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Permit CITY OF TIGARD ' ELECTRICAL PERMIT 11 • COMMUNITY DEVELOPMENT 0 . Permit#: ELC2014-00264 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 �� Date Issued: 05!20/2014 Parcel: 1 S136CD00102 Jurisdiction: Tigard Site address: 11681 SW PACIFIC HWY Project: Jimmy John's Subdivision: 2006-016 PARTITION PLAT Lot: 3 Project Description: (40)branch circuits for new tenant. 7/17/14,reprinted to add(3)200 amp services. Contractor: DOUG PALMER ELECRIC LLC Owner: WILSAL LLC 3666 RIVER POINTE DR 834 SW ST CLAIR ST EUGENE, OR 97408 PORTLAND, OR 97205 PHONE: 541-434-5600 PHONE: FAX: 541-762-1056 FEES Quantity Description Date Amount 3 ea Services or Feeders-200 05/20/2014 $302.10 Specifics: amps or less 40 crt Branch Circuits w/Purchase 07/17/2014 $296.80 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 07/17/2014 $71.87 Electrical Type of Const: Occupancy Grp: Total $670.77 Required Items and Reports(Conditions) This permit is issued _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 a dance 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. AT TION: Oregon law requires •• o follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001- 010 through OAR 952-001-0090. -•u may•• in a copy of th-rules or direct questions to OUNC by cal.41! '3.232.1987 or 1.860.332.2344. Issu By: * — y Permittee Signature: i J�r 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. Doug Palmer Electric 541-782-1058 p.1 Electrical Permit Application cA°P52-A1) City of Tig2rd (mow Received No.r . 13125 SW Hall Dlvd.,Tigard.OR 97223 C V� V , Ian Aeview �7���� Phone: tSpe: 5113.71K:2439 Fax: 503,5911,1'M(7 `' V- V pn�y_ Ottwr 1 u lin: I t:A H l) ins short Line: 503.639.4175 �[(� Dole K • . Joh la tier Paget for Internet: www.tieard.or.gov {/ ri�ti e. : Supplemental Iatermatioa E OF WORK i) �y,. I PLAN REVIEW , . ❑New coniltnlclion Additiort/altcration/replaccni " Please sheds all that apply(subunit:sets of plans whtcros checked below): in Service or feeder 400 emus or more 0 Building over three stones El Demolition --� _ D Other, _ I tZ �(1�4 where the available fault evicts IIn Marinas and boatyards. rt -CATI:CORY OP�('ONSTRU('C!(}N 1 f tt • r+rceedu attcO XI amp:at 150 vol.,,r Q rina,rag building.. teas In ground,or exceeds 14,000 ❑Commercial-time igncuhural ❑ I-and 2-family dwelling Qi1.7ommercialtinclostrini ❑Accesso bli�ilt A O iwups for all other untellunons. budding:5. T u 1 Fire pimp. ❑Irx.Ipllni ion pf IN)KVA ur ❑Multi-family ❑Ma seta builder [�Otl � ( �IV1S1'Q� JOB SITE [INFORMATION AND LOCH 1t. INV •"l Emergency system. -A'. separo-2","1-ivedsyztem. alp D ❑Additiatofrwwuwlalouduf ❑"A'. „G.. „t.2'.."1-?". Job no.: Job AIL!address: //b '/ /fv/`/C g/ II/011P or more, oce�park`y. L ❑Sus or more=ideate!main ❑ZCVI:�Urpial velno:W trek)• CilyJSlalc/GIP' ❑11ru11F•taro facilui e . ❑Supply voltage For more than ❑Hazardots locations. MO wdec nnmival Suite/bldg./apt.no.: j Project name: 0 service or feeder 600 asap°or∎pnrc. PEE SCHEDULE Cross slrcetldireetions Lo job site: , or.nGpisa - Q .1 r.e. lain l • New residential single-or multi-family dwelling unit. IncJtpdea*tlaehed garage. Subdivision: Lot no.: 1.001)sq.R.a less 168.54 4 ' La.odd'I+00 sq.11.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 ,.-..._-- 2 DFSCRIP7ION OF WORK • (with above sq.ft.) l Limited energy,multi-family 7540 2 ['; r� r{ti .r (? ) ��( � wve fi) i j�„] ,( , a Renewable Energy t c Page 2 4"1-- l 4 r " A r, A. A Services or feelers installrtion,alteration,andrhr relocation drPRO) Y IIWN • © TENANT 200 wraps or I<ws 3 100.70 2� 201 amps to 400 amps 13356 2 Nurne: L / )i 1{ C[ , 401 sow to 6(10 amp$ 200.34 • 2 t+t/ 4 �� ��j n C 601 amps to l,OUO amps I 301.04 2 Address: g J--..31-.- lf-+l.6.3-..S t-—2.- l Over 1,000 amps or volts 552.26 2 City/cttlie/7TP: 4` rest n services or feeders installation,alteration.aud/or ( relocation !'hone:( ) I lax;( I _ .._.. 5,.36 200 amps or Ices ' Owner installation: !his installation is being trade on property that I own which is not 201 arms to 400 amps 125.08 [22 intended for sale.lea'c,rent_or exchange,according to OILS 447,449.670,and 71)1. �) w 5'r)uTtps____ 1(�Sa Owner signature: Date: Branch circuits--new,Aheratfoe,or extension,per panel p-Ari►Lrcw]r-r - 0 CONTACT PERSON A Pee tar branch circutLs with abnva std viCO or Wier fcc, s 7 42 2 Business name: OAP 1l " r f I t ,jr each branch circuit.. y a.fee tor branch circuits.ilhotc l Contact otune: TU i. F(ty service or feeder lie,first 4./ \ branch circuit I 56.1 K 2 Adtirctis; //�-,!_ e r it i'4 ,J_) ) j Lie �� Each add'1 branch circuit j 742 �r 2 YS tC� Iaa Cis Miacclhinrura(service or feeder not included) City/State/ZIP; --Jai` _._,./ y QU.- Pack martut'acwnod or modular l• _ I 7,7.}{3 2 Phone:(5V f j) (l.j�I I ax::( (/y —/OS d� service uadlur feeder DR_ lu ` R nest only } 67.7!4 2 L-mail �oU e - 0 C e)-y�c_. i . rust' Pumper iiTiparinneirc)e 6754 2 ' CONTRACTOR Sign or outline lighting 67.84 1 2 Business name: Signat eircuit(s)ur limited-cncrgy See panel,atteratlon,err extorts on, !:tee 2 2 Address. h:ach additioNal irepet•Hon over allmvahle in any err tux•atrovr - - -_- -.------_.______ Additional inspection(I hr min) 6ti.25/hr City a 'ZIP! Invtsli tnsm(I hr mm) 66.25/hr Phone:( ) Fax:( ) Industrial plant(I hr min) 78.18/hr !DULL,/� / IrtspeLtltms lice which no lice:is 90.00/hr C(5 L ic.: I Electrical l.ic._C' Suprv.Lie.: C�`7 S .stasi s c ells listed(%,hr min! - _ —_ 9,.1W ._.J. - -- - - ELECTRICAL PERMIT FEES Suprv.E:lcctrician signature.required: 1*, .,4 Subtotal �, Print name: rk' ICG Dttte: .7 '/_ /y !last review(25%orpermu 1evr. tP slate some(12'yo of petite tccy Authorized signaturc"'S.l'( 0c') _ - TOTAL PERMIT riir �)V r L �7 'Ps it applicon trrtecl n i8U P11t ne: d *[ -7j7r dayplcttll l• Number of inspections allowed per permit. -hJ 1:1Itul diet r earr4r lliLf_PnnutApe,pL1t,kkLAoc nevu5i2intil MP461 5 111 1/0SKOM/WLU CITY OF TIGARD ELECTRICAL PERMIT 11111111 COMMUNITY DEVELOPMENT Permit#: ELC2014-00264 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/20/2014 Parcel: 1S136CD00102 Jurisdiction: Tigard Site address: 11681 SW PACIFIC HWY Project: Jimmy John's Subdivision: 2006-016 PARTITION PLAT Lot: 3 Project Description: (40)branch circuits for new tenant Contractor: DOUG PALMER ELECRIC LLC Owner: WILSAL LLC 3666 RIVER POINTE DR 834 SW ST CLAIR ST EUGENE,OR 97408 PORTLAND,OR 97205 PHONE: 541-434-5600 PHONE: FAX: 541-762-1056 FEES Quantity Description Date Amount 40 crt Branch Circuits wo/Purchase 05/20/2014 $345.56 Specifics: Service or Feeder 1 ea 12%State Surcharge- 05/20/2014 $41.47 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $387.03 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in Wince wittt approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ENTION: Oregon -w requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 1-0010 through OAR 95 c1-1.•90 You may obtain a copy of the rules or direct questions to OUNC by caltin• •+$•32.1987 or 1.800.3 .2344. Is ued B y: .�� ��i/L t� Perm Signcture: 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' , of-- re:9 Date: /I LICENSE NO. `/`l' `- 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. Doug Palmer Electric 541-762-1056 p.1 ) Electrical Permit AppGca It kIF I MR.OF l 1C .- i ,f ()NI Received Q.16 Perm No.: III City of Tigard p n' 21- ' nPrrm • 7�/y �� —moo? 131„5 SW Hall Moil.,Tigard,OR 972 1 i Q �t6y�y , PhOna 503.718.2439 Fax: 503.5 _Detc/13y: ,- .. _ other)emit: t ! -'000 0 -1 Ci A K n Inspection Line: 501.639.4175 I v!'i IuMHU -line ltcady/By7 lone See rage Supplemental 2 fat Information Internet: www.ligard-ix.gov DII'�f111t (�t11[G((�F Notified/Method: •.TYPE OF WORK . PLAN REVIEW • ❑ New constriction Addition/alteratiotvrcpl.�ccmcnt floe u check ell dlat apply'(submit lien of plata w/.term chocked below): Q Service or feeder 400 amps or more ❑Building over three stoics. ❑ Demolition ❑Other: where the available fault current 0 maxims:me boatyards. CATEGORY OF CONSTRUCTION, ixceeds 10,000 anln Al 150 votes or Cannata buildings In!,to!found,or exceeds 14,00() ❑C;omuuaeia1-us+;apxtcuhural C] 1-and 2-family dwelling ommercial/induslrial [II]Ai.cesstty building amps Ii,r all oilier u,.iallalium. buildien. Q Multi-family C Master builder ❑Other: ❑Fire pup. ❑lastallatiau of 150 KVA ar ❑Liu ancauy SYMWm. lar4ur wentatcly derived system. JOR SITE INFORMATION AND LOCATION ❑Addiriosof new m MN'load of 0-A","1:"."1-2".•'1.3'. _ { 100HT or more. occupancy. JO rim-: Job site nddrWS: .Y' L _L-- fM- D ti a,w mare units. D KnYOationa Recreational echic k Pa rkt (ity'titatcl/1 ': �L� O ❑}Iealth•eara I l=1 Hazardous locations. ❑Sup4y wlt.ne,for more[ha u 600 Vohs&corn,n J, Suitebldgiapt.no.: [ Projv.cl norm:: 1 mm 'Soh RS ❑ c or feeder 600 amps or more. FTC: SC'IIEDI.`I.F Cross street/directions to job site: __ ^r... I QtY.-I-- J4r. I i''ti`1--7 New residential single.or multi-family dwclring eni6 Includes attached garage. Subdivision! Lot no.: 1,000 mi 11.or less 168.54 4 I - 1i1.;akdi SO(1 1st ft.or portion 33.92 I TwA map/parcel no.: Limited cnerpy,rcsidcnual DEDESCRIPTION OF WORK '- (with above sq.ft 75,00 2 . - Limited sxlefgy,nlultidamily residential with above sq.ft.) 79.00 2 Renewabk Energy ❑ See Ptge 2 tiervicen or feeders installation,alteration.,aad/ur relocation 0 PROPERTY OWNER I 0 TENANT 200 amps or Ie 100.70 2 201 amps to 400 amps 133,56 2 Name: -N 401 amps to 600 amps w 20034 2 Address: 601 amps to 1.000 amps 301.04 2 ----W Over 1.000 amps of voila 5,226 2 City/State/ZIP; Temporary worriem or feeders installation,alteration,and/or Phone:( ) Fax:( ) relocation - 200 amps or less 59.36 1 Owner installation:This installation is being Inadc on properly that,I own which is not 201 amps Tu tt00 amp 125.05 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps [ }t+>;.Sa 2 Owner signature: Date: Branch circuits-new,alteration or exlcrwinnurcuinel 0 APPLICANT 0 CONTACT PERSON A.L•CC for blanch circuit%w,n1 above service or tecder lie, 742 2 Business name: `_eachh branch circuit 13,FCC for branch circuits wulwns `' SCrvicc or feeder fee,first 56,18 5 J-CP /5 2 Contact name: branch circuit Arkin-Ns. gale add'J brunch circuit (1 7.42 13 Ars 2 City/Suite/7.1P:/N1:tiC/%lE': - ^— MiectIlancons(ervice or feeder not Iaclurted) Y Each manufactursxl or rooclular 67.84 2 dwelling,aervia and/or feeder Phone:( ) Feu::( ) b7.R4 2 �,,.,.-,._ It onrxxr ooly . E-mail: Pumpor irrigation ctrck 67.84 2 • CONTRACTOR Signor outline liOting 67 84 2 Business name: i Signal cirult(s)or limited-energy Sac _ _C. I • F - 1artcl,alteration,or extension. I'age 2 12 Address: f,/„ :r t e w �e Kash additional inspection over allowable i•any of the sour j `•�t�LJ/ � Additionatinspation(ibrrnin) 66.25/hr rA City/State/ZIP! € • p rf1.. $ Investigation hr mm) 66.25/hr - Phone-( ..60 Fax:(St// 74pa -)0 Industrial plant(t hr min)_. 78.1 tl/to - lnspcotwns tor 4141i no tae is 90 On/hr lY CCB Liu.: /g')_ Electrical Lie.:(, ale 3 Suprv.Lie,: • (,s� spreiticnlly listed Cv,hr mm) , a ELECTRICAL PERMIT FEES Sups',t'slectrician signature,required: 1)�" ) • It,/ Subtotal' ,3q6-1-3-4, tea' . Print namer i Dille plan review(25%of pemmit feel _ �.I C � � �.^ State;surcharge(I 2°�of permit fee): ill:4'7 Authorized .W tj�+ Aid it _ 'IOlAL PERMIT FEE: L3s7.03 >rR `�� 5161,01/y TM!per•sit application el 1pirei if a permit is out ubtaitad wiuluu 4116 Print name: To it , V Date: eras after it has been nccepatsi as rnmplete, • Number of irlbprltio.%utlowa,l per(iIuul. 11110dsKtpr a t,i.„'_P.In•Apr_alt'Mika ac., /,:1(2in.i 440-4,1Y'n(lI/US/COWWM •