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Permit rir CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2012 -00243 TIGARD 13125 SW Hall Blvd. Tigard OR 97223 503.718.2439 Date Issued: 04/26/2012 . Parcel: 1S126CC00200 Jurisdiction: Tigard Site address: 10065 SW CASCADE AVE Project: Toys -R -Us Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108 Project Description: (5) branch circuits for reconnect of roof top NC. Contractor: BUCHANAN ELECTRIC Owner: LAMAR ADVERTISING OF EUGENE 21070 SE THOMAS DR PO BOX 66338 BEND, OR 97702 -2455 BATON ROUGE, LA 70896 PHONE: 213 -460 -2600. PHONE: FAX: 541 - 388 -0948 FEES Quantity Description Date Amount 5 crt Branch Circuits wo /Purchase 04/26/2012 $85.86 Specifics: Service or Feeder 1 ea 12% State Surcharge - 04/26/2012 $10.30 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: . Total $96.16 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 copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ,, / issued By: /f i�u/ ayvbt� 0/I/ �Permittee Signature: ��/ 8 G/e�� ��'v /// 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 603.639.4176 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. Electrical Permit Application `�1il.Li R �.� r J� r H , k< i , i.1 r :• 1 ,1 r 0. City of Tigard v L' 1 "1 1�No.,� �JO GC_ , -_ ,.�,,,�•� �/© � '•' • 13125 SW Hall Bl, Tigard, R pho ne: 503. 718243 lFa'c 50O3.59897223 .1960 A PR 2 4 2012 = oehereemeiotifECa a 6Oaas r r i , ; ;, ,:, r ,, Inspection Line: 503.639.4175 Date Reedy/Br NM m ate rage z ear Internet: www.ugard- or,gov CITY OF map Notified/Method; Supplemental ieformadon np,rEt ,s ❑ New construction ddition/alteration/repl t Please Cbedc all that apply (submit 2 sets of plans w /items checked below); ❑ Servlee or feeder 400 amps or more ❑ Building over three stories. p Titian ❑ where the available fault current ❑ &mriass and Ards. `! r' .. ex* eels 10,000 amp ar 150 volts or C3 Fleatmg bm7dorga • . . ,, .;CA OF.,Ct1NSI l'` '. r . ,. :: : • :': - ' , •: :.,.... ,. 000 Co l n r: . leas to gmrmd, or exceeds 14. ❑ agriarldral . '❑ I- and 2- family dwelling nuircial/industrial ❑ Aceessory building amps Mr all other i„sranauons. buddies . ❑ Multi- family ❑ Master builder 0 Other: ❑ File pump. ©lnsnllatioa of 75 KVA or . ti.e. . .: _ :J , . ❑ Fme cy system, Aga separately derived ssstem. ∎.. - > . ...,. OB.$4. 6*.01 ► tN.:AND. ,: . A .. CInadmonof new motor load of 0..A,13"."1- 2.`1 -3... no.: Job site addfess: p �0�� �e 100HP or more. icy. Job OO& Sit - C•KC e &lC�. ❑ Six or more residential units. 0 Recreational vehicle psalm Cityiscate/zJP: Apt/ �,r . , . 7 .�,�, -3 O Heap facilities. o Supply voltage for more than . 0 Naaatdeew location. 600 wide nominal. Suite/bidg./apt no.: Project name: -Toys R /Lc 0 Service or feeder 600 amps or mow. Cross s�reWdiroctians to job site; non , : I t2d. I • Fact 1 •tgad_ � • New residential siuglc or multi-family dwelling unit: : Includes attached garage. . Subdivision: 1 Lot no.: 1.000 sq. ft. or less 168.54 4 • Eu. add'l 500 sq. ft or portion 33.92 1 Tax map /parcel no.: -- Limited energy, residential above sq. abov sq. 75.00 2 A ::e ':.DF CRw' .10 `.ol?: *013:t :' ,-...:'s,• (with e: f Limited e . ,. ., . . (wi ffigy, multi- family 75.00 2 S eV 1^l p ,[ 4 Re.eo�, (2'0042 ((q 1p 104.1d residemialswith R) Services or feeders �tallatiun, alteration, and/or relocation JJ vt l 4- cs) `t-,,,e_. 200 amps or leas 100.90 - . 2 = lti •`. •IJ PRO EJtT 1t..00 V : : °. •` :E64 giV- 201 amps to 400 amPa 133.56 . 2 Name; 401 amps to 600 amps 200.34 2 601 tunpa to 1,000 amps 301.04 2' Address: over 1,000 amps or volts 552,26 2 Ci[y /State/ZIP: Temporary services or feeders installation, alteration, al>:d/or ' relocation Phone: ( ) ! Fax: ( ) 200.amps or ti 59,36 Ito I Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps ( 125.08 2 intended.for Sale, lease, rent, or ex 401 amps to 599 amps 168,54 2 t, change, according to ORS 447, 449, 670, and 701. , Branch circuits- new, alteration, or extension, panel Ovmer Signature: Date: A. Fee for branch circuits with 11 ; . ; * above sesvrrx or feeder foe, 7.42 O• ( 2 ,... �. ..... A1+�ii; .., �. ..... ........ .'...., i Y:. "<. 1::'..40. .1. .:T, - .. - .... ^. .....:...., . .. •. . ^ -� •., �; : each branch cireUtl _ Business name: • T o.. A u S B. Fee for branch circuits without ' f service or feeder fee, first 56.18 2 Contact name: branch circuit Each add'l branch circuit 7.42 2 Address: 1 OU(P.S S■ U) CS _ .!, 'g'tv ek Miscellaneous (service or feeder not included) � Each manufacture(' or modular City/State/ZIP: 7 ,$),,...4 Or also- -k 9 7d,a-3 dwelling service ar ,d rorfeeder 6i.sa 2 Phone: (603) 0-4 , q .... D 1 LFax:: ( ) Reconnect only 67.84 2 IrIDail: Pump or irrigation circle 67.84 2 Sian or outline iigatiog 67.84 J,, , :-' '• ... .. .. Signal circuit(s) of Iimited�rteagy Business name: (3 L , . . yLQr N gL.L, `3!'tre.. puncL alteration, or extension. Page 2 • 2 Each additional inspection over allowable In any of the above Address: �t p `� s'i �Z•. ��drrytAs � Additional inspection (I hr min) 662 h 5/r Investigation (1 hr min) 66251 hr City /S I � . or- 97702_ -.2_q_.0'• Industrial plaR(1 hr min) 78.181 hr Phone: D o, It Da l r• 0 .x:,(5 1 -/ /) U8- OR 4F lnapetxions for which no fee is 90.001 hr specifically listed eh hr min) Lic.: Elect rical F+I.EC"7tRw '" " en rV. 1 Lic. ��t��� ry Lic.:�l�p ,... , EFS= �-:•.- "��:�:��� El� �lttre. te t,ui � y % - Suitt Plan review permit fee) -- (25% fee : Print name: 10 ,,_ u Date: 4//2.,y/70/ State surcharge (1r/e of permit fee): TOTAL. PERMIT FEE: Authorized signetu :1 1//l Thlr permit applit:ation expires if a permit is net *blamed within ISO Or U�7 days after it has Yenta accepted at rem Print name: , ,.L Y \ U L 4 K- Date: if l Z J zo / 2_. • Number of inspections allowed per permit 9 4 , / LP irW61 9. Rana 17 4/4.44,411 a 1 j fo e--GZ,pI.Co £d WdOZ:£0 ZZOZ £Z 'add 8t'60 88£ TVS : '0N 2NOHd OI810212 NtjNdH0f1H : W0dd FROM : BUCHANAN ELECTRIC PHONE NO. : 541 388 0948 Apr. 23 2012 03:19PM P1 ,ead r .."-- d MO) - , ail /ZIi E