Permit CITY OF TIGARD ELECTRICAL PERMIT
- COMMUNITY DEVELOPMENT Permit #: ELC2013 -00336
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/18/2013
Parcel: 25101 DD00100
Jurisdiction: Tigard
Site address: 7000 SW SANDBURG ST
Project: Pape Subdivision: TECH CENTER BUSINESS PARK Lot: C
Project Description: (2) 200 amp service and (16) branch circuits for TI.
Contractor: INDUSTRIAL COMMERCIAL ELECTRIC COMPANY Owner: TOOKE, DIAN P
29030 SW TOWN CENTER LOOP E, STE. 202 PAPE', TERRANCE E
#159 355 GOODPASTUREISLAND RD
WIILSONVILLE, OR 97070 ' EUGENE, OR 97401.- - • -• • • -
•
PHONE: 503 - 981 -2383 PHONE:
FAX: 503 - 981 -0053
FEES
Quantity Description Date Amount
2 ea Services or Feeders - 200 06/18/2013 $201.40
Specifics: amps or less
16 crt Branch Circuits w /Purchase 06/18/2013 $118.72
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 06/18/2013 $38.41
Electrical
Type of Const:
Occupancy Grp:
Total $358.53
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 OAR 9 0 - 90. You may obtain a copy of the rules or direct questions to OUNC by calling 501232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: 0 (// Lye e
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.
JUN-17-2013 11:39 AM IC 5039810053 P. 2
Electrical Permit A HA( (H.I'll •r: IN.: ON i.,.
EIVED
City. of Tigard ' JUN 1 I Received I_Ar a , i.-- ,or Permit NO.; e_zeg,7407.3 -00.33 4
11 .---- 13125 SW Hall Blvd., Tigard, OR '97243 °. 2013 Dataav: w
Plan Review • ________
' I I . Phone: 503.718.2439 Fairv64 Date/By; °the:Perm
-
1 i...,.I.I, Inspection Line: 503.63WN v
1 r 1 /GA RD _ Date Re luit
ady/By: CI See Page 2 for
Interne www.ligard ,, . Notified/Method; ile,
Supplemental Information
co It 1.1 .. if : i sa 1
::..U:ki:ONORMEMZ.:7;i7i:17i=ifilik`::C," 21i al:-;11NOWL7:15IMZ '!;ti:.-`
1:3 New construction '.2 Addition/alteration/replacement Please check all that apply (submit 1 sets of plane w/items checked below);
0 Service or fbeder 400 amps or more 0 Building over throe stories,
E Demolition . Ei Other: where the a as vailable fault current 0 Marin and boatyards.
w itimirmargcM7.:.77 . TN* its ..: ...,,:: , 4, exceeds Imo amps at ISO volts or izi Floating buildings,
less to ground, or exceeds 14.000 D commerow-use agricultural
0 1- and 2-family dwelling St Commercial/industrial 1:1 Accessory building amps for all other installations. buildings.
0 Multi-family 0 Master builder EI Other: I:I Fire pump, 0 installation of ISO KVA or
s larcr g separately derived system.
7F: a'Z' E E
ono load of 0 - A" E -3",
100HP crr room occupancy
Job no.: Job site address: 7 .. 2. borr5 S ir
E3 Six or more residential units, 12 Recreational vehicle parks,
City/State/ZIP: -- rcejf - ci l 1 C30 " CI Health-care facilities, 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal,
Suite/bldg./apt. no.: Project name: ae - 0 Service or feeder 600 amps or more.
7 k 1t1/21,41tv irpga til l i ZiMingragEINE . '
Cross street/directions to job site:
Dominttoo cze. Fee. Total •
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1.000 sq. ft. or less 168.54 4
Ea. arld'I 500 sq. ft. or portion 33.92 i
Tax map/parcel no.:
Limited energy, residential
75.00 2
#M,! (with above sq. ft.)
Limited energy, multi-family
residentwith nbov 75.00 2
Renewable EneW 1:1 See Page 2
■ • 4. ...
trtot , ,. Services or feeders Installation, alteration, and/or relocation
7
2. 100.70 241.40 2
Kffligffl-iku 7 M 1 M 71 ,10SNAIMIL4: i ili,..f il‘;. ""mPs °I 11355
201 amps to 400 amps 133.56 2
Name:
401 amps to 600 amps 200.34 2
Address: 601 amps to 1,000 amps 301.04 , 2
_
Over 1,000 amps or volts 552.26 2
City/State/ZIP:
- Temporary services or feeders installation, alteration, and/or
Phone; ( ) Fax: ( ) relocation
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 I 25.08 2
intended for sale, lease, rent, or exchange, according to ORS 447. 449. 670, and 701.
401 amps to 599 amps 168.54 2
Owner signature: Date: . Rrancb circuits - new, alteradon, or extension, per panel
' ;R.-4 . 1 . ,...M . E_':aVialgaigai n q7ZWr ai :EZZION A. a F b ee ov f e Or se h m ran ce ch o c r i f rc r w r.
ee u de iti e lt e h 14)
7.42 44, 51. 2
r=r1MENEFI. 1414711ME RM I NIIM......-___ .. . imin B, Fee bil without
s rvice Or feeder fee, first
Contact It-- - : f 0,. 774 ISIMPI b ° . 56. I it 2
ranCh circuit
Addref182650 r -- '
AL_-.111117110131 Each Wail branch circuit 7.42 2
. -
Miscellaneous (service or feeder not included
City/State/ . • 1
." - . i• t, COMIPIV Each manufactured or modular
67.84 2
dwelling. service and/or feeder
Phone: ( 0$ )%1121,,3S Fax: : ... • 1 : k - COS,
Reconnect only 67.84 1
....._
E-mail: • el,'S i C . 1, - - ki LL. , - rh Pump OT irrigation circle 67,84 2
.EINOT.,W.:115 :•37 MifilE.':::- .i'.1iiteL: ......'l..,ii!.. sign or outline lighting 67.84 2
Signal circuit(s) or limited-energy See
panel, alteration, or extension, Page 2 2
Address:1030 e 11„phet ( ,...-- . St.3; 20 li _ IS Each additional inspection over allowable In anuf the above
. Additional inspection (I hr min) 66.25/ hr
City/State/ZIP.: ‘.0,..)/1, l 0 & Investigation (1 hr min) 66.25/ hr
P one: () ) • s• 1 -2. . • )• i:Z‘ -ez g Industrial plant (1 hr min) 78.18/ hr
...-
P . Inspections for which no fe is
i
CCI3 Lic.: 1 Electrical Lic.. G5 . 2„, Suprv. Lie.: f' q 5 s•- ificall listed A hr min 90.00/ hr
• --
Suprv. Electrician Siggierl, ltquired: Cr" Ngylc
Subtotal: i_li , 1:7_, nil ,,
e Plan review (25% of permit foe) ow a
Print name: C G v ,z, (x. Date: L IT 1 ‘ 5
State surcharge (12% of permit fee): ‘ 1 ?1 I
Authorized signattlfe: ;1/9 ___ : /
TOTAL PERMIT FEE: , 1 13
-
„,
Print name: -- „i G 1,, Date: ( ii 1.1 1 3 This permit application expires If is permit is not , . &Jong! within 180
days after it has been accepted as complete.
' * Number of inspections allowed per permit. 43
1!1BuildingTermlonELC_Permit App. PLR_ERE doe Rev 05/21/2013 440-4615M1/05/COM/WEB 3 i
JUN -17 -2013 11:38 AM ICEco 5039810053 P. 1
Inc INDUSTRIAL COMMERCIAL ELECTRIC COMPANY
C E co 28030 SW Town Center Loop East
� tn Suite 202 #169
C LLC1RI CAL CONTRACTOR Wilsonville, OR 97070
FAX 603.661 -0063
FAX
Date: (4 V r J
To: Cd(J . pP c - qr=1 From: Industrial Commercial Electric
Attn: .irmn - Phone: 503 - 981 -2383
FAX: 1e)3 - 9'1% too FAX: 503 - 981 -0053
Phone: 5c)'3 - -1$ - 2.x'301 Pages: Z.. (Including this one)
Notes: ? � back om e.rrh.�- glow
(2;s Cf., 'I I Ce) cc .Lk Goa -1<6 1 `1393
Industrial Commercial Electric Company
OFFICE 503 - 981 -2383
CELL 503 -991 -6363
mical-t@icecoelectric.com