Permit ,, CITY OF TIGARD ELECTRICAL PERMIT
111 COMMUNITY DEVELOPMENT Permit #: ELC2011 00056
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/25/2011
Parcel: 1S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 180
Project: Wave Q Subdivision: LINCOLN ONE Lot: 0
Project Description: (10) branch circuits.
Contractor: CAPITOL ELECTRIC CO INC Owner: LINCOLN CENTER LLC
11401 NE MARX STREET BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97220 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503 - 255 -9488 PHONE.
FAX: 503 - 257 -7121
FEES
Quantity Description Date Amount
10 crt Branch Circuits wo /Purchase 01/25/2011 $122.96
Specifics: Service or Feeder
1 ea 12% State Surcharge - 01/25/2011 $14.76
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $137.72
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 95 - 001 -0090. You ma of the r direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. •
Issued By:�y Permittee Signature: !�.i
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 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.
01/24/2011 11:31 5032551966 CAPITOL ELECTRIC PAGE 02
FOR OFFICE USE ONLY ' '
Electrical Permit Application l L 4,,r ,i.„, g; ' i ,,, . d Received i Receive
D eceive : nail no.:
Ci of Ti arty , r '1 L/ 9J - i - c ,1 ?,
:l.- t 1,312 SW I•In(Inlvtf,, Tigard, OR 97223 Other Pc
JAN 24 2011
# Permit:
Phone; 503.639.4171 Fax: 503.598.1960
T I: r A R [> Tn�pmdtion Line.: 503.639 CITY OF TIGARD Date Ready /By: kc Neu 2 a,r
Internet: www.tigard- or.gov BUILDING DIVISION Notificd /Mtthod; En , Sap5Icmenlnl lid0rmnrl9n
TYPE OF WORK PL REVIEW
1J New const uction Ll Addition /alteration /replaCemonl. Please check all that apply (submil2 Sets Of plans w /POms Checked below);
❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more IJ Building over three stories
CATEGORY OF CONSTRUCTION where the available fault current ❑ Marinas and boatyards
❑ I - and 2- family dwelling U Commercial /industrial L Accessory building exceeds 10,000 amps at 150 volts or Floating buildings
❑ Multi-family ❑ Master Builder El Other less to ground. or exceeds 14,000 Commnreinl.use agrieunurml
3013 SITE INFORMATION AND LOCATION amps tor all other Installations. ❑ buildings
.fob no.: 110352 Job site address: 10300SW Greenburg Rd ❑ Fire Pump ❑ Installation of 75 KVA or
❑ Emergency system larger separately derived system.
City/State/ZIP: Tigard OR El Addition of new motor load of (J "A ", E. "1 -2 ", "1 -3 ", ,
10OHP or more. ❑ occupancy
Sui;e /bldg, /opt. no.; 180 Project name; Wave Q ❑ Six or more residential units ❑ Recreatonel vehicle parks.
❑ Health-care facilities ❑ Supply voltage for mom than
Crate Street/Directions to jolt site: ❑ Hazardous locations ❑ 600 voila nominal.
1.:..] Service or feeder 600 amps or more
FEE SCHEDULE
Subdivision: Lot n0.: Description 1 ply. i Pee. 1 Total I "
Tax map /parcel no.: New residential - single or multi - family dwelling unit,
DESCRIPTION OF WORK Intrudes ataacncd garage.
Add base feed power 1000 sq. 8, or less $ 100.54 4 _
ea, Adtl'1 500 sq. ft or portion S 33,92 1
LJ PROPERTY OWNER 1_ U TENANT Limited energy residential
(with ahttve sq, ft,) S 75.00 2
Nar»e:
Limited energy, multi - family
Address: residential (with above sq. 11) S 75.00 2
Service or feeders installation, alteration, and /or relocation
•
City/State/ZIP; 200 amps or less ' 5 100.70 2
201 amps to 400 amps S 13156 2
401 amps to 600 amps 5 200.34 2
Phone; Fax; 601 amps to 1000 amps 3 301.04 2
Owner installation: This installation is being. mode on property that I own which is not Over 1000 amps or volts $ 552.26 2
intended far tale, lease, rent or exchange, according to ORS 447. 449, 670, and 70I Temporary services or feeders installation, alteration. and/or
Owner signature: Date; relocation
200 amps or less S 5936 1
1 1 APPLICANT Li CONTACT PEES 201 amps to 400 amps 5 125.08 2
-
Business Name:
401 amps to 599 amps 5 168.54 2
Branch circuits - new, alteration. ur extension, per panel
Contact name:
A, Fee for branch circuits with
service or feeder fee, each
Address: branch Cirettil It 7.42 2
R. Fee for branch cireuils
without service or feeder fee,
City/Ststc /ZIP: first branch circuit 1 S 56.18 56.18 2
Phone: Fax; Each additional branch circuit; 9 5 7.0.2 66.78 2
_ _ Miscellaneous (,service or feeder not included)
E -mail: Each manufbetured or modular
•
CONTRACTOR dwelling, service and or fonder $ 67,84 2
Business Name: CAPITOL ELECTRIC CO., INC, Reconnect only 5 67.84 2
Pump or irrigation circle S 67,84 2
Contact name: Sign or outline lighting 5 67,84 2
Signal circuits) or limited -
Address: 11401 NE MARX ST.
energy panel. alterations, or
exacnsion, Describe; Fire Alan $ 75.00 2
City /Stifle /ZIP; PORTLAND, OR 97220 -1041 Page 2
Each additional Inspection over allowable in nay Of the above
Per in ection S 66.25
Phone! 5032$$.9488 Fax: 503 - 257 -7121 .
investigation per hour (1 hr min) 5 66.25
CCB l,ie.: 48748 Electtien1 Lic.: 26-496C Suprv. Lic.: 3132 -S Industrial plant per hour 5 • 78.10
ELECTRICAL PERMIT PEES"
Supry Electrician signature. required: j F4(r Subtotal $ 122.98
Print Name: -- EAR$ELL MCNEEL �` � Mg 01/24/11 Plan review (25% of permit fee)
Authorized signature: 1 • State surcharge ( _ 12% of permit , feel
$ 14.76
TOTAL PERMIT FEE, $ 137-72
Print Name: D RELL MCNEEL Thls permit application expires Ira permit la not olltninad ,,halo 100
-
day.: after It has been accepted nacnmptete..
" Number of impaction!: per permit allowed.