Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2011 -00341
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/22/2011
Parcel: 1 S 135AB04500
Jurisdiction: Tigard
Site address: 10250 SW GREENBURG RD 112
Project: NVoicePay Subdivision: 1991 -055 PARTITION PLAT Lot: 1
Project Description: (2) branch circuits for server room.
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
2 crt Branch Circuits wo /Purchase 06/22/2011 $63.60
Specifics :. Service or Feeder
1 ea 12% State Surcharge - 06/22/2011 $7.63
Type of Use: COM Electrical
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 O • : 952- 001 -0090. You may ob ain a copy of th les or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344
Issued By: Permittee Signature: ` sr — / jam ^G %sy"
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.
05/21/2011 09:02 5032577121 CAPITOL ELECTRIC PAGE 02/02
FQR OFFICE U�� ONLY
Permit Appl.icatiott RECEIVED Received
Permit no.: i ` ! _ • c 1
e
City of Tigard pate/13y; 1 ,i l�C
Z O 13125 SW Hull 131vd,. Tigard, OR 97223 JUN 21 P Review Other Pcmtil;
E: ' Phone: 503,639.41171 1~a n: $03.598„1960 ' Date /By;
Inspection Line: 503,639.4115 CITY OF ��
GD Data Ready/13y: _ Sec I've 216r
Intcrntt: www.tigard-or.gov Notified/Method: 7 t G A ft L7 Su plcmcmnt lnt ,, sk+n
BUILDING DIVISION _
PLAN REVIEW
TYPE 0Y WORK
New lct.inn AdditiAddition/alteration/replacement please check all that apply (submit 2 sets of plans w /items checked Oelow);
❑ DemoTitio CI Other: ❑ Service or feeder 400 amps or more ❑ 6ullding over three atones
CATEGORY OF CONSTRUCTION where thn available fault cumin n Marinas and boatyards
I- and 2- family dwelling .r Commercial /industrial Li Accessory building exceeds 10,000 amps at 150 volts or [..-] Flooring buildings
n Muitirtltmil n Master Builder I. Other less to ground, or exceeds 14,000 L 1 Cornmercial-oe agricultural
.1013 SITE INFORMATION AND LOCATION amps for all other installations. buildings
n Fir* Pump r.i tnrtallatlon of 75 KVA or
Job no.; 110993 (,lob site address 102S0 SW Greenburg Rd LI Emergency nystem larger separately derived system,
i
❑ Addition of new motor load of Ll •• A'', "E', "1.2 ", "1 -3 ",
City /Slate /ZIP: Tigard Oregon 100HPormore. ❑ o ccupancy
❑ Slx or more residential unite n Recreational vehicle parks.
Suite /bldg. /apt no.: 112 Project name: N Voice Sarver ❑ Health-care facilities ❑ Supply voltage for More than
❑ Hazardous locations 600 volts nominal,
�;rt139 StrCC ectic m In }Ob 911C: -
❑ Service or feeder 600 am• s or more
_ PEE SCHEDULE
Subdivision; Lot 11n.: ecscripllan 1 Qo, arc, r inert **
Tax Ina /parcel nn.: New residential - single or multifamily dwelling unit: -
DESCRIPTION OF WO.RK includes attached garage.
1000 sq, E. or leas — $ 168.54 r - 4
Install dedicated outlets En. Add'I 500 sq II Or p ortion $ 32,92 1
PROPERTY OWNER I J TENANT Limited energy residential
(with above scLt1.) $ 75,00 2
_ -
Hank: Limited energy, multi - fancily
residential (with above sq. ft) S 75,00 , 2
Address: .
Service or feeders installation, alteration, and /or rclOCntlon _„
200 amps or less $ 100.70 2
City /State/7 2 01 arm to 400 amps $ 112.56 '2
401 amps to 600 amps S 200.34 2
Phone: Pax: 601 ants to 1000 am.s r 5 301.04 2
Owner installation: This installation is being made on property that I own which is not p vcr 1000 am•sorvolts $ 552.26 2
intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, ant) 701 Temporary services or feeders installation, alteration, and /or
Date: relocation
Owner signature;
200 amps or less $ 59,'I6 I
IJ APPLICANT I LI CONTACT PERSON 201 amps to 400 amps $ 125,08 2
401 sm•S to 599 eri ,S $ 148,54 2
f3usineSS Name: Branch circuits - new, alteratinn, or extension, per panel
A. Fee for branch circuits with
Contact none: service or feeder fee. each • branch circuit 5 7.42 2 —
Address; B. Fee for branch circuits
without service or feeder fee.
cit first branch circuit 1 $ 56,IA 56,18 2
Each additional branch circ 1 , 5 7.42 7,42 2
Phone: Pax: .
Miscellaneous (service or feeder not included) _
E -mail' Each manufactured or modular
CONTRACTOR d\vellinLscrviee and or - feeder 5 07.04 2
Reconnect only 5 67.84 2
Business Name: CAPITOL ELECTRIC CO., INC, Pump or irrigation circle $ 67.54 2
-. Sign or outline lighting 5 07,84 2
Contact names John McNeal -
Signal circuit(s) or Iimitcd-
energy panel, alterations, or
Address: 11401 NE MARX ST. extension. Describe: 5 75.00 2
i'n�re 2
City /State /2 iP; PORTLAND, OR 97 22 0 -1 041 Eacll additional inspection over allowable in any of the above
Per inspection IMMOMMII W
Phone: 503 - 255.946$ Fax: 503. 257 -7121 Investigation per hour (1 hr miff) $ 66,25 MINE
c'C13 Lic.: 48748 Elcctnienl1.ie.: 26 -4960 jSuprv, 'c.: 3132 -S I Industrial .last crhoer S 70.18
- — iLfiCTR1GAL PERMIT PT3L5
Suprv. Electrician signature, required: ! r` V � �!_ Subtotal — $ 63.60
Print Name; DARRELL M r EEL Date: r 21 /11 Pl review (2.5% Of =tit Ice) .
/PAW" StoIC surchar c l " r6 o f omit. fcc $ 7.63
AuthOri7ad / //� _ TOXALPERMXTFEE $ 71,23
Print Name; DARRELL MCNEEL Thin permit nppllearlen roptren Ir,. omits in not ayr. within IRS
days alter le ImS bens accepted en complete,
•' Nuwbcr of inapaeliai5 per permit allowed.
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