Permit y CITY OF TIGARD ELECTRICAL PERMIT
11 a , - COMMUNITY DEVELOPMENT Permit #: ELC2010 -00721
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/30/2010
Parcel: 1 S126DCO3300
Jurisdiction: Tigard
Site address: 9900 SW GREENBURG RD 180
Project: Neopost USA Subdivision: Lot: 0
Project Description: (7) branch circuits for TI
Contractor: TIMBERLINE ELECTRICAL CONTRACTORS Owner: C/O CUSHMAN & WAKEFIELD OREGON
PO BOX 918 200 SW MARKET ST #200
LAKE OSWEGO, OR 97034 PORTLAND, OR 97201
PHONE: 503 - 459 -4089
PHONE: 503 - 279 -1700
FAX: 503 - 254 -4227
FEES
Quantity Description Date Amount
7 crt Branch Circuits wo /Purchase 12/30/2010 $100.70
Specifics: Service or Feeder
1 ea 12% State Surcharge - 12/30/2010 $12.08
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $112.78
Required Items and Reports (Conditions)
This per s issued subjec o the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be don in accordance with ap•rove• •lans. This permit will expire if work is not started within 180 days of iss -, or if work is suspended for more the 180
days. ATTENTION: Oregon law equir to follow the rules adopted by the Oregon Utility •.: ' -nter. Those rules are set forth in OAR
952-Of 1 -0010 t ough OAR 952-' t 0090 You m y obtain a copy of rules or direct questions to O . •' a ing • .7 or 1.800.33 44.
Issu• • By: Fermi, ee Signature: /i.
elrrU��
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' �. • i - r Date:
r
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.
12/29/2010 04:09 FAX ,.; Ij002/002
Elecx�ric#1 c tlf ,: Ral 'on • , , • n t.,). i . i •
City of Tigard % -R , ... . _. .. '6-•/0-1.0.. ,
'J ' L 0 1 Date/13 . 'Pm initNo.: ; ; G� /i2
13125 SW ilall.131vd., Ti :, , O - • 4722„ 39, 9 P lan Review //
„ ia _ Phone: 503.639.4171 Fax: 503. f 911 Dries ; Other Pelt: ,v _ ixDlD-t�a7• �
' inspection Lino: 503.639.4175 W.. ." "c\‘)r s0 Date ReadyBy,: 7uN ®a, Page I. . '-
Internet: www •tigard•or.gov �� •�� Notified/Method: Supplemental lforma Ion
Q New construction K Addition/ veraaon/replacement Please OP* au that apply till taut a seer 'leer• wiiteme - beim •❑ Demolition ❑Other: . ❑ Setviee oVfedder 400 amps_ or n►oro`' •`1 Budding over tbiee staniea:
where the available fault current ❑ Marinas and boatyards. -
' exceeds 10,000 amps%at450.volts or•' :❑ riming buildings.' •
less to ground, or exceeds 14.000 ❑ Commercial-use agricultura
❑ 1, and 2-family 'dwelling • ■ Commercial/industrial ❑ Accessory building amps for all otherinatallations. . • buildings.
Muiti•family _ . ■ Master builder ❑ Other. ❑Fire pump. . ❑ Installation of 75 KVA or . •
❑ Emugraoy ayet5 . . - Larger aepatately derived syatama
. , ! ❑ Addition of new motor load of ' .:. "A ". "B ", " "•, "1-3 ".,.
Job no . 3 e D: Job site address: a ' d0 5) ��1 • Ro loop or more. per.
❑ Six or more residential units. 1;7 Recreational, vehicle parks. •
:City/State/ZIP: W , bp., " r L � 22.3 l s 1 8I) ❑ Health -care facilities. ❑supply voltage [ormoie then
❑Hazardous locations 600 Volta nominal
. • Suite/bldg. /apt. no;:. I. name: CB stA. ! SO ❑ Service or feeder 600 amps or more
a
Cross street/directions to job site: Descried= 0 . • Fee. TOM!
_ ;�- -- - ...___: --.�_ _ _ -- gle-- os.ult17tnmtiy,.dwelling•upit... - • • , . t garage.
.. Subdivision: • Lot no.: 1,000 sq. ft. or less 168.54 4
• - . Ea. add'l S00 sq. ft. or portion 33.92 .1
Tax map/parcel n •
Limited energy, residential
/ 2
� / Limited energy, multi Pamdy 7
O t. W W • •tilt/ residential (with above sq. ft.) 5 2
Services or feeders lostallation ; •and/or relocatWi.
200 amps or less 100:70 ' 2. •
201 am s to 400
Na 401 ampa to 600 amps' ` t 'j00 • _ .., . •, . .
601 amps to 1,000 amps 301.04. 2
Address: - Over 1,000 .amps orWilts . - ' 552.26' 2
City /State%ZIP: Temporary services or feeders installation, alteration, and/or
. relocation . . •
•
Phone:. ( )
• Fax: ( ) 200 amps or less 59.36: . I 1
' Owner lustal_lation: This installation is being made on property that I own which is not 201 amps to aoo amps lzs:os 2
intended for Sale, lease, rent, or exchange; according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Brancluelrcuits• new, alter .'ation ;,or:etension,)per .
• Owner. signature :. • Date: A. Pee.for•branch circuit's with :
above service or ee,
' , - ' : _ feeder each branch circuit . ' - ' 7:42: 2
Business name: B. Fee for branch circuits without Q
Service or feeder fee, first I 56.18 : 4 t'8 2 • Conta0t.name: branch circuit �v
Each add'I blanch circuit l;ge.i 2
thassl - - Miscellaneous (service or feeder not included) .
Each manufactured, ormodular
City /State/ZIP: _ dwelling; servicefand/6ifeeder ` ••:: -.: . . b7.84: ' 2
Phone: -( ) Fax: : ( ) Recomiect only . 67.84 2 . •
E Pump or irrigation circle .. ,:: ~67.84 '• 2
Sign or outline lighting . . .. 67.84 2
' Signal cucuit(s) or limited-enetgy.
Business name , itt rial 6/acritt (At QiA`k AIOC, • panel, alteration, or extension. Page 2 2
Each additional'inspecdon over allowable in.any of the above
Addr Additional inspection (1 hr. min) • 66.25 / hr • City/State/Z1P :.: r ^ ' " �- R. ` . . Investigation (1 .. . • - . hr - . .
�J q � Industrial plant (f la min) 78.18/ hr
Phone: J) - : 1)./N . Fax: ( ) .904— ' 22, Inspections for which no. fee is 90.00 / hr. ,
s fi listed hr min
.
CCB L1c.. 1.660 07 El trical 'c.:., , I, ; rv . Lic � 5
y ' ` Bobtoml.:... r p �
Su Electrician sign: re I . * P ia(F � � 3
�- ��► Plan review (25% of permttfee). • p
Phut tame 11111171i111 / Date: w AO _ State:surcharge (12% of permit feo)i: 10 , 6 . V
. Auth orizedsigestu re ��, TO'fAI PERMI FEE; ; =. : : -I j . ; .
/ This permitappUcado exptp d;a pamsi1. ft net.a within 180
:P AU S.
140-60i1 • / i days alter i
) . y be b aria teed ea tom
Print' tuune: J L 7 Date: /^� / V .
�J � � Nurmbrs of inapecunaa 'allowed per pesmrt
7 .don 07/0U10 440.4615T(IIPoS/COMIWEB .