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Permit (5) apiiCITY OF TIGARD ELECTRICAL PERMIT 1 COMMUNITY DEVELOPMENT • Permit#: ELC2019 00688 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/09/2019 Tern `� Parcel: 2S102AB05900 7 Jurisdiction: Tigard Site address: 9249 SW TIGARD ST Project: City of Tigard Subdivision:;TREET HERRITAGE TRAIL PLAZA RE Lot: 2 Project Description: Installing (1)200 am service panel and(7)branch circuits for a new public restroom between the Chamber of Commerce building and parking lot near 12345 SW Main St. Contractor: BURRILL ELECTRIC Owner: CITY OF TIGARD 13553 THREE OAKS DR 13125 SW HALL BLVD WHITE CITY, OR 97503 TIGARD, OR 97223 PHONE: 541-826-3416 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-200 10/09/2019 $100.70 Specifics: amps or less 7 crt Branch Circuits w/Purchase 10/09/2019 $51.94 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 10/09/2019 $18.32 Electrical Type of Const: Occupancy Grp: Total $170.96 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 OA 52-001-0090. You may obtain a Qf the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344„ Issued By: c Permittee Signature: c 2= 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. 1111 CITY OF TIGARD ELECTRICAL PERMIT ' COMMUNITY DEVELOPMENT Permit#: ELC2019-00688 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/09/2019 TIGARD Parcel: 2S102AB05800 Jurisdiction: Tigard Site address: 12345 SW MAIN ST, STE# 101 Project: City of Tigard Subdivision: 1996-026 PARTITION PLAT Lot: 1 Project Description: Installing(1)200 am service panel and(7)branch circuits for a new public restroom between the Chamber of Commerce building and parking lot near 12345 SW Main St. Contractor: BURRILL ELECTRIC Owner: TIGARD AREA CHAMBER OF COMMERCE 13553 THREE OAKS DR 12345 SW MAIN ST WHITE CITY, OR 97503 TIGARD, OR 97223 PHONE: 541-826-3416 PHONE. FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-200 10/09/2019 $100.70 Specifics: amps or less 7 crt Branch Circuits w/Purchase 10/09/2019 $51.94 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 10/09/2019 $18.32 Electrical Type of Const: Occupancy Grp: Total $170.96 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 II expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Ore•. law re ,„'.es •u to fold1the_ —adopted- by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through X ay ob�'`a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: '1.r. /4. Permittee Signature: 1111111lIaL _ 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. Oct. 04 .2019 10:51 AM BURRILL 1 541 826 3416 PAGE. 1/ 1 Electrical Permit Application ',.:,',-,-.- City of Tigard 13125 SW Ball Blvd.,Tigard,OR 97223 Received D C• I C Dteriy: I 0 ? l • remit a r.--G6.4-2(f7 Plan Review >t,: Phone: 503.716.2439 Fax: 503,596.1960 (A-re or Date/By: _ Related 1 1111t/l: Inspeption Line: 503.639.4175BUILDING Ready Date/3y: male: 0 See Page 2 for 1 I t;n i0 f 1 12 Internet: www.tigar'd-or,goV Notified/Method: _Supplement'Information itwarzzarvimpfriz'P'#:.�,�" `rr•;r: �,i'yi1'7e� .�.r. �• � ''r.• •t7i �(' {�, , Y• Vii•,., �ei:;Y+w�.ryTf;SiQ.�::i,. moI�1�+6}a ,'1174�PIr:eifik^i�9.'i6r4C;-H 4�1s;m 1y'1+:4.761'n`r�,�±°.,, @� 4; . "i'. ' w,,'?�"••. ,s YI 1077:1, l i+.'•' r Now construction Addition/alleration/replacement Meuse cheek all that apply(submit 2 acts of plans w/items checked): Demolition 0 Other: ElServiceor feeder 400 0 ,. •).:,,-Y,;4.'...,::!.:;',.:,,,,,,"•' Y..J •�)I1wt;:»,�..44,;::.,1' ',,,.::.',,,',..:!;,:.k•;1J�,,;�•a a�.ti;'. •�,'.:`:cs r• ti� ,,�.'s<<"ir,'� amps or more Building over three whore the available fault ourrcett atones. ■"1-and 2-family dwelling C. Commercial/industrial ■Accessory building exceeds 10,000 snips et 150 volts 0 Marinas Multi-family Master builder 0 Other: °' tsar)bestyarde. less to ground,or exceeds 14,000 k'! � "% Alit0+t Fi r +ll 0140 1<vt5 s cw"v u:ar 5i l amps for all other installations. 0 laS;4Floating buildings, Job#: Job site address:lot next to 12345 SW Main St ❑ Fire primp, ❑ City/State/ZIP:Tigard,OR 97223 ❑ Emergency system, commercial-tire Addition of new motor agrictiltund Suite/bldg,/apt.#: I Project name:Tigard St Restroom El Addition of buildings Cross strect/dircotions to job site:Parking lot at NW corner of Tigard St 1 OOHP or more. 0 OSix or more residential unite. Installation of ISO &Main St int.(next to Chamber of Commerce building/Symposium Coffee © Health-care facilities, KVA or 0arger separately derived Subdivision: I Lot#: Hazardous locations. system. Tax map/parcel#:2S102AB05900 0 Service or feeder 600 ID "A", r+;'•w ,nr, a4,;r„ r' t f" y:. r_.,,.p,..r,r.,,, ,a:.F.. ,.r! amps or more. 8",`1.2","1.3",occupancy. t 4:44«f :1'•141 �... 1. ! � yh't 1A. "E; i. s l.411;'?(r, o Reoroutional vehicle parka, Installing breaker panel,wiring and fixtures within the pro-engineered building 0 Supply voltugo for more than 600 volts nominal, ,y c1,4 : a7' Y e i' :Y,.'s ',i,• ' ,Ze$ 1"' x4 .`Gw`•i/.1^1ri�. k?. , 9; `:1-,!.:',ILL i'!{'4`14>,.•'*:7:'. .4_r , ji DNC :�a'�r,{�✓!t'.��sa. �� ��i,. �ir'h..,,� , Rf, x:*^.1 4;:f7 J 1�I 4', ( sneer'*F:k .L el '" , s:,s�,••v '�• ,i � X43 v :��? .� i�, �1• S.rid, aPl�i,i,1.-•7v.,x:., ;� 'itYn�%�',�.�t..H`r.�r � � e neaerietisn Or Esta TWA Name:City of Tigard Now residential single-or multi-family dwelling unit, Address:13125 SW Hall Blvd Inciades attached garage. - - - 1,000 aq.ft.or leas168.54 4 City/State/ZIP:Tigard,OR 97223 Ea.add'!500 sq.it.or portion 33,92 1 Phone:(503)718-2466 J Fax:( ) Limited energy,residential 75,00 ^2 (with shove sq,4) Email: Limited energy,multi-fancily 75.00 2 residential(with above sq.ft.) Owner installation:This installation is being made on property that I own which is not ❑ Ste Paas intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Renewable[anergy 2 Owner signature: Date: Scrvlocs or feeders installation,alteration,and/or relocation ,�-`:;' r�lt° i "tr . L ;: `jt 4r:::..;%�„F's'•r` �` `O ,y',• y k` 200 maim or lets I 100.70 100,70 2 'y:.,^a .+.:l.:i'A:,wi...n'� r�'1.'F�'� 7 r:�:.;�:��;;if �iu•ti•�.i�•4+s�:s<�i�e3 8 � ��$'-• '4t`�5'ti.,, `,1'��k 201 amps to 400 amps 133,56 2 Business name:City of Tigard 401 amps to 600 any 200.34 2 Contact name:Jeff Peck 601 amps to 1,000 amps _ 301.04 2 Address:13125 sW Hall Blvd Over 1,000 amps or volts _ 552.26 2 . Temporary services or reedcra inatallatloa,alteration, City/State/ZIP:Tigard,OR 97223 and/or relocation 200 amps or lean 1 59.36 I -Phone:(503)718-2466 j Fax::( ) 201 amps to 400 amps 125.08 z Email:jeffp®u tigstrd•or.gov pp 401 amps to 599 amps 168.54 - 2 ig,slt •xa t+ 4 +'.t, A tptit+A `j°+a`, alai z;c,;,,pia x r iz;:vapr• Branch circuits—mews alteration or extension,per panel i"SA+Hr �' ; rt 1 A.Fee for branch circuits with Business name: au vl.a"\Lt. (4—'L C..,, above Service or feeder fee, 7 7.42 51'0 z each branch circuit - Address: i '%j ,7--' '-j —t311,0........ CI a,k'a. W B.Fee for branch circuits 1 ` without service or feeder fcc, 56.18 2 City/State/ZIP: GE/k-I,tz., C.1(,,,,{Ca,,, '�0 first branch circuit 4 Each add'I branch circuit 7.42 2 Phone:(PIC) 'tr Ito— 0 4.1,(es Fax;(.51-1.() 48 Z.4 — 1 k, tHtacellan,wuaservice or feeder not tnctuded) lig Email: t1 y^v'L\L, l ct ' 4P( . o-4�r. CO e„�., FAA manufactured or modular dwelling,service and/or feeder 61.64 2 CCB Lie.:e A'3 I,I. Electrical Lie.: I. '"7'I Suprv.Lie.: t ,, Reconnect only .. 67.114 2 9 f]_ ,/ .,.y��s�� Pump or irrlgotion ciretc 67.84 2 Suprv.Electrician signature,required: 6.aoo'+"a'✓"+I� Si or outline hghti 67.84 2 Print name:Dc fru 4A, flt� rv4k 1 Date: fel .-11..,�Lt Signal cirouit(s)or limited- See Page energy panel,alteration,or 2 g 2 extension. Authorized signature: Each additional Inspection over allowable In any of the above Print name: Date: Additional inslxwtlun(1 hr__ml_n)__ __ 66.25/hr .. Investigation(I hr rein) 90.00/Itr hlbulldlnpll'aminlrutC„romtttApp EL.ttjtRE•doc Rev 06/1712015 44046I3T(I1/0S/COMIWRa