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Permit CITY OF TIGARD ELECTRICAL PERMIT 111 COMMUNITY DEVELOPMENT Permit #: ELC2010 -00398 T t G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/30/2010 Parcel: 1S126CA00700 • Jurisdiction: Tigard Site address: 9350 SW WASHINGTON SQUARE RD Subdivision: WASHINGTON SQUARE MALL Lot: 0 Project: JC Penny Project Description: (2) branch circuits for Mango sales counter. Owner: FEES PPR WASHINGTON SQUARE LLC Quantity Description Date Amount BY J C PENNEY 0288 -1, TAX SERVICES, PO BOX 10001 2 crt Branch Circuits 07/30/2010 $63.60 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 07/30/2010 $7.63 Electrical Contractor: AC & E ELECTRIC 3535 DEL WEBB AVE #100 SALEM, OR 97303 PHONE: 503 - 363 -2301 FAX: 503 - 363 -2302 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $71.23 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 -0. . rough O • - 95 0.1 .10. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. / Issu • d By: • • • "r . Perm ittee Signatu . !� I f'_. (A 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' 6�' A � 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. 07/28/2010 23:03 5034850586 AC &E ELECTRIC PAGE 02/02 Electrical Permit Application RECEIVED roe OFFICE USE ONLY' City of Ti and Received / ice /o -o0.Vg IIII -. 7 A/ to Pennil Nn.: ' 13125 SW 1 11 Blvd Tigard, OR 97223 JUL 2 9 i , I l.t . • Pme8 • Plan Review Phone: 503,639.4171 Fax; 503.598.19 Date/By • Other Permit: 08 pA0/0 - twig T I G A R I Inspection Line; 503.639.4175 ._iTY OF TIG ARD nnr Ready /By: 1 111 1 8 -- T — E1 See Page 2 for Internet: www,fgard- or.gov BUILDING DIVISION Nntified/Mcthod; Supplemental Information ,;,,...r.,.,,:,, e! .. .tr,.., .,r L...I „;., ,1,..� y��y,�, � "::` :i;l• f- .p. , rr . l ' >cra;' :,,.. . 6 tl v, r i ,I , 1.1 , d,. m I , I A(yl� , b!l; Y►. ,,yt�y , � .: { t.i' : 1. )�.. :.�1,� ,�I' I ?'�I�,''i. � ..y {:' i'.iil�. .h.... 1 .,, s..,. S �. c i ,..1�, .,, .�., . � ... �1KTn� ,�:,,,,,.,�, . . . • :.Il , '�� 111 , , , ' :r'• r ; �� � 1, ( .l � I 4 �„ �., t. t � . ,�:.�,, . . , :,..:•' 1„ t , I , I�t�,` r; ?c '�o'.G „1, i, r.�. I, ,.d 11 ,• �i t, . u.�. { , . ,.. ,{1er „ •��f.I,ia::L lc, a, ,., ,n.. ,..1,. ..6.. L( .;rr'�;:I;:!. �,. !L.•,,!{• , ,'ail � II(11i11�',�IAL:,,I �• ;1'. �. dl „1 {,�: ,1 , � .: ❑ New construction 0 Addition /alteration /replacement Platte check all that apply (submit 2 seta of plans w /items chocked helms): ❑ service nr feeder 4110 amps or more ❑ Building over three st riax. ❑ Demolition ❑ Other: WI1CrC the available fault current Marinas and boatyards. `Ii' i tyl k i' 146 ., !” trl';,.; , j � `n;i'La'•i`.!�';' 'rat$li +!l;i:9 I' i •.'! ' exceeds 10,00n mops m 15a volts OT ❑ Floating buildings. s s' , ' „ , , 1 !; , I;_;•;;- l,;.ai,.,,ln • � I,II��t'1i'! 1, ��� ' ,, ' '•i ,.: � Pa g try. k'' ” ' 1:i I I , , { 4; , o , y .., • : °.,• ..: 1k •,:'i ;: il:,::•:::!.:. len in griumd. or annadc 14.000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps r »r all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. Cl Installation of 75 KVA or :;''''• o ;.;• '••. y El Emer ens stem. larger s loll derived s aam, .., `.); ! 1'� , JG . 4 '.; : t a7r VRC Y,.11At" { �) : 1' 4:.''`:1i ) ' {„ ` �hC�'i?1'�1�!i'. ; lir'd, 't t ,' O ❑ ••A °F» ..t -, , ,. i, „ 1,L,„ • dak ;. Ith��tl,,.: . ;.i:y:�,i, u�,:ii�,�:,� .1..'� - .r' ,•Lad1� °' � h;:;;l;: � If l �; ; l,n,! Addition of new motor load of '+ », '1.3”, Job no.: Job site address � J W Washington Square DR I00F1N 1)r morn, occupancy, rJ CI Six or more residential units. ❑ Recreational vehicle perks. City /State /ZIP: Tigard, OR C '3 © Health -care facilities. ❑ Supply voltage for more than ❑ Hn7'triin1,$ locations. 600 volts nominal. Suite /bldg. /apt. no.: 1 Project name: JC Penney ❑ Service or render MO amps or mom. t'' I;iiil li'1 •n {,;, 16 , I , Ii I :i. l ei g•I el .ii c:r• Cross street/directions to job site: Timm nail 1 Qty. 12 Pea I Tnm1 New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: ] Lot no.: 1,000 sq. ft. or Toss 168.54 4 Tax map /parcel no.: Ea. add'l 500 sq. ft. or portion 33,92 I Limited energy, residential 2 ;:I,I :; '1; li�'�lol'i'(, :1 n:r,�1`:11 . Iia .Il:,1.n:•sal.,ll {.yy{y., y��y�(y�y��{. y�� 1y,�,�: :i:l.,::l. ; ,,,1�.1 ; :• �i; '�jl i'1 "'.I I: (with abm'c sq. 75.00 ;'i:l� 'I,'. :di..Uf ., , , i :',!; I' fl ; J, :, jf g,E$1:7frV I;f.l'J 1 10.1 i'.1.1'. 1IR ii ,:I � l' ; , �,l i .t l�l ., ft, ) ! ...i:l`;�.L. _.,,:.t:,'k' Ii , � .. ,t �f�:; ,� i 'G(Ntil,11' I II „ . " � : .. , ... ,. , ,,, � .r { �; I . ,. '' ` limited energy, multi - family Revise lighting and power for the (Mango) sales counter residential (with above sq. (I.) 75.00 2 Scrvicek or feeders installation. alteration, and /or relocation 200 amps or less 100.70 L2 tl ; ,i, :,L �� t , 1 „�!rt� s•;,� ;; ,,;, ;' i — . n ° , •. :dii:, :,.,:: ;�,,;< ; :.,p'' ” 4 ' 'i.;tiiti-;l i`f;:;,; I'r l ;; 201 amps w "I° amps 133,56 2 ; " " . {,' , ' � "'• ; ,� rr .{;' .I,�, ... I ,.,, • i,�Fr::ll - � - - L.. •V. L�' (i: l:i'1 .11:.,1 I1..� ,.. {, i ,.� ..� I�� '� � 1� "::!'� Name: amps to 600 amps 20434 2 601 amps to 1,000 turps 301.04 2 Address: Over 1,000 amps or volts 5.52.26 2 City/State/ZIP: /Statc/Z1.P: Temporary services or feeders installation. alteration. and /or relocation 200 amps or less 59,36 I • Fa x: Phone: ( ) ( ) 201 amps to 400 amps 125,08 2 Owner installation: This installation is being made on property that 1 own which is not 401 amps to 599 amps 168,54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670. and 701, Brand clrcttity. new, alhratinn, or cxtcnaion, ear panel Owner signature: „ Date A . Fee for branch circuits wi th • ,,�,,�. ,.,...,� „ „ 111 „ .. . .... .. ........ . I; ^:'s,:a;s;. ^s:..'., { , :I:.,; 1 . � , tl , l ,,, above service Orfceder 6. l i r' I r 22 �!�y y�t� I I 11 r ,y �uytyv, ; I. • 7.42 2 !'fl 141! ''+ `lI'� �1 i�,k itlli,tl), ! • P 14? I'r 1 il: i 1 1 jl GGl l, V;L;'V`l it l y L , }i,.; each branch circuit Business name: B. Fee for branch circuits without service or fader fcc, first 1 56 18 56.81 2 Contact name: branch circuit Each add'1 branch circuit 1 7.42 7.42 2 Address: Miscellaneous (service or feeder not included) CI /Statel7_1P: Each manufactured or modular 67.84 2 City/State/ZIP: dwelling, service and /or feeder _ Phone: ( ) Fax:: ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E -mail: -- -- - 67.84 ; .Ip : °u.; ?ah ;;i ,'.:,: '�' I';f.i, `IJ,}.�1y�,yy, :�L;;•:{, ' ,•s•e• ;,,;;�:;' ::ii`f '"1:ilil':; i':'; Sign or outline lighting 2 -- ,.” ,: ll''•P•r' 'fl. ,N :' ,. 'il:1':{ 1 ''I!:i' O A'Wi•Wl�' "�i''' �I : :, 'I:o IF „�'.,;,.�,t <s, ii'i� "..1�..', •kl�e,brll!'i,I �d1 `,•u;l:j.l(i l gal ''isl ��•,�,4„ ,..,��+ :, .. I , ., , ,,t;,;. ;'ss., li: �i�li , ` •i;� .. , , 1 ''1, „ 1 r „ 1 . •i,,,, Signal cirwit(s) or limited-energy Business name: AC&E Electric / " 4 panel, alteration. or extension. Page 2 2 J Each additional Inspection over allowable in any of the above Address: 3535 Del Webb Ave, Ste 1.00 ((»- . \' _ ") c Additional inspection (1 hr min) 66.25/ hr ^__ City /Statc/ZIP: Salem OR 97301 ��N'• _ .. - Investigation (1 lirmin) 66.25/ hr Industrial plant (I ltr min) 78.18 / hr _ Phone: (503) 363 2301' Fax: (503) 363 2302 Inspections for which no fee Is 90,00/ hr specifically listod ('/a hr min) CCB Lie.: 591 Electrical Lie.: 24-1C Su -1. 9 l' '" ' ';L S4'I'+ J "J' 1 ' ` ” " 1 ( Sup .ic. 53 1 S �i i ;,liij �I " t i!k ' I i�,i c ', I �(�, I .� , .��`!���'i "i ;;,,;;: � W �� uprv. Electrician signature, required: r l0 / 1 10 Subtotal: n k.�eis n h Plan review (2S /n of permit fcc): • S (PS Print name: Kenny Gates Date: 07 -29 -10 State surcharge (12 %nfpermit fee): LA 1' 0 . TOTAI.. PERMIT FEE: d Authorized signature: This permit application expires If a permit is am nhtnined within 180 i days after It has been accepted n+ complete. Print name: Date: I. Nmnhor n inspections allowed per permit. 1: IRUl IdinO'ffmlta\F.LC- Perm1TApn,Rac 07/01/10 140- 4r157(11/n5/f0M/WEB