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Permit
CITY OF TIGARD ELECTRICAL PERMIT IrA 2: COMMUNITY DEVELOPMENT Permit #: ELC2013 00140 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/27/2013 T � . . ' AR g Parcel: 1 S126CD00300 Jurisdiction: Tigard Site address: 9500 SW WASHINGTON SQUARE RD Project: JC Penney Subdivision: FAIRVIEW PLACE CONDO Lot: 20 Project Description: (4) branch circuits to remove floor plugs and alter lighting in TI Contractor: WIRE NUTZ ELECTRICAL SERVICES Owner: PPR WASHINGTON SQUARE, LLC 13023 NE HWY 99 STE. 7 BY J C PENNEY 0288 -1 VANCOUVER, WA 98686 TAX SERVICES PO BOX 10001 DALLAS, TX 75301 PHONE: 360 - 609 -2714 PHONE: FAX: 360-2543-9646 10.0Q . 17/4 FEES Quantity Description Date Amount ' 4 crt Branch Circuits wo /Purchase 02/27/2013 .$78.44 Specifics: Service or Feeder 1 ea 12% State Surcharge - 02/27/2013 $9.41 Type of Use: COM Electrical Class of Work: ALT Type of Const: . Occupancy Grp: Total $87.85 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 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. � l &J Issued By: 14 L" L1CCt Permittee Signature: till)' AP/ L r 6,4-; (O 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. Electrical Permit Application REC E/ArED I UR t)IFF 11SE ONI.'1 City of Tigard Datee/B� c -/)- -1 / 3 src PermitNo.: i ,.4p13 - Qp/ 1 --0 13125 SW Hall Blvd., Tigard, OR 97223 Other Pav 3 ' 0000e u Phone: 503.718.2439 Fax �503.598.196 2 7 2013 pate/By Review i Inspection Line: 503.639,4175 Date Reiady/ay: Ions: SI See Page 2 for 1_ } c; \ "' 3 Internet vwvw.tigsrd- r.gov CITY OF TIGARD Notified/Method: Supplemeetal Information ,. �/' {�'� _{� p r ..-. r . f �- '.'7'i'''''''."' i1 rT 1 r T { : i r 4 i m, if I h ■J,( i7 1 t e t T, ,` r hi i, S t H' "4, rl,irt •ji. it::d ■h v, t ' fi e 1 r ! !.,' I .. i , r! + q 1 f I v ! G, : ti ' . G i , i ,....1..r3,.... ' - .:r I, , i u ,,,r •. ar{ - i r ,k., i �j ' .n.. - „_ . [. rr+'... ` ' f I ! l t ❑ New construction ►1 Addition/alteration/replacement Please ice check all that apply (submit Z sots of plans w /items threes below 13 service or feeder 400 amps or more 'O Building over three stories. ❑ Demolition ❑ Other: where the available fault current © Marinas and boatyards. c . i 1' 9 y , , g , , i , .ts i"" c', } l} r ' u 1, i r ,l , 11 l , , „ 7;;; `' , l i t 1, i I ,, exceeds 10,000 amps at 150 vOks or 13 Floating buildings. ., r :P _ �i i 15rt ^9.t •Yf ktii !: : ?: I ' , 't'''''), ,r . _ .a.l!rir. t. -.�, , i..r less t0 ground, or exceeds 14,000 13 Conunerciai -use agricultural ❑ 1- and 2- family dwelling Ti Commercial /industrial [] Accessory building amps Re' all other installations. buildings. 0 Multi -family ❑ Master builder 0 Other- ID Fire pump. 0 Installation of 75 KVA or t r �^ aW r e t rr . r I � c i ' ° :,... " : R ❑ Emerge/1 system. larger separately derived system. r 11 i ii1 ''rr�� }. f e 3, , y{i of ',i l f 1,1 FI I< + S rr f I r If! r•.142 1 i r + 7.r• i e? 1 0 t `` (ei, ...,.. +Irtrir ., f ,, _ ❑ Addition of new motor load of ❑ "A ", "B ",' 1-2 ". "1.3", callx- r M:l,I,11 �,,.r. .,, Jt .: S. Li.�:,117ir . .I.,,a,di1.101,;. ,„L W - it, 1001-1P or more. occupancy. Job no.: Job site address. 5 00 SW Vi/$th ( 1 h M r ❑ Six or more residential units. ❑ Reorealional vehicle parks, //�� /� �7 i Q Harardcere locations. El Supply voltage fbr mole than a d lJ "t 7 L2,3 , El H3 l i b -car locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. r T �- ' tll� Ti 1 i r . 'i "' }ri' i{ : •[1' f rt r i 1 I i+j R i(` t 11 ! ) , ! 6 .n, ' Cross street/directions to job site: ( +r.!f c .'_ •. 1 ,. „ , r. .. , not • New residential single or multi family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 168,54 4 Ea add'1500 sq. ft, or portion 33.92 I Tax map /parcel no.: Limited energy. residential 75.00 2 ? 4,il:7' r]i t rr 3i 7. f' r uy r '1.1:,.7,.7:..,1., "'i 7 ' .. r it (with above alp_ ilt: r 1 . t Y r A T ' I ilt l4!) -f �l '., ,, j + r i . .t r i a l [r w iy .I r. }.. `. . .u�.. -v.. t iv .. � r ......_ J�.. , ., .r ,.. -:: . .�. ... ..- rf.. .....cu. _ 2 Limited energy, multi family 7 5.00 . ` , • � , 1 u ; g residential (with above sq. ft,) t Services or feeders Installation, alteration,. and/or relocation cl t 11 Sec let amps or less 100.70 2 ... ^ Y ,Y i^ ^ J D 1 ,r f ' I 1Z F- c �+ { I * ` � , 4 � i l r ' . i 1, { r � � r, , c 1 i t , �"� 201 amps to 400 amps 133.56 2 . 401 amps to 600 amps 200.34 2 Name: 60t amps to 1,000 amps 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: ) 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 168,54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. zach cireW f: r r i r r ■ B Owner signature: Date: A. Fee fbr branch circuits with • ,~ l i + m * s r PF "1 i - t 1 E R 7 iii? A� . r,cc fi 7 r i "',S) :i, above service or f fee, m,. 'a ' fli 2 �.•r st } P ff off Is , 7 , , 4 :t t it i i tl " h. 0 ), , + 7 . `ISr 7.42 ;�3' r t ! :'f ,�' xr..,.:?�1a tilt, .,N., � i .,.t i � r! _ ?" _ .... r a..r each branch circuit B. Fee for branch circuits without ser or f eeder fee, first I 56.18 Contact name: branch circuit Each add'1 branch circuit 7,42 Address: miscellaneous (service or feeder not included) Each manufactured or modular City /State/ZIP: dwelling, service and/or 67.64 2 feeder • Phone: ( ) Fax: ; ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E-mail: Signor outline lighting 67,84 2 + r r- i-"'•C f y i T r!_ r '77"-777-77-',..-,-;;;; {{ , : - 1.11ge.11''rr,, ry [, ; r', ri'i, .,i .r�. 1 ' i ir�rr.,- : ,, .i0 tZ: r, r.!! u_di:., -t n . Na. :p'61...,p -, Signal chruids) or limite - energy panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: i "2 l 1 r w / q S- t_ -7 l A i ► l Zip Additional inspection (1 hr min) 66.25/ hr - l''t Investigation (I hr min) 66.25 / br City/State/ZIP: V4h04 . I ' / i f Industrial plant (1 In min) 75.18/ hr • Phone: / O) Ip , 6 f . ' 14 Fax: 1 34 410 ) 121 - 3' 55 inspections fbr which no fee is 90.00 / hr . ... s «flea' ■ listed A hr min / / Suprv. Lic.: I �� C _ y „ d1,,+ . 1'r ,.N ? -- .... r,'r; 1 ... s} - { .,,..,7 - -- Subtotal: . Suprv. Electrician signature, required: YAla Plan review (25% of permit fee): Print name: A Oh / Yid eiteS Date: Z, State surcharge (12% of permit fee): : iff TOTAL PERMIT FEE: • g j Authorized signature: j rt il i .+�! This permit application expires if a permit is not obtained within 180 qq days after It has been accepted as complete Print name: = Q C Date: [i ID • Number of inepe0lions ol(owed per permit, 11 Building \Pcrnits\ELc-Permitppp.doc 07/01/10 440.4615T(lI/OS/COM/WEB Wire Nutz Electrical Services, LLC ,,, PMB #264 't-,-`:;,' ", , 13023 NE Hwy 99, Ste. 7 .- -' ,g., r , . ' '''',,-.2: , Vancouver, WA 98686 1 + Phone: (360) 609 -2714 FAX: (360) 727 - 3955' yxc J 1 1 ATTENTION: ' l S I' _ ' lS i , FAX #: 503 — 5 q 14(00 61 i DATE: 2/2 ii 3 FROM: Matt Lasch J i I # OF PAGES: S j n G lu Vedt" p . MESSAGE: i ' = -• e tt L -Yiut ' " err s'n I i-- ' . ' - . '' 4 9 i cit-Ei 014_____• C,r - ,O;3a t I I I I