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Permit p CITY OF TIGARD ELECTRICAL PERMIT �'1 ffi COMMUNITY DEVELOPMENT Permit #: ELC2012 00670 T [GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/27/2012 Parcel: 1S 135AB03400 Jurisdiction: Tigard Site address: 10260 SW GREENBURG RD 1250 Project: Reinisch Mackenzie Subdivision: METZGER, TOWN OF Lot: 9 Project Description: (1) branch circuit for install dedicated 20s outlet 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 1 crt Branch Circuits wo /Purchase 11/27/2012 $56.18 Specifics: Service or Feeder 1 ea 12% State Surcharge - 11/27/2012 $6.74 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $62.92 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 9 2- 001 -0090. You m�yobtain f a�copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344 Issued By: C �' ( Permittee Signature: O ^J 4 ' Pu` ' ' ed 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. 11/26/2012 14:11 5032577121 CAPITOL ELECTRIC PAGE 02/02 Electrical Permit Apaticati L ED „ !' / " I t I7 - o o& �� ( V 1 D 1tclB y : (;--74.1- Permit no. City of Tigard n Review 131Z SW Hall Blvd,. Tigard. OR 97223k i� r(�, a 2012 Pla Other Permit; . • Phone: 503.639,4171 Fax 503.598.191SWV 2 Datc , T I r• \ l: tl Inspection Lure: 503.639.4175 p� Date Ready/By Jws:, -rC ❑ Sec P sg 2 k' Internet: www.tigard- or.gOv C r Y OF T�1'IRD Notified/Method: 1 [ Sumlemenmt tn>atmuon . ' i i,, � - ,.:i1-��`.. ^ ! . r !1.t:, , .. 1 , ,, h:,a. , ,t Y� } ,, _ � ,,, 1 }r .0 i r 's .. r r lT � w ' + . Sl -� 7` T :9� °`')� `. .. �..._�•t l,. '.1, e.,:..uo-e -ps r m ti...: �1J•rHt; ., - .. 0 v ti ' o "� Please cheek all that apply (submit 2 bets of plans wltoms checked below): [] Now construction El Addihon/0ltcranon/rcpincement Ll Demolition ❑ Other 0 Service or feeder 400 amps or more ❑ Building over three atones . " , ItF. 'ai..L...s s F' , rye ° • ^0 77 . % 1 .: TE "'", t r Jri ,' �i�t 1 L . r , + h7'ai wtlare the available fault current ❑ Marinas and boatyards .IT ❑ 1 -and 2-family dwelling ❑ Commercial/industrial 0 Accessory building exceeds 10,000 amps at 150 vdtb or © Floating buildings 0 Multi fame ❑ Master Builder ❑ Other loss to ground, or exceeds 14,000 ❑ Commerelsl -use agricultural pp �� -r k, ; ,.F, tr r , ,i +r J r `+ . /,41 amps for at other installations buildings lien ':44Y. ii��i�7�l�u+'��. �Sh�: Iti �rr tA�. , ivlP7�J1k�r .A.- w�,- aeT.��. . • ., �l.t „ »!�....w� t ih±:rj„r .Lwi.vy�r Fire Pump ❑ Installation of 75 KVA or Job no.: 130037 Job site address: 10260 SW Graenburg Rd (] Emergency system larger separately derived system, ❑ Addition of new motor logd of a "A° "E" "1 -2" "1 -3" City /State /ZIP: Tigard OR • _ 10OHP or more, ❑ occupancy [] Six or more residential units 0 Recreational vehicle parks. Suite/bldglapt, no i aS0 yProicct name: RelnI8C11 Mackenzie Dad Outlet ❑ Health cart f CI Supply voltage for more than Cross Street/Directions to job site J ❑ Hazardous locations 600 volts nominal. © Ser /ice or feeder 600 am s or more 1 f A ;'-= .. i ui.i,7h ..0 A 7[ .Irt i±,7 i :'. dti }'X; ; yl' Subdivision: fj J 3 5 � d 34/0.0 Lot no.: DeseNptton Qtr Pte. Toros rt Tax ma / arcel no.: J New residential - single or multi - family dwelling unit. x 47,7 ,- .717 n •t r + . 47 , r tM, t 7- Includes ntlacbed t� 'X,.,`; .4ud_E�.' ari 1!_ r-. � t�l.+Mvr 4 p „Y � � �r�!��+! :'�ij -t-_ � +r4 � garage- Install dedicated 20a outlet 1000 sq. ft. or Ices 3 188.54 4 Ea. Add'1 500 sq. ft or on S 33,92 1 W 75 i,p i ,i u1 °rii � kw "Ck'. �f ra AIt i • rf, y �i�3 ., Tf .l Limited energy residential 4.. J'.�.::..� ?.I r te. . .�.- .J (with above sq. ft,) $ 75.00 2 Name: Limited energy, multi - family residential (with above sq. ft.) S 75.oa 2 Address; Service or feeders installation, alteration, and/or relocation 200 amps or less I 15 100.70 I . 2 City /Stote/Z1P: 201 amps to 400 amps S 133,56 2 401 amps to 600 amps $ 200.34 2 Phone: Fax: 601 amps to 1000 amps S 301.04 2 Owner installation: This Installation is being made on property that I own which is not Over 1000 amps or volts S 552.26 2 intended for sale, limsc, rent or exchange. according to ORS 447. 449, 670, and 701 Temporary servtcec or feeders installation, alteration, and /or Owner signature: Date: relocation 200 am s or less S 59.36 1 Ti•.l a^I, U h3f P, �. +; 7 s .s: .i, F't ejr 20! ampsto 400Amps _ $ 125,08 2 401 amps to 599 amps S 168.54 , 2 Business Name: Branch circuit; - new, alteration, or extension, per 7anel - A. Fec for branch circuits with Contact name'. service or tcdcr fcc, each branch circuit S 7.42 , 2 Address: B. Fee for branch circuits without service or feeder fee. City /State /7.1P: first branch circuit f S 56.18 68.18 2 Each additional branch circuit: S 7.42 2 Phone: Fax: MlscelbineOas (service or feeder not included) E-mail: . 'Each manufactured or modular ,, r ^�?x"`' . 3& ,,,� ` `t„ ' I . a :11 " dwelling, service and or feeder $ 67.84 2 `"fit•- �, # ..s � :'��wt,. ri ti:"IL , L , �_ , � , .J�r �;a � 1- ` 5. t ..Y „u rt��.c Reconnect only S 67.84 2 Business Name; CAPITOL ELECTRIC CO., INC. Pump or irrigation circle $ 67,x4 2 Sign or outline iif $ 67.84 Contact name: Gary Stators Signal eircutt(s) or Iimited- energy panel, alterations, or Address; 11401 NE MARX ST. extension. Describe: 5 75.00 2 Page 2 City/Statc/ZIP: PORTLAND, OR 97220-1041 Ends additional inspection over allowable in any oit he above Per inspection S 66.25 Phone: 503- 265.9488 Fax: 503-257-7121 Investigation per hour (1 hr min) $ 66.25 CCB Lie.; 48748 !Electrical Lie.: 26 -496C ISuprv. tic.: 3132.8 industrial •Iant hour S 78,18 _ .ii Zt .!!f „ a w. w ;; .u] u _ 7.:.. . t.'4i Suprv. Electrician signature, required: �r- fir! / Subtotal $ 58.1$ Print Namc: Darrell MCNeel sate: 11126/12 //11 Plan review 25%e of rmit foc Authorized signature: / Alillall State surcharge ( 1296 of permit fcc) $ 8.74 2.92 TOTAL PERMIT FEE $ 6 J a Print Name: Darrell MC ` eel Thu permit npplienuon eaptret it permit Is not °Manion within 180 der. nner it has been accented n- complete. • Number afinapectiona Pcr permit allowed. in eul ell n51Permitnirlr .C- PetmlIApp.doe 1 0 /w .140 -46i s'r(11 TOS /CO1WW81:4