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Permit Rs)._ ap un't 1 A Cl ° J C.- c r `.—�5 CITY OF TIGARD ELECTRICAL PERMIT q s D COMMUNITY DEVELOPMENT Permit #: ELC2009 -00239 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/27/2009 Parcel: 2S113AB00600 Jurisdiction: TIGARD Site address: 16125 SW 72ND AVE Subdivision: PACTRUST BUSINESS CENTER Lot: 0 Project: ANS Project Description: Install /alter (6) branch circuits. 6/10/09 ADDED (10) branch circuits. Owner: FEES PACIFIC REALTY ASSOCIATES Quantity Description ' Date Amount ATTN: N PIVEN, 15350 SW SEQUOIA PKWY #300 6 crt Branch Circuits 05/26/2009 $80.10 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 05/26/2009 $9.61 Electrical Contractor: IES COMMERCIAL INC 13970 SW 72ND AVE PORTLAND, OR 97223 PHONE: 503 -648 -1900 FAX: 503- 670 -9572 Type of Use: Class of Work: Type of Const: Occupancy Grp: • Total $89.71 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 901 -0010 through OAR 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. ' � ` ni Issued By: Clr cc 6 tne f k `��1�' . 1 � �� � � . � Permittee Sig nature: � U p ' OWNER INSTALLATION ONLY 111 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 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. 06/08/2009 11:17 5036709572 NEW TECH ELECTRIC PAGE 01/02 /, -y Elet tricai Permit Applicatio or FOR on ICE USE o i 1' F In c7 • -, 0 City of �iprd il ( ( s ,n Receives Q ;: � { Datc /8y: Permit No,: � u� ] i illig 13125 SW Hall Blvd -, 75gard, OR 93 1 ' r ` ' ' Plan Review tl Phone: 503.639.417I Pax: 503.598. 1960 Date/By: Other Permit: 144.0109->elf, 3 Ticnnn inspecti Line: 503.639.4175 JUN 0 8 2009 Date Ready/By: rte: 83 Sec Page 2 for letemet: www,GgIrd.or.gov Neilified/Mctbod: Supplemental Information ,: i-,.,.�- : _ ra r •py J ,l :m I} t.:. u p,e, :ur.l, + ,.�,,, a r L v ti . f^[ 'rA � F ' i Yl.:..:.rT % ;:fe �r'� c* t •;! r 4"+ p i r . a-�yt^M^n7, - . . l'Ill ,T' :7 r -- r ., i.�rn,( + «,;d.. r a?111s�,k•. � � �! •, rt. ,a' . . P , '. f a,r f ( •H' , ¶f ^ � �,1 . .1. ,,i �, i.,a �. �ar 'C • 4 1 � rv �:, .. .1,. . . �TS �.. �'j' a i ! � .. c •� , ,. ?� �f g ) ,1 , A t �;; (� �t hi t rrt ; ,, , ica it �.7• 7' i p + S. Co i 7 6q :�f��,w,kl °.: 7.lilhrl .�J'� ■�11n a1 :� M ti „ ��,�” ^�` i � � .kk�Alf��. r�'?U;'y ,K"�'1r.I�Y�i F�(il r �ti r µ': Y,R'���.�irl� r+11'r 1 I (� � T' l �,�'o-tf��o�l ��,���:u�i:St�..' YJ r 5 .1 ,:xh!'�:4,.� sS .r. rJr.. t l��i:�'t.- r/i�Jr..},r1, i N �, :��4 .�'F�m•'�. r vw�Ir�SA'r:ALry,rt �zfl+sl� � �w� 126'r' ��.5 � ❑ New construction Ei Addition/alteratioti%repl�ee `r O "'' t ro ;°) Li i\ Please check all /it tbat apply (submit 2 sees of plans weme checked below): 1:1 Service w faller 400; mils or more CI Building over three stories. El Demolition 0 Other. tr i y where the available Ault current 0 Marinas and boatyards. *1 ii:3 wiasl iti a. ( / ldd( i a l : 11, —4 ; i .. ' ('V f. r7 1" , c,II':;f r `itlil p) �` ' nll r�� hta'' j rv;;; ur t t ' l i'it „ t;:. r.; e i..!',`: }/ b exeecox 10,000 amps at 150 volts or ❑ Floating buildings - t' + less to ground, or exeeods 14,000 Lomurtercial /industrial ❑ Accessory building O cot l -use agricultural ❑ 1- and 2- family dwelling 0 t')' $ amps for all other installations. buildings. ❑ _Multi- family ❑ Master builder ❑ Other: Ci Vim PUMP ❑ Installation of 751NA or ” ! C 11; ! 1 )Ni Fir' �Y, i, '`ya 'a r+ 4 . in ; sf - e rr; r opw ireizer *h a+rn ftt'r ig1 , �^ `1N ; y , ❑ Emergency syst larger separately derived system i it G�� � :"Y.1,1.1... i�A, • h afaw' 1 . f` .. ai : „. .,.,, t,',4 t$'4lSLatait$t1 ii., ,a�a�i�0 ❑ t ❑ ,"';' ' , I Addition of now motor load of „t�+" n � i" Job site a ddress: / j I00HP or more. occupancy. Job no.: ��*/ " - �il�; ` � 0 c$ix or more residential units. l I Recreational vehicle parks. City /State/ZIP: ,rte 0 13ca1th - enrc facilities. 0 Supply voltage for more than ' ��� 0 0 Hazardous localiom. 600 volts nominal. Suite/bldg./apt. no - : Project name: /. (5 x , amps or more. ,/ ~ �V t_• �-i / J' �✓T � ❑ Service or feeder 600 a , ^v i i ��I��� a d 1 �-- ^ -: —�l i 0� • � ; -• I,. y 7. °prµ 1 M :iUh li;� �•�i�:a:�. sv 51 . � .n ,7 Q� O��a, ��J.'� .1'��'sSLtl;•(Y,UL'Ln • • . Cross street/directions to job site: , r ,,, ,r t:an • ® � • New residential single or rmrlti- family dwelling unit. c• �/ .r,, j v S c e 4Tt' e Includes attaessed garage. Subdivision: Lot no.: 1.000 sq. ft. or less 145.15 4 TAX mAp /parCCl no.: 8a. addi 500 sq. ft. or portion 33.40 1 �?� Limited energy, residential n'` . t 9 z �L f i�ll�, w s' ' u r to . r""rliti,a a e lts '�( Oi i 1 1 , , , :,a.as a, (with above sq, ft.) 75 ,00 2 1, t C "Eii" . ,)�Lni -• '• I . = ynY i. A1;*1" f: Lntij(ed energy, multi - fa 2, �1 75.00 ' /V 4.) a. 0 + /,P 1/_,�y, V z2 t43 se _.. C i /Z, / residential (with above sq. R) gpl Services or feeders installations alteration, and/or relocation �}. dtrd I C.tJ 200 amps or less 80.30 2 m ; ,1y t 71 -G),V+ , ci " ,a It ib z• 'ti+fl. k ,,'�; 't(' ., , 1, a te I ; WW e . „. �. .ti; t” z .1.; (: ry 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1.000 amps or volts 454.65 2 - City/State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) I Pax: ( ) 200 amps or Iris 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 50 amps 133.75 2 Owner signature: Date: Branch circuits- new, alteration, or extension, per panel 1' !�0 _ _ A. Fee for branch circuits with r..1, kg �r l lIjlb "h t�'i i grik ... .' 7 1 !,'ltt'r. ,,s� ` ;Pl..� 'li'Cl+ (, t x ; p ,x1rX, „t^snI .,..” f EW: :1 above service or feeder fec. 1 �G4uExcil,luil n. Jwh?.nrnr . a P u , Au'dr L� a, '1 Nt rt T each branch circuit 6,65 2 Business name: B. Fee for branch circuits .e Contact name without service or feeder fee, 46,85 2 first branch circuit • Address: Each add'I branch circuit ; I 6.65p.��2 Miscellaneous (service or feeder nui included) City /State/ZIP: Each manufactured or modular dwelling. service and /or feeder 90.90 2 Phone: ( ) I Fax:: ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 _ 1:'9 ,, . k , l ° +r „ is I ,� `y '''if. r ?. l r utlinc lighting w r , ri it 1 +a;�1�:'?r�.,`t +,f ; Sign 53,40 2 BttsinCS4 name: Signal circuit(s) or limited - energy panel, alteration, or Address: extension. Describe: Page 2 2 City /State/ZIP: Each additional inspection over allowable in any of the above - Phone: ( ) �. Fax Per inspection 62.50 ( ) Investigation per hour (I hr min) 62.50 CCB Lic.: Electrical Lic.: Suprv. Lic.: 5399 industrial plant per hour 73.75 ,I:if uo' t" "t4r00. 04 ' _ R_1Gt1'>f :, ,10 eJ141 ` l ll : Suprv. Electrician signature, required: 1 — 1'.4.---' _ . S �.. Subtotal: 69.6p. Print name: 44 , , c ,- I Date: Plna review (259b of permit fee); T E' �� .-1 State surcharge (12% of permit fee): Authorized signature: TOTAL PERMIT FEE: 3 Paint name: Date: This p ermit application expires Ira permit Is not obintne rtthin Oil . days nrlrr it has born niciptcd ns complcc N umiler Orinepeetions allowed per pe rmit• 1; 10" 0 mom 4411.4613.r • ` kti.ea -dIrC a- (4614"nr . le utA.Dirl 61, r c - q CITY OF TIGARD ELECTRICAL PERMIT °. COMMUNITY DEVELOPMENT Permit #: ELC2009 -00239 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/27/2009 Parcel: 2S113AB00600 Jurisdiction: TIGARD Site address: 16125 SW 72ND AVE Subdivision: PACTRUST BUSINESS CENTER Lot: 0 Project: ANS Project Description: Install /alter (6) branch circuits. Owner: FEES PACIFIC REALTY ASSOCIATES Quantity Description Date Amount ATTN: N PIVEN, 15350 SW SEQUOIA PKWY 6 crt Branch Circuits 05/26/2009 $80.10 #300 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 05/26/2009 $9.61 Contractor: Electrical IES COMMERCIAL INC 13970 SW 72ND AVE PORTLAND, OR 97223 PHONE: 503 - 648 -1900 FAX: 503 - 670 -9572 Type of Use: Class of Work: Type of Const: Occupancy Grp: Total $89.71 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 through OAR 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: q t n k nu V � f Permittee Signature: Q l pc`1 CV\ 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. 05/22/2009 09:05 5036709572 NEW TECH ELECTRIC PAGE 02/02 Electrical Permit Applicat c, r ' o City o£ Tigard Received Permit No,: OO IN q 13125 SW Hall Blvd., Tigard. OR 97 q Y 2 2 2 009 Ua'clBy Q (C 7 $1 G Plnn Review ` - Phone: 503.639.4171 Fax: 503.598.1960 — Date/By: Other Permit: Inspection Line: 503 CITY , date Ready/By: ro Et Page 2 for �.r 1 S ttaantnl lnforan8tion T I �. n r, t , Notified/Method: i app. c Internet: www.tignM- or -gov 7f ; , , ,� � '' '1 t { yr ( j�l . . s ., . I , . 11, 1 ''^ t t .., i a��l ,.fl % } }^,( r '{ ; : .::'y't � ial .:iii'ry` ri';�'F A '!J;1 1�i �II '{ ' � I ;fI , �. }d? � ( �'7� "'r. • +' i l i , . l . l, il . t _ .,!r 1 L �;r I UlGAM'c. pf p) d� k li i l ` I �{ i f . ,,.' 1, 1 r1 , S� 1 �ftt,� qy��� " n V � , `!' }!,!� II IN ,J.i T 1 1 ,; i r, �"p i' r. I,{ li l. k i `�• i 6I I1•L, A3ul' r: ,_:� �� �� ,i t /,,,�,. {;�1)Iai ` �,n1 a gut •. � °., ",'�I . � �4 dFlhl( t, ��1 1. Mt ,� {4ri•�1�11�� �11�- ;..�i,il,f}; �{:I�i �.,, Illth ,., 1^��� ne�,l, El New constriction ' Addition/alteration/replacement replacement Please check MI that apply (submit Z sets of plans wfitcros checked below): ❑ Service or feeder 400 amps or more ❑ Buliding over three stories. Q Demolition ❑ Other: when; the avaiktblc fault cement ❑ Marinas and boatyards. a' ", '" [^ U � !J I - '.?J' exceeds 10,000 amps M 150 votes or ❑ Floating buildings. r+ il' I fr.,,., 1. �,' r r ;i Y,'P',�I II'' I l'. a , 1', 1•`. 1 ti ,� 7 R t a f a `li i. rt Ili ',f;� Yi {� )?� }, 11E �j a a Il. � � ; li ; , � . , �� r; ;r:: Commercial-use n indhtnl '�'. ' r. i -',I i }� ' S t ' I i i tG ' ' �' ; . �, , rilS�a 'l8ixdrtNl}tr�rtHrffal+lNDaaR �n�i , . ' N kee t0 ground. M exceeds 14.00n (] Co t? O 1 - and 2 - family dwelling C , ommereisl /industrial ❑ Accessory building amp for ail other installations. buildings. M a ster bu ilder 0 Other: Cl Pim pump. ❑ tnstallndon of 75 KVA or Multi-family Brnergency system. larger separately derived sYstcm ell �, i . S 1 ti ....Y. ,. - - i , , �' r ig': �'�{ ,:, ',: '('' lo ad 01 larg „E., rated . " eriv {') ���i.,Jl ,ri�j�i "d { ,t�` :6 ..0 �v� „ 'r :��� ;,�'��:.� 1. {?}II�:;�.t ;If QAddifionofncwnmtnr ❑ 100HP or more. Occupancy. Job no.: „OSA a r) J0b site address :/b /Ac 7, fry R�� ❑s;x or more residential nails. ❑Recreational vehicle lxtrks, • City /StatPf7_1P: © Ncnith.caic facilities. © more voltage for ore than G�l��,' �f - ❑Hazardous locations. 600 volts nominal. Project name //�� '� 0 Scrvicc or feeder 600 amts or mote. Suitc/ L no.; ' J :RAI5 • � - ' t I �, aP /� 4' I , "atpi�llt} r m'I fd as i 1 , U1�G;1:1�1 i�iyl'JL'V' t,,,itt,i G� /S` r �ral',1'��(, Ue� 1 ,,, t Cross street/directions to job site: V&A - 7�ye gs,Nc rh � r e f„ n '"'" New residential single- or multi. family dwelling unit. A A*/ 5 f es/ G0,S G� C hi - Includes attached garage. _ Subdivision: Lot no.: 1,010 sq. ft. or less 145.15 4 Ea. add'l 500 sq. R. or portion 33.40 1 Tax map /parcel no.: • limited energy, residential 2 fFi;; "o 1 •� ". FI 75.00 j l)i' !i i �' ,, I0' . r, r '* n "• ' h t . `'a '' ,, I;,t ' 4 I . o-� ni�i{r It (with above sq, ft.) ;rit.ki , " .. ra r'. !' mr.y . tma , . .I� ,' , ; I;n' ':F .,, >y , .e. Limited energy, multi - family 75.00 2 - ) .O 4 / 2 t '/ 9 V r -3 K0, -C` % , residential (with above sq. ft.) _ l Services or feeders installation, alteration, and/or relocation .1 d ®(4/ ' 200 amps or less 2 _ . � 80.30 1 . > Ire Yt �,nn, t { { , { , '� !) ,'1 all { "i1" A�'tl° Yi' 106.x5 2 V i l it a a ,; t ) ,. T . , i {l pfp tt, � , :: ,r (1) N;g1,I),,, '1 r 201 amps to 400 amps _ q r �,.���� i .;� IpF 11� '� � � .. `iQIN'�t fl.'f 3' , `�' r, ,ti. �' i lt'I �� 1, : Q..' r�' - iir �' . 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 r Address: Over 1,000 amps or volts 454.65 2 Temporary sr rvieeS or feeders inalallatdon, alteration, and /or City/State/ZIP: relocation — Phone: ( ) I Fax: ( ) 200•amps or less 66.85 2 1 mps to 400 amps 100.30 Owner installation: This installation is being made on property that 1 own which is not 201 a 201 ,mpg to 599 amps 133.75 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuity -new, alteration, or extension, per panel _ Owner signature: Date: A. Fec for branch circuits with circuit m: , t t, rr'.. 1 +% tl 1 i above service o 1 I , Oi ; a it b ► . I r ; . �,►'�,N� �, ,�,� �� f;; „ <,{ , ,. ��, E�1.1�� ' :�' +l' e'i;; 1, �I 7y 6'�61v� ^nmd �� 1 rl , e b i r feeder fee, 6G5 2 G1C11 1rrAlIC11 Business name: B. Fee for branch circuits without service or feeder fec, 4G R5 / v 2 Contact name: first branch circuit _ Address: Each :WW1 branch circuit 5+ 6.65 2 — Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: ( ) I Fax :: ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 :'. I r t; i 1 19` l t i t ; ''; C: u f 1 • j ll!i : i i! i'i'- t11?it t'i�':' IF li f n i Sign or outline lighting 53,40 2 — In l ' r�: Il ;•� c,�yy y.� 7 11 , ;.1 1 ,. ''d i tl, B R r q�jll h {,� . ) I: Snr� %i:y,;3li ' Lli�h �l), �Illi� � E k. d i .a , iP Signal circuit(s) or limited- Business name: 1 ES „ i energy panel. alterttion, or extension. Describe: Page 2 2 1 6 Each additional Inspection over allowable in any of the above n C CS c� Per inspection 62.50 Phone' ( 3 4$ I Q l bQ Fax: (603 . Q ` oZ Investigation per hour (l hr min) 62.50 Suprv. 1 -ic.: '7�5 Industrial plant per hour 73.75 CCB lie.: • Electrical Lic.: y t p y$� t y�y yy,��!, y,�� ;Ir I: �'V: ',di ' ?�;CiAJn%V,�' r,rt�� d I,y�u�t�,Igy��1'i "t�'''' 1, ^ i • _ .i_ � � . ':iii. %i{ ' l{LL H: "iRila�.R4!l!'•a', l•�e;ll`�,7 i�' , 1•t':����: r,' I.....^ Suprv. Electrician signature, required: i� Subtotal: P 0o/ i► Plan review (25% or permit fee)' Print name: ��,� ��/ D _„ State surcharge (129 of per mit fee): f Authorized signature: TOTAL PERMIT FEE: Fer This permit application expires If n permil is not nhlnlnn.t within 180 p Print name: atC. _ _ dayp liner It has been ncceptctl ns complete, 1 ' Number of inspections ;1110wed per'permit. 1:t3uIIJlnutnntni r ELC- Pemrnnpp.Jnc rlfr21(0a 4).4i15T(1145ICCMttv5n