Permit pr,
CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2011 -00418
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/28/2011
Parcel: 2S112DB00300
Jurisdiction: Tigard
Site address: 7233 SW KABLE LN 900
Project: Nuance Systems Subdivision: Lot: 0
Project Description: (2) branch circuits and (1) limited energy for security cabling
Contractor: COCHRAN INC Owner: PACIFIC REALTY ASSOCIATES
7550 SW TECH CENTER DR. #220 15350 SW SEQUOIA PKWY #300
TIGARD, OR 97223 PORTLAND, OR 97224
PHONE: 503 - 234 -6564 PHONE: 503 - 624 -6300
FAX: 503 - 238 -2098
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo /Purchase 07/28/2011 $63.60
Specifics:, Service or Feeder
1 ea Signal circuit or Limited 07/28/2011 $75.00
Type of Use: COM Energy Panel
Class of Work: ALT 1 ea 12% State Surcharge - 07/28/2011 $16.63
Electrical
Type of Const:
Occupancy Grp:
Total $155.23
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 OA 52- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
l � l / J'.
Issued By: Permittee Signature:
C'/✓ �i°/°G / c / �O/✓
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 503.639.4176 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 11:17:08 07-26-2011 1/3
Electrical Permit Applicatipi II _Cricn ir rok 0....,,„,„
.. ,,sE (...,y
City of Tigard LLAL1 V L Received te •
Da/By: 7/2 ft/ 4°41'.' Permit No.:E ....-- /JD 9/f
" 13125 SW Hall Blvd., Tigard, OR 97223,
111 Plan Review
' I Phone: 503.639.4171 Fax: 503.598.12
'L 26 2011 Other Permit:15
Date/By:
TIGARD
Inspection Line: 503.639.4175 Date Ready/By: Jana: i , El See Page 2 for
Internet: www.ligard-or.gov CITY OF TIGARD Notified/Method: II ,,w„ Supplemental Information
..fj, ;It:„ ,,...,: 4ii,t : op m s 1 . k , :ito . , .. 11 : j .,,, ftc ,r i t I, .., v ::::::,:1 -: ,y' - ,: i .,,;!::- : :.:::::..- _.
0 New constructio n ddition/alteration/replacement
Please check all that apply (submit 2 sets of plans w/items checked below):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current D Marinas and boatyards.
CATEGORY OF amni
. uthii:w,
i:,,,,,,,,,, .,....,.....:.-.,.,:,„.;;. .:.: exceeds 10,000 amps at 150 volts or 0 Floating buildings.
... ,•,,': • :'. 1 .'7 ,• .. • /.. •:.•-'' • :1: ••- : ; :•.-- :ti : ..... .•
" • - ': 'i• ',' • " ` ''
-' '''''• s ''' •'• ' • • -•:•:".''''''''''''''' less to ground, or exceeds 14,000 0 Commercial-use agricultural
D I- and 2-family dwelling jacommercial/industrial 0 Accessory building amps for all other installations. buildings.
U Multi-family El Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or
larger separately derived system.
. . . - ,.. , .„. ., .,. -, ., - .:,, .•_, ,.., ,... ...,. ,.... „ ., .,.,: . . .. 0 Emergency system.
;. ' : - ..: ''..':,110.13. SITt.' . '• - .: : ; '7400: , 0 Addition of new motor load of 1:1
.. - . - .. .. .. . . • . ..„., .... ,. ... ...,... ..,,, .. ,. .,, . ... .
...--. _-__,,-- 100HP or more. occupancy.
Job no.: 2233S Job site address: 72,33 N --,,,\ ( , .
D scx or more residential units. 0 Recreational vehicle parks.
-.-----:. 0 Health-care facilities. 0 Supply voltage for more than
7 y/State/ZIP: \ 0 c? C i 7 2-24 0 Hazardous locations. 600 volts nominal.
t Suite/bldg./apt. ti. Project name: ■3 .non-c_ e. c- S fce El Service or feeder 600 amps or more.
1 ' . : '1:..'1.':i ;'• ' .1', ', • i''ii: - ' 1 .. • ::-:•:.'.'. '/ ': : i '.:::
Cross street/directions to job site: Description I Qty. 1 Fee. I Total 1 *
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. addl 500 sq. ft. or portion 33.92 , I
Tax map/parcel no.: - Limited energy, residential
75.00 2
DESCRIPTION OF WORK • ,' ' '• ''. : • ' ' • • • (with above sq. ft.)
Limited energy, multi-family
3 v.1 D s.r... o—c-t■ CZ si c 1/4:1 _, _c-.-, a.`k-1 residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocation
(0 t,...2.) \.) tOc-ct..e.„ 'S-Gc 3 .4: --1 C c&c\v■ C 200 amps or less 100.70 2
.. .
n .inioiiit6,0001,..:,.,‘ t.:i, '.- 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name:
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and/or
City/State/ZIP: relocation
Phone: ( ) Fax: ( ) 200 amps or less
• . 59.36 I
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits- new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
..: ' , • • ‘• -- •' -- .... .CONTACT ---- • - , ' - • • --- , - , above service or feeder tee,
' ' • .. - -'. ' 0' APPLitArit.' . ; '.:' .;''... ' .el - : ,-, :' 742 2 •
Business name: 50_0"\e c4S C.i.)CNAThca. c:*-1.--1,-- B. Fee for branch circuits without
service or feeder fee, fust
5
Contact name: — 3- \., i\ ) . ,-
q ,..4 branch circuit 56.18 ?) 2
\v 1 ,,
Each add'i branch circuit
k 7.42 7, LI 2_ 2
Address: Miscellaneous (service or feeder not included)
Each manufactured or modular
City/State/ZIP: dwelling, service and/or feeder 67.84 2
Phone: Pp i ) 2.0s.,_ . k 2. _(__k L Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
• E-mail:
Sign or outline lighting 67.84 2
Signal circuit(s) or limited-energy
Business name: ca \
.
panel, alteration, or extension. Page 2 7 2
Ca n .
Each additional inspection over allowable in any of the above
,
Address: - 15 50 5 \I\I ( C , *22 B Additional inspection (1 hr mm) 66.25/hr
Investigation (1 hr min) 66.25/ hr
City/State/ZIP: " op., R72 Z- Industrial plant (1 hr min) 78.18/ hr •
hone: 503)2_3 Lope(' C./ Fax: ( ) 23g- 2.0.98 Inspections for which no feels '
specifically listed (Y2 hr min) 90001 hr
CCB Lic.: -- 72 .. c4 2 E 1 Lic.: 7 54 Cr ugv 3
. Lie ...'.•.:;:„-;;:::;;::•:;':':.:MEOTIMAt'..':-.Wirv11[T'TF'ES:';.'.: . :' . •
/
Ski i. Subtotal:.
-\ci,‘ / " I
Sum, Electrician signaturo; r ired:
Plan review (25% of permit fee):
Print name: - \ kct-1-0 Date: -. 1 1/2_6 1 State surcharge (12% of pennit fee):
TOTAL PERMIT FEE: isc
Authorized signature:
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Date: . Number of inspections allowed per permit.
I:\ Buildin 07 440.-4615T( I I ■05,COMAYEB
01 11:17:40 07 -26 -2011 2/3
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTLAL WORK
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
:':COMnlia I: : ;'R,.'f:'r ";` ;.: '; °`.'
Fee for each commercial $75.00
system
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
n Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
n Nurse Calls
❑ Outdoor Landscape Lighting*
Protective Signaling 5 `7`1
❑ Other
Total number of commercial systems: !
*No licenses are required. Licenses are required
for all other installations
1 B uilding Tennits 'ELC- PennitApp.doe 07/01/10