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Permit �� CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2011 -00475 TH ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/24/2011 3 Parcel: 25101 DB00103 Jurisdiction: Tigard Site address: 7360 SW HUNZIKER RD 106 Project: Dale Carnegie Training Subdivision: Lot: Project Description: Electrical 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 4 crt Branch Circuits wo /Purchase 08/24/2011 $78.44 Specifics: Service or Feeder 1 ea 12% State Surcharge - 08/24/2011 $9.41 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $87.85 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0090. You may obte - • • • the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: _ - • rm.ittee Signature: r • OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 08/24/2011 09:14 5034850586 AC &E ELECTRIC PAGE 01/02 Electrical Permit Applica j A FOR OFFICE USE ONLY C1 Of T1 A rd� t Received 's iliii `, g PcrmitNo,: w 13125 SW Ha11 Blvd., Tigard, OR 972,,p, D : r�1�I 7.--",:l...., � `its tq Phone: 503.718.2439 Pax: 503.598/ r Plan Review . M 2 2011 DatdA ; Other Permit; �:! / ,A , 4i T I G A R 17 Inspection Line: 503.639.4175 Date Ready/By; L _ (3{ See Page 2 for tallnformation Internet: www.ti and -or- ov otifed/tyethod . Supplemental g � CITY OF ?IC.��D N , .4. ';', ;, ^.... ;. .,, . .,41,i .. >. ;'': ., i t C i°j w �,� it ,r'" r ," � :rut g 1I 1166 x; ." :tr :,:i5, tY.Y 11i:�Wo. ..: - p a' m• , .raz s' - �F Ei . ,, . o. ,.,,,; 1 .^!^Mf ■, .. " , y,, ,, 4 = , ,. ',a „$ .,i !i” `'�tA .h'" '� "fir; . 1 'r � � �u, ' --. A , ,,t�w$ , �'�RvV rho^ n S, 1. '�;:, 7r: C'"P1- "iY"` -, ^ .�.w „wb.,.n.,�e ,-,w v Cl New construction ® Addition /alteration /replacement Please check all that apply (submit cets of pions w /items chcekcd below); 0 Demolition El Other: 0 Service or fonder 400 nmpa or more ❑ Building over three stories, rot .,- 'roi.y'.rvr,r:tr *,.. , ry .,,':.. ,, : c , ; „ .,,.,�,,,..,. DN���_�0� � ' a a „ where I e available fault current Marinas and boatyards. „ n g ( exceeds 10,000 rimps at 150 volts or El Floating buildings. e n i '' l d 2 ti :>r T; r� C>. ,q • ... g ® Commercial /industri Accessory building less to gr of a exceeds ens. ©Gommetninl -nos n8rimdhtrnl p I - and amps for all other inarallatiens. Mdidin{ts. - ❑ Multi- family ❑ Master builder 0 Other: ❑ Fire pomp. D Installation of75 KVA or M, ; t °,,.: -'i i itlp'i _ f . ° i ' ,. . , .7^ :, :rw,.: 1 . s a .... mcr s y s tem. larg separately derived system, ,, ".. rr.:. t' ::: :, :... : '�1' Et . ' 1 7 :t 'iI. ^ 1`':'Y ll` ' ,:.: ` 4. !M ,.N” , 1 , s.: Ys .�--� , ` ; , ~r' �,q;,w,:: -:Bh r „�:, ' ' •e ,..e: � mr. ^�',. i ❑Addition of new motor load of ❑ °A ", "E ", "1-2 °, "13 ", • Job no.: Job site address: 7360 Hunziker 1001-1P or more, occupancy, 0 Six or more residential units. ❑ ltcerebtionnl vchiatc pinks. City /State /ZIP: Tigard, OR D Nodal-me facilities. 0 Supply voltage for more than -- - . . • - ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: 106 1 Project name: Dab Carnegie ❑ Service or feeder 600 amps or mere, Cross strtactfdirections to job site: ?1'i,Fl i '.'Y 'i`l;li,'jri?,ks;(' .,,,„P.::; ATX, V "aC 4.', l S9 .p'.,'�`pa'', C.: Ors � � Qty, I Fee. Tetnl ""-'— New residential single- or multi- family dwelling unit. lncindes attached garage. Subdivision: I Lot no.; 1,000 set ft. or less 168.54 1 4 Tax map /parcel no.: Ea sdd'l 500 4q, 11., or portion 33,92 1 Limited energy, residential f m t,�,,,�y��n�@,W w � , , 75.00 2 �.�%'rb7:'Y.. .rtl�,,. 4 ,i i11tl�t, `;t',.. iY�•'ai,, , . 'ytt : , u i -� (with above aq, ft.) Limited energy, multi Family 75,00 2 new receptacles residential (with above 59. ft,) _ Services or feeders installation, alteration, and /or relocation 200 amps or less 100.70 2 f.i .: "i. „i s: < +Cl' :e7' - " g " . ;. ...,9'? 201 amps 400 amps 3 3,56 2 . ..,.: � . :.,;,,� "'tk..... `�� �, . :., . , p to 00 imp 1. qr ". " i "W ,Y 2�"i . �: ... ��11M �NMMr. n:e +YID..- VK.' ^,:, " rv.. . ' �W�:.: .. 401 amps to 600 amps 200.34 2 Name: 601 amps to 1,000 amps 301.04 '2 Address: Over 1.000 amps or volts 552,26 2 Temporary services or feeders installation, alteration, and /or City /State /ZIP: relocation Phone: ( ) I Fax: ( ) 200 amps or less 59,36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125 2 447, 449, 670, and 701. 401 amps to 599 amps 1 0 2 intended for salt, lease, rent, or exchange, according to ORS Branch circuits- new, alteration, or extension, per panel Owner signature: Date: A. Pee for branch Circuits with �t�, 22.2h. ::t03 '' ;' 2 7 . ;.. v. ry +7 ,,, , 2r , v (p i abov service or feeder fee, aa, etit It�T7F n1 4 P "q.�'1�11CXti2S" \ !o ^ 7.42 2 " - - � each brunch circuit Business name: B. Pee for branch circuits without • - . service or feeder fee, first 1 56.18 $6,18 2 b ranch circuit Contact name; , Each add'] branch circuit — 3 7.42 ; hp 2 T Address: Miscellaneous (service or feeder not included) City/State/ZIP: Eon welling, s ervice anti/or feeder 67.84 2 Phone: ( ) I Fax :: ( ) Reconnect only 67.84 2 Pump or irrigation circle 67,84 2 E -mail: Sign or outline p� �y� �� t } . lighting 7. i(Yw :ha. F,Z4r1 , y ; f >v Y, ^i' .h*Y ^ .v '... ""; !,r i , �� Signal circuit(s) orllmited.energy Business name: AC &E Electric panel, alteration, or extension Pape 2 _ 2 - Each additional Ins ectinn 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 investigation (1 hr min) 66,25/ hr _ Industrial plant (1 hr min) 78.18/ hr Phone: (503) 363 - 2301 ^ax: (503) 363 - 2302 Inspections for which no foe is 90,00 / hr specifically listadS'/a br min) CCB Lie.: 591 Electrical Lie.: 4' - C Suprv. Lie.: 5387S ; , : ;N,* «,„ .:' r 1W 7G" . 5t+ } '•f-;r`"" i.'"'! ' Suprv. Electrician signature, required: Su: 78.44 _ Plan review (25% of permit it fee): Print name: Carl Duncan a w Date: 8/74/1,1 State surcharge (12% of permit fee): 9,41 • - _ TOTAL PERMIT PEE; 87.85 Authorized signature: This permit npplieafinn expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. N um b er of insptOtioat allowed per permit. m8U11ding \t.crmttfeLc.permltApp.doc 07/01/10 440- 4515T(i110S /CO'M/WED