Permit :J li
C ITI►y O F TIGARD ELECTRICAL PERMIT
° PERMIT : ELC2008 -00527
' COMMUNITY DEVELOPMENT DATE ISSUED: 9/11/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY 460 ZONING: MUE
SUBDIVISION: TRIANGLE CORPORATE PARK LOT : 002 JURISDICTION: TIG
PROJECT: AUCTIONPAY
Project Description: Installing (1) service and (2) branch circuits for server room.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 2 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
TIGARD TRIANGLE I LLC CAPITOL ELECTRIC CO INC
4650 SW MACADAM AVE STE 220 11401 NE MARX ST
PORTLAND, OR 97201 PORTLAND, OR 97220 -1041
Phone: Contact #: PRI 503 - 255 -9488
FAX 503 - 257 -7121
FEES
Description Date Amount Reg #: ELE 26 - 496C
[ELPRMT] ELC Permit 9/11/2008 $93.60 LIC 48748
[TAX] 12% State Surchar 9/11/2008 $11.23 SUP 31325
Total $104.83 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: �P � 7r.// r>�
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
. =$, -4,
.
. 1e Permit Application i FOR OFFICE 11SE ONLY
Received
1 City of Tigard Date w NBA Permit no.: _cg : ....
..a.) a 13125 SW Halt Blvd., Tigard, OR 97223 Plan Review
� _ Phone: 503.639.4171 Fax: 503.5 • ' °':7t1 E Date/By: Other Permit. (�Cd, , X7 3
1 Inspection Line: 503.639.4175 '� See P
1 1 G A R D P Date Ready/By: Juris: U See Page 2 for
i Internet: www.tigard- or.gov
1 O 200 Notifted/Method:CQ Supplemental Information
MCP
' • TYPE OF WORK • c 1(114 '� .• ',.. . - - PLAN REVIEW .
H New construction H Addition/alteration/replacen Q D wis`Q Please check all that apply (submit 2 sets of plans wfitems checked below):
(��\`
❑ Demolition ❑ Other: x1 6 ❑ Service or feeder 400 amps or more ❑ Building over three stories
. • CATEGORY OF CONSTRUCTI . , where the available fault current ❑ Marinas and boatyards
U 1- and 2- family dwelling U CommerciaVindustrial U Accessory building exceeds 10,000 amps at 150 volts or Floating buildings
❑ Multi - family ❑ Master Builder ❑ Other less to ground, or exceeds 14,000 Commercial -use agricultural
JOB SITE INFORMATION AND LOCATION • . . amps for all other installations. ❑ buildings
Job no.: 281203 Job site address: 13221 SW 68th Pkwy ❑Fire Pump ❑ Installation of 75 KVA or
❑ Emergency system larger separately derived system.
City/State/ZIP: Tigard, Oregon 97223 El Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
100HP or more. ❑ occupancy
Suite/bldg./apt. no.: 460 Project name: Ckt /Sub - ppa�nel ❑ Six or more residential units Li Recreational vehicle parks.
,V ,(7 Of\f , / ❑ Health -care facilities ❑ Supply voltage for more than
Cross Street/Directions to job site: JJ t ❑ Hazardous locations ❑ 600 volts nominal.
6 4/ 4 / ❑ Service or feeder 600 amps or more
Subdivision: Lot no.: �! /1t FEE SCHEDULE
l(� !/( Description 1 Qty. I Fee. 1 Total I N
Tax map /parcel no.: New residential - single or multi - family dwelling unit.
• DESCRIPTION OF WORK Includes attached garage.
New sub panel to space and two 208volt 20amp circuits fed to the server room. 1000 sq. ft. or less $ 145.15 4
Ea. Add'I 500 sq. ft or portion $ 33.40 1
U PROPERTY OWNER • •I U TENANT . Limited energy residential
Name: (with above sq. ft.) $ 75.00 2
Limited energy, multi - family
Address: residential (with above sq. ft.) _ $ 75.00 2
Service or feeders installation, alteration, and/or relocation
City/State /ZIP: 200 amps or less 1 $ 80.30 80.30 2
201 amps to 400 amps $ 106.85 2
Phone: Fax: 401 amps to 600 amps $ 160.60 2
601 amps to 1000 amps $ 240.60 2
Owner installation: This installation is being made on property that I own which is not Over 1000 amps or volts $ 454.65 2
intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701 Temporary services or feeders installation, alteration, and/or
Owner signature: Date: relocation
200 amps or less $ 66.85 1
11 APPLICANT . - 1 11 CONTACT PERSON • 201 amps to 400 amps $ 100.30 2
Business Name: — - - 401 amps to 600 amps _ S 133.75 2
Branch circuits - new, alteration, or extension, per panel
Contact name: A. Fee for branch circuits with
service or feeder fee, each
Address: branch circuit 2 $ 6.65 13.30 2
B. Fee for branch circuits
City(State21P: without service or feeder fee,
first branch circuit $ 46.85 2
Phone: Fax: Each additional branch circuit: _ $ 6.65 _ 2
Miscellaneous (service or feeder not included)
E -mail: Each manufactured or modular
. . CONTRACTOR dwelling, service and or feeder $ 90.90 2
Business Name: CAPITOL ELECTRIC CO., INC. Reconnect only $ 66.85 2
Pump or irrigation circle $ 53.40 2
Contact name: Gary Steiert Sign or outline lighting $ 53.40 2
Signal circuit(s) or limited -
Address: 11401 NE MARX ST. energy panel, alterations, or
extension. Describe: Page 2 2
City/State /ZIP: PORTLAND, OR 97220 - 1041 Each additional inspection over allowable in any of the above
Phone: 503 - 255 - 9488 Fax: 503 - 257 - 7121 Per inspection $ 62.50
Investigation per hour (i hr min) S 62.50
CCB Lic.: 48748 (Electrical Lic.: 26 -496C ISuprv. Lic.: 3132 -S Industrial plant per hour _ $ 73.75
ELECTRICAL PERMIT FEES!
Suprv. Electrician signature, required: / //' . J �
L Subtotal $ 93.60
Print Name: DARRELL MCNEEL Date: 09/09/08 Plan review (25% of permit fee)
Authorized signature: State surcharge ( 12% of permit fee) , $ 11.23
-1.4.�'1.. TOTAL PERMIT FEE $ 104.83 I Print Name: DARREL CNEEL This permit application expires if a permit b not obtained within 180
days after it has been accepted as complete.
• Number of inspections per permit allowed.
CITY OF TICARD .: A --.
BUILDING DIVISION PERMIT #: ELC2008 -00527
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2000
Phone: (503) 639 -4171 , 111
Inspection Requests (24 Hrs.): (503) 639 -4175 �'!�-
INSPECTION WORKSHEET FOR DATE: 9/2212008 TIME: 7:OOAM PAGE: 13
SITE ADDRESS: 13221 SW 68TH PKWY 4G0 CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: AUCTIONPAY
DESCRIPTION: Installing (1) service and (2) branch circuits for server room.
OWNER: PHONE #:
CONTRACTOR: TIGARD TRIANGLE I LLC, PHONE #: r : -
CAPITOL ELECTRIC CO INC L03- 255-9483
Inspection Request Scheduled For: Date: 9!7 J Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 075759 -01 971 - 506-0735 N
Corrections /Comments/ Instructions:
Cb S ' ,‘ V ALI ikeptLculEes WAN at.. qc .356.30
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b of Ko \J 1 b 1 -46. 2.33\) :
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6.- 1 V 6 Date: 7; 1 Phone #: (503) 718- Z)-10