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Permit CITY OF TIGARD ELECTRICAL PERMIT s COMMUNITY DEVELOPMENT Permit#: ELC2014-00446 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/12/2014 Parcel: 2S 112AD00900 Jurisdiction: Tigard Site address: 14800 SW SEQUOIA PKWY Project: Home Depot Subdivision: PACIFIC CORPORATE CENTER Lot: 9 Project Description: Upgrade lamps and ballast,(25)branch circuits Contractor: SOLIS LIGHTING&ELECTRICAL SERVICES Owner: HD DEVELOPMENT OF MARYLAND, INC 940 CALLE NEGOCIO SUITE 250 BY HOME DEPOT USA, INC SAN CLEMENTE,CA 92673 PROPERTY TAX DEPT#4002 PO BOX 105842 ATLANTA, GA 30348 PHONE: 949-874-1872 PHONE: FAX: 949-248-8621 FEES Quantity Description Date Amount 25 crt Branch Circuits wo/Purchase 08/12/2014 $234.26 Specifics:. Service or Feeder 1 ea 12%State Surcharge- 08/12/2014 $28.11 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $262.37 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done i nce..with approved plans. This permit will expire if work is not started within 180 days of issuance, or if ork is suspended for more the 180 days. TENTION: Oregon law re. ..-s you to follow the rules adopted by the Oregon Utility Notification Center. hose rules are set forth in OAR 95 01-0010 through OAR 952-00 1090. o rrjay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 00.33 r 4. Issued By: —/ ,p Permittee Signature: .a -.#7,It • OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' Imo, _ Date: gv/y _� LICENSE NO. s�cs Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 08/12/2014 01 :43pm RITE AID 6498 3602535622 #134 Page 01/01 "" 1"441" V4•tro n17.70'Sellyt u CITY OF TIGARD PAGE 01/Al EI•ctricall ' LemitA.t , ' -do7 1 :• /ti 11, 1 i -1 i,'-,1. �( E1JE[) t[ceaysd Q of Tigard A D - 8 mils Pti : it.e as co•t ;25 SW Hall Blvd. , al: •• en 1 2 2014 •ne, 503.71$.243•4011Mallali , ._1. Related pdmeit M: I apcciion Linc 503.63%41 ror. O 73 v r$.I U DtRcrer - I`' `I:/' 1 : wrww.ligard-nr.;ov 1 Vi � Nai dnrlodrod: .a . 1w i ., picas crook a tat apply(m, it a acts eplant vim,'mocked), New cotes clam Addition/ahera[ion/replacement 0 5erriae or fca1Q 400 mope a Mo,e ❑ewldina over those stories. ❑Dctnohtion 1 1 ❑Other: whom tha available f4o11 a0treot ❑MotiOM and bortyardn• - , • #. r t-AY:CollifiliitilL•,leek' . ' MAWS 10.000mopea 1]Ov0112 Ca. CiEloatinahmldirt" ❑ 1-and 2-f 'Iy dwelling Commencial/'rndustria' ❑Accessory building Ias4togoo.ml,°rcxceeda ttaoo pCtrnlnatitl-nseagricvlhmd morn Ibr all other itlrtallahonr, buildings El Muhi•famil Master builder ❑Other: afire mom. ❑Installation of I30 KVA or I. - 11 -t ;-OM t• -_9'• rit"./tN, ce,two - 0&maws*system. larger 9apArntely dcnval O Additicn of NM motor Ioad Of 673t0141 Job 4: Job site address! I 4 R Uri/ �ec l!c� i e., 1 ) 1 tooarnormore. 0'•A".'r.- ••I.2" •'1-3- Ci /SnratC/7_IP F 05 or morn TOeidentidunits. p n' 1_LoQxJ U 0 Hesfthie"m fteilSka. ❑114rreaoota1 vehicle packs. 'T ©Haaardoee locations. ❑simoy w for more than Suite/bldg./apt. : ' Ptgject name: { O* boo molts nomind • ❑Service or twister boo mope or,"ere. Cross strcer/diictions to Joh site: • , ,)lam _ Dam — son. Lott. ' TM.l '* New WA:lentils!single.of multi-family dwelling unit. Subdivision: Ill Lot#: Iocledes attached garage. Tax Map/wed 1.009 to,ft,or 1c 1, 16854 4 Ea,sdd•I 500 •.R.or portion 1111.Jrq • . er w eek - • • 'Limited enemy,residcrnial 75,00 © with above .fl, Lim ,..energy.multi-Alm,y III 75.00 2 NIreeIde al(with above 9,ft) 1 Renew.ble Energy n See Fr 2 • A l PERT 117Wl'ilER a .TENANT Strokes or feeder,ittafallatiml alteration,and/or relocation Nome: r �t l-� 200 limps or i 10070 2 Address , S tA/ 0 � 401 to 600 urea 133.56 - 2 City/State/DP:1-14 (IL.. a' to LO urea 301.04 34 2 6A I amps to 1.000 amps 301.04 2 Phone: 3 I Ce S Q 0 Paul:( ) over 1.000 norm or wits I _ 552.26 2 r;,- Temporary service,or feeders inan►Ilattoa.alteration.and/or Email: p relocation Owner installation:This installation is being made on property that i own which is not 200 amps or leas ___I 59.36 I intended for 88d,least,rent,or exchange,according to 0RS447,449,670.and 701. 201 amps m400 amps 125.05 2 Owner signatul _• Da2e: 401 amps re$99 am• MI 168.54 ....0 J11r1Ki1(ckl 1 1:212177/11211:23: 231111111 ti.r.. iii I1 A.Fee for Wind circuits with Business tunnel i e3 t� 5kt- above service Or fccder(be. 4 7.42 2 J l hrich circuit Contecl name:1.(44 a c 13.4-070 Or►x�ch circuity widow Address: ; a y serviecortbedorfoe.flM j 56.1$ ,•/`. 2 1 0 brsneh CIrOUlr J CitylStsta/ZlJ' VI I,,.. OA CA iZ cp ii Each add'1 branch circuit LZ 7.42 /7q c` : 2 C / N1bcellaneoua service or feeder not included Phone:((�tlill d 19 t 81 '� (lone: ;(r 1 8U Z ( Each m0nufhclurcd or modular 67•R8 2 dwellinocrvicc and/or - ••••r $Mall' s d 4.. e�w 1!� 4 . 0 e` Reconnect sole ! 67.54 2 i. • = 0 ., Pump or irrlgatior oircic f 67.84 2 Business na mel1 O 113 _ 1 Sign nr°attire lighting 1 57.84 2 -1• • — Signal circuit®aril-mired-energy ( 2 2 Address; It '„K N d td panel,alteration,or eacnaioo. 0 � City/state/ZIP: Nab. C.. IlnP )• A-- Ili' 13 �additional Inspection over_alkswablc in air Of the above L� Additional inspection(1 hr min) 66.25/hr Phone:( ) i Fax:( ) lavesligsrion(1 hr min) 66.25/hr Email: c01 .. o ' $� . C,1. ,all r iredueu;alp11u1t(Ihemin) 78.18/hr I-, lnspeetione for which no Pee is 9(1,00/hr \\ CCB Lie.:1 ff 1 5 9 • Electrical Lie.: C 1 S. ( II . ,Lie.; 5-f _5 pecifieo1ly lured i t hr mini i a E'er'1,2141 •11X19,1`•','''— Supry.Electri an signature.required: r � ` Subtotal; al, •-1 Print name: �i P L, . *ter` Date: —t.1,.... Li4 1 ❑Plan Ravi¢w Re;aired(25%of• mil Re ff 1.111r// State surcharge(12%of permit!cc): Authorized si=•A 1 e: • ,,r; 875,,,$ TOTAL PERNITP FEE: 4 .Print name•J V /, , „di b ruato; /� / I 1 need apl,tkitt104 expire,if a pinfR'l b not•p.ta. within ISO Al days after a hue been emoted as sera lets. • mushy of Invpechans alloyed par"effort hetoodispernusinc1termssaT r.1.tl_P_Aa.dera Rc 04/11111114 440.46157(1I/O116014IW" ipt 1N