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Permit CITY OF TIGARD ELECTRICAL PERMIT NI- COMMUNITY DEVELOPMENT Permit #: ELC2012 -00047 • T f G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/27/2012 Parcel: 1S126BC01506 Jurisdiction: TIGARD Site address: 9020 SW WASHINGTON SQUARE RD 500 Project: Datalink Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108 Project Description: 3 branch circuits for TI Contractor: STEELE ELECTRIC LLC Owner: WISCO REAL ESTATE EQUITY FUND I 716 ROXE DR 1501 SW TAYLOR ST STE 100 FOREST GROVE, OR 97116 PORTLAND, OR 97205 PHONE: 503 - 332 -1280 PHONE: 503 - 294 -0400 FAX: 503 - 372 -6448 FEES Quantity Description Date Amount 3 crt Branch Circuits wo /Purchase 01/27/2012 $71.02 Specifics: Service or Feeder 1 ea 12% State Surcharge - 01/27/2012 $8.52 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: M Total $79.54 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 - 001 -0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232:1987 or 1.800.332.2344. �,/ Issued By: �"' R v Permittee Signature: ON A re £- .' C_ AT.SCi/l/ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: LICENSE NO. Call 503.639.4176 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 01/25/2012 13:40 5033726448 Steele Electric #0659 P. 001 Electrical Permit A lication . FOR OFFICE USE ONLY City of Tigard is \ \Cc5) . % t 3125 SW Halt Blvd -, Tigard, OR \ ' Milmimi Permit Ato.;. 2 a .. Phone: 503.639.4171 Pax: 503.59 'g�;,>>: ` O�� Plan Review 1: l GA R X7 on Lino; 503.639 -4175 J C ' Other Permit; ,a l , - Internet: www.tigard-or.gov \v . + �lirw etVmeth d i over three stories. � w,r �"�. "�.�"'wwSgvl��r14r. ac ( .ir 1 ,any .:i,1o• 0 Addition/alteration/ �.od1L.A1 ir'. r .'?�°" a k""J . , . ,0 , .0 tr •" r ; r,3.;' +,•. : c. s, . k z.•<rc ^-, New COIr$t[ttOtFOR , .". _ v ,,R.,...�, �`�( ", ` let je s, d e r? „� a «n „1a a <n �., o p . d .it . A eratton/ � . �' , ,„ t, Please check all that apply (submit 2 sets of 0 Demolition 0 other: ��\ l;l servi m � a ( r w�items below); a ,M „ r 400 amps or more 1:3 Man g .#1. ' + 3 F ! '” ,; y t o , i i 3” . ,, yx " 1 . r > where the available =Ps fault 50 I t (] Mari end boatyards. aa 4 •� , V;;Lr RM:ar !t + ,, wr y 10,000 1- and 2- family dwelling If4Commercial /industt'isl Ac " ` at 150 vo Q Ftoat�og Its or l,� El Multi- family Accessory buildmg less to Memd, or exccedg 14,000 C3 Commrreia -eso agri Mural amps for all other installations. Master builder © abet; QPire p � building, r� <Yo* „ i �"ctt� .7r 7' r�, f ; ,, b � w-uw r��,.ai ��r 0 Installation of 75 KVA or I s � n s *` d� 2 �Yw b i tii r ^Sf,S'i+"Z . n 1°-� ,a ihJ "'A l'r'na,.b''tb, ,1: ` 9t; e...0 �V ti r C IS. ( .�` y h . y ' iii; " ^V'ul ., a' .., eJ Eptngneco• "A" derived / � ���� n fr.n 3a ° - '� ^ > ° -0 ' Q Addition of new motor lard of fir Job site address: 1 t9 ' Loos', I more. Q t -z; � t ; lob no.. City/State/ZIP: —r , II. Igo 10011P or ©six or more r p� - Q Recreational vehicle a, .e_ C7 Hwtihe facilities. Q supply voltage for more than Suite/bldg./apt. no.: Project name: Q Flaxa<aous totihons- 600 volts nominal. �/_• p 3e a rvtoe or fad 600 erramps or mom Cross street/directions to job site: �� s ue +Yt �S l M d 4'y N 5 9 ' r "� Dacrf. D• �"f.k �.;r��_:P r5r.a•w.; °x.y.. „?��'•:.. ' . t New residential .� 7 Tory i0 Includes attached or many -family dwelling nail Subdivision: garage, Lot no.: 1,000 sq. a. or less Tax map/parcel no 163.92 4 9 �� r a „ y a r Ea midi 500 sq. I or portion 33.92 M A1+"``N s�•++H..�: „`,ar�hR' �ma 5�' >.. - T'uxhts y ,,a' H. dy5n, Lind t g�.+g:�t vA.i , a. Hlee;i.,�.a��,*.a'"s�`r99� : tn�l,!�+u..1; J �i a; A p 1 ,rh�ynra Yt ' x `o ,E��,„,,y:;�'n +4 _ I '. - ft) 03l �. ,,w -SA''...w �Wc v °.'k, er r 0'.. fi?rfrS i� 4na�, • d� y „ .�•' iy. �w1tl1 sq. R) 75.E 2 r ��` Limited energy, multi- fmnily 0.-, f ! r I W stsidential with above sq- R) 75.00 2 (A) f e Services or feeders installation, alteration, „ x:-( v w 2 * . ; a , " s a r r � 'i" aX: ^' W amps o r 1443 -�wm^r 1 y � � � relocation . v �^ti °.9..r'+,. " Fl+,u3�i ev���� � *.,A u� .•� 201 an x ufisk +- amps amps 133.56 Name' ` �- . �,� �,� ;u�r . ?a., r to 400 401 amps to 600 amps 20034 Address: 601 amps to 1,000 snaps 301.04 Over 1,000 amps or volts 552 -26 MB City /State..„, Temporary services or feedtrs installation, alteration, and/or relocation Phone: ( ) _ Fax: ( ) �~ 200 amps or less �_ 5936 — 2 Owner installation: This installation is being made on property that I own which is not 201 amps to 300 amps mg 125.08 2 INN intended for sale, lease. rent, or exchange, according to ORS 447, 449, 670, and 701, 401 amps to 559 amps new l6 &54 Owner signature Branch circuits — z m ' " :; x , rx r k la. Date: A. Fee for branch circuits' teratio or Ian, w y J a ,.:�: y , ; • " l y : mf.;;; ; ettlt5l .. ...&n,. ' .a. . . a'$xG , w above feeder ' w, Business name: ' e each branch circuit 7.42 2 `a9fig ^ ;., B. Fee for branch circuits!wirhout Contact name: service or feeder fee, first branch circuit 56.18 J , Q - f 5 2 — Address; `__"~ Each add'l branch circuit Iffil 7.42 Ingli Miscellaneous service or feeder no in. uded City /State/ZIP: Each manufactured or modular ill dwelling, service and/or feeder 67,84 .''. Phone: ( ) i Fax:: ( ) Reconnect only E-mail _ - _ 67.84 2 ^'rr'��*, ate 1 .£�S c ° v "r.. �, ''^'" "T-,� r - �,q•.r;� Pump or irrigation circle 6784 y lw > rt:J:. i., °a ry 2 v.,.,w?.� yJ�`�x�u ,�*wr z.,4���'��e 'r a y ... Sigh or outline lighting • 2 we .' . MieRE 11 Signal cucntE(s) or limited 2 Waimea name: 1 e • . r . , cl, alteration, or extension, 2 Each additional ins . . . n over allowable in a + of the above Address. , 111,1 6, r "Li Additional inspbetion hrmin) 6625/hr J f L► , e l . or7 / ,0 Investigation (1 hr min) —� - City/State/23P: Phone: ( i 2 33 — .- t Industrial plant (I hr :tin) 78.18/ hr mim CCB Lic, a 3 c Inspections i f ( -� E lectrical Lic : p 1 for which no fcc $ J s' ificatl listed Khrmin 90.00/ hr 1 Su p rv . L i e.. (Q y r� o r J Electrician r1�.r'` syT;a 2'?'" s �r " '"�„:..s .+�r,� <ys Suprv. signature, required: e d� . -r { .'.`, Print name: f Plan review Subtotal: �j L C) I �, (25 °� of permit Sot): • Date: / /2— slat 2 � Surcharge (12% of penult foie): . k Authorized signature' TOTAL PERMff FEE: ' i : Print name: — --- This permit application it a remit �' sot obtained 180 Date: days after it has been accepted as complete. t�11 S G - -�— ■ Number of inspections allo}ved per permit Pp ieinu aao- aot Sr( I i sicolviAv s