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Permit CITY OF TIGARD ELECTRICAL PERMIT 111 COMMUNITY DEVELOPMENT Permit#: ELC2021-00667 0 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1/24/2022 Parcel: 2S113A601400 Jurisdiction: Tigard Site address: 7376 SW DURHAM RD Project: Credena Health Subdivision: None Lot: None Project Description: Electrical for TI: Emergency system for a mail order pharmacy with an open office area,order fulfillment space, and support spaces. Contractor: COCHRAN INC Owner: PACIFIC REALTY ASSOCIATES LP 7550 SW TECH CENTER DR#220 ATTN: N PIVEN TIGARD, OR 97223 15350 SW SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-234-6564 PHONE: FAX: 503-238-2098 FEES Quantity Description Date Amount 7 ea Services or Feeders-200 01/20/2022 $704.90 Specifics: amps or less 5 ea Services or Feeders-201 to 01/20/2022 $667.80 Type of Use: COM 400 amps Class of Work: ALT 124 crt Branch Circuits w/Purchase 01/20/2022 $920.08 Type of Const: Service or Feeder Occupancy Grp: 1 ea Plan Review Electricial 01/20/2022 $573.19 1 ea 12%State Surcharge- 01/20/2022 $275.13 Electrical Total $3,141.10 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 OAR 952-001-0090. You may obta' of the rules or direct auestions to OUNC by callina 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: 4. -S74 e / �.� 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'N 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 Applicatio FOROFFICE USE ONLY MCity of Tigard ������ , Received g Date/By: i//i7/� 'r . 'ermit#: f2 f ? 1'-.0y7 J_� 7 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �j -vvV [ (/{J(��Phone: 503.718.2439 Fax: 503.598.1960 NOVfIY v 2021 Date/By: ,.L r�� `, 40 Related Permit#: TIGARD Inspection Line: 503.639,4175 Ready Date/By 1 Juris ® See Page 2 for Internet www.tlgard-or.gov Read Notified/Method ' Ir v- ic,Air l M it y -7'T% Supplemental information ®. TYPE Oly • _ ;«I t s v7 ' Wt,i - .,1-afrAii: ,.,; PLAN REVIEW x l .. ,,9 -,:,:1, ❑New Construction Addition/altera h{ Please check all that apply(submit 2 sets of plans w/items checked). ❑Demolition ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Other: where the available fault current k °i�tiF/3 �i ��t({ar l{i�' ; , ie r,i „��ti�• eao�lo� ❑Marinas and boatyards. ..ii ! A GORY Off`""C N'� o ik Pt �" 'a : exceeds 10,000 amps at 150 volts or -4 t�t,�,. �?,.: P 0 Floating buildings. ❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Fommercial•use agricultural ❑Multi-family ❑Master builder amps for all other installations. buildings. ❑Other ❑Fire pump. 0 Installation of 150 KVA or JOB:,S E. A �L ATI4 , I ,ti � �,TI� `,,._ �}C �t t'�r r Or :PuIi,1 �Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 7376 SW Durham Rd. 100HPormore ❑"A","E","I-2","I-3", ❑Six or more residential units. occupancy. City/State/ZIP: Portland, OR 972299 ❑Recreational vehicle ID Health-care facilities. parks. Suite/bldg./apt.#: Project name: Credena ni .iL tirrr e ..t r 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more 600 volts nominal Cross street/directions to job site; -,a , 1. +f E SCHEDULE m,,lrr -, w , 9, t SW Upper Boones Ferry Rd & SW Durham Rd. 4. New I Qty. I Each I Total New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'1 500 s ft.or portion 33.92 1 Tq(t i ) ,vll°). , d aiii r q w� DESC IPTZON OF` VO K �" ! ,,ir 4i +r° Limited energy,residential with above s ft. 75.00 2 Tenant improvement for a mail order pharmacy with an open ( q ) . Limited energy,multi-family 75.00 2 office area, order fulfillment space and support spaces. residential(with abovesq.ft.) ., .#4tf- . PRQt 14,7, M* ER a�� 'P,)a' a„ �I, 5 Renewable Energy 0 See Page 2 : I�.�T��`I'AN7� r�" ' `' Services or feeders installation,alteration,and/or relocation Name: Credena Health 200 amps or less 7 100.70 704.90 2 Address: 6348 NE Halsey St. Suite A 201 amps[o400amps 5 133.56 667.80 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Portland, OR 97213 601 amps to 1,000 amps 301.04 2 Phone:(503 )962-1700 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not zoo amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 ® APPLICANT e, Branch circuits ci new,alteration,or extension,per panel .CONTACT PERSON, '•. r- " A.Fee for branch circuits with Business name: Peterson Kolberg and Associates above service or feeder fee, 129 7.42 92 0.08 2 each branch circuit Contact name: Kevin Rohde B.Fee for branch circuits without service or feeder fee,first Address: 6969 SW Hampton St branch circuit 56.18 2 City/State/ZIP: Portland,OR 97223 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 503 ) 968-6800 Fax: :( ) Each manufactured or modular 67.84 2 Email: kevinr@pkaarchitects.com dwelling,service and/or feeder s r Reconnect only 67.84 2 4 i a, j C(i?TTRAC OR�,�, �'r! �,a-,' � Pump or irrigation circle 67.84 2 Business name: Howard S. Wright Sign or outline lighting 67.84 2 Address: 1455 NW Irving St. #900 pSignal nel,circuit(s)orlimited-energy 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP: Portland, OR 97209 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:( 503) 220-0895 Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(I hr min) 78.18/hr inspections for which no fee is 90 00/hr CCB Lie.: 191495 Electrical Lie.: /tip C Suprv.Lie.: �17,5 specifically listed(%hnnm) ELECTitraw puma,,wES a Suprv.Electrician signature,required: G7 �) Subtotal: 2,292.87 Print name: Date: ®Plan Review Required(25%of permit fee): 573.20 State surcharge(12%of permit fee): 275.13 y TOTAL PERMIT FEE: 141.1D Authorized signature: 4/.1"...,,.. - 3, 7•his permit application expires if a permit is not obtained within i80 Print name:Kevin Rohde Date:11/10/2021 days after it has been accepted as complete. * Number of inspections allowed per permit. 1:\Building\Permits\ELC_Permi[App_ELR_ERE.doe Rev 06/17/2015 440-4615T(I I/05/COM/WEB W Electrical Permit Application lication r FOR OFFICE USE ONLY City of Tigard Date/B Deeetved ,t,,,f ' )44, a mica: 7 ,t /—lx 4 7 114 ; s/ • 13125 SW Hall Blvd.,Tigard,OR 97223 Planu Reves� I Phone: 503.718.2439 Fax: 503,598.1960 _''� Date/By / J:r p,Related Permit a: ,a- Inspection Line: 503.639.4175 Ready Date/By: *r 1 I rfs: I 0 See Page 2 for fit'A14. �.. Internet: www.tigard-or.gov Notified/Method: , d 1 Supplemental Information TYPE OF WORK, _. : y .. PLAN REVIEW 1 ❑New construction ®Addition/alteratitttirreptae.emetit Please check all that apply(submit 2 sets of plans w/items checked). 0 Service or feeder 400 amps or more CIBuilding over three stories. 0 Demolition ❑Other. ereean CATEGORY OR'CONSTRUCTION: exceeds e s D0,00availablem fault current 0 Marinas boatyards. » _- • � 0 amps at 1 SO volts or ❑Floating buildings. ❑ 1-and 2-family dwelling ®CommerciaUmdustrial E Accessory building or exceeds 14,00o OCommercial-use agricultural I amps for all other installations. buildings. 0 Multi-family 0 Master builder - El Other: ❑Fire pump. ❑Installation of 150 t vA or JOB SITE INFORMATION AND LOCATION MIf him;nosysirt r, larger separately derived ` "'""" 0"j Addition of new motor load of system. Job#: Job site address: 7376 SW Durham Rd. IOOHPormore ❑"A "E","I-2"."l-3", ... "- - 0 Six or more residential units. occupancy. B. City/State/ZIP: Port land, OR 97229 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg/apt.#: Project name: credene mall..4ackaac.itiactribtatiearreererter 0 Hazardous locations. 0 Supply voltage for more than 1 ❑Service or feeder 600 amps or more. 600 volts nominal. l Cross street/directions to job site; FEE SCHEDULE . Descrilrtion s. Each Total , SW Upper Boones Ferry Rd & SW Durham Rd. -• New residential single-or multi-fatally dwelling unit. Subdivision: Lot#: Includes attached garage. " ' 1,000 sq.ft.or less 4 168 54 1011.111 4 Tax map/parcel#: "` Ea.add'I 500 sq.ff.or portion t 33 92 1 ' DESCRIPTION OF WORK .„ Limited energy,residentialEl 75.00- -_. Tenant improvement for a mail order pharmacy with an open twith,above sq.ft.i »„„„-. —.. - Limited energy,multi-family 75.00 13 office area, order fulfillment space and support spaces, residential withabovo-sq.ft.) ❑ PROPERTY OWNER ' TENANT , , Renewable Enemy a ' „ � Services or feeders installation alteration and/or relocation Name: Credena Health 200 amps or less Nil 100.70 704. 0101 EI Address: 6398 NE Halsey St. Suite A 201 arnpstoaooamps 667,80 401 amps to 600 amps 11111 200.34 City/State/ZIP: Portland, OR 97213 € t 601 amps to 1,000 amps 301.04 1111.11101 Over 1,00O amps or volts i 552.26 2 Phone:(503 )962-1700 Fax:( ) 1 . _- -- Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 w intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 I 2 Owner signature: , _ Date: 40l amps to 599 amps 168.54 Branch circuits-new alteration or extension, er anti ® APPLICANT 0 CONTACT PERSON A.Fee for branch circuits with Business name: Peterson Kolberg and Associates above service or feeder fee, a 124 7.42 920.08 2 - . . each branch circuit Contact name: Kevin Rohde B.Fee for branch circuits without Ill UN -. service or feeder fee,first Address: 6969 SW Hampton St brands circuit City/State/ZIP: Portland,OR 97223 Each add'I branch circuit - .,.•..., �- Miscellaneous(service or feeder not included) Phone:( 503 ) 968-6800 Fax: ( ) Each manufactured or modular k 67.84 * dwellin service and/or feeder MEI Email: kevinr©pkaarchitecls eons Reconnect only i 67.84 13 °ands '''r`glost ''bpi t , '' . `-_C'Ui,1`ritAcY,3 r��2r.m r -'-'; - -.� ,.'„ 2,,'il Pump or irrigation circle 1 67.84 Business name; Cochran Inc. Sign or outline lighting . 1 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 i W2 Address: 7550 SW Tech Center Drive ST 220 el alteration orextension. City/State/ZIP: Tigard Oregon 97223 Each additional ins1aectionover allowablein apt oftheahove g g Additional inspection Cl hr min) 66.25/hr 1 Phone:(9 71) 2 0 5-4 2 4 2 Fax:( ) Investigation(1 hr min) 11111 90.00/Jir Email: mgrogan@cochraninc. com Industrial plant n) 1� 78.18/hr Inspections for whichhich no fee is 90 00/hr �� CCB Lic.: 72942 Electrical Lic.:3 7-5 4 6 C Suprv.Lic.:6 2 7 7 S s -cifncalktisted Ahrmin t ELECI'I2I(;l11. PERMIT FEES l. Suprv.Electrician signature,required: `1 r. - `':j._ Subtotal: 2,292.87 Print name:Mike Grogan Date: 1/20/2022 ®Plan Review Required(25%of permit fee): 573.20 / State surcharge(12%of permit fee) 27 5.13 I Authorized signature: ,,,.�.�r-• TOTAL PERMIT FEE: 3,191.1 -,.i ..,,„„,... ...._„_, ---«...,.... f� perm it application expires if a permit is not obtained within 180 Print name:Kevin Rohde' Date:11/10/2021 ! days after it has been accepted as complete. •. * Number of inspections allowed per permit. 1:1Building\PermitsVELC_PcrmilApp_ELR ERE,dec Rev 06/172015 440.4615TO INS/COM/WEB