Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2013 00156
Date Issued: 03/11/2013
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel: 1S 134AA01800
Jurisdiction: Tigard
Site address: 10240 SW NIMBUS AVE L5
Project: Scholls Business Center Subdivision: IKOLL BUSINESS CENTER, TIGARD Lot: 2
Project Description: (1) branch circuit to replace /disconnect RTU L -5
Contractor: CAPITOL ELECTRIC CO INC Owner: HANSON, RONALD D
11401 NE MARX STREET ROBINSON, CONSTANCE A
PORTLAND, OR 97220 ROBINSON, CHESTER TRUST ET AL
203604 EAST FINLEY RD
KENNEWICK, WA 99331
PHONE 503 - 255 -9488 PHONE
FAX 503 - 257 -7121
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo /Purchase 03/11/2013 $56 18
Specifics: Service or Feeder
1 ea 12% State Surcharge - 03/11 /2013 $6.74
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $62.92
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will
be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days ATTENTION' Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR
952 - 001 -0010 through 0 R 52- 001- 0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 1987 or 1 800 332 2344
Issued By: O uA i1. Permittee Signature: ✓ 4ePUC1l.770x f
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each Inspection.
03/07/2013 14:10 5032551966 CAPITOL ELECTRIC PAGE 01
Electrical Permit Applicatata rOk t,I.I l('b; l Nt.: t1.I.,
�'Kt D at
of Tigard S P ermit n0.: EL '1 v , � • ve il �/ _
11111/4 City s ai d Date/By. 3 (t i t 3 T l �� ,� t„p
13125 SW Halt Blvd., Tigard, OR 9'223 Pan Review
Phone; 303,639,4171 Fax 5 03.59$ [9 Date/By:
Mgg o7,043'anla S
6 1$ A M 7 2013
Other
'f i n r, inspection Line: 503.639.4175 Clatc Ready/By: Jude: ❑ See 2 ter
Internet: www.tigatd- or.gpv 71 / _ Pap
CITY OF TIGARD Notified/Method: � 511polemea,atlnfbr,nailnn
T f
4`.i': .'�;» rrti :v.t _.:,._„,,,, I.. al. r '7 a w , '7 rC,t ° ; FiW , i
...., ..S .J. !: t. �4:, !I-r- v S � �...th t .J-L .war Yr�" . 4g4x-r-r f.: i - ' .....:t`:!. :i'! a ...6l::'1i�- .. . ..'1
❑ Ncw construction Q Additlon/altcration /replacement Please check all that apply (submit $ sate of plans writema checked below):
❑ Demolition ❑ Other ❑ Service or feeder 400 amps or more ❑ Building over three stories
.T. S: . r;? ,s,:_,:L.`FVAf_ ;..� , , 2,,;.., ; 1t where the available fault current ❑ Marinas and boatyards
❑ 1 -and 2-family dwelling +❑ Commercial /industrial ❑ Accessory building exceeds 10,000 amps at 150 volts or ❑ Floating buildings
❑ Multi -Rlmil ❑ Master Builder 0 Other less to ground, or exceeds 14,000 ❑ Commerclal.use apriculturat
. _ , r � F ; .in r�`r , gf
_l n ./L , , w fi: . craps for all other Inetnlatlona. buildings
Job no.. 130664 Job site address, 10240 SW Nimbus ❑ Fire Pump ❑ Installation of 75 KVA or
❑ Emergency system larger separately derived system.
City /State/ZIP. Tigard, Or 97223 ❑ Addition Of new motor toed Or ❑ ^A ", "E ", "1 -Y, "1-,T,
10oHP or more. ❑ occupancy
Suitc/bldg /apt. no.: Bldg L Project name: RTU Bldg L unit L -5 ❑ Six or more maldentlal units 0 liecreatlonel vehicle parka.
❑ Health-care fhcilities ❑ Supply voltage for more than
Cross Street/Directions to job sitc: Scholls and Nimbus 0 Harardotis locations 600 volts nominal.
❑ Service or fader 600 am s or more
Subdivision; I Lot no.: ,""1 i ' -r...- , --�,"- , a'�, _t t ^at .T 11 _. R2
Scholls Business Center Dent;,li0n _
F ee, . Tout Ea
Taxed reel no.: New residential - single or multi- family dwelling snit.
_ ,, lr e 1r2,y/ }` �y 7eT. ., _ _ - 1175:s %, includes 'numbed , ra • e.
Replace Disconnect an RTU L-5 1000 sq. ft. or loss _ $ 168.54 _0
'ti -%-,,,..17,.7.:"...73.411:r.'''..1')..1-.1: _ ti. ,w 4 �„ e Ea' Add'i 500 s'. ft or .onion ME 5 33,92 � WM
-.._ .... -. �� ..: 0- �r w .� , --',,, .,r r,.r, r . . .Bir - Limited energy residential
Name: (with above sq. ft.) $ 75,00 2
Limited energy, multi- family
Address: residential (with above sq ft) $ 73.00 2
Sallee or feeders installation, alteration and/or relocation
City /Statc/ZIP; 200 amps or less S 100.70
201 amps to 400 amps $ 133,56
Phone: p er; 401 amps to 600 amps S 200.34
601 amps to 1000 amps S 301.04
Owner installation: This installation is being made on property that i own which is not Over 1 000 amps or volts $ 592,26 2
intended for sale. lease, rent or exchange, according to ORS 447, 449, 670. and 701 Temporary services or feeders installation, alteration, and /or
Owner signature: _ Date: relocation
F ,,.LL — r 200 rim. • or less $ 59.36 I
eJ a 11 7.it-. T-j.:.`•:1 - -'.. .t } '4. ,,, , , .-111 C•Ai aN' 'G :...I - a S i:.i , r".. 201 amps t0 400 amps S 125.08 2
Business Name: 401 amps to 599 amps 5 i68.54 2
Branch circuits - new, niteration. or extension, per nel
Contact name; A. Fcc for branch circuits with
service or feeder Ile. each
-
Address; branch circuit 5 7,42 2
B. Fee for branch Circuits
CirylState/ZIP without service or feeder fee,
first branch circuit 1 $ 56,18 66.18 2
Phone: Fax: Each additional branch circuit: S 7.42 2
Miscellaneous service or feeder not Included
E-mail
,_.,�.,�, r ,_ Fsch manufactured or modular
-. ,t, . ', , •,, rw' , ._ , ,. ... ,"= . .....Z..' dwelling service and or feeder 5 67
Business Name. CAPITOL ELECTRIC CO_, INC. Reconnect only $ 6784
Pump or irrigation circle S 67.84
Contact name: Gary Stelert Sign or outline lighting, ' $ 67.84
•- Signal circuit(s) or limited-
Address: 11401 NE MARX ST. energy pencil, alterations, or
extension. Describe. $ 75,00
City/State/ZIP: PORTLAND, OR 97220 - 1041 Pale
Each additional Ins action over allowable in any of the above
Phone: 503- 2654488 Fax; 603 257 - 7121 Per inspection S 65,25
lnvesti.bon • rhour 1 hr min _ E 66.25 r_
CCB Lie.: 48748 El- .. - :I Lit: 26 -496C Su. . Lie.: 3132 -5 • Indusnial dant r hour —�
Suprv. Electrician signature, requi —: s ` i:' r . x"�`��«. L" i�'1. ±��_._vC' ., .., . .:.etc,. — '; {. „
1 i� ' Subtotal
t [ r i o
Pont Name: Darrell Mc . Y.� a ate, . 03 .7/13 i tan review 25% of • rmit fee 1
Authorized signature: / State surcha • e 12% of rmit fee) $ 6.74
r _ TOTAL PERMIT liAMMEEEI
.
Pnnt Name: Darrell MCNea— Thin peraalt application expires Ire p.411114 rr not obtained within I
drys aver II Me been accepted m seraptrtc,
• tv of inspections per permit allowed.
t• tau 11dinaiPenniis1ELC- PmmiApp.doe tarol/eo 'I • 615711 roSrCOMlWEB