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Permit CITY OF TIGARD ELECTRICAL PERMIT 2 COMMUNITY DEVELOPMENT Permit #: ELC2011 -00414 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/28/2011 TIGARD. 13125 25101 DB00104 Jurisdiction: Tigard Site address: 7300 SW HUNZIKER RD 200 Project: MD's Subdivision: Lot: Project Description: (9) branch circuits for TI Contractor: A C & E ELECTRIC Owner: HILLTOP BUSINESS CENTER LLC 3535 DEL WEBB AVE #100 HUNZIKER LLC SALEM, OR 97303 9430 NW KAISER RD PORTLAND, OR 97231 PHONE: 503- 363 -2301 PHONE: FAX: 503 - 363 -2302 FEES • Quantity Description Date Amount 9 crt Branch Circuits wo /Purchase 07/28/2011 $115.54 Specifics: Service or Feeder 1 ea 12% State Surcharge - 07/28/2011 $13.86 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $129.40 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 • • R 9. - 001 -0690. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ,� / .fin Issued By: r p' r Permittee Signature: 4 " '� / - �L� e!9--770 /\// 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. 07/25/2011 13:31 5034850586 AC &E ELECTRIC PAGE 02/02 Electrical Permit Application 'FOR OFF1Cr SE J'ONLV - City of Tigard 011 Received 7 : � o nte/P.y: is crmit No. K o -1O 13125 SW I`In11.[31 T igard, O K 9 722;1 JUL J U L 2 5 2 Plan Roviaw 3 ' - Phone: 503.71 R,2439 Fax: 503.598,1960 Date/Br Other Pcrmeu/ a// D(J / : ' TI ni? (7 Inspection Line: 503.639.4] 75 CITY OF TIGA 1D Date ,trendy /By: Ju _ R1 Sec ]Page 2 cor Interact; www.tigord'or.gov b CITY I ft' �� "IQ in ( I S,cppt cmcntal formation � 1 5 IV NA, ��: ate.. ,i - t:w:, i ?lt, ; :., - ,a��i � , e . ,a ,.� � q * r Yom , ., �,.�-. ; f�- ;��ti.. ^"x : t� ` ;y�y� ) • .. �'�::' �'�..: ���� lll+. : '� F + " '� . 4, y �' '�''.r � ,., � � u�� � �-v� YI�MF` yl'� + ° � fin ,'_'_,•+,� • �•� •'��! • '3 • 1,1� F 1 ; )k El New construction El Addition /alteration/replacement Please check all Mai apply (submit 2 sets of plans w /ikms checked below); © Service or fender 400 amps or more ❑ Building over three stories. ❑ Demolition El Other: where the available fault current 0 Marinas and boatyards, ;. •y; .; ''ti :; 744* , „ x CAtkaoltV fj O1V, n t r `M....V.: ' 5 : ,, : ir _, 5..;;. 'k exceeds 10,000 amps at 150 veils or ❑ Floating buildings. �.; _4':' ^_�_._ '� R` -,t n: ..., f ;,.. -.,r, ' F',m �.�. - ,a.a',..:...r ' ': . .:., i � � t toss to ground, nr exceeds 14,000 ❑ Commercial-use ngricu him 1 ❑ 1- and 2- family dwelling IS1 Commercial /industrial ❑ Accessory building amps rot rill ether in,- .inllntipns. buildings. ❑ Multi- family ❑ Master builder p Other: CI Fire pump, ❑ Installation of 75 KVA or �, "'r �- -,. ;, ,,,, ❑ Emergency system, larger separately derived system. F /��= : �' ��:' tti�'" noTY�v :':�i� .r���fci��.wnlv�;';, ,�,;. ;���:': . ,..�4;�: >:� - ;,,,•, �= ' -�:; • • ':.....;'+;,;•, ; 0 Addition of new motor load of ©.. ,.Bra "1-2", ,. _ Job no.: Job site address: 7300 Huuziker Rd 1001 or more, occupancy. risk or more residential units. ['Recreational vehicle parks. or more, Cil /State/ZIP: Tigard, OR 97223 i�llcalth -tarn facilities. ❑ Supply voltage for more than ©Hazardous locations, 6,00 volts nominal. Suite/bldg./apt. n o.: 200 S eniw cc c NO am Project na ll�A's LLC ❑ m feeder r mow , "l,t ME's I i { ,r ',. ,. Cross street/directions to job site: Description Qs'. �Tltnt * - New residentlnl single or multi - family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq. ft. or less 168.54 4 Tax map/parcel no.: EA, Etdd'i 500 sq. ft. or portion 33,92 1 _-_ �.. - Limited residential 00 2 4 4 :" : •._.. ,, .: , ,.-m,_ ::^ , tit.,.. , '; #: I §tr."1 ' . 07 O.' t .l'� •' ': "it..,. :$.o., :: (with above so, f ) d...x ,.. � .1�: `' +- L '''''' '''::s' . a .t"' ,,,, .... - - -. . M • *ew.' , d . "r!•,' ''. .....1.' • fi x, ' - c TI Remodel LE residentia energy, h above s n,) 75 2 — Services or feeders installation, alteration, nand /or relocation 200 ramps or less 100,70 2 �:; -r f , .. ;, , ;u; s7t,i,." • ? 'z. r s /f 201 amps to 400 amps 133.56 2 J P .. 1'C.i�!1�i S; „ t= p p � ..... ne, T ., �, m �w- r ^`�. , ... _7....... _..:,......, �.._";..... . —.... .._..........._ ... Name; 401 amps to 600 amps 200,34 2 601 amps to 1,000 amps 301.04 2 - Address: Over 1,000 amps or volts 552,26 2 Cit. /State/7].P: Temporary services or feeders installation, alteration, and /or Y relocation Phone: ( ) I Fa ( ) 200 amps or less 59,36 i Owner installation: This installation is being made on properly that i own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 am to 599 am 168 7 Branch circuits new, alteration, or extensioiper panel Owner signature: -- Date: A, Fee for branch circuits with ,-.r: .4,F-:'"Z:" • � 311 ,i ,tE . ': :! a'; S. r '; above service or feeder fee, *1e, :.: N" a G,i7C "lC>R6 ,. 7.42 2 �- -. c��^l' each branch circuit Business name: B. Fcc for branch circuits without service or feeder fee, first 1 56.18 56,18 2 Contact name: branch circui _ Each add'] branch circuit 8 7.42 59,36 2 Address: Miscellaneous (service or feeder not In Each manufactured or modular 67,84 2 City/State/ZIP: dwellin;, service and /or feeder Fax: ( ) Reconnect only 67, 84 2 Phone: ( ) J ----- - - Pump orinigation circle 67.84 2 E -mail: �Y��%� yW r y. �� Sign or outline lighting 67,84 2 . Ju,m � '. ..czasf -�: ,t, " .y �:. '.i Ol.\:\'ISAI` rok,:,dnk:�o .;...s., - . ,,,k, :'i1 , - � - ":; i i`='``i `::` ; a� �� - . +, ,,.��,. - ,J.. ',' + '�„ ' ' ' r:r� :::: � ,�,p TM � -r,� si circuit(s) or limited-energy Business name: A.ClecE Electric panel, alteration or extension, Page 2 2 Each additional inspection over allowable in any of the above Address: 3535 Del Webb Ave NE Additional inspection (1 hr min) 66,25/ hr City/State/ZIP: Salem, OR 97301 lnvcatigation (1 hr min) 66.25 / hr Industrin.l plant (I hr min) . hr • . lone; (503) 363.2301 Fax: ( 13) 363.2302 Inspections for which no fee i 90 0 0/ hr speellcally listed 04 hr mm) GCB Lie.: 591 V Electrical Lie -: j r -IC . Su prv. Lie.: 53S7S V ,,• �` ^' "" 4'is; ' ';„4 ,1'JIC RICRI °`1P ,R 1.Y`ti,�PL'JS, :? ., >. fg' j, Subtotal: 115 ,54 - $uprv. Electrician signature, required: ...... p B Plan review (25% of permit fcc)' — Print name: Carl Duncan W Date: 7/25/1 State surcharge (12% of permit fcc): 13.86 - TOTAL PERMIT PEE: 129,40 Authorized signature: This permit application wires if a permit is not nbteitied within 180 • days after it has been accepted as complete. Print name: Date: * Number of inspections allowed per permit. U \Null ding \Permit,BLC- PermirApp,dna 07 /01/10 440 461 ST( 11/05/COM/W59