Permit CITY OF TIGARD ELECTRICAL PERMIT
n
' 6 COMMUNITY DEVELOPMENT Permit #: ELC2013 -00028
T L GAR`D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/15/2013
Parcel: 1 S 135AB01003
Jurisdiction: Tigard
. Site address: 10300 SW GREENBURG RD 485
Project: Thorson Pacific Heat Subdivision: METZGER, TOWN OF Lot: 9
Project Description: (1) branch circuit to install HVAC heat strip
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
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PHONE: .503-255-9488 PHONE:
FAX: 503 -257 -7121
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo /Purchase 01/15/2013 $56.18
Specifics: Service or Feeder
• 1 ea 12% State Surcharge - 01/15/2013 $6.74
Type of Use: COM - Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
•
Total $62.92
Required Items and Reports (Conditions)
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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 = 7- 001 -00 Jr. You may •btain a copy •f the rules or direct questions to OUNC by calling 503.2 /
� � /_ 503.232,1987 or 1.800.332.2344. �/ I 1
Issued By: _ � . 1_A Permittee Signature: old r'T P(/�( ., CAA ! /DA+
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.
01/14/2013 10:19 5032577121 RECEIVED ELECTRIC PAGE 02/02
Electrical Permit Application RECEIVED F4,1 <()rf•,t1•. t s,...) i.,
•ecetv I
City of Tigard JAN 14 2013 Date/By: t Permit no.; ( / 3 r - •
„i--- ! 13125 SW Ball Blvd., Tigard, OR 97223 P on Review
Other Permit:
Phone; 503.639.4171 Pax: 503.598.1960 OF Dare/By:
T 1 . A n OF Inspection Line: 503.639.4175 CITY TIGARD Date Ready/By: Julia: ❑ sec rnao 2 for
Internet: www- tigard- or.g0v BUILDING DIVISION Noti(led/Method: ' & suInformal= i Informal=
❑ New construction d Addition/alteration/replacement Please check all that apply (submit ?, sets of plane w/ltems checked below):
❑ Demolition ❑ Other. ❑ Service or feeder 400 amps Or more ❑ Building over three stories
•a,a•••t :.? '`_ *1 • U. Irv.? . 1 .. . 4 �' -!=- SiLl;' -.t. I , ! --•':f ; ? where the available fault current ❑ Matinee end boatyards
❑ I - and 2- family dwelling 0 Commercial /industrial ❑ Accessory building exceeds 10,000 amps et 150 volts or ❑ Floating buildings
❑ Multi -fami ❑ Master Builder ❑ Other leas to ground, or exceeds 14.000 ❑ Commercial -use agricultural
'�"�l- 1? n or:, n ., +i ;i i. - am for all otherinstallations. buildings
r.a ., ;.. � ,.r ,
.,.:.1_..r.. .l . � .....l'_L+,ti.±�. _r !.1- .,.:.�,_ ... , Ps 8
Job no.: 130429 Job site address: 10300 SW Greenburg Rd ❑ Fire Pump ❑ Inatallatlon of 75 KVA or
❑ Emergency system larger separately derived system.
City/S1att171P; Tigard OR ❑ Addition of new motor load of ❑ "A ", "E ", •'t -a' , "1 -3 ",
100HP or more. ❑ occupancy
Suitc/bldg. /opt. no.: 485 Project name: Thorson Pacific Heat ❑ Six or more residential units 0 Recreational vehicle perks.
0 Hcalth -care facilities ❑ Supply voltage for more than
Cross Street /Directions to oh site: ❑ Hazardous lacatIOns 600 volts nominal.
❑ Service or feeder 600 am • or more
..f,: 3 C. ,
Subdivision: Lot no.: -,. _ r_< + _? t �.:. ,i i.. zs . . u , ,; .,
i�,TPhea _ ... Qty. gee Total "
Tax m: / arccl no.: New residential - single or multi-family dwelling unit.
g *" p.�.,. ""^qr. c 7 1 PD T 2 G " t T y.-. - '� ,; '. + Includes attached Pr15e.
install ckt to HVAC Heat Sm. 1000 sq, R or less $ 168.54 4
Es. Add1 500 sq. ft or portion S 33.92 1
.:7,gr, ;1-:a:tu +:"t ?5s ,..,:a4...47 . :.. :a1.t c' [[�'' - • gym; Limited energy residential
Name: (with above sq. ft.) - 5 75.00 1 2
Limited energy, multi - family
Address' residential (with aboveg. It,) 1 1 $ 75,00_ 2
Service or feeders installation, alteration. and /or relocation
City /State/ZIP: 200 amps or loss S 100.70 2
201 amps to 400 amps S 133.56 2
Phone: Fax 401 amps to 600 a ps 5 200.34 2
601 amps to 1000 amps S 301.04 2
Owner Installation: This installation is being made on property that T own which is not Over 1000 amps or volts S 552,26 2
intended for sale, tease, rent or exchange, according to ORS 447. 449, 670. and 701 Temporary scrviece Or feeders Installation, alteration, end /or
Owner signature; Pato: relocation
200 amps nr less S 39,36 ` I
rr�;, Ln tlr': ':'_.0 O.g- ..+ , a h ;..« ;,a ; ."
-v. -. i ffi' 1
...,5 t: _7'.t; al, ;' 201 amps to 400 amps 1 125.08 I 2
401 amps to 599 amps S 168.54 2
Busmecs Name: Branch circuits - new, alteration, or extension, per panel
Contact name: A. Fcc for branch circuits with
service or feeder fee, each
Address: branch circuit , S 7.42 2
B. Fee for branch circuits
City /State/21P: without service or feeder fcc,
first branch circuit 1 S 56.18 66.18 2
Phone: Fax Each additional branch Circuit: S 7.42 2
Miscellaneous (service or feeder not Included)
E -mail: Each manufactured or modular
p1 tK1.,: ;`. �I. 7� ,y: ._ _ . , .7 ; ' -'.� ti: _.: 1 _. ,.. } - ' 4 t. , - - .. •, t. =9 dwelling, service and or feeder S 67.84 2
Business Name: CAPITOL ELECTRIC CO., INC. Reconnect only S 67.84 2
Pump or irrigation circle S 67,84 2
Contact name: Gary Stelert Sign or Outline lightin s 67 2
Signal circuit(s) or limited -
Address: 11401 NE iIAARX ST. energy panel, alterations, or
extension. Describe: S 75.00 2
City /State/ZIP: PORTLAND, OR 97220 - 1041 _ Page 2
Each additional Inspection over allowable In any of the above
Phone: 603 255 - 9488 Fax: 503- 267 -7121 Per inspection S 66.25
Investigation per hour (1 hr min) $ 66,25
CCB Lie.; 4874B Electrical ' • 6.496C Su•rv, Lie.: 3132 -S industrial slant • r hour S 78.18
� a / f l_ . I li1 J:♦ ,. ^mow_ '. �k'l.. .1 r.
Suprv. Electrician signature. Tr:mired; l�"L Subtatnl 1U:
56.18
Print Name: Darrell ..aer''f • �.,,. c am: 4 . - 1,1111:511 Plan review (25% of permit fbe)
Authorized signature: /,�1rif State orl 12% of permit fee) $ 6.74
L i TU'l A Pha)ZRte ( MTP FEE
$ 132.92
Print Name; Da : I Tale venial application etplm If a permit Is not obtained waMn 1 an
d....h.r ben" e.ee wwtepred o complete.
• Number of intpc°tidnls per permit allowed.
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1; 1Ru lidln91Penenitit0L0.PmniNpp.due 1 5701 /119 4411. 46151(11 /OS/COM/WED