Application- City of Tigard 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 El Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation EIHVAC ❑ 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 1.43.40111gTermhfNFLC-PmmhApp.doc 07/01/10