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Permit ;, CITY OF TIGARD ELECTRICAL PERMIT OF PERMIT #: ELC2006 - 00566 44, DEVELOPMENT SERVICES DATE ISSUED: 10/5/2006 - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2 S 113A D - 01900 SITE ADDRESS: 16600 SW 72ND AVE B10 ZONING: I -L SUBDIVISION: OREGON BUSINESS PARK 1 LOT : 009 JURISDICTION: TIG Project Description: Rockwell Collins. Install & relocate lighting in mechanical rm, relocate cubical power. Job # 94126/94127. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL: MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC REALTY ASSOCIATES OREGON ELECTRIC GROUP 15350 SW SEQUOIA PKWY #300 -WMI 1010 SE 11TH AVE PORTLAND, OR 97224 PORTLAND, OR 97214 Phone: Contact #: FAX 503 - 535 -2763 PRI 503 - 234 -9900 FEES Description Date Amount Reg #: ELE 26 -95C [ELPRMT] ELC Permit 10/5/2006 $53.50 LIC 203 [TAX] 8% State Surcharge 10/5/2006 $4.28 SUP 4460S Total $57.78 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or 1- 800 - 332 - 2344. Issued By: � 7.4 A��,,' i� Permittee Signature: c t s, c \ 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'N: DATE: LICENSE NO: 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. OCT ;04 -2006 04:06PM FROM -OR ELECTRIC SVC3 EC F N ED 5035352763 T -075 P.001 /002 F -925 e L' iecu is. ai .1l CILIUM 1 ttpeJt8imaniuii City of Tigard . OCT ©- L X06 Reccivca �a S - 6.. . P � x) ( J 13125 SW Hall Blvd., Tigard. OR 97223 7 Pi= Review ( V J Phone: 503.639,4171 Fax: 503.598.1960 CITY tar° ic* dBy. Other Permit: Inspection Line: 503.639.4175 0 ' r• Jura; El Sec Page 2 for Internet www.citigard.or.us Notified/Methot1 - Supplemental Informadon • TYPE OF WORK PLAN REVIEW ❑ New construction ® Addition/alteration/replacement Please check all that apply: ❑ Demolition IA Other: ❑Service over 225 amps, comm'l ❑Hazardous location ['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft, • CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new readeo(ial ❑ 1 - and 2 family dwelling Commercial/industrial ❑ Accessory building ❑ System over 600 volts nominal units in one structure 0 builder ❑ Oth ❑Building over three stories ❑Feed=s, 400 amps or more El Multi - "trail Y ❑occupant load over 99 persons ❑Manufactured structures or 30U SITE KNFORMATION AND LOCATION ' 0 Egtcss4ighting Plan RV park • Job no.: 94126/94127 I Job site address: 16600 SW 72nd 011milth -care facility 00th=- . Submit 2 sets of plans with any of the above. City /State/ZIP: TIGARD, OR _The above arc not applicable to temporary construction service. FEE* SCHEDULE Suitrlbldg. /apL no.: I Project name: ROCKWELL COLLINS , �� Qty. 1 Fez Tatul J Cross street/directions to job site: New residential single- or multi - family dwelling unit. 'naiades attached garage. _ _ 1,000 sq. fl. or less 145.15 4 Subdivision: [Lot n0.: En. udd'I 500 sq. fL or portion 33.40 1 Tax snap /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 • DESCRIPTION OF WORK _ Each manafacntrcd or modular INSTALL AND RELOCATE LIGHTING IN MACHINE SHOP dweltinf and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation RELOCATE CUBICLE POWER 200 amps or lam 80.30 " 2 11 PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454,65 _ 2 Reconnect only 66.85 2 City /State/Z1P: Temporary services or feeders Installation, alteration, and/or relocation Phone: ( ) 1 Fax: ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel .. ❑ APPLICANT 1 Q CONTACT PERSON • A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit . B. Fee for branch circuits Contact name: without service or feeder fee. each branch circuit 46,85 1 46.a..5 2 Address: _ Each add'1 branch circuit _ I 6.65 (p .1. 'j 2 , City /State/ZIP: Miscellaneous (service or feeder not Included) phone ( ) I Fax: • ( Pump or irrigation circle 53.40 2 - I Sign or outline lighting 53.40 2 E -mail: Signal circuit(a) or united- • CONTRACTOR energy panel, alteration, or extension. Describe: Page2 2 Business name: Oregon Electric Group Address: 1010 SE 11th Ave • Each addldoaal Inspection over allowable in any of the above Per inspection 62.50 City /State/ZIP: Portland, OR 97214 Investigation per hour (t hr min) 62.50 Phone: (503) 234 -9900 I Fax: (503) 535-2763 Industrial plant per hour 73.75_ ELECTRICAL. PERMIT FEES° CCH Lic.: 203 I Electrical Lic.: 2.9 95 Suprv. C. 4460S Subtotal 5 3. 5 0 i Suprv. Electrician signature, required: " � Plan review (25 %ofpertnit fee) /Ji_ State surcharge (8% of permit fee) I-}, 'a ig Print name: NllarK 2, A eil■ vl2y I ',�: 04 TOTAL PERMIT FEE 5 7 . - 7 ' Authorized signature: . . - Tais permit application expires if a permit Is not pbtµhned within 180 ��� r days after It tuts been accepted as complete Print nalnc: 1 • aY � J J , .66\0I� ' Pa : 10/0440 - Fee methodology 54 by Tri- County Building Industry Service Board •• Number of inspections per vein it allowed. i;\HuadlnVe-tmitLC.PermitApp.doc 12/03 440 -46 t5T(IWWO2/00 IWP9 �v VITA (�_ ���'`'`� \IIAA ttl k C