Permit CITY OF TIGARD ELECTRICAL PERMIT
2 • COMMUNITY DEVELOPMENT Permit #: ELC2012 -00385
T I G A.R LS 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/27/2012
Parcel: 2S113BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 100
Project: Southwest Center Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: Suites 100 & 130, (3) branch circuits.
Contractor: KEC ELECTRIC INC Owner: BEHRINGER HARVARD WESTERN PORTFO
761 SW BAILEY AVE ATTN: JOHN WRIGHT, TAX MGR
HILLSBORO, OR 97123 303 N HURSTBOURNE PKWY STE 115
LOUISVILLE, KY 40222
PHONE: 503 -439 -0904 PHONE:
FAX: 503 - 640 -3838
FEES
Quantity Description Date Amount
3 crt Branch Circuits wo /Purchase 06/27/2012 $71.02
Specifics: Service or Feeder
1 ea 12% State Surcharge - 06/27/2012 $8.52
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $79.54
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 accor an . th 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. ATTE ON: Oregon 'w ires ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -0 0 th • ugh OAR 952 - -00''t. Y • u may obtain a copy of the rules or direct questions to OUNC by calling 5� 0
32.1987 or 1.8 4 0.332.2344.
Issued y: g / Permittee Signature: l
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: 494
LICENSE NO. 4,18? 5
Call 503.639.4175 by 7:00 a.m. for the next available Inspection date.
Thls 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.
Electrical Permit Application FOR R O F 1' 1(l. I ti l: ON I.1
City of Tigard Received Date/B : (I e.7 /A. / PermitNo.: ei,.e.aoi,2-oo,38
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C ' Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit_ - k ',dlo /9....004,1
Inspection Line: 503.639.4175 Date Ready/By: runs: Fa See Page 2 for
"A D N otified/Method: Supplemental Internet: www.tigard- or.gov Information
TYPE OF WORK PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire PumP. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. A
❑ Addition of new motor load of ❑ "A ", "E", "I -2 ", "1 -3 ",
Job no.: 12 -1036 Job site address: 7632 Durham Rd Tualatin, Or Six 100HP or more. uPancY-
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/ State/ZIP: Tigard, Or ❑ Health facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: 100 -130 Project name: Durhasnrdernv -- ❑ Service or feeder 600 amps or more.
job site: ,C� /� FEE SCHEDULE
Cross street/directions to
J t�LtT /��f 5T r?E,UrFi2. Description I Qty. I Fee. I Total
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Tax map/parcel no.: Ea. add'l 500 sq. ft. or portion 33.92 1
Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
Limited energy, multi - family
75.00 2
Reinstall power in wall that was relocated residential (with above sq. ft.) __
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
❑ PROPERTY OWNER I ❑ TENANT 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
s or feeders installation, alteration, and/or
City/State /ZIP:
Phone: ( )
Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 7 42 2
each branch circuit
Business name: B. Fee for branch circuits without
service or feeder fee, first l 56.18 56.18 2
Contact name: branch circuit
Each add'I branch circuit 2 7.42 14.84 2
Address: Miscellaneous (service or feeder not included)
City/State/ZIP: dwelling, service and/or feeder 67.84 2 or modular
Phone: ( ) Fax:: ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E - mail: Sign or outline lighting 67.84 2
CONTRACTOR 1 Signal circuit(s) or limited- energy
Business name: KEC Electric, Inc AQkm y g t is /5 /de- • panel, alteration, or extension. _ Page 2 2
Each additional inspection over allowable in any of the above
Address: 761 SW Bailey Ave Additional inspection (I hr min) 66.25/ hr
City/State/ZIP: Hillsboro, Or 97123 Investigation (1 hr min) 66.25/ hr
Industrial plant (I hr min) 78.18/ hr
Phone: (503) 439 -0904 I Fax: (5031 649 -3838 / Inspections for which no fee is
+1 90.00/ hr
�l _ t (t• /Phi *j specifically listed (%Z hr min)
CCB Lic.: 99267 ��� Electrical Lic.: 4-426C Sly. Lic.: 4489S ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: T o Subtotal: 71.02
Plan review (25 /o of permit fee):
Print name: Kenneth E. Conway D . State surcharge (12% of permit fee): 8.52
TOTAL PERMIT FEE: 79.54
Authorized signature:
This permit application expires if a permit is not obtained within 80
days after it has been accepted as complete.
Print name: Date: • Number of inspections allowed per permit.
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