Permit �} 1
its
CITY OF TIGARD REVI��® ELECTRICAL PERMIT
0 .-- COMMUNITY DEVELOPMENT Permit #: ELC2012 -00426
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/18/2012
Parcel: 25101 DA00104
Jurisdiction: TIGARD
Site address: 13333 SW 68TH PKWY
Project: Triangle Point Subdivision: VARNS ACRES Lot: 9
Project Description: (2) 200 amps or less and (6) branch circuits for lobby remodel on ground floor
10/15/12 REPRINT add (1) branch circuit for wiring to "smoking shelter"
Contractor: PARKIN ELECTRIC INC Owner: TRIANGLE POINTE LLC
14001 FIR STREET 901 NE GLISAN ST, #100
OREGON CITY, OR 97045 PORTLAND, OR 97232
PHONE: 503 - 657 -4958 PHONE:
FAX: 503 - 557 -1059
FEES
Quantity Description Date Amount
6 crt Branch Circuits w /Purchase 07/18/2012 $44.52
Specifics: Service or Feeder
1 ea 12% State Surcharge - 07/18/2012 $29.51
Type of Use: COM Electrical
Class of Work: ALT 2 ea Services or Feeders - 200 07/18/2012 $201.40
amps or less
Type of Const: 1 crt Branch Circuits w /Purchase 10/15/2012 $7.42
Occupancy Grp: Service or Feeder
0 ea 12% State Surcharge - 10/15/2012 $0.89
Electrical
Total $283.74
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 952- 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.
V'U
Issued By: Ate Permittee Signature: O� ApeL /d4 494
•
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.
it
ter,'.
From: 10/12/2012 10:30 #713 P.001/001
,,4Q Ar- -0
lc/ � - Y.926' i vM 9.77g1 Electrical Permit Applicati l'OR OJ . ('J, t ON1.1
7 ..._ City of Tigard � �T 15 2012 Rem f � . [,G .1„
ob
r DnteB : CO � � Perm No.:
13125 SW Hall Blvd., 75gard, OR 9722 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B . Otter Permit:
r i t : � I: Line: Inspection ne: 503.639.4175 city OF TIGARD Date Ready/By: lu[is
Internet: www.tigard- or.gov Notified/Method: ?-.r (0 Supplemental Pen 2 I for
"t IA. , I :1 / tfl,► to �P►�eaal [dormation
ice YS ,�,b L ., •• • Ze KSt" ' ^��, - 4'""J ' 111 , +c a �^a r 4i, t y -, jj, . fr . `
. }` f - .. ,: - .. , - r - . , . _ 3 ,1E& � f 4i 1 Y ..4- 3i..,.5�' t.'riP� .��a iS- i;�,.. ",.1":,:.,--.=:".4...7, n;� `Y l . - 1 y3 . ) �j � .�F 1i : . ?, �' K A
❑ New construction Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Demolition ❑Other ❑ Service or feeder 400 amps or more ❑ Building over three stories.
z" , , � ` s ; 4: r- where the available fault curtest ❑ Marinas and boatyards.
s� a .` , _� < � I �; S : _ .. ' r _ i :I i %r t 0, � `� -� ) - exceeds 10,000 amps at 150 volts or ❑ Floating buildings- •
❑ 1 - and 2 dwelling mmercial/industrial _- ,:_,:.:L`.. - - lass to ground, ar exceeds 14,000 ❑ Com •ttse agricultural
Y g ❑ Accessory building amps for all other installations. buildings.
❑ Multi family ❑ Master builder ❑ Other: ❑ Fire pump.
s Y_t. { ❑ larger separately only derived or
3 `' r a a _l'L L ? ! .-4-:---,,‘' e. r 1 z O Emergency s larger separately derived system.
. _ .. _.. >._ ❑ Addition of new motor load of ❑ "A" "E', "1 -2 ", "1 -3 ",
Job no.: � 'J� 0/ Job site address: / 3333 S w' tee A-ay 1SD or more. occupancy.
❑
❑ or Six or more residential units. Recreational vehicle parks.
City /State/ZIP: Ti?,rj1) ❑ Health-care facilities. ❑ Supply voltage for more than
��'' `^^ ❑ Hazardous locations. 600 votes nominal.
Suite/bldg. /apt. no.: I Project name: ❑ Service or feeder 600 amps or more,
Cross street/directions to job site:
Description Oh. ANL T00 •
New residential single- or multi- family dwelling unit
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less 168.54 4
Tax map/parcel no.:
Es. add'I 500 sq. ft. or portion 33.92 I
.,.; , i . ; . , - -� t�„s. f - Limited energy, residential
- it3 •,; 3; . ` ; r , s : r t M t ! ' a e w i t . - ^ „r 75.00 2
1 C5~'_w :i •':• .o ' ?rte., ..S� , :=a :l ei ,g ri (with above sq. ft.) ���� :�"-- `-` :,� Limited '
�1 r energy, multi - family 75.00 2
e
(. �4/ / � (j.. t r / - i 4 -0 residential (with above sq. ft.)
1 t S ��`2� f /r S0 is feeders
or a lation, alts ration, and/or relocation
I r`D C
n�. :.<=i6 -,=K' e F 0 _ ig �� rte --ere ` . ` + - 7-IR , , .aa. ,r -�;.4�" K ,"�'7i amps 1 3336 2
AP/- 1 - , � '' , ,. 1 - ! .1-_� 1. 1 . + .-.. .S,ss '
201 amps [o 400 amPs 133.56 2
Name: 401 amps to 600 amps 200.34 2
601 amps to 1.000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 59.36 1 1 I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
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, panel
Owner signature: Date: A. Fee for branch circuits with above service or feeder fee, l 7 -
i i r... f E ,Ii -.!) °'," :,_t:. ` ,,,,.. - .. � ..i. '1' n!, : c i' - �_ ? 7 ) �11w • ''' .42 7 y et 2
- each brand[ circuit
Business name: B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: branch circuit
Each add') branch circuit 7.42 2
Address: Miscellaneous (service or feeder not inducted)
City /State/Z1P: Each manufactured or modular 67.84 2
dwelling, service and/or feeder
Phone: ( ) I Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 6 7.84 2
E - mail: _
?F� x ; �;. - ��• �:��,n7�t� �•:� a -? s Sign or outline lighting 67.84 2
;v : . a_` { :.-w.( ?;, C£S�' ..F_�;!r.7w'titi 1. wt t^b."' Sa.ltt: - .4r !-8
. `'F R�tir. �L; -. , +� €�- :a:"��c:..��� rte• Signal circuit(s) or limited-energy
Business name: Parkin Electric panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 14001 Fir Street Additional inspection (1 hr min) 66.25/ hr
City /State/ZIP: Oregon City, OR 97045 Investigation (1 hr min) 66.25/ hr
Industrial plant (I hr min) 78.18/ hr
Phone: (503) 657 - 4958 I Fax: (503) 557 - 1059 Inspections for which no fee is hr
s . tcall listed hr min
CCB Lic.: 3515 I Electrical Lic.: 34 - 4C Suprv. Lic.: 4241 , :1 acs y �. y _� . y �,); ± r :� d S i p ;w , - "
Suprv. Electrician signature, required: "0 Subtotal:
Plan review (25% of permit fee): ,
,
Print name: David B Parkin Date: State surcharge (12% of permit fee):
Authorized signature: TOTAL PERMIT FEE: 8. .31
This permit application expires if a permit Is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
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CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2012 -00426
T [ GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/18/2012
Parcel: 2S 101 DA00104
Jurisdiction: TIGARD
Site address: 13333 SW 68TH PKWY
Project: Triangle Point Subdivision: VARNS ACRES Lot: 9
Project Description: (2) 200 amps or less and (6) branch circuits for lobby remodel
Contractor: PARKIN ELECTRIC INC Owner: TRIANGLE POINTE LLC
14001 FIR STREET 901 NE GLISAN ST, #100
OREGON CITY, OR 97045 PORTLAND, OR 97232
PHONE: 503 - 657 -4958 PHONE:
FAX: 503 - 557 -1059
FEES
Quantity Description Date Amount
6 crt Branch Circuits w /Purchase 07/18/2012 $44.52
Specifics: Service or Feeder
1 ea 12% State Surcharge - 07/18/2012 $29.51
Type of Use: COM Electrical
Class of Work: ALT 2 ea Services or Feeders - 200 07/18/2012 $201.40
amps or less
Type of Const:
Occupancy Grp:
Total $275.43
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 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 77 ' 1
44.
Issued By: OJ'(t Permittee Signature: va 4 " 80 24 64 f `p�1.
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.
From: REC 07/17/2012 16:47 #542 P.002/002
. . Electrical Permit Application JUL 17 2012 FOR OFFICE USE ()NL1'
City of Ti and Received
13125 SW Hall B B Nd., Tigard, OR 97223 CITY OF 1IGAR' Dete �" Ns�� d0 � , `' ���
Plan Review
• III . Phone: 503.718.2439 Fax: 503.598.11 l I #r t �� t other Per ' aOIa. — QCI.3
T I G A R D inspection Line: 503.639.4175 ��+�s• ®� � 1 � tl ate ReadyB ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method Supplemental Information
,��. ..'L= - ,..t :' ;• u - t. - - - -
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. _. .. . ` . .L:3 a:.. -. �;,°- �a.a,., nrG - .. ._�?.!e� : : _ � _ :; �e ^.}. +: -`:.. -�. :. . � y �...,,,.. D -. -.� ^^-c.. (� �.."�a
ran. `�_�'''�s`�r:;';; .'. �, _ .: ..- ::s n. � .r..'.u:c ...mow. _,.... -__ L.. - .::�A� =. .C..�`N_''f_..s. sf:l!.a�irY+W��- "Z,
❑ New construction pr Addition/alteration/replacement Please check all that apply (submit 2 sets of plans wPrems checked below):
❑ Demolition ❑Other: ❑ Service or feeder 400 amps or more ❑ Building over three stories.
Ot where the available fault current ❑ Marinas and boatyards.
„ .: ,.' .. � ,� : n V- 'I,-`'._, .t: Floating buildings.
" `{ � ' � °" t 4 t ?: `�" :i}�rA �;s; :;'ic'' �" h' s �-• �` exceeds 10.1100 amps at 150 volts or ❑
� ;,. ` „� "��Uf� '�` '"�`"' ' `''�� "�'� less to ground, or exceeds 14,000 ❑ Commercial - use agricultural
❑ I - and 2 family dwelling Q Commercial/industrial ❑ Accessory building
amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
L s
a a- - itj,.; ten'. larger ne W� Y
tel derived tam.
'4 >_ ; : ;?= . ': - : , - OH }. . ..k .: y �) .. �. ,,, ,,,���aa��.} ;., ,, :,+, ,.sk ^"Y r •F� Y listen , �'d • : - � : 4�,- . -, -.,� ❑ Emer rte Addition ofaw motor load of ❑ "A" "E" "1 -2" "I -3"
�7 ' r /, • ' 1001W or more. occupancy
Job no.: ,f) y ^� Job site address: IL_ „z W i o . /,. . I la Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: J /01,/7/ � ❑ Health-care facilities. ID Supply voltage for more than
0 Hazardous locations. 600 volts nominal
Suite/bldg. /apt. no.: I Project name: ❑ Service or feeder 600 amps or more.
Cross street/directions to job site: Description I Qty. I Fee. j Total I •
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'I 500 sq. ft. or portion 33.92 1
" Limited energy, residential
: °, ;:. � %c; =:e ;;? v e 3 '�! �.ytr; t ` 75.00 2
- �:-r'. ,. .��� "WO �. ' ,.�'� ton above . ft.
.. ,, a...,... ....: '��,'.:.,.. ,f'F3�s�.�`+F+3)P „'_u..w ;��$..: `;S;_ ir'rt .., ;.,z s�..S ( sq. )
` ("//+„1 /. /Jt- t /•,/' /,/^ 1 - ` ^ /t„ _ /„ n
_ -ra /„ j � Limited energy, multi- family
L �j�I / / f ` / ^ U ^ O�(�( �( (� C �' residential (with above sq. n.) 75.00 2 irMdei / P � Services or feeders installation alteration, and/or relocation
J 200 amps or less 0 20 100.70 .10 2 Sir
li '1PRUPE 1' ./ , t 41 <;� -' : "... . " rTI Y x=: i. ;;1>; 201 amps to 400 amps 1
_WWI�]>vR:.__:._�f;. ® 3336 2
Name:
401 amps to 600 amps 200.34 2
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 7�,
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, r panel
Owner signature: Date:
A. Fee for branch circuits with
= ' . i ;, ;::r r Fi s-:� t��, ;.* -tip; . } ; < vt` r ,. above service or feeder fee. �1S
<APPj� I 1 ANT ... .. ;Ka : a i et~CltsPiZ�tSQI�fa -. :.. _ 7.42 t
earn branch circuit
Business name: B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: branch circuit
Each add'I branch circuit 7.42 2
Address: Miscellaneous (service or feeder not included)
Each manufactured or modular
City / State/ZIP: dwelling, service and/or feeder 67.84 2
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
E -mail:
Pump or irrigation circle 67.84 2
Signor outline lighting 67.84 2
. _ : >>' F,I . -.., ,':.t ' CONTRACTOR, Niglia Ma Signal circuit(s) or limited- energy
Business name: Parkin Electric panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 14001 Fir Street Additional inspection (1 hr min) 66.25/ hr
City/ State/ZIP: Oregon City, OR 97045 Investigation (1 hr min) 66.25/ hr
Industrial plant (1 hr min) 78,18/ hr
Phone: (503) 657 -4958 l Fax: (503) 557 -1059 Inspections for which no fee is 90 hr
specifical listed eh hr min)
/CCB Lic.: 3515 ectrical Lic.: 34 . Lic,: 4241-S , - - ' . > �tUUCAE- ;.r;':'ge t h Z
,/� ,7� Subtotal �i '
Suprv. Electrician signature, required: l /�G��� Plan review (25% of permit fee): : �4A�� 'r
Print name: David B Parkin Date: State surcharge (12% of permit fee): 4 5
TOTAL PERMIT FEE: `
Authorized signature:
2 v er
This permit application expires If a permit Is not obtained within 1
Print name: Date: • days after It has been accepted as complete.
Number of inspections allowed per permit C z
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