Permit y p CITY OF TIGARD ELECTRICAL PERMIT
S ' COMMUNITY DEVELOPMENT Permit #: ELC2013 -00274
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/14/2013
(
Parcel: 1 S135AB01003
Jurisdiction: TIGARD
Site address: 10300 SW GREENBURG RD 220
Project: Kelly Services Subdivision: METZGER, TOWN OF Lot: 9
Project Description: (4) branch circuits for TI
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
4 crt Branch Circuits wo /Purchase 05/14/2013 $78.44
Specifics: Service or Feeder
1 ea 12% State Surcharge - 05/14/2013 $9.41
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $87.85
• 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 j 9)2-001-0090. You -y obtain a copy of the rules or direct questions to OUNC by calling ' 503.232.1987 or 1.800.332.2344. �i
Issued By: A - - :.�_ Permittee Signature: ON APPL_1C41 Di , I
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.
05/14/2013 10:37 5032577121 CAPITOL ELECTRIC PAGE 02/02
c�l Permit A ilea ece ea c.701 f Permit no Ele e t c71 3 - 0,9;41,..„,
q 13125 SW Hall Blvd., Tigard, OR 97223
City of Tigard \ _ , ` iI 1 O Date/By: j / - f . 3
__ Plan Review go a-U l 3 - 00097
Other Permit; [J
1- ' Phone, 503.639.4171 Fax: 503.59>�, b 2 4 2093 Date/By
Inspection Line: 503.639.4175 Date Rcady /Dy: Juris: ❑ Sr e Page 2 far
T 1 r ; �\. R I7 Supplemental to a7 ma+iOn
Internet' www.tigard-or..gov CQ i ,� ®F TIG fl® Q Notified/Method
Y i T,k� y� �,p .,
❑ New construction 0 Addition /alteration /replacement
• ,� gi pp u.tl�.ps,, 44;vi, )9 /'�`� 'J f ¢hi , a5 nm' ,A M 1 t1 J1 :rJ. }�- :y+ �{,� ? "i' et4
cr. �W. �I. 2?_.... r �r t'4 rSG,,...... '�'lr.�' \�SAr:.1 .�L._��.4 --.. r -• ";{ .,v _..N )"...,t.. 5 .}F �f�.ta6'�t }j+Ifl ��.
Please chock 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
r ci'il r'3'J: ;)20 ;na41 R}_ -'ilig ==,-.�2; .a where the available fault current ❑ Marinas and boatyards
❑ I- and 2- family dwelling U Commercial/industrial [] Accessory building exceeds 10,000 amps at 130 volts or ❑ Floating buildings •
❑ Multi -famil ❑ Master Builder ❑ Other Less to ground, or exceeds 14,000 ❑ Commerdal-use agricultural
'•.k` rg i . .fl? ' . ,ia;; '= 1 J; 'jJo j � . , i,;y� ! ��t, l o � ia' tp ' �3,` rri. . , . _ Ni' amps for all other Installations, buildings
1 0300 SW Greenbu Rd ❑ Fire Pump ❑ Installation of 75 KVA or
Job no,: 131004 Job site address: ❑ Emergency system larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E", "1 -2 ", "1.3 ",
City /Slate/ZIP: Tigard OR 100NP or more. ❑ occupancy
❑ Six or more residential units ❑ Recreational vehicle parka.
Sliite/hldg./apt. no.: 220 Project name: Kelly Services ❑ Health faeilltiec ❑ Supply voltage for more than
Cross Street/Directions tojjobsite: d Hazardous locations 600 volts nominal.
❑ Scrvicc or feeder 600 am .s or more
Y, x , 'i ', sa,. z_V44.4; i r. 'µ ms r aw, t'7" X'i ;4,....
Subdivision: Lot no.: Description Qrv. F09 Total "
Tax ma• /•nrcel no,: New residential - single or multi- family dwelling unit
, ", - ` t ` ^ R 11Ss1 J.4W.? . Yw -4i VVtl .' "_ Includes attached forage.
'Pennant Improvement 1000 • , R. or less S 1138.64 4
Ea. Add'i 500 sq, ft or portion 5 33,92 I
-- ‘%1.1.17, a' ,5u , - a " tiles l w� ` -rfv'7, , ".'Ja!;L` ;.- , R''xr , .e'1'df'. 4 -: Limited energy residential
a �4f r"
(with above sq. ft 5 75.00 2
Name; Limited energy. multi - family
residential (with above sq. R.) $ 75.00 2
Address: Service or ftcder's ittsInllntion alteration, and/or relocation
200 amps or less I $ 100.70 2
City /$tate/7.TP: 201 amps to 400 amps 5 133.56 2
401 amps to 600 amps S 200,34 2
Phone: Fax: -
601 amps to 1000 amps 5 301,134 7 -
Owner installation: This installation is being made On property that I own which is not Over 1000 amps or volts $ 552.26 2
intended for sale. least, rent or exchange, according to ORS 447, 449, 670, and 701 Temporary services or feeders installation, alteration, and /or
Owner signature: Date: relocation
200 amps or less . 39.36 1
=� i�ldk'�.i iWg47 , ?p 1:1G1'r e '� ' - 201 amps to 400 amps S 125.08 2
401 amps to 599 amps $ 1158.54 2
Business Mune: Branch circuits - new, alteration, or extensio, per pond
A. Fee for branch circuits with
Contact name: service or feeder fee. each
branch circuit $ 7,42 2
Address; B. Fee for branch circuits
without service or feeder fcc.
City /Slate/7-IP: first branch circuit 1 $ 56,1a 56.16 2
Each additional branch circuit: 3 $ 7.42 22.26 2
Phone: Fax;
Mlscellancous (service or feeder not included)
Email; Each manufactured or modular
- a ,ett t„ .1" .: t•,J 4 ''> s + - ":' "".81:114 '!!tr rir rl;'„s •Su=n : rt dwellln', service and or feeder $ 67.84 2
Reconnect only S 67.84 2
Business Name: CAPITOL ELECTRIC CO., INC.
Pump or irrigation circle $ 67,84 2
—' Sign nr outline jghting , 5 67.84 ' 2
Contact name: John McNeal Signal circuit(s) or limited -
Address: 11401 NE MARX ST. energy pnnel, alterations, or
extension, Describe: $ 75,00 2
Page 2 a
CitylSCate1Z1P; PORTLAND, OR 97220.1041 Each additional inspection over allowable in on of the above
Phone: 603.266 -9488 Fax: 503 -257 -7121 Per inspection S 66.25
Investigation per hour (1 hr min) 5 66,25
CCA Lie,: 48748 lElcctrical Lli 6-496C ISuprs. Lie,: 132 industrial •last • r hour S 78.18
Suprv. Electrician signature, required: it' Subtatnl 5 78,44
Print Name: Darrell t : 05 1 13 Plan review (25% of permit fee)
State surcharge ( 12% of permit fcc) $ 9,41
Authorized signature: TOTAL PERMIT FEE, .. $ 87.85 '
Print Name: O0 eel Thin permit nppllcnlioa aspirre Ira permit Ii net oblcinerl within 1511
chum After It ha. been nrrnpretl III complete.
• Numbs orMCI:Morinn. per permit allowed.
T : \nuilAingiFermiS'ELC-PcrmilApp dm 10 /01/09 4404915Th II /05 /COM/WES
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10300 SW GREENBURG RD 220, TIGARD, OR,
97223
Commercial - Electrical
130 Ceiling cover
06/11/2013 00:00
ELC2013-00274
PASS
Violation Summary:
Inspector Contractor