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Permit Y .• CITY OF TIGARD ELECTRICAL PERMIT q _ ° COMMUNITY DEVELOPMENT Permit #: ELC2009 -00428 Date Issued: 08/20/2009 7IGARD; 13125 SW Hall Blvd , Tigard OR 97223 503.639 4171 Parcel: 2S101CA00200 Jurisdiction: Tigard Site address: 7904 SW HUNZIKER RD Subdivision: Lot: 0 Project: Spec Space Project Description: Add /alter 20 branch circuits for office remodel and install restricted energy for voice /data Owner: FEES WALL STREET INDUSTRIAL LLC Quantity Description Date Amount 7000 SW VARNS ST PORTLAND, OR 97223 1 ea Limited Energy 08/19/2009 $75 00 20 crt Branch Circuits 08/19/2009 $173 20 PHONE wo /Purchase Service or Feeder Contractor: 1 ea 12% State Surcharge - 08/19/2009 $29 78 Electrical IES COMMERCIAL INC 13970 SW 72ND AVE PORTLAND, OR 97223 PHONE 503 - 648 -1900 FAX: 503- 670 -9572 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $277.98 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 *AR 952- 001 -0100 You may obtain a copy of the rules or direct questions to OUNC by calling 503 246,6699 or 1 800.332 2344 Issued By: `1 t' & I I L • Perm ittee Signature: � 1LX -" 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 an inspection that business day. 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. ID ,/17/200' 08'07 5036709572 NEW TECH ELECTRIC PAGE 01/03 ,. Electrical Permit Applicatiol , g. 0 ra FOR OFFICE USE ONix f1 f e cw r City of Tigard f� f I� 2009 , ± DatelB : ; 4 Permit No.: / • `y • OV to 13125 SW Frail Blvd., Tigard, OR 97223 • a` to U G 1 7 P1n Revt P hone: 503.639 4171 Fax: 503 598.190 other Permit' L A il • TiGARD InspeettonLine; 503.639.4175 Date Reedy/Br MIN ® Sri. Page 2 for Internet: www,tigard- or.gov C(T '+.f' OF T GARD NotiiiadT cthod, Snpplementnt Infnrmannn �a f�ti��,' "IJi \'' S'I'C'� 7 '' " s ', a ' ^�' SS',, . •� 7 � u .r r ,r n r '1 •1Rr�l i., GJl ,rdl illr lt 4 , J�al, I`•�I I � .t.,il • it J�i ( + "n�g � 5}. 'I'{W W - fJ� ,_ 7 ', , t h, " p ,�W aJyeli� ''', w j7 •'t :'9" , 4. ;.w'•I +" , it 11 k'tl�r'���']'� P� �' J� ��? ���Itr �,: �,.�, ��riS �,;" w ;r,4• l i t , # rt A A r ,1 �n7 y ir f w, rig : k� S i' � •�ti.. � t: i.,,r1 i:a r"�L't•'.k� 'i �Irtt ��i 0 New construction Addition /altcration/replacement mama check all that apply (submit 1 sets of plans w /items chocked below). 0 Demolition Other: ❑ Service or feeder 400 amps or more © Building aver three stones. aJ e s � � �p, � y .shore the available fault sprout ©Mattinno and bo nrds. ?ir �R�i'.i' i .pl f �h i t"�� i�l� .' }h �i ii'f:4,l�A L' l * O " -i r Y� F'� i i 'J''Y J i' I ,C , �;l "�' sat 150 volts or Floating Al i 11u OlV' 1 h i-, cxoccds 10,000 amps ❑ buildings. less to ground, or exceeds 14.000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling commercial /industrial ❑ Accessory building amps for all other installations, buildings I ❑ Multi- family ❑ Master builder ❑ Other. in Fire pump. 0 Installation of 75 KVA or f�l i• r tk�p +�• t.9 J;y • v c I r. ,ri n 13mcf nC stem. ,+. r, �3 -, , d � k w I r a n ge Y Y• larger sa nrtc) derived system ,. a,�rrll I.rli', 5.; i P i 'l g710 tif49- v�rA nP.:t,jal5A— , K;: ins v r� h ti i 1•,• a,ti. ,,, :• - , za -•� - �,r.'�d °I'�� �__u>,. {•.,v'�'".`:�M,,,, ❑Addinonofnnvmotor load of ❑'A ","1; ", "1- z,,.rl_�,. Job no.: 3 v L [ Job site address; ] 04 5,,c) (, � ( i0OHT or more. occupancy, O Six or moro residential units 0 Recreational vehicle parks. City/Statc/ZIP/(c /j 6 - a . 3 ❑ Hcalth.cnrc facilities ❑ Supply voltage for more than ./3 t. I in ldarerdoas locations. 600 volts nominal. Sultc/bld g p no.: Project name ;(�� �. r ' ( e4A,t l s) in service or fcodar 600 amps or more, vi I ° - ; � , K ;�. a , ,, 3 r^ r .it tX. ISS114. _ �iE''r,li � ,' ,,, ,.; ,�,':� ,�.' _� � „�, Cross strcet/dircctions to job site: tii�''• ,e.v ' p, sal�.1' -,rat] . _ ti �',n:.,4 1,'i Ir ^,t'n 4`•''' Dacrlptlnn 1 yy ..L. Fri I - rntnl i New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: 2 Lot no.: 1.000 sq. ft, or less I 145.15 4 Ea. add'l 500 sq. R. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential ";irilhi ^ilQ li ar "•,, !� -' I:rYi!14J� i� �'fti?t "f!Ili l{/��,. 1.� '! F �� y��t ?, :,, tti �il'�'^ r) , ;�1`a' , r^; . r4 : °i ' , 4 75.00 2 J.�lTi [ 3,,r , fli ' ,;'',t °,Yrl}i "Ly.7,i P:i, +',4)5 -t00, IQNr 0,ki �► .0,4:,ll"i}, rrt 1 T �' 1 i 1',� r,N k. °r Eti i . lhr;�i" with abm'e B ft. - .,r ,Fit ,,,_p, h, s # ✓''a k .,,, ,;i," ,. �,I, � 9 ) Limited cncrgy, multi - family � 1-.. , ___I/ ' 2 -(1k2) dt_ Q_ _ residential (with above sq, ft.) 75,00 2 Services or feeders ingtatlntlon, niteration, and /or relocation ,i;tl+F'r s r * a,. a a ,;,�:,�,,, r , ,`,,.,.,.. ,. 200 amps or less 80.30 2 1 ,} � I'� T R lti 5 I' b' / I ¢4,J,.',i,i F7 - � °G,,il� +a, n!i: {i'' .,' ,b�. � +:r'n ;a,r�'� i til r73 E i ti''� Ir'�'" Y : ' d 4, Vlh_,VL�t� r , ��;.;,, ,l � ,'t.', �„ �. �' N,t:Np M art t i.. 201 am s to 400 amps . •� , r r' i r � ,,.,. � t � r~ t '�' � P P 106.85 2 Name; 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 7,40.60 2 Address: Over 1,000 amps or volts 454.65 [ 2 c ity /statc/zrn: Temporary services or feeders installation, alteration, and /or rclocarlon Phone: ( ) ` Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signature: Date; Branch circuits new, alteration, or extension, per panel t l d ! , ;,i 5 „ A. Fee for branch circuits ud h , 151,t'ii,.0' I.,0 1 4, 3 la '; I i', 0';' i 5Y! "; „ i ' l i 'll,,Pi " ' It: rr, .i' �� ,i �.�. , :;•I; b 1 �'�, . t ,. Y �, ,� .,�,,j eu „ „� � s'4 an• t I � ,i ,� , Il�,r,it ° sR, ,, ) ', 11,, above service or feeder fee, . _., ., ':. ,I �� , ; � , ,• . ' ,, , , 6,65 2 each branch circuit Business name: . E. Fee for branch circuits without service or feeder fcc, 46.85 g,6 2 Contact nettle: first branch circuit Address: Each rider' branch circuit 19 6,65 I j( 2 Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular dwelling, service std /or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail; Pump or irrigation circle 53.40 2 .•i,�j: ( w11r, €i t,��t' a;r N. J�' -, i., . .. •'i 5•' r ..� h 5 4. �'I.� °t,r: ?la el, �' t�d�. tif,'.;,';• �', �d�T, ORjv9 ('1;14��`+it`•�'��t<l�p��il�; fly'. I�' it ,�kFi�Sl�x�lrrv,�V,,k1M.,F.11;} SiBtlor outline lighting 53.4 2 �o � — r � Signal circuit(s) or limited- . J G � Business name: k • W VIA, i /lid c��!� energy panel, alteration, or W Address: (,(o d " 5 1,0 L.I ' extension. Describe: 1 Page 2 2 City /State /ZIP. l r ! C � ' 46 (4 /. east Each additional inspection over allowable in any of the above Phone: ``^^ G Per inspection 62 50 ( ) /U' ~ ( `t Fax; (031:7'7 Invcsugation per hour (1 hr min) 62.50 CC13 Lie.: 4% Electrical Tic,; 1, $1' --(S1 Suprv, Lie.: "3.' r Industrial plant per hour 73.75 Suprv. Electrician signature, re „ /� r'' i'4:',�i%:,V'•I :,141JCTRT r ', ��r,;.,� S required �,/ ( �>� } F ES Waif . ' I!,- " , , ,,,, r Subtotal: _ Print name �L l 1 e IA Date: g. ` ¢ Plan review (25% of permit fee): t� , C� ja / State surcharge (12% of permit fcc); !::/• t/ 15 Authorized signature: TOTAL PERMIT FEE: is 7 71 Cisr Print name This permit smiles 180 esnon expires if a permit is act obrnKed within o Date: day. after It has been accepted ne cemplrte. • Number of inspections allowed per permit. I mudrimeenntrs \Ft- C- rermitA do o5 3/ee PP can -nmsrp trosrcotunvea 08/17/2009! 0820.7 5036709572 NEW TECH ELECTRIC PAGE 02/03 • Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: Fee for ali residential 'xr ,. ftn ,,..:,, .a[ l ! ;r �l ! 1 ±: `P f , a �: ,+tit. �R systems combined. $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems' ❑ Burglar Alamo. ❑ Gm-age Door Opener" ❑ Heating, Ventilation and Air Conditioning System" ❑ Vacuum Systems* ❑ Other. r (PP i � �, 11� "ll l5� i VV w" ; Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Worlt Involved: El Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems N r Data Telecommunication Installation Cr Fire Alarm Installation ❑ HVAC El Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control" El Medical ❑ Nurse CAN ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: No licenses are required. Licenses are required for all other installations 1 : 1 BnildinglPmnIW EEC- PannitApp.doc OV73/06