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Permit CITY OF TIGARD ELECTRICAL PERMIT 111 2 " COMMUNITY DEVELOPMENT Permit #: ELC2011 -00543 Date Issued: 10/04/2011 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Parcel: 2S101 DC04602 Jurisdiction: Tigard Site address: 7291 SW TECH CENTER DR Project: Pacific Recreational Products Subdivision: Lot: Project Description: Electrical for TI. Contractor: CURRENT ELECTRICAL CONST CO Owner: MCCORMACK PROPERTIES LP PO BOX 19652 7190 SW SANDBURG ST PORTLAND, OR 97280 TIGARD, OR 97223 PHONE: 503 - 245 -5997 PHONE. FAX: 503 - 245 -2919 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 10/04/2011 $100.70 Specifics: amps or less 20 crt Branch Circuits w /Purchase 10/04/2011 $148.40 Type of Use: Service or Feeder Class of Work: 1 ea 12% State Surcharge - 10/04/2011 $29 89 Electrical Type of Const: Occupancy Grp: Total $278 99 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 •52 -001 -0090 You may obtain a co• of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344 - Issued By: _ /' !�L� _ i 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 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. OCT /03/2011/MON 10:36 AM IVE FAX No, P, 002 Electrical Permit Applicationn �' .. , FOR. (;1ti`F'IC.h; I!4L ONLY pity of Ti OCT 0 3 2011 Received IN 131 25 SW Hall I31vd „Ti g ard , OR 97223 Fian ltevr U i1• _ ; a ` Phone: 503.718.2439 Fax: 503.598.19! TIGg1�p bnteru , Other Permit /L / / �- '.i Ins eetion Line; 503.639.4175 TIGA 1 `� I � OF Da Roa B R'D ' P g g BJlLDINC DIVISIO y Y Soe entalInf Internet www.ti and -or. 01/ l�py� ' Naafi / Me tho d: i `y Supplemental Information w ^ i TYPE 9F,W4 {c P d II w , '•;G ' i„ ., [] New construction ® Addition/alteration/replacement Please cheek all that apply (submit 1 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: whero the available fault cuamt ❑ Marisa, and boatyards. .,', 'T'''''''';.''' Floatin buildings 1 ' 1 %,,�; ` "' ?_" e�iti' ��G. QR�(;OF``CQN�'RUCTION-:r.i;' }1,,','- -', oxaee dal0 " OOO amps at 150 vo l taor 0 Floating Idmga less to ground, or exceeds 14,000 ❑ Commercial -use agricultural El 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings. © lvfulti.femmily Ei Master builder ❑ Other: Cl Fire pump. ❑ Installation of 75 KVA or a ,, , ,. Emergency system. larger separately l`8.MA IQ • AND O .` A.'I O r !� Y Y g p y derived system. ', q ; ' • . -ufb� „�` 1�,,]l�' T l� L�'%'' •; ' ' i : ,!( •.. � � � � Addition of new m otor l oad of ❑ A "A.. "E.. ..1- 2...•1.3••, Job no.: A11114 Job site address: 7291 SW TECF1 CENTER DRIVE 100HP or more. occupancy, ❑ Six or more residential units ❑ Recreational vehicle parks. City /State /ZIP: 97223 fa Health -care facilities. ❑ Supply voltage for more than — Q Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: PACIFIC RECREATIONAL ❑ Service or feeder 600 amps or more_ 'F' °; ;•., , 'terra " a E �;. ab,,, i,ti�'� Cross street/directions to job site: �' `-= 1y ` "F` ` ` - �C�D' � " ": f $' P . Descri arian ' � [ � -, 1 Qrv. Fee. Total :. New residential single- or multi- family dwelling unit. Includes attached garage. _ Subdivision: I Lot no.: 1,000 sq. ft, or less 168.54 4 Ea add "I 500 sq. ft. or portion 33 92 1 Tax map /parcel no.: l it . w tr„ ti; ,c.• :r r x2 Limited energy, residential 7500 2 .4 ;t : 1 j: =;.',ill,.; it" R ° '' ,I'. 5(-'l .P''1'IQ1�7, :* *,0 Y i' % � ` ; "ri'; ,^ ^" � .i,;t'�� i,b :;.. ' with above s ft. i. �:�� ?,r. �' .. ., %a,4' n _ i , .., -L r n . •, 1.' "�d , ' =! "`,. .. N ,. "�FC'1 j ( Q- ) ADD SERVICE AND CIRCUITS Limited energy, multi - family residential (with above sq. ft.) 75.00 2 Services or feeders installation alteration, and/or relocation 200 amps or less 1 100,70 100,70 2 ' ,.;a'"ltir''if i RQPI1R #', ' "' `5% :'� 1 °;'"i "r' °` 'd 2 01aamps o400am s 133.56 2 _ - `0',QS'.iV�, `� r ,.,, ' ,�'r. -, : gE'' � 1?+i�1V'L' -- r .r .`,. ,,"', "'�;';'�, p amps 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 — City/State/ZIP; Temporary services or feeders Installation, alteration, and /or _ relocation Phone: ( ) I Fax ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168,4 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449. 670, and 701. Branch eireuita - new, alteration, or extension, per panel Owner signature: Date: A. Fee 1br branch circuits with i :{ P YCt1LVT ; ' "' 'i. q)\1, A�1 p .'!'.1::;‘: above service or feeder fee . T E : each branch circuit — \�,�';,,jd . P ., -^ ,�'S "� "'I'� ❑ti r+ 20 14840 7.42 2 Business name: B, Fee for branch circuits without service ar feeder fee, first Contact name: branch circuit 56.18 2 - • Each add'! branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) City /Slate /ZIP: Each manufactured or modula 67.84 2 dwelling. service and/or feeder Phone: ( ) I Fax: : ( ) Reconnect only 67.84 2 E Pump or irri circle 67,84 2 Sign or outline lighting 67.84 2 = CON>RACTOR':': - - - • - - Signal circuit(s) or limited - energy Business name: CURRENT ELECTRICAL CONS'''. CO. panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: PO BOX 19652 Additional inspection (1 hr mm) 66.25/ hr _ - City /State /ZIP: PORTLAND, OR 97280 Investigation (1 hr min) 66.25 / hr Industrial plant (1 hr min) 78.18/ hr Phone: (503) 245 -5997 Fax: (503 -) 245 -2919 Inspections for which no fee is specifically listed ('14 hr min) 90.001 hr CC$ Lie.: 46994 ii'l4 /9 Electrical Lie,: 2647 - ' // -_ r . ic.: , -. 5-7 ), - ; . ..jELEct 1CAL ET k :,aERM ES_ ' . Suprv. Electrician signature, required: r -' i6 Ii ] j ' Subtotal: 249.10 • . Plan review (25% of permit fee); Print name: JASON JACOBUCCI Date: 10/03/2011 State surcharge (12% of permit fee): 29.89 - Authorized signature: / v�� TOTAL PERMIT FEE; 278.99 This permit application expires if a permit is sot ahtained within 180 Print name: DAVID THOMPSON Date: 10/03/2011 days after it has been accepted as complete. Number of inspections allowed per permit. I.\ Building\Pertnits\ELGPermnAppdoc 07/01/10 440 -40151(11/05ICOMIWEB