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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2011 -00464 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/17/2011 Parcel: 1 S 134BC00100 Jurisdiction: Tigard Site address: 12100 SW SCHOLLS FERRY RD Project: 7 - Eleven Subdivision: Lot: Project Description: (2) branch circuits for ceiling lighting. 9/21/2011 • REPRINT permit to correct site address and parcel number. Contractor: IDEAL SERVICES INC Owner: CARUFEL, DANIEL J & LISA D 5113 PACIFIC HIGHWAY EAST #13 11903 SW ASPEN RIDGE DR FIFE, WA 98424 TIGARD, OR 97224 PHONE: 253 - 475 -8884 PHONE FAX: 253 - 475 -8886 FEES Quantity Description Date Amount 2 crt Branch Circuits wo /Purchase 08/17/2011 $63 60 Specifics: Service or Feeder 1 ea 12% State Surcharge - 08/17/2011 $7.63 Type of Use: COM Electrical 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 at 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 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1.800 332.2344. Issued By: Permittee Signature: 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 603.639.4175 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. CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2011 -00464 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/17/2011 Parcel: 2S 1108 D06000 Jurisdiction: Tigard Site address: 12100 SW scholls DR Project: 7- Eleven Subdivision: ASPEN RIDGE Lot: 27 Project Description: (2) branch circuits for ceiling lighting. Contractor: IDEAL SERVICES INC Owner: CARUFEL, DANIEL J & LISA D 5113 PACIFIC HIGHWAY EAST #13 11903 SW ASPEN RIDGE DR FIFE, WA 98424 TIGARD, OR 97224 PHONE: 253 - 475 -8884 PHONE: FAX: 253 - 475 -8886 FEES Quantity Description Date Amount 2 crt Branch Circuits wo /Purchase 08/17/2011 $63.60 Specifics: Service or Feeder 1 ea 12% State Surcharge - 08/17/2011 $7.63 Type of Use: COM Electrical 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 -0010 through 0 • : : - 001 -0090. You may • • - •• • • • e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: =VG 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. 08/17/2011 09:53 2534758886 IDEAL SERVICES INC PAGE 02/07 0,, v. "t a. ax: 503.598.11 v j -i Electrical Permit Applicatiog' - g \ FOR OFFICE USE ONLY City of Tigard 4 1 Received , PP-4/1.--. P-4/1.--. : — �:� Date/B • G6i II _ e 13125 SW Hall Blvd., Tigard R 9 7221 �� ' Plan Review Phone: 503.718.2439 1' la p ;:�, s ,, Date/13 : Other l'ermit. f Date Ready/By: Iutis: See Page 2 for T 1 i3Al+ L� Inspection Line: 503.639.4175 �� �r Internet www trgard or gov c \'� e Notified/Method: }F :....� p $ entai Information " fir „ ,, n voi - 0,- l l 0 '. ,.s�r ., ;. _ . i ' tr ° ., - .b.1. g' '::, ;. ..c. ,,,... *�', X +� a �l ,.. . , . .2. . ,m„ ' 4 ❑ New construction ► • ddition/alteration/replacement Please check all chat apply (sutmit 1 sets of plans w /items checked below): ❑ service or feeder 400 amps or more ❑ Buildiug over tlueo stories. ❑ Demolition 0 Other: where the available fault current ❑ Marinas and boatyards. i ;l ,tai i! v u -kt .1 a)ar „,,;,),;...)4,::4,-,2,,,k-,F, !> t , X 41 " • exoaeds 10,000 amps et 150 volts or 1=1 Floating buildings. 1eg5 to g round, or oxcaeds 14,000 ❑ Commercial-use ag<icidtural ❑ 1- and 2- family dwelling it Commercial/illdustrial ❑ Accessory building amps for all other installations, buildings, 0 Multi family ❑ Master builder } ? 0 other: ❑ Fire pump. ❑ Installation of 75 KVA or "t ' "'x t sl_ „ y R N �f - i F W A,,,7 ;,� •, T Yin r r, ddi C 3 fltem. larger separately derived system. ` 0 ❑ San Y Y 1 ep d s to 11 , 4e. �' .;" m t -^:.Y; .', . ..« .. t - . ., . 'AU”- .:,•• -' s ❑ Addition c£Pew motor l of ©u « u .. 3 ,, r , 11-10 IOOHP or more. occupancy. IOl) no.: ' ` 7vb site address - • O r D it', /t 4 i • ❑ six or more residential u%mg. ❑ Recrcetiunnl vehicle parks, City/State/ZIP: Tigard, OR ❑ Health -;are facilities. Li Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. tio_: Project name: 7- Eleven in Service or feeder 600 amps or more Cross street/directions to job site: rtcacrtpttu• WIrMMIEMMillitenMEN - New residential single- or multi - family dwelling unit- includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or lo 168. Ea add'! 500 sq. ft, or portion 33.92 Tax map /parcel no Limited energy, residential L'*". "a7 14r ' i � -. ,' m a O dd ”, :.: l i with above s., ft. a al 75 .00 2 _: �" Limited energy, multi- family 75.00 2 LED Ceiling Lighting install (fixture replacement) residential (with above sq. ft.) Services or feeders installation alteration, and/or relocation 200 amps Or less 100.70 2 t ", ``z "� "� "i.S f . . . i,, mo .,� «i ° m.4..... _ 1 p "� : i - 201 amps to 40 0 am ps 133.56 2 9 ' .. _ .. ,� . -. t 401 amps to 600 amps 200.34 2 Name: 7 Eleven 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Temporary poora services or feeders instillation, alteration, and/or City /State/ZIP: Tigard, OR Phone: ( ) Fax: ( ) 200 amps or lest 59,36 1 _ 201 amps to 400 snips 125.08 2 Owner installation: This installation is being made on property that I 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. Branch circuits - new, alteration, Of extension, per panel Owner signature: Date: A. Fee for branch circuits with ,.7.470, ' , p 'i i' , % .; i 4-7-474 , i w rvr eor erf , 7.42 2 abo ve s£ 'c d eb _.x. , ....' ::` . .:�.a,. , •, ..wry..• ' , _4 -... ,µ..it _. . ,�..., ,. each branch circuit Business name: Ideal Services Inc B. Fee for branch circuits without service or feeder fee, first 1 56.18 • \ f(/ il Contact name: James Duncan branch circuit Each add'l branch circuit o 7.42 • ' 2 Address: 5113 Pacific Hwy E #13 Miscellaneous service or feeder , ' eluded .. Each manufactured or modular IN 67.84 © City /State/ZIP: Fife, WA 98424 dwellin:, service and/or feeder Phone: (253) 475-8884 1 Fax: : (253) 475 --8886 Reconnect only 67.84 �� Pump or irrigation circlo 67.84 E-mail: permits@ideabervicesinc.com Si or out lilti ��L �5.r 67.84 IMMO t'�F, :: :',,;: _.. , ?z:,.. „�" "e ... .i.i . ,, .- 6 ... ,,,�a� ,.., itr .4:.:. .NT xa. .dC� ': _ 'i .,,,.. - :..,.. : : :: Signal circuit(s) Or lam MINIIIII Business name: ideal Services Inc panel. alteration, or extension. rack additional ins ' etion over allowable in an of the abov Address: 5113 Pacific Hwy E #13 Additional inspection (1 hr iniu) 111.1 6625/ iu IIMIll City /State /ZIP: rife, WA 98424 Industrial plant (1 hr investigation (1 hr min) 66 E3iailm =� mint) Phone: (253) 475 -8884 Fax: (2 , ' --8886 (475 , , , Inspections for wlti6ti no foe is 111 9000 / hr . _. s oimcall Listed 14 h man Electrical Lic.: 7 - 988 , S .rv. L' • 29s l . e"':!:'.: . ' 77: 4 i 0x :0"..T - , " Subtotal. Ili , � � �.. Suprv. Electrici • si a a • required: I .+� Plan review (25% of permit fee): Print name: Ray Salzer Date: 8/ /11 . . State surcharge (12% of permit fee): t . • TOTAL PERMIT FEE: 7 (. 7 Authorized signature. permit appheadon expires if a permit Is not obtained within 180 � This � Date: 8 /17/11 days attar it has been accepted as complete. Print name: Fames Duncan • - t • 14ember of inspections allowed per permit. lAnuildiagwemit.lII. -pe ainApp.doc 07/0 /10 4 0 - 46lsT(]aros /COM/wrrl