Permit Iti CITY OF T GARD ELECTRICAL PERMIT
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COMMUNITY DEVELOPMENT Permit #: ELC2010 00009
13 125 SW Hall Blvd., Ti Date Issued: 01/07/2010.
T1GARi} and OR 97223 503.639.4171 g
Parcel: 2S101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 460,
Subdivision: TRIANGLE CORPORATE PARK Lot: 2
Project:' Auctionpay .
Project Description: Add /alter (2) branch circuits.
Owner: FEES
GK TRIANGLE CORPORATE PARK III L Quantity Description Date Amount
BB# 73- 1771- GK1130, CBRE, PO BOX 2096
WARREN, MI 48090 2 crt Branch Circuits 01/07/2010 $63.60
wo /Purchase Service or
PHONE: Feeder '
1 ea 12% State,Surcharge - 01/07/2010 $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: - . - - - - Permittee Signature: f g�� L./ e�7 k/
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 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.
01/06/2010 16:03 5032551966 CAPITOL ELECTRIC PAGE 01
Electrical, Permit Application �E ' ° m,u ' s ' ,1[; ' . l • g,1 t l ( 9 util 9 1>: 'r > L
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?,,,, i � ;� City_ Tigantl Date /By:; Perm no LC ?,O' i • 4 ii
, ,L .- ° a 13125 SW I- 1nII Blvd„ Tigard, OR 9722 J N 06 Other Permit;
4 " ;, Kittle: 503,639,4171 Fax 503.5983960 6 2Q�0
al's s ^ Tn5 ection :Line: 503 53.4!75 Date Rcad /J3y: see rn r2 rnr
• r T Ig ;:AFt r? Ready /By:
s ri nP_,t .0 htterttee WWW:tigard- or.go TY OF Natificd/Methad:: Snpementnllnlbrmi;tlon"
_ .. ...... . BUILD' 1
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11 f7 ' o,i. ; x„ ar .•, r r m ra t I ya r I � r1 1 i . i r : 1 I i i „. ,,..,. 5161,4 1
"nIl IIII ttt� tall' ��PIIiI'�l �Ir II�n' l��i�I�V. 11i�17i�� .e i.�W,dwhi i4t�ViN Yfl!'f:9lf •�dlll.” GCkilllh �ei .y �I4;ll�i. ^ .4,' �e�iaf`itl �tl �altt`s4IAI'��+� -" -.3i If� lu' , y i
New construction 4 Addition /alteration /replacement Please Check all that apply (submit g sots of plans wlltema checked below): •
1_1 'Demolition _ ❑ Other; _ ❑ Service or feeder 400 ramps or more LJ Building over throe `tortes
r
iii IQ. i,1 " 1 4 „ 1 5 V;, ia, l lg. i ^'r” iiit 21 Q �' :L 0 fcil 21Aldi nitl -�: d: 'I gi:, l �' ri nil o ,i4 i_ '. where rile available fault current ❑ Marines and boatyards
1- and 2- family dwelling in Commercial /industrial _I Accessory building exceeds 10,000 amps at 150 volts dr Floating buildings
❑ Multi - family n Mast r.Builder . ❑ Other leas to ground, or exceeds 14.000 Commemlel -use agrioultUral
Allg PI lt1c" ,gii!if'+;tIRI: illy n ` ictiP7 .gil^" ` ". 1 k I ,M. I0 111 rW1r,`Mg0lll[J; "i,yill1,,,' amps for all other lnateliation5, ❑ buildings
Job no,; 100252 Job site address: 13221 SW 68th Pkwy #460 ❑ Fire Pump ❑ lnslalladon:oF 75 rite or
❑ Emergency system larger separately: derived system.
City/State/ZIP: Tigard, Ore 97223 El ❑ Addition of new motor load of A " E 1 2';:'•1.3 ", .
10011P ar more, LI. occupancy
_ Suitc/bldg, /apt, no.; 1Project name: Auctlonpay Outlets ❑ Six or more residential units ❑ Recreebonal.vehicle parks, .
❑ Health -care facilities ❑ Supply voltagcfor'more than
Cs Street/Directionsto job site;
❑Hazardous locations ❑
Cross 600•yolts nominal,
❑ Service or feeder 600 amps or more
/ �uii� . t7r� ',L, i M1 � M1'1,1
Subdivision: Lot no,:
�(� i I H i.i� G p Q�� 4 ��") i 1 M�HI �,�� {i , ii
Description Qty: pee, Tofn1 1 "
Tex mapipnrcel,no; New residential- single or multi- family dwelling unit.
_. I ; illiN:00[ :101 f ^w ! it rieiMPRENCW 1, ! > 0i1:RVIII,MAIIIIMirg, Inciudea attached gttirnge. _ „
Add, (2)ncw'30amp'circuits to the AucrinnPaytenant space 1000 sq, ft. or less $ 168.54 4
. Ea. Adel 500 sq. it or portion 5' 33,92 1
! X1OI i5 a1 filglI `'lli '11 11-3 11 11 i'f 't if ll 11 ,m "a Limited energy residential
(with above.sg. R.) S 67,84 2
Name:
Limited energy, multi- family
Addre¢s: residential, (with above sq, R;) 5 67;84 2
Service or (ceders in8thllnti0n, alteration, and /or relocation
City/State/ZIP: 200 amps orlces $ 100.70 2 -
201 amps to 400; amps $ 133.56 2
• PMOne' Fax
401 snips 10 600 amps $ _2170.34 2
601 amps to '1000 amps $ 301,04 7
Owner installation: This installation is being made on property tliat1 own which is not Over.1000'pm)is or volts $ 552.26 2
intended Inc sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 Temporary servicesior feeders installation, alteratlnn, andlnr
Owner signature: Date: relocation
200 amps or leas $ .5936 1
Uy, •r.•.I t '. , IlLi,l11.Nth , 11111':4 . ,,• Ni24a3Ij '..i'a.1tV1 '•• '^.,.' X9111'rir',,:i+,I 201 amps to 400 amps' 1 .125.08 ' 1 2
Business Name: 401 amps t0 599.0mpc $' 168.54 2
_, Arench circuits - new,.alteration, or'extenslon per^panel
Contact name: A. FCC for branch circuits with
service or feeder fcc, each
Address; — branch circuit 5 7.42 2
_ B, Fcc for branch circuits
City/State /ZIP: without service or feeder fee
first branch circuit, 1 .$ 56.18 66;18 2
Phone: t=ax:
Each a dditionalibranch circuit: 1 $ 7.42 7,42 2
Miscellaneous ;(servlee •or feeder not included)
,E•niail' Each manufactured or modular
P ',J rJ1 fliMPIIIVIIIIMI f '' higralleMMOMPOOSFROlgthratAIMIRMW111 dwelling, service and or feeder a 67;84 _ 2
Business Name; CAPITOL ELECTRIC CO...INC• Reconnect onl � $ 67,84 2
Pump or'irripation circle 5 67.84 2
0,,,,(1,..\ ' 4 , 43 ') Sign aroutlinc.l htin • 5 67.84 2
Contact name; 1 ^ "-(} �}'
"`"555"` ---"' Slgnal'circuit(s) or limitcd-
energy Panel, alterations, or
A&tress: 11401 NE MARX ST.
' extencinn. Describe: Page 2 2
City /State /ZIP: PORTLAND, OR 97220 -1041 .
Each additional inapecti0n over allowable ;n any of Ihe,ahnve
Phone: 503-266-9488 Fax: 503 -257 -7121 Pcr inspection $ 60.25
Tnvcstigatien per hour (1 fir min) 5 66.25
CCB Lie: 48748 ,1Inctricnl Lic.: '26 -496C , uerv. Lie.: 3132-5 Industrial P
lant per hour $ 78 18
P
Suprv. Electrician signature, rc tired:
REM1 A 11 I1 +1 ,'r (MI 111PRIRT ;, iV� ri wf
1 417— . f1 • SuhI»tal $ 83.60
PrintName: DARRFLL MCN' L Date; 01106/11 Pion review (25° /a of permit fee)
Authariaed signan,re: ��� Stale surcharge ( 12% of permit fee) $ 7.63
K w TOTAL PERMIT FEE $ 71.23
Print Name: DARRELL E III! permit. nppllcntlnn axplran Irn permit 11 not nrdnina 1 within tan
day, aver 0 Am been accepted no complete.
' Number of inopcctiann par permit a1Iswed.
C 5eLv , A S e \ 12_ \r -\- .