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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2004 -00727 r I � � DEVELOPMENT I L OP BENT (503) 639-4171 DATE ISSUED: 11/12/2004 13125 PARCEL: 2S113AD SITE ADDRESS: 16600 SW 72ND AVE B -10 SUBDIVISION: OREGON BUSINESS PARK I ZONING. I - BLOCK: LOT : 009 JURISDICTION: TIG Project Description: 1 branch circuit. ___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: 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 CONST /GROUP 15350 SW SEQUOIA PKWY #300 -WMI 1010 SE 11T1 AVE PORTLAND, OR 97224 PORTLAND, OR 97214 Phone: Phone: 503 - 535 - 2652 Reg #: LIC 203 SUP 4460S FEES ELE 26 -95C Description Date Amount Required Inspections [ELPRMT] ELC Permit 11/12/200' $46.85 [TAX] 8% State Surcharge 11/12/200 $3.75 Rough -in Elect'I Final Total $50.60 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: ( 0, c.,,L, Permit Signature: d}\ G�2p �� �� • 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: ( -14(../n, Call 639 -4175 by 7:OOpm for an inspection the next business day 11 -11 -04 01:43PM FROM - Oregon Electric Estimating 5032313587 T -972 P.001 /002 F -984 L+ le Cal YerIll'Ut Appucauon iminsiardmaiiiiiiiimi "City or Tigard Receives b DateBy:11Z / . -/ i ie_ _ permit No,�(1 7'!„,_�/�1 1 125 SW Hall Blvd., Tigard, OR 97223 ,, z, plan Revie ! C/ �! 7 Phone: 503.639.417I Fax: 503.598.1960, ' d � r, ' i l'a1 " ' 'I Date/ay: Other Permit: t L- .'J L " Date Ready/13y: hair: El See Page 2 for Inspection Line: 503.639.4175 ,, _ ='" NotiSed/Method Sapptemental Information Internet: www.ci_tigard.or,us " . , ' . .. , A% tie:.; :;r , ,,`. i,,,,.. e', :?LAN REVIEW ❑ New construction LEI Additiotl /aiteratifn/replaCement Please check all that apply: ❑Service over 225 amps, comm'l DHazardous location ❑ Demolition 0 other: S ce o 3 0 amps Buildng over 10000 sq v 2 am s- rating v ft., ❑ ervi over ng ❑ , CATECOR''Id'rOF;'CQ STRUCTION of 1- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling El Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family ill Master builder ❑ Other: OBuilding over three stories [Weeders, 400 amps or more _ ©Occupant load over 99 persons ❑Manufactured structures or • :.JO>B•;;S1- E.,INFOR1 rATION. AND `LOCATION. • ' , DEgress/lighting plan RV park Job no.: 82985 Job site address: 16600 SW 72nd Ave ❑Health -care facility ['Other: - Submit 2 sets of plans with any of the above. City /State/ZIP: Tigard, OR 97224 The above are not applicable to temporary construction service. • Suite/bldg. /apt. no.: I Project name: Flight Dynamics • WEE' SCHSCHEDULE 1� Dp Qty. � tY• I Re. 1 Tam -- Cross street/directions to job site: New residential single- or multi - family dwelling unit - . - Includes attached garage - 1,000 sq. fL or less 145.15 4 - Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non-residential ntial 75.00 2 ::i;:_ -D CRIPTION;O 'i`V1'O _ FS. F..,:' Each manufactured or modular One circuit to new oven dwelling, service and/or feeder _ 90.90 2 . Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 - amps to 40 amps 106.85 2 Q • Y RUI'ERTY:;,O�VNE>(i , . ,: ❑ : T�1vANI . 401 amps to 600 amps 160.60 _ Name: Flight Dynamics 601 amps to 1,000 amps 240.60 2 Address: Same Over 1,000 arnps or_volu 454.65 2 - -• Reconnect only 66.85 2 City/State /ZIP: Temporary services or feeders installation, alteration, and/or Phone: (503)443 -3469 Fax: ( ) relocation 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 100.30 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 [� ATPLIGANT .;:. I 'T n ...CONT cf: P asois i.. '..........1 A. Fee for branch circuits with service or feeder fee, each Business name: branch circuit 6.65 2 Contact name: B. Fee for branch circuits without service or feeder fee, 46.85 2 each branch circuit Address: Each add'l branch circuit _ 6.65 2 City / State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax: : ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) orlimited- `.CON'tiiri ctOlt .. , , ,.... .• „ . ; ., energy panel, alteration, or extension. Describe: Page 2 2 Business name: Oregon Electric Group _ Address: 1010 SE llth Ave Each additional inspection over allowable in any of the above Per inspection 62.50 City / State/ZIP: Portland, OR 97214 Investigation per hour (1 hr min) 62.50 Phone (503) 535 -2652 Fax: (503) 231-3587 Industrial plant per hour 73.75 • • ELECTRICAL PERMIT .FEES CCB Lic.: 203 Electrical c• 6-' C uprv, Lic.: 4460S Subtotal W. �S Suprv. Electrician signature, require . ., / — L • Plan review (25% of fcc) Print name: )7/1,/ /J !ii �c t % — I Dat - /04 5ratc surcharge (8% of pctmit fcc) , _ 7 TOTAL PERMIT FEE Q „. G( Authorized signatur This permit application expires Ira permit is notobtvnet within ISO /// /� /,[� days attar it has been accepted as complete Print name: ��� , vv // Date 1 I/11/04 • Fec methodology set by Tri -County Building Industry Service Board •• Number of impeetlons per permit allowed is tBuilding \Pmmits\SLC- PceMitAORQOC 17103 440 46]5r(70i02/COMfWEB