Loading...
Permit CITY OF TIGARD ELECTRICAL PERMIT '� . I COMMUNITY DEVELOPMENT Permit #: ELC2011 -00076 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/01/2011 Parcel: 2S113AB00600 Jurisdiction: TIGARD Site address: 16125 SW 72ND AVE Project: St. Jude Medical Center Subdivision: PACTRUST BUSINESS CENTER Lot: 0 Project Description: (3) branch circcuits. Contractor: IES COMMERCIAL INC Owner: PACIFIC REALTY ASSOCIATES 16135 SW 74TH AVE 15350 SW SEQUOIA PKWY #300 TIGARD, OR 97224 PORTLAND, OR 97224 PHONE: 503 - 648 -1900 PHONE: 503 - 624 -6300 FAX: 503 - 670 -9572 FEES Quantity Description Date Amount 3 crt Branch Circuits wo /Purchase 02/01/2011 $71.02 Specifics: Service or Feeder 1 ea 12% State Surcharge - 02/01/2011 $8.52 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $79.54 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 9 2- 001 -0090. You may o ' f the rt es or dire questions to OUNC by calling 503.23. 1987 or 1.800.332 2 Issued By: �J Permittee Signature: • — ,� t 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' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. 01/30/2011 20:51 503B75 -.ECEIVED NEW TECH ELECTRIC PAGE 01/02 Electrical Permit Application 1:o12 01 USE ONLY City of Tigard i Received Illi ` b 1, "' Dale B � Permit No,: • — R, 13125 SW Hall Blvd., Tigard. OR 97223 Pt� R eview • Phone: 503.639.4171 Fax: 503 ? F TIGARD Date/By; other Permit; 1 - I 4 A. R L� Inspection T ..inc; 503.639.4175 Date Ready/By! Jeri ® Sec Page 2 for Internet www,tigard- or, BUILDING DIVISION N ti M�t,,od: — T � qupplem ntnl lnfnrmntinn e ' 7 �� r ''(,'4, iY ��. a ,,' r t . „ � .. . • � p .i �ry! r' it `^r � '., »� it t i, u "11.',1`. to .. � i . .. I ; " �: ; I ti r•f :r r ,. r r �a � n ��. ' t '!°�T'�,�rTw ,,, .n. 1 , �*� ,, wy /��X'!'taki n",:�}, tit?��L0 ,4 (�yy r pppp�,r,pU�fhh��ln���,IA 111i�Wi 1f'rk " 7, 1 Ir i t. C'L!i«lGtr !All i.�.:r1i�.M n 4'i r, r CA Y t "�� I 41Y`''I ! ! r 1"1°. M r E 1. , i. .ue,.0 r un b'i.IIA �itG., lnlh?f4!rt1'C�T•.71�ft>tii'u+�1 �x ltt 'rr'iil.lEo ,l, 1 :' lq llfl:�fl,rfs'ei,tr...,a )It, .e;Mri ti^�njy; m ».., r;n .:4,: tlkl. � 1�,.. i;.dr8, �a ❑ New construction "iii Addition /alteration /replacement Plcaac check all that apply (submit 2 sets of plans w /items checked below): ❑ Demolition Other where Service or feeder 400 amps or more El Building over three stories, �pn�( t ° where dlc available Pauli currant ❑ Marion and boatyards. RR�f�ir�r'r�l7t r t. i}, t '�rt"'t, fr iYi, . w � ^ F� t S } °ro tat`" �Ti r ., -, �, r r ry r , r I +�7 r a t 7 1 P ' 4t 1� + .,�, ,, ,IZ :1( , 't '.1( 'i , ra ',,, ; , A , , i1.+, exceeds 10.000 amps at 150 volts or ❑ Floating buildings, i.i,. .t vrl, rlr;. aF,,r „�,}f t :. rtr nL,r.n" 9 l �f' lr rb less to groonti, re exceeds 14,000 0 Commercial -use agricultural ❑ 1- and 2- family dwelling VII Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi family ❑ Master builder ❑ Other: r CI Fire pump. © Installation of 75 KVA or ap^ ! y n! k t +act r r w r a t r' a% q r. r�srr l I n,n,rrr �o , r ❑Emergency system. larper separately derived s ICi , fr ff,, �{ �i1P i' •t'� r ti�y ;. , S . a n tt r�rr . n e"r c' Miliii { r �,"4•• R' y system. 1w~ {����i. ,f�#��.;C41.,ev ti htkdJ r ++•-. s�� � tt�: �i�rnRacgMwG"# Ir' �! lelrmt' �1��thl�, Ffiiri ,Y�f;�'�klli4'�U}��SVi���' ❑Addition of nowmelnrloadOf [� •• „ 1_2 „ < '1 a" Job no.: f'o D Job site address: S S 42,5:510.7,,, &J.. �.v MOM or or more, occupancy. , _,,� Cl Six or more residential units. 0 Recreational vehicle parks, City /State/ZIP: �� C] < . „ ' �. d ,Health-care facilities. El Supply voltage far more shoo T d 9 r--n d � ❑ Hazardous iccacfonc, G00 volts neuron /. Suite/bldg. /apt. no.: 1 Project name: eczySc G e.e• , [I Service or feeder 600 amps or more, 1 af 9 1, . F t R ' N 41 I r Cross street/directions to job site: -Sr U�e f'1 't .-Cl i Gr4L -- ,; er �1 " ^i tfl7,1r1� .� 6 jie. 1$J t ii ' d e 3tfll�a�,� 1 Qty. Prr. Toth • , New residential single- or multi- family dwelling unit. �.,�/' r- ✓ /�'3, % S'- "N --0 — . Includes attached garage. Subdivision: I Lot no.: 1,000 sq. ft. or less 168.54 4 Tax map /parcel no EA add'/ 500 sq. ft, or portion 33.92 1 rzr r *rtrt , Limited energy. residential 1alutirri �ln�' :fir i �I.1Z'1i�U(�ti�i +LL'4� .l 1 0� �, r�� I t n �.r n ii 4 1 (with 67.84 2 � a,1 it 4,441 , , Iii ,trnt7 ;K. nhia,l E with above c t A:,) 1 /J a Q.�f Limited energy, multi - family `�` .r�� 6) 3t /. - Q W ' L ?/ ''3b d . residential (with above sq. ti.) 67.84 2 �/ ,�y,�,�, Services or feeders installation, alteration, and /or relocation vim ` • e-a- r / b 7 r�'4 ,Q 200 amps or less 100,70 2 III h,��fiy n � w " F " � " Y' i ro / bi` { 1 'lf 7 pq ? '" ���i11' � �r d3.? '�t'' II l tiit1 t ), '+I totrrf'rt eq",t'n'tll +'rr'tc .dc ei�:IS,;„∎L ' ellet rr rtMI iR �iVtiUi rr4�lfi1+ 2°1 ampsto400amps 133,56 2 Name: 401 amps to 600 amps 200.34 _ 2 Address: 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City /State /ZIP: Temporary services or feeders installation, alteration, and /or --- - relocation Phone: ( ) l Fax: ( ) 200 amps or less 59.36 1 Owner installation: This installation is being made on property that T own which is not 201 amps to 400 amps 125,08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 570, and 701, 401 amps to 599 amps 168.54 2 Owner signature: D Branch circuits — new, alteration, or extension, per panel t ` A. Foe for branch circuits with r. h Ulll il✓11w,,!i ° r ';. I'' 1,M`ilk ? 1 94'�9� '1� � t Ai 7;'* 4 : ,'4,(6 a{11t thi d above service or feeder fcc, 7.42 2 each branch circuit $uSit1CSS name: B. Fcc for branch circuits Contact name: r without service or feeder fcc, 1 56.18 fig° 2 first branch circuit ''ll Address: Each add'/ branch circuit 0- 7.42 P/ 4 2 Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular 67.84 2 dwelling, service and/or feeder Phone: ( ) J Fax: : ( ) Reconnect only 67.84 2 F.'-mail: T Pump or irrigation circle 67.84 2 rillii;!iiliit d, ; il` L)) 0 tTt , ° "A,lNili ,' ti !+f4r{ dg 1,� y }14p,'t 1; t*� ii Sign or outline lighting 67,84 2 Business name: IES COMMERCIAL Signal circuit(s) or limited- ""— energy panel, alteration, or Address: 16135 SW 74 AVE extension. Describe: Page 2 2 City /Skate /ZIP: TIGARD, OR 97224 Each additional inspection over allowable in any of the above Per inspection 66.25 Phone: (503) 64S -1900 Fax: (503) 670 -9572 Investigation per hour (1 hr min) 66.25 CCB Lie.: /g',2 Electrical Lic.: C448 Suprv. T.,ic„ L , Industrial plant per hour 78.18 ,� r„�,« - t ,rW K1 •, " "C11T' ;5,113 � R'M`" i± !' � 7i' ' ' IU''' ; ?i }'1(t . t +ltil ( a,I ZR ' Suprv. Electrician signature, required: it / h ' Subtotal; / P . Print name: t ifL' E.1L f Date: J 3 / — I / _ Plan review (25% of permit fee): state surcharge (12% of permit fcc): $',,5_ Authorized signature: TOTAL PERMIT FEE; 77 , 1 Print name: Date: This permit application expires if a permit is not obtained within 1 tin __ days after It has been accepted as complete. • • Number of inspections allowed per permit. 1: 1IIuilding \Permitnl @LC- Prr,itApn.doe 10/01/09 440.4G7 l'(tl /ns /COM/wpB