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Permit p CITY OF TIGARD ELECTRICAL PERMIT 2 COMMUNITY DEVELOPMENT Permit#: ELC2014-00100 T f G A R.ii) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/04/2014 Parcel: 2S113AB00600 Jurisdiction: Tigard Site address: 16125 SW 72ND AVE Project: St.Jude Medical Center Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30 Project Description: Install(1)50 amp feeder for new machine. Install(1)branch circuit for compressor. Contractor: IES COMMERCIAL INC Owner: PACIFIC REALTY ASSOCIATES LP 16135 SW 74TH AVE ATTN: N PIVEN TIGARD,OR 97224 15350 SE SEQUOIA PKWY#300 PORTLAND,OR 97224 PHONE: 503-648-1900 PHONE: 503-624-6300 FAX: 503-670-9572 FEES Quantity Description Date Amount 1 ea Services or Feeders-200 03/04/2014 $100.70 Specifics: amps or less 1 crt Branch Circuits w/Purchase 03/04/2014 $7.42 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 03/04/2014 $12.97 Electrical Type of Const: Occupancy Grp: Total $121.09 Required Items and Reports(Conditions) This permit is iss -ub'ect 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 cordance wit -••roved 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. ENTION: Oregon la -• I - •u to follow the rules adopted by the Oregon Utility Notificatio• ter. Those rules are set forth in OAR 952-00 -0010 throu h OAR 952-•• 090r.0 m,y obtain a co• of the rules or direct questions to OUNC by cal' • • . ' . -87 or 1.800.332. 44. . 111Z.;‘,4' Iss ed By: - �t i Permittee Signat ' �' 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' r a _ Date: .,©/4/ LICENSE NO. / / // S 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. 03/04/2014 13:16 5036709572 IES COMMERCIAL INC PAGE 01/02 Electrical Permit Application .. FOR 01:1,IC 1. o.•sr ON1.'�/I g,, �,.c� W"° Received 1IltK�I Permit No.: EWA)/ _eet/e0 City of Tigard / Date/B : t,! L N . ,a 13125 SW Hall Blvd..Tigard, '� Plan Review Phone: 503,718.2439 Fax: Datc/By: Other Permit: Inspection Line: 503,639.4175 Dote Ready/By: Juri.: ® See Page 2 for Ti t:,AP 17 Internet: www.tigard-or.gov Notified/Method: y�� Supplemental information ` 44 µ ' '.. ,• , a .,i■ S AL\ �'�.0'U ...�,. ,�','n ‘4.'11'' r.r' ; ._;,r - '. ' •-•-- Plano check all that apply(submit g seta of plans w/items checked below): ❑New construction Addict t ration/replacement ❑Service or feeder 400 amps or more El sto Auilding over three ries. 0 Demolition 12 a•. • OF TIG1 1 where the available fault torrent ❑Marinas and boatyards. �; ,, - , ; , t i • cueeda 10,000 amps at 150 veils or 0 Floating buildings. " �*�y�.,.• ` T 1,• .. leas to>"'onnd,m exceeds 1'4,000 ❑Cammcrcial•uee agricultural ❑ 1-and 2-family dwelling a Commercial/industrial r A cessory building amps for rill ether Installations, buildings. ❑Multi-family ❑Master builder_ ❑Other: ❑Fire pump. ❑Installation of 150 KvA or ❑Emergent systc m. latter separately derived system. .' , Y . :i1(� 16";1RI�+• t�l`�C1�'.-A�1d���,t�Gthtl'I(S►1V' ;: ' ❑Addition of new motor load of (]"A" "E" "I-2""1-3" 10014P or more. ocumaney. Job no.1191-f 00/5" Job site address: 1C9115 St4 1 "I 1.,.".N l]Six or more residential units. ❑Rocrcatibnal vehicle parks. rt . O 1 6 El Health-care facilities, 0 Supply voltage for more than City/State/ZIP: 1�G,r +► ��`��''� ❑Haatardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: ST', :a A A E moo t Cllr O Service or£coder 600 amps or mere. Cross street/directions to job site: oescrlp Lisa eel 1 Total L_ New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: _1,000 sq.R.or less 168.54 4 En.add'I 500 sq.R.or portion 33,92 1 Tax map/parcel no.: Limited energy,residential (with above sq.ft.) 75•CC 2 Limited energy,multi-family 75,00 2 x-r4 STA (f \ 5b 4 4 /_-r / _r � ,�1 residential(with above sq.ft,) l ) C� l p Renewable Energy _O.seepage 2 (1‘)S CA C.IvC - ( pre$So 2, , Services or feeders installation,alteration,and/or relocation C::ii'rrbll l 'r'sr O*Nrltit', I t'i'iLNA1'T ... 200 amps or Ices i 100.70 1()O:1 Q 2 201 amps to 400 temps 133.56 2 Name: 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 30l A4 2 Over 1,000 amps or volts 552.26 2 City/State/ZiP: Temporary services or feeders installation,alteration,and/or '•- Phone:( ) Fax:( ) relocation 200 amps or Ices 59 36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 I intended for sale,lease,rent,or exchange.according to ORS 447,449,670.and 701. 401 amps to 599 amps 168,54 2 Owner signature: Date: Branch circuits—new.alteration,or extension.Qerpanel _ ' A,Feb for branch circuits with Cl; Ip�)� lE�e. ,1 0 `(3N x?t �( '1P1F T.... ,,.,., .,.�:., ,,, above service or feeder fcc, Business name: each branch circuit } 7 42 1.92. 2 B.Foe for branch circuits trithtnrt Contact name: service or feeder fee,first 56 18 2 ,_ branch circuit Address: Each add'I branch circuit 7.42 2 City/State/ZIP:/State(7,IP: Miscellaneous(service or feeder not included) Y Each manufactured or modular dwelling service and/or feeder 67.84 2 t.Phone:( ) PAX: ;( ) Reconnect only 67.84 2 F.-mail: Pump or irrigation circle I 67,84 2 ' , , ,ylc ' a,CON/T�,RA TOR Sign or outline lighting 67.84 2• Business name: ie 5 P r'ere( int, Signal circuit(s)or limited-energy panel,alteration,or extension. Page 2 2 Address: j-/„f J4 Ali r Each additional inspection over allowable in any of the above t Additional inspection(I hr min) 66,25/hr City/State/ZIP: 7/6 0,4e0 - R722- Investigation(1 hr min) 66.25/hr Phone:( ,3) ,(,f.-is-( l pp Fax:62-3 40-71)—q57 2- industrial plant(I hr min) 78,181 hr Inspections for which no fee is CCB Lie.: 1B2-4/-S 7- Electric al Lie.: C4 $ Suprv.Lie.: 1/9 f/S specineatly listed(v hr min) g0.00/hr c ELECtRTCAL PRMIT'PES _:;: ; . Suprv.Electrician signature,required: Subtotal: 18t• 12 Print name: 60 v� St Al t:, Datc: /i y Plan review(25"rL of permit fee): State surcharge(12%of permit fee): i Z•411 Authorized signature: TOTAL PERMIT FEE: 3 t I 21 •01 This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. Number of inspections allowed per permit. t:1fuiIdlnnlPera iiinat,C_Perndtepp_ELR_ERn doe Rev 05/21/2013 • 440-451 ST(t l/OS/COM/WE! Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 16125 SW 72ND AVE, TIGARD, OR, 97224 Commercial - Electrical 199 Electrical final 2014-04-03 (null) ELC2014-00100 PASS - No C of O Violation Summary: Inspector Contractor