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Permit *3 ' - I " t CITY OF TIGARD ELECTRICAL PERMIT s a ft a ,: COMMUNITY DEVELOPMENT Permit #: ELC2010 00109 T t G-:_:.,,,-,,Ir..., 'LRD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/10/2010 , r - % , ,,,,, . Parcel: 2S110DB00500 Jurisdiction: Tigard Site address: 15336 SW PACIFIC HWY Subdivision: Lot: 0 Project: Sonic Drive -In Restaurant Project Description: Install (1) 200 amp or less temporary service. Owner: FEES MWF TIGARD LLC Quantity Description Date Amount 2123 NW ALOCLEK DR #1203 HILLSBORO, OR 97124 1 ea Temp Services or Feeders - 03/09/2010 $59.36 200 amps or less PHONE: 503 - 617 -0175 1 ea 12% State Surcharge - 03/09/2010 $7.12 Electrical Contractor: MARK ADAMS ELECTRIC INC PO BOX 2748 CLACKAMAS, OR 97015 PHONE: 503 - 557 -8543 FAX: 503 - 557 -8508 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $66.48 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 thro gh •AR 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: _ Ill k! k • .. ! \ • 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' 1 ,�^ Date: LICENSE NO. -A-PP Call 503.639.4175 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. 1 iectrical Permit Y ti oln : C .;: ' ,' " .. .. , . City of Tigard 3 i '. ese w /� I s is SW Flan ) ` , .1 � I R ter„ � d '# Parm ;e0 2 iS. - C Blvd., l'iggrd, R 9573A + Pier 8 c�c + Vence pei Ph one: 4 0 3.670 4171 r ax; 503;598.1960 ODIC? ! . ; n , inspeCtien lint: 503.639.4i7S Da te R aec t u +fi :r: �PaAC2fnr ppp �, IUtGnet; ww.wtigard -M.SUV M An.• '� ' � , 0 ' � � Nor.`lo:lrtyles!rtct r. C 8rR8AemeaallnFnrmnt9na I 0 Ncvr constraetion ❑ Addition /itc /o1' I Ft o r,et.c ttnar=. pply euanns zxis orprtnssvinemscneek`ieriOnw) ■ � 'P mcv3��'� , D'SScrv:ce fccderdC•0 amp.: orrnatr. • 0 DernOlitiOn si Other: I ❑ Rnrklinadw r dirt; Ctvric± __ • where Iha nvaaable ir. :It ccrcrx ©MBtinna And aoary 11711. ;c ThcOitt cl�tt`<1V5T.tLW'Eio4 . . wcmm1(1Ra00aragr rt. l9;vylcM II Ylontin5Nildirps. [3 1. and 2. ---.y )oat co ,irio,ncl. 'r exceeds 1 r.f:0 0 Cbrnnterc:a! ilia elCicenor..l famit dwciIing g AA Comrrt.YCinl/industrial ❑ Accessory built :55 *er all c tie, ,nNt , aa „a,,. bu{1F;nK _ Q Multi family ! 40B $ 0 Master yullder Other: Q Fir^. pump. Q Irtc3111niicvt cif 7$ KVA or l'1iF L41�1i7Jk170N 1M dfC3TLOIt Q larger "Fran 0.'.1n �r n tyde ^ucp1 y m. , s etc i ,. 3( j 0 Ada'rw of w n• t nets 1 Job no.: .1015 site addtcsa, 1 900 SW Pacific I I IH111P nr meet. accitpnnt5. j ..- L : 0 8ix or rea;a nlinl unite. Ci Iteeteditmol, :Mete rarkc ^ .ity /$1,ale /T'P' 'Tigard. OR 6W-4. _,,,,,_,• , • I oI'oahltti,era tea%1 :tie.. CI iiseoly voltage f o r more :I o r- ---- i —...... ... — m._ . _......y 011+mrdova locatrona son vole : nam,it,t Suite'hldg,Japt, no.: 1P Project name: Tigard Sonic Drive -In j n r Service o fo der iO3 (tarn. or.nm .. Moss str ztidinrriani DO,jolh sliest Pheift Wighway 1 ' IsFL? 5l tiCLJI41 . —_...� _ i 6..cr1 non . w � x .. n t - - -' New reeidenrlel single. or multi - family dwelling unit. I (imicsa ±taeSted prep. Sufi lie ision: _I Lnt no.: '- ' 17.000 1 1.000 sq. ft. or Inds 16,5, S ^^- -- - -- 1 j P.T. odd') 360 sr rt. e- portion 1 2192 . _ ,,. Truk: mafs,parcel nn I t.,l,nit energy,*csrdca'al ' j . , ;, 31TSCRIIPTIQN ;O ' Nd1ittc . J _ (whh above sq. 11.) ' I 6 .RL 2 • T,lilec energy.,:t,ilti.- family, 1 h7,Ra j Temporary Service residential .with above 5q Q. S j _ — - �,Servieae c r feeders inalitllotion. elteretirwi. and/or rclncrtlinn T` 00 snipe or less I 00.70 2 ' : , kti ? OWN 1- • (r1 W 2 ii '' 29!aims ii 06 amps 153,56 206.14. _ am .- �....r.,..... m, -... -- 01 mane to ON) amps i 2o0.3 - ____'^------- --- - - - - 1 60, imps:, r .020aro ',07 Ott 2 AddtCS r: — — I t7vcr 1.tll)(1 aria or wits 55 2 I t Temporary services ear feeders losinitatlee .stterittion.and /or Oily /State /EIP: I rebncarwn - - -- . 1 n os or - less I ' 579 — 36 -7 So 06 I I Las: Phone: ( ) as: ( ) , w 2nI ar nprpb(XIa 129.08 i i z Owner installation: This installation if being made or. property that 1 own which is not mP' 1 - intcn(IC:I for gale. /else. rsnt, or oxcilnogc, according to ORS 447. 449. 670. ard 701, f a0i om p nw 499 reps I i68 .SU' 2 lirench cf runic - tn.v, aleratioa. or CR4Ceslea, r • we Owner naturs; —'"'*------------..-.-- r A. Fec lot iNtanth eitedits with — nines 4 or he 4^c _ CONTACT PE CI ” 2 a� rx ►,r�a� .(. �. � � tx- I Ada � i each aitlr� circuit ,� .._._ Business nattier !$. Fee tin branch circuits wfrhelrr (t ry j rvkv or feeder foe . firs; 50.1 d 2 Contact name! p tt omit?, circuit J [ash ndtl'I Hmr+th cHmr+th r:rcuit 7.6: /address! �T s a i l aaa+ (.:ri err woes not )eI IUd.0d ID City /StlltdZfP ~ Each rnontlractured pr modular 1- e7 64 2 d wtllit oviet emir t LPL. _ _ _ Pitonc ( ) i ax ( ) i oannn=on'ly E;.S4 — 11 , � �.w ..„- _ _- ' Psis or Sri (tpri ei ; 7.64 S E-mail. �'�� I Sign or outline Iiphtlttg 65.84 ' 2 • . c ., - - :• (!RAc'.TO[t' :... ; Signal cirouitk) or 1i111tal- energy j 1 Business name: MARK ADAMS ELECTRIC, ]CC. panel, altareion, or extension. to ai lorn Pape ( 2 _. - I Each additional Ia CHo aver lA1e in env of she nNeere Addrgos; P.O. BOX 2748 _ f Adettianal Inapccron hrmnl j 66":3/11' 1 Inve ntige " nnn(1hr I 6,52 5/hr 1 t Ci ty /Stet4/ZFP :CLACK4MAS, OR 97015 ,_...— . IndIsttlal Mar: ('. or we I 7S. I S/ lir ;Mono: (5031$17-8S43 Fax. (5(1;J) 55? 8a" ins of ens ter which no ten , w ... ht - • — i ._.1___:____ w ^ - ._� xif - malls Berne (,S hr min) - L CCB Lie.: 1;4094 Electrical Lis: C248 SaQr.. Lic.: 48 HI :Er:lima:11 rF3 i9' FEES' 55.6 , 3u rco Strpty, EicctriCinn signature. rtac}u :� r �.lti _ _ c�t'�mrcfca): b 3 -1 r i H Printn.ms :.MARK ADAMS Dal • / Q Sthi yisig"(tUre : �.- - i 7 hit pcovi“ epplkseonas pire ► oat anaimran :u __- �....�.. ••••• et.trt anti" it l... l•veri swim,* a, to sinker. I Print name; I bare; ^._ 'Number of inrpecItotxc allawxl 11er permit, I euildiptlPcrmirifiXt ftrrnl rnMtmo t.A.>,St ST(it :t1S/C UNWfB Td WdT2:LO OTOE 60 ''-vpW 80S8LSS2OS: '0N XII. ONI OIdID313 SWLIGU >i?iUW: WOdd