Permit CITY OF TIGARD ELECTRICAL PERMIT
11 COMMUNITY DEVELOPMENT Permit #: ELC2010 -00456
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/27/2010
Parcel: 1 S 136AD04000
Jurisdiction: Tigard
Site address: 11527 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Spec Space
Project Description: TI
Owner: FEES
PACIFIC TERRACE COMMERCIAL LLC Quantity Description Date Amount
C/O NORRIS & STEVENS, 621 SW MORRISON
SUITE 800 4 crt Branch Circuits 08/27/2010 $78.44
wo /Purchase Service or
PHONE: 503 - 223 -3171 Feeder
1 ea 12% State Surcharge - 08/27/2010 $9.41
Electrical
Contractor:
STEELE ELECTRIC LLC
716 ROXE DR
FOREST GROVE, OR 97116
PHONE: 503 - 332 -1280
FAX: 503 - 372 -6448
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $87.85
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules ado•ted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 95 -101 -0100. You may • • • uestions to OUNC by calling 503.246.6699 or 1.800.332.2344. /
Issued By: � Permittee Signature:
`O1'
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for an Inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.
08/26/2010 17:10 5033726448 Steele Electric #0368 P. 001/002
Electric$/ Permit Application :,01; 1,i ,
City of Tigard
13125 SW iia11 Blvd,. 'Tigard, OR 97223 AUG 2 7 2010 ; ; :; 1 1 r ' V_ ,i a T.-
pernit: 1, 503.639,4171 Fax: 503.598.1960 Dat : Other v ! —"CX)1
luspection Line: 503.639.4175 Date Ready/By:
r'` M ^ !arcane wwwti�rd -orgpv Notified/Method: FM p{
�, »„•.,t, ° . n, .. , � .:, -� °- „:' sir' ?�. _ .. t ;, ... lufoemilieo
., _ �.. Y ..._ MigA S-.17,7 ` .y "'. �.., -.. •..'L. .:. k .• . ^ ,.r. •_ '
-. - ' i' ..:. • ' ::4 ..-,r..:4)...:6:4,-';-42, :,,`,
0 New construction ►_ Addition/ : - :: z, ,:;.., .:;.;.._ - ;•
Addition/alteration/replacement
Please olredc a th at apply (submit 2 seta of plans whims c6edred below):
0
Demolition Other. Service or feeder 400 a or more ❑ Building over three star**.
a x 7 G , ,� where the available fault patent ❑ Mari and boatyards.
. . .... ._._.,. .. .. � ... �. r u.'r.. ii''a::: _x' . \•. �,6;a =y wCGee -
` ., •.y,M .••cd , ^ , 'S;� . �: .k j .`� ,t d, or exceeds s 14,0 0 C r ❑ Flouting buildings.
agricultural
! - and 2 - ismil _ , ..� _.,,.._—:_ - �.•.aM • .. .. .: lasm
El 1- dwelling • 14 Commercial/mdust 0 Accessory b u i l d ing srO o err installations. ode 14,000 ❑ �.,
Multi - family ❑ Mater builder (--r amps for all other installations. holdings,
� m- 4 Q Other: ❑Fire pump. 4 tnstslh of 75 K VA or
v 'y . I ca -w-� c v , • . o ,4� . ❑ ❑� YS �• �® , , ,
da tid •
Job no.: . Addition of new motor load of Cl "A '�-, I - " - 1.3 ve "
Job site address: 100HP or more.
1 Pe.( Q six o r more resideaui,l . ❑ Reaeadonal vahicle .
C parks
City/State/ZIP:
v 2 • D Healtbca,e facilities. ❑ Sly voltage for more than
❑ 14ardous locations. 600 volts nominal
Suite/bldg./apt AO.: Project name: P...,_;., SA ❑ Service or feeder 600 amps or mare.
Cross street/directions to job site: ' ��”" °`� a � ° M 1 : , 13r ' `
New residential single- � dwelling v
Includes attached fie. mel fanrRy �'
Subdivision:
Lot 110.:
1,000 sq. ft. or less 168.54 �
Tax map/paroe! 110.: Ea. add'1 sq. ft. or pottiest 33.92
�..,... ' or" lj.-, ua tr- w-.4 Limited energy, R 500
�., ... • .,. �:�;. . .Y:r 'n�! ;'•• ; (with above 7 .
Limioed e:otrgy, tnuhi- family
r
esidential (with above •. ft.) 75.00
Services or feeders installation, taffeta . • and/or relocation
200 amps or less —
^" Z r •�; �rr ( 100.70
2
`win* w� - kzs 201 amps to 400 scope 133.56 2
Name: 401 amps to 600 amps 200.34
Address: 60! amps to 1.000 amps 301.04
ill ,
Over 1,000 maps or volts 111.1 55226 Ell
Cfry/$taielLIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) 200 amps or less 59.36
Own ration: This 1/ is bein made on 201 amps to 400 1
$ property that I own which is not Is ! 25 •�
iritendcd for ask lease,', or exchange, according to ORS 447, 449, 670, and 701. 401 to 599 amps 168.54 Ei
Branch circuits — new a d
Owner signature' Date: afters : • emulsion, Brand
s , _ above foe bran
r k circuits with
"'F , •'' s .. t Ke . .... ,,.:.:„. „. above r each service or feeder fee
Business name: each br anadt i' +� 2
B. Fee for o r fe eb c reole witlrord
Contact acme: service or feeder fee b ranch e 56.18 S 6. 2
Address: Each add'! branch circuit In 7.42 ail 9-g, 2
Miseellaacons service or feeder not indoded
City vm Each manufactttrcd or modular
dwellin- service and/or feeder 67.84 2
Phone: ( ) Reconnect onl 67.84 2 MI
Email:
or irrigation circle 67.84 2
_. n ,, xa. x Sign or outline lighting 67.84
• BaSineSS flame: ..;.',. _ .... � 1. ... . � 7r ' ��.�+aa. .. . �_ signal cit�cttit(s) or !' 2
r L , 1 . alterati . ore We 2 2
Each additional '
lion
. over all
Address: owatde in
,
of the above
'
b �Y Additional mspearon (1 le min) 6625/ hr
City/State/ZIP: F _ 6 ` cif... C t t lave:4i826 n (1 hr thin) 6625/ hr
II
Mot= (�1) 33 Z - i 2I 6 (S`a )3)1- industrial plant p hr min) III 18.18/hr
Fax: 6 `i H "`a ■
CCB Luc.: ; t% b 1 1.1 O Eltxtiical Lic_: L t i $ ' Supry L in : S 3 9 - ,� 90.00/ hr
Sows?. Electric' - tvgtrirGd: � �� � _ < _ ' 6 w
Or ' 7- 10 ( I J subtotal: '7 V.4 N
Print flame: ,� - ��
Plan review (25% of perrrlit fee):
+-' eA - Date: c t 12 6 1 tor) State surcharge (12 4 of p rmit fee); 9 - ti 1
Authorized signature:
TOTAL PERMIT FEE: �►7.' 5
Print name: This It appsaeoa
es tra persona am obtained within 180
dais Dale: ` Number of after it has been accepted as complete,
( nos allowed per permit
doe 07101/10
440441511 1 1/0S/CONVWEB .
06v I 5-1eP-A,<•