Permit y,& 1.1 d..:
` : CITY OF TIGARD ELECTRICAL PERMIT
Ip
0 COMMUNITY DEVELOPMENT Permit #: ELC201000078
T I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/16/2010
Parcel: 1S135AB04500
Jurisdiction: Tigard
Site address: 10250 SW GREENBURG RD 212
Subdivision: LINCOLN BUILDING Lot: 0
Project: Spec Space
Project Description: Add /alter (2) branch circuts to add outlets.
Owner: FEES
LINCOLN CENTER LLC Quantity Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555
CALIFORNIA ST 49TH FL 2 crt Branch Circuits 02/16/2010 $63.60
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 02/16/2010 $7.63
Electrical
Contractor:
CAPITOL ELECTRIC CO INC
11401 NE MARX STREET
PORTLAND, OR 97220
PHONE: 503 - 255 -9488
FAX: 503- 257 -7121
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $71.23
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952-001-0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: MA O\.0 Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY n_n
SIGNATURE OF SUPR. ELEC' P • Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
02/15/2010 10:35 5032577121 CAPITOL ELECTRIC PAGE 02
Electrical Permit Application RECEIVED w ro-sw� I :- rrsl. ;n ffi- �
kit
y �+ Received
City of Tigard Datc/By: j Permit no. E te2 j� I 1,V (�
. �l g
” r �'� 131 SW Hall Blvd „Tigss$,AFC 97223
q Plan Review
.' :�11 , 25 Phone: 503.639.417I Fax: 503.59S.1960FEB 1 6 2010 Date /By; Other Permit;
' 1ns cction Line: 503.639.4175
aT i't A ■R I-J? P Date Ready /By; ,L,.:. ia u sec 2 rot
6` t�.ti. :to
.o Internet: www.tigard- or.gOv CITY OF TIGARD NOtired/Method: f p `, Supple Ng al lnlhrmnlicn
BUILDING DIVISION �-IT
TYPE OF WORK PLAN REVIEW
U Now Construction LLJ Addition /alteration /replacement Plodse chock ell that apply (submit 2, sets of plans w /Items checked below):
n Dc,nolilion ❑ Other: I _ , I Service or (eerier 400 amps or more ❑ 5ulloing Ovor throe SI8riOs
CATEGORY OP CONSTRUCTION where the available fault current 7 Marina!: and bontyordr.
r L 1 1- and 2- family dwelling 1-' I Comrncrcia I /industrial U Accessory building exceeds 10,000 amps at 150 volts or Floating buildings
LJ Multi - family ❑ Master Builder ❑ Other leas to ground, or exceeds 14,000 Commerclal -use agricultural
JOB M 16l
OB SITS INFORMATION AND LOCATION _
amps for ell other i flali0ns. ❑ buildings
.fob no.: 100065 1 ,lob site address; 10250 SW Greenburg Rd ❑ Fire Pump ❑ installation of 75 KVA or
E. Emergency system larger :eparalrly dor1ved ayatom.
City/Statc/ZTP: Tigard Oregon 1_1 Addition of new motor load of ❑ "A ", "E ", "1 ,2 ", "i•3
( 100HP or more. Ill occupancy
Suite/bldg./apt. no.: Bldg 4 Ste 212 ( Project name' Suite 212 Add Outlets ❑ Six or more residential unite
El Recreational vehicle parks.
II ❑ Health -care facilities L� Supply voltage for more than
Cross Street/Directions 10 job sitc: ❑ Hazardous locations ❑ 600 volts nominal,
LJ Service or feeder 600 amps or more
FES SCHEDULE
Subdivision; I Lot no.: pn i Qty. I Frc. i Tidal i ""
Tax map /parcel nn.; New residential - single or multi-family dwelling unit.
DESCRIPTION OP WORK 'includes attnched garage_
Add 5 general purpose outlets 1000 sq. 11. or less 5 168.54 4
Ea. Add'I500 sq. ft orportion 5 33,92 1
1J PROPERTY OWNER _ r L TENANT Limited cncrgy residential
(with above sq, ft.) 5 61.84 2
Name: Limited energy, multifamily
Address: residential (with above sq. ft.) 5 6794 2
Service or feeders Installation. alteration. andlnr relocation
City /Slate /718: 200 amps or less 8 100,70 2
201 amps to 400 amps 8 133,56 2
Phony. Pax: 401 amps to 600 amps , $ 200,34 2
601 amps to 1000 amps $ 301.04 2 _
Owner installation: This installation is being made on property that I own which is not Over 1000 amps or volts , $ 552.26 2
intended for sale. Icasc. rent or exchange, according to ORS 447.449. 670. and 701 Temporary services or feeders installation, alteration, and/or
Owner signature: DAIC: relocation
200 amps or loss 5 59.36 1
L APPLICANT 1 • . L J CONTACT PERSON 201 amps to 400 amps 5 125.09 _ 2
401 amps to 599 amps 5 169,54 2
Business Name: Branch circuits - new, alteration, or extension. per panel
Contact nanlc: A. Fee for branch circuits with
service or feeder ice, each
Address: branch circuit 5 7.42 2
B. Fee for branch circuits
-
City /SIaIC /lIP; wilhoul service or feeder fcc,
first branch circuit 1 5 55.19 58.18 2
Phone: Fax: Each additional branch circuit: 1 5 742 7.42 2
' Mlsceltanenus (service or feeder not included)
E -mail: Each manufactured or modular
CONTRACTOR dwelling, service and or feeder $ 67.84 2
.✓ Business Name: CAPITOL ELECTRIC CO., INC, Reconnect only 5 67.84 2
Pump or irrigation circle 5 67.94 2
-
Contact name: John McNeal
Sign or outline lighting $ 67.94 2
Signal circuit(s) or limited-
. Address; 11401 NE MARX ST_ cncrgy panel, alterations, or
extension. Describe: Page 2 2
City /State /ZiP: PORTLAND, OR 97220 -1041 - -
);nCh additional inspection over allowable in any attic above
Phone: 503-255-9488 Fax; 503 - 257.7121 Per inspection 5 66,25
Investigation per hour (1 hr min) 8 66,25
CCI3 Lit,: 48748 (Electrical Lic.: 26 -496C ISuprv. Lic.: 3132 -S Industrial plant per hour 5 79.18
Suprv. Electrician SiRmture. requireJ
ELECTRICAL Subtotal PERMIT FEES'
stmtatal s e3.60
Print Name, DARRELL MC al Uato: 02/1 10 Plan review (25% of permit fcc)
Authorized signature: .,- surcharge ( 12% of permit fcc) $ 7.63
Alb , . ,_t ' , TOTAL PERMIT FEE $ 71,23
Print Name; DARR CNEEL Thl. penal( appricn don expire, If ■ permit In not nittnrned within yen
day. aver It ha. been steepled n, cnmpleto
• Number of inspections per permit Alloy/ca.
Tah II\ an t) ek (