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Permit CITY OF TIGARD ELECTRICAL PERMIT f _ � 1114 3 .'• • COMMUNITY DEVELOPMENT �,�%'' Permit# ELC2012 -00500 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Date Issued 08/27/2012 Parcel 1 S 135BC00700 Jurisdiction TIGARD Site address 10799 SW CASCADE AVE Project Spec Space Subdivision HILLSBORO Lot PTS 1 -2 Project Description (8) branch circuits for relocation of conduits from roof of building to warehouse, replace lighting conduits 9/17/12, adding (1) 100amp feeder Contractor DYNALECTRIC Owner CH REALTY III /PORTLAND INDUSTRIA 5711 SW HOOD AVE BY THOMSON PROFESSIONAL & PORTLAND, OR 97239 REGULATOR CONTROLLIN OWNER OF EPROPERTYTAX PO BOX 4900 PHONE 503 - 226 -6771 SCOTTSDALE, AZ 85261 FAX 503 - 226 -7720 PHONE FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 09/17/2012 $100 70 Specifics: amps or less 8 crt Branch Circuits w /Purchase 08/27/2012 $59 36 Type of Use COM Service or Feeder Class of Work ALT 1 ea 12% State Surcharge - 09/17/2012 $19 21 Electncal Type of Const Occupancy Grp Total $179 27 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 acc• - - •proved 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 ATTE . ION Oregon la requ • yo to follow the rules adopted by the Oregon Utility Notifi - • Center Those rules are set forth in OAR 952- 001 -0• 0 thro gh OAR 952 -001 ! • •0 Y•u , obtain a copy of th rules or direct questions to OUNC by • • • 32 1987 or 1 800 371,2344 Issue. By # Permittee Sign • rr/r OWNER INSTALLATION ONLY __II 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 CITY OF TIGARD ELECTRICAL PERMIT 111 • COMMUNITY DEVELOPMENT Permit #: ELC2012 -00500 T f GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/27/2012 Parcel: 1S 135BC00700 Jurisdiction: TIGARD Site address: 10799 SW CASCADE AVE Project: Spec Space Subdivision: HILLSBORO Lot: PTS 1 -2 Project Description: (8) branch circuits for relocation of conduits from roof of building to warehouse, replace lighting conduits Contractor: DYNALECTRIC Owner: CH REALTY III /PORTLAND INDUSTRIA 5711 SW HOOD AVE BY THOMSON PROFESSIONAL & PORTLAND, OR 97239 REGULATOR CONTROLLIN OWNER OF EPROPERTYTAX PO BOX 4900 PHONE: 503 - 226 -6771 SCOTTSDALE, AZ 85261 FAX: 503 - 226 -7720 PHONE: FEES Quantity Description Date Amount 8 crt Branch Circuits wo /Purchase 08/27/2012 $108.12 Specifics: Service or Feeder 1 ea 12% State Surcharge - 08/27/2012 $12.97 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $121.09 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 R 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. "ti Issued By: e+ Permittee Signature: O&1 4 PPL_1 tf 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. Aug.27. 2012 11:39AM RECEIVEi No. 0504 P. 2 Electrical Permit Application I R ul Flc IISE UNIX AUG 27 2012 Received City of Tigard Date/0 ': 0 01-1 3- Sr Permit No d i.— 4r65 Ili Review - U 13125 SW Bali Blvd„ Tignrd, OR 9722 [ Plan Phone: 503.718.2439 fax: 503.598 +, �� Plan OtherPennit: p !.DING DIVISION Dare t; A R D Inspection Lille: 503.639.4175 Dalo Ready /Oy ! a Sec Page 2 for T I Internet: www.tignrd-or.gov Nolified/Method: SupplemmnlalInformation • b •n. , "� �ktf.•� ,p r: � .. '�'n.7 p. . . ,l' . al -. .__ ... ,... _� -• l,.5 ', .,... + � �i�: - :::: � .. �' .:� :l ','1 . , � �' iJ , .,.. I•y. Ar.11 .) i�f. p 4 t 1 , , .,._ - ..._ 4 ..v , r .,., .- •'_- - ' � ' r I N.� :-:W ' • , l 1.1 ..:. : : C ..'I. • 1, • ■-„. .!r..:. r. . . • :.1'{ .. . ...., �r�. -2��.: =.,.. t - .'�lL':n...,-I::,:tl ...,,.{ �. .iyfr.r,. •, . t •:N .. ❑ New construction a Addition/alteration/replacement Please check all Char apply (submit 2 sets of plans whims checked below): ❑ Service or feeder 400 amps or more i] Wilding over duce stories. El Demolition ❑ Other; there the available than current ❑ Marinas and boatyards. :' �° } -24. 4 .i� - ,' C - _ ;Its; _:•' °�; ", "';;;. �;, ct; exceeds 10,000 amps at ISO volts o r Floatin buildin ;; - .foN ill {P,'1; _ _!R. ' ••• •'.-.C�7!fSTR .,r, _ 9,a ❑ Commercial -use alit rat • =s:a »a N ' � tfi I .,. , ,. � : :..::..: .:..:�.: ,.air g s. g s: — ..'.. ,_..._.. ::.::r','...:,• ....t: ';:'; , ,... r..:r•.+;::.:.• . less to ground. or exceeds 14000 ❑ Cotnrnercia - e agric ❑ I- and 2- family dwelling et Commercial /industrial ❑ Accessory building amps for all other irsetallaliors. buildings. ❑ Multi family ❑ Master builder ❑ Other: 0 Fire pump. ❑ Installation of 75 KVA or ;4 {:= - .: _ ; ?atrc : s =' : : ■•' . ...... ❑ Emergency system. larger separately derived system. ...._ ' -11 F SITE: INFORM T1ON LOCATICIN" :•: •... • :. i`:. -. ; : . . -1. ,. ,. :- �....,._ _...., ❑Add f d f ❑ f ,: ��:::. •..._._.... r.....,.. 1:...., .,._.- .._ ...................... ' .:.......:.....- .... ... ......... tlrOtto newrnOlOrlon o A 1 , 2 , "1.3", Job no.: /6 Job site address: /Q e_ 5 100HP or more. occupancy. ❑ Six or more residential units- ❑ Recreational vehicle parks. City /State /Z_IP: il � M S i .° , ❑ ❑ Health -core redlines. 0 Suputy �'ohaga for more than c-C Naamdous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: ['Service or feeder 600 amps or more. p Ar ..— FEE, SCtHEDULt; ".:? ' Cross street/directions to job site: Oa.npt I Qty. I Etc I Toui I •„ New residential single- or multi- family dwelling unit. • Includes attached garage. _ Subdivision: I Lot no.: 1,000 sq. R. or less 168.54 4 Ea. add'! 500 sq, 0. or portion 33.92 1 Tax map /parcel no.: �•r „'. Limited residential .'::.'.::'•.•...• r• etc cltc ost IC (wish about . R. A RI) ?rION OB WO.. �;' �;•-_ ;= 'r::�.�:::�; ��:::• Limit$ energy, multi- family 75.00 2 're r�140/6 residential (with above sq. It.) ca.:,; _ ,., - .,,:.r;.a,� ' „ Y'. rs insrallan L tcraa relocation ert'tces or feeders 'ore al 'ore, and/or r n 200 snips or less 100,70 2 :.:::_fix ,+ ,` ;:p�O�E'RtY•: ": � e s � ;'?� _ _ TP ;;�r:K ' •; t ;+ 201 amps to 400 amps -- •�, �.�_�M.�iT�d,,�,.�r..- .;F... ... , ._....... _ �. ,.:.:•�'�1�, ... 13356 2 401 amps to 600 amps 200.34 2 Name: 601 amps to 1,000 snips 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 59.36 201 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 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or ex tension, per panel Owner signature: Date: A. Fee for branch circuits with ;:r 4-1,_ - AN . • e ct p above service or feeder f 2 • each : ..... broach circuit Business name: 440Zeid B. fee for branch circuits without �� J'\ service or f>; fee. first f 56,18 , /� 2 Contact name; /L am branch circuit Each add'! branch circuit 7 7.42 •QZ ' J ' 2 Address: Miscellaneous (service or feeder not Included) City/State/ZIP: Each manufactured or modular 67.84 2 dwelling, service and/or fee Phone: ( g a , O 4 .C 7 7 / 1 Fax:: ( ) Reconnect only 67.84 2 Plump or irrigation circle 67.84. 2 E - mail: ,;, ,:; .,:.: ::: .. :...•::.:_.. • .............. .. . '. . Sign outline lighting 67.84 2 i ,� <; ":- ': _. ::.::::.::;�.::_- ':::= :,;u' • O�T1tgC1'0(t:'::':. .;•.. ��';.'.'.,:. , .. .. .. Signal circail(s ) orlimilcd•cnargY Business name: yh4`Y panel, operation, or extension• , Page 2 _ 2 LLU��• Each additional Inspection over allowable In any of the above Address: , 5 8a) d �/zQ Additional inspection (l hr min) 66.25/ hr � le / - �j or A• � � Isligation (1 hr min) 66.25/11r City/State/ZIP: �'jy�Y Indunduslrial plant (Ilirmin) 78.18/hr , Phone: hrmin) S ( ^^''rJ,7 ��O ` '' ) .. 1 /_ . 77/ Fax: (�jy ) �A4. 77 Inspections for which no fee is specificallyIistedp 90.00 / hr `` CCB Lic -: / `- Electrical Lic __ � ! Suprv. Lic.: `f , s 3S �.• : :: ::, , : - � . ., . ':,:ti_..::, ; .: . r .:.: " r � � ' • s( Suprv. Electrician signature, required: tr - fall Subtotal: /49,/al t t — 1 Plan review (25% of permit fee): . Print name: LA Ii alci,; ^� a tc: (•' Stale surcharge (12% of permit fee): /A. 97 Authorized signature: TOTAL I'GRMI I' flit;:,� r� ae_ i J , ' this permit application expires if a permit is not obtained within 0 MI/ Jape after It has been accepted as complete. Print name: G �A _4( fC � � . ��, 6/� Date: Number of inspections allowed per permit. 1:lBuilding 'Permits1ELC•PnmiiApp.dce 07101 /10 aa0- i61ST(II /OS /COM/W110 Sep. 17. 2012 8'59AM No 0563 P 2/3 Electrical Permit Application FOR OFFICE USE ONLY City of Tigard ii, E iatc /l h nIm No„ Ni `t 13125 SW !loll Blvd , 1 igard, at•-- ' Plan Re+nc++ .... Phone 503 718 2439 fits 503 5989_60 D , Oilier Permit TIGARn Inspection I me 503 639 4175 EP 17 2012 Date Ready/ U2. hint IZI See Page 2fur Internet, www tigard•or gov Notified /Method Supplemental Information TYPE OiClicb I i �� RRD PLAN REVIEW 0, •[ `li 'r agirk Pfease check all not apply 111 New construction [�Addiuonr'a �tafl'r'e'�l en - pp y (sobmu 1 sets of pla + +•ntelns checked below) ❑ her ice or feeder 400 amps or more ❑ Building over three slot Ies, ❑ Demolition ❑ Oilier. ahere the available fault current ❑ Merinos and baU)ards CATEGORY OF CONSTRUCTION exceeds 10,000 amps ai 150 ,'olis or ❑ Hoot mg buildings, less to ground, or cNcceds 11,000 ❑ Comma c inl -usc •lgriculntral ❑ I - and 2- Iionily dwelling [ Couuuercial /industrial ❑ Acccssoiy building amps for all other installations budding., ❑ Matti- family 0 Mastci builder ❑ Other ❑ hire pump ❑ Installation of 75 KV,t or JOB SITE INFORMATION ANP LOCA'T'ION ❑Linergene2 system IMgcr sepnraiel d+ri'cds)stem ❑ Addition afnest motorloadof ❑ F, °1- 2,•`1 -r- Job no ' /J11 a 1 Job sac address' /a799 ,541-) CsfSC � i or m r moro co ❑S ig orc residential units ❑ ecreatircatiuuol tchulc parks (;a }' /Slate /Y P 7 - j : dAW 62R ❑ I leahh -care facdmes ❑ Stipp!) vuh>tgc (or more than ❑ I lezardous locations 600 ,oils nominal Suite /bldg /apt no Project name ✓ SjQ� ❑ Seivicc Of feeder 600 maps ur more // �T FEE SCHEDULE Clots tilreet/du'ections 10 Job site. oeierspwou I Ob. I Pee. I Thal I - Nea residential single- or multi- family dsr oiling unit Includes attached garage. Subdivision. Lot no.: 1,000 sq 0, or less 168 54 4 Ca add'! 500 sq 0 or portion 33,92 1 I 11x map /parcel n0.. Lunged energy, resrdenllal 75 00 2 DESCRIPTION OF WORK ' (wilh above sq, 4,) a — I mined energy, multi-family sid th above q , p &� Q i � � 4 ":" rt idenuol (with above sq Il) 75 UU 2 C� /� Sc. vices or fcedes s tustal)a(ion Minn, ;trail /ur i elocution /) ' /i .. .01 200 amps or loss l 100 70 /oO,79 2 ❑ PROPFR'1 V OW ER , I ❑' TENANT 201 amps to 400 omps 133 56 2 401 amps to 600 amps 200 34 2 Name. 601 amps to 1,000 amps 301 04 2 Addt t:SS . Oser 1,000 amps or volts 552 26 2 Temporary services or feeder s installation, alteration, and /or City/State/ZIP. i clocation Phone ( ) I Fax ( ) 200 amps or less 59 36 I 201 amps to 400 amps 125 08 2 Owner Installation: This installation is being made on property (hot I own which is not 401 amps to 599 amps ! 68 54 2 intended loi sale, lease, rent. Cu exchange, according to ORS 447, 449, 670. and 701. Branch circuits – rtes►, alteration, or extension, per panel Owner signature. __- __ Bali ____ A Ice for branch circuits with ❑ APPLICANT I - . CONTACT PERSON above service or feeder fee, 7 42 2 � each Womb circuit l3usuat , name dL ��Z C ~ D Fee for branch circuits sorvtCC or (ceder ( first 56 18 2 Contact name .....or" ,`^1 branch circuit f rich add') branch Circuit 7 42 2 Address Nhsccaaneeus (scr rice or feeder not included) C'll} /Stale / /Ilr I rich manulhclured or modular 67 td 2 dwelling. service and/or feeder Phone ) D • 41 – 77/ I Fox.. ( ) Reconnect only 67 84 _ 2 Pump or nrigation circle 67 84 2 E -mail. Sign or outline lighting 67 84 2 it2 CON'l'ILACfOtt Signal circuit(s) or hinued-energy Business name. it.ct /t--. panel, alteration or evasion Page 2 , L Each additional inspection os er allowable in any of the abase 2 Address L.5-7//. y � I ° Additional inspection (1 hr min) 66 25/ hr mo t. V 97 3 Imestigaticn hr mill) 6625 /hr City/State/ZIP T[ ��l[[[ffff ��l 9 Industrial plant (I hr mm) 78 18/ hr Phone: � ) /„ .4 7 "7 / I Fax. ) / 7`�� Inspections tor which no fee is CL7� specifically hsted (S5 hr min) 90 00/ hr CCB Lie.: j .773 I Electrical Lic 7, C Supry Lie - ELECTRICAL PERMIT FEES Suprv. Electrician signature, icquircd Subtotal, /pp, Plan review (25% of permit Ice). Print name I Date. 9 /i State surcharge (12 %of permit fee) 1 a.02 7 �/ 'TOTAI PFRMI I' TFE /l,, 26 AIilhori7ed Signature ' _ Thrs permit application t(enlion e. sires if lermh Is not ohialned a iihin (80 7w - '"rte- � 1 II 1' I Pt inn name .49., /I Date' / e..":„ • aims ima a has boon accepted as complete Number Of Ir�peCtiais a llo+,ed per permit I +n,.11d a \Permus\I I C -Penn iApp dot 07/01/10 i lO ia i'Tt I I /O< /COMAVLII Sep 17 2012 8.59AM No, 0563 P 1/3 Dynalectric Company Dynalectric 5711 SW Hood Avenue Portland OR 97239 An EMCOR Company Phone 503 226 6771 Fax. 503 226 7618 ccb 66793 Faxsirnile Number of pages including this cover sheet 3 Date 9/17/12 To Electrical Permit Department Tel' Company City of Tigard Fax 503 - 598 - 1960 From Lynne McEachern Message: Following is a Permit Application to be added to Existing Permit tiELC2012- 00500. Also, a Credit Card Authorization Fen m Thank You. Dyna -019 Rev 02117104 Aug. 27. 2012 11:39AM No. 0504 P. 1 ctr /C 5711 Sw Hood Avenue Dynalectric Company Dy/nale �i��II'' A 9/ Portland, OR 97239 An EMCOR Company Phone: 503.226.6771 Fax: 503.226.7818 cob: 66793 FaxsimHHe Number of pages including this cover sheet: 3 Dale: 8/27/12 To: Electrical Permit Dept Tel: Company: City of Tigard Fax: 503 - 598 -1960 From: Lynne McEachern Mc :ssage: Following is a Permit Application to be processed along with Credit Card Authorization Form. Once a permit number has been issued, please fax to Lynne at 503 - 226 - 7720. Thankyou. • • Dyna -019 Rev. 02/17/04