Permit 11 CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
r " . COMMUNITY DEVELOPMENT Permit #: ELR2013 -00127
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/11/2013
TIGARD Parcel: 2S 113BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 350
Project: Logs Network Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: Data telecommunications for TI
Contractor: COCHRAN INC Owner: PORTLAND SW CENTER LLC
7550 SW TECH CENTER DR #220 BY FELTON PROPERTIES INC .
TIGARD, OR 97223 ATTN: FELTON, MATT
520 SW 6TH AVE, STE 610
PORTLAND, OR 97204
PHONE: 503 - 234 -6564 PHONE:
FAX: 503 - 238 -2098
FEES
Description Date Amount
Specifics: Restricted Energy Permit 06/11/2013 $75.00
12% State Surcharge - Electrical 06/11/2013 $9.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio & Stereo: N Boiler Controls: N
CCTV: N Clock Systems: N
Data & Telecommunications: Y Fire Alarm: N -
HVAC: N Instrumentation: N
Intercom /Paging: N Landscape /Irrigation: N
Landscape Lighting: N Medical: N
Nurse Calls: N Protective Signal: N
Security Alarm: N Other: N Total $84.00
Other Desc: 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 01 -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: Permittee Signature: 0A/ 4 l'e_`/ ? ` 0
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 603.639.4176 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 RECEIVED E 10:53:12 06 -06 -2013 1/3
Electrical Permit Application FOR OFFICE USE ONLY
ii
City of Tigard JUN 0 06 r J Received
IN - t� g / Permit No
° 13125 SW Hall Blvd., Tigard, OR 97223 ���pj�) Plan Review
Phone: 503.7182439 Fax: 503.5 114OF Da teal: Other Permit:
TIGARD
Inspection Line: 503.639.4175 RULDINGDIVISION Date Ready /By. RI See Page 2 for
Internet: www.tigard or.gov Notified/Method: IMII Supplemental Information
• TYPE OF WORK • PLAN REVIEW
❑ New construction Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current
❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
IM less to ground, or exceeds 14,000 ❑Commercial -use agricultural
El 1- and 2- family dwelling Il Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately derived system.
• SO ❑ Addition of new motor load of ❑ "A" "E' '•1 -2" "1 -3"
Job no. ?m�+ o � J o b s address: � ^/(aZ5 ' hAm i00HP ormore. occupancy.
{ u P ❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: - 1 - r ft C:3 2.. C� '1 Z2 ❑ ❑ Health-care facilities. ❑ Supply voltage for more than
` L I Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. 0.: ' �n _ roject nam • -; - - 0 Service or feeder 600 amps or more.
{J�j� FEE SCHEDULE
Cross street/direction I e: ..51A) u N "k C 1\CYA ' S,) 710 1\ V'. n pdon I Qty. I Fee. I Total I •
,
G. New residential single- or multi - family dwelling unit.
4.0 CT.
( 6 - e ,€,k_ Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
tnst fve k3 .vo l e o . i, oprr-w+•• Leo V o \4AleL C iso 11 n 6 residential (with above sq. ft.)
0 Services or feeders installation and/or relocation
(`O heu� -- .5ui *4- lermtnf4T� I V\ ="1 ` - \osG.i- 200 amps or less 100.70 - - 2
lail PROPERTY OWNER _ ❑ TENANT 201 amps to 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: ( ) Fax: ( ) 200 amps or less 59.36 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, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT I W.hCONTACT PERSON above service or feeder fee,
7.42 2
each branch circuit
Business name: Cinch r n B. Fee for branch circuits without
service or feeder fee, first
56.18 2
Contact name: 1\.e t•c. . v\.•e...l rV 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: ,5 ), 3 7 CI (4 , 3 Fax: :9/ l) z65 Tzji Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E - mail: t a,,e c...„cpc_k f'q v- ..i f\c C- Q tfT1 Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s) or limited-energy ,
Business name: COCHRAN INC panel, alteration, or extension. Page 2 7 2
Each additional inspection over allowable In any of the above
Address: 7550 SW TECH CENTER DR. SUITE #220 Additional inspection (I hr min) 66.25/ hr
Investigation (1 hr min) 66.25/ hr
City/State/ZIP: TIGARD OR 97223 Industrial plant (1 hr min) 78.18/ hr
Phone: (971) 205 -4242 y Fax: (971) 205 -4268 Inspections for which no fee is
/� specifically listed (h hr min) 90.00 / hr •
CCB Lic.: 72942 Electrical Lic.: 37546C r O s_
uprv. Lic.: 34475 ✓ - _.. . ELECTRICAL PERMIT FEES .
G20 Suprv. Electrician signature, tryuired: \ Subtotal: $
Plan review (25% of permit fee):
Print name: KENNETH TO Date' ' /� State surcharge (12% of permit fee): q 8o
lQ -'(D -/S--
TOTAL PERMIT FEE: 04'• at'
Authorized signature:
NB� �� This permit application expires if a permit is not obtained within 180
1 111t days after it has been accepted as complete.
Print name: Ian f0 4 , \ Date: & — t .. /� • Number of inspections allowed per permit
VluitdinsV'eemits1ELO•Permit .doc 07/01/10 R 440.4615T(11/05 /COM/WEB
01 10:53:35 06 -06 -2013 2/3
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined .. $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918 309 - 0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
y i_Data Telecommunication Installation
❑ Fire Alarm Installation
El HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems: 1,
*No licenses are required. Licenses are required
for all other installations
Muadi P miL \Erc- Pem&App.eoc 07i01n0