Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2013 -00346
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/25/2013
Parcel: 2S113BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 115
Project: Davidson Benefits Planning Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: (11) branch circuits for TI for new tenant.
Contractor: WILLAMETTE ELECTRIC INC Owner: PORTLAND SW CENTER LLC
PO BOX 230547 BY FELTON PROPERTIES INC
TIGARD, OR 97281 ATTN: FELTON, MATT
520 SW 6TH AVE, STE 610
PORTLAND, OR 97204
PHONE: 503 - 624 -3631 PHONE:
FAX: 503 - 624 -2938
FEES
Quantity Description Date Amount
11 crt Branch Circuits wo /Purchase 06/25/2013 $130.38
Specifics: Service or Feeder
1 ea 12% State Surcharge - 06/25/2013 $15.65
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $146.03
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- , 4 4 i '090. 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: / A14 / %/L Permittee Signature: ./ /9-20 e.- /' i77O
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 603.639.4175 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.
06/24/2013 MON 10:06 FAX 5036242938 Willamette Electric W.1002/00_2_
Electrical Permit Ap iR (4 t4 o • V , ! , ' FOR OFFiCE'USE ONLY
-•. am-. ■..• Received
City of Tigard Date/By: ' Permit No.: 62 ,j 403
• 13125 SW Hall Blvd., Tigard,pi i 94 1 2 013 Plan Review / //3 , / { p
. ' Phone: 503.639A17] Fax: `5► .98'10 Date/8 ; Other Perm'
TIGARl7 Inspection Line: 503 OF TIGAR Date Re l ur i d See Page 2 for
Internet: www.ti g and - or. Notified lMethod: 7 Supplemental Information
. %1ILUQ tr3RKd S 1 O f `f LA'N- JttotW ,
❑ New construction CiT 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.
lAT1i+.iG.O77 ,0 ; ,CUNSTRI7GThON exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations buildings.
❑ Multi- family ❑ Master builder ❑Fire pump.
❑ Ot her: ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
'' 'SITE . Ztolikt#0/4 A` :_lfOCATIOIV ['Addition of new motor load of
larger separately "1-2", ,.1 -3..
]00HP or more. occupancy.
Job no.: B2-,3 f Job site address: '� 5 Ai � / ' 0 Six or more residential units. ❑Recreational vehicle parks.
— ❑ Healthcare facilities. ❑ Supply voltage for more than
City /State /ZIP: / ` 0
I C C 4 ❑Haurdous locations. 600 volts nominal,
Uri t . no.: 7 td ./a /1 / ❑ Service or feeder 600 amps or more.
g P ro J act name: i> Ur'v;S� n �r r� P �` / T� : -. PEE SCPIEDULE '
Cross street/directions to job site: Description i Qty. I Fee. I Total r
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. R. or less 168.54 4
Tax map/parcel no.: Ea. add'I 500 sq. ft. or portion 33.92 I
Limited energy, residential 75,00 2
'DESCRIPTION OF' WORK• (with above sq. ft.)
•
Limited energy, multi- family
f _ ' Q residential (with above sq ft.) _ 75'00 2
C 1 4.,),7 _/ -. - 1l / ✓e v-,-, T Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
0 PROPERTY OWNER I ]., TENANT , 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name: 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: ( ) I Fax: ( ) 200 amps or less 5936 1
201 amps to 400 amps 125.08 2 '
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
APPLICANT above service or feeder fee,
❑
'❑ CONTACT .PBRSON 7.42 2
each branch circuit
B Fee for branch circuits without
Business name: service or feeder fee, first / 56.18 / f ' 2
Contact name: branch circuit - �
Each add'I branch circuit /e/ 7.42 ')y 7.+' 2
Address: Miscellaneous (service or feeder not included) _
Each manufactured or modular 67.84 2
City/State /ZIP: dwelling, service and/or feeder
Phone: ( ) I Fax: : ( ) Reconnect only 67.84 2
E -mail: Pump or irrigation circle 67.84 2
Signor outline lighting 67.84 2
CONTRACTOR _ Signal circuit(s) or limited - energy
Business name: Willamette Electric Inc. panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: P.O. Box 230547 Additional inspection (1 hr min) 66.25/ hr
Investigation (I hr min) 66.25/ hr
City/State /ZIP: Tigard, OR 97281 Industrial plant (1 hr min) 78,18 / hr
hone: (503) 624 -3631 Fax: (503) 624 -2938 Inspections for which no fee is 90.00 / hr
specifically listed (%a hr min)
bl CCB Lie.: 75059 Electrical Lie.: 34 -283C Suprv. Lie.: 4226 -5 , - __. , " ''ELEOPRiaL_PE4 MIT.'' IS - -. - -: - ' . •
Subtotal l' '� U ��`
Suprv. Electrician signature, requY Plan review (25% of permit fee): _
Print name: David Fife Date• _ State surcharge (12 %ofpermmit fee): /5 ' 6-� /
TOTAL PERMIT FEE: / C 3- ✓
Authorized signature:
This permit application expires if a permit is not obtained within 180
Print name: Date: • days after it has been accepted as complete.
Number of inspections allowed per permit.
1 \Building\Permita\ELC- PetmitApp doe 07/01/10 4404615T(11/05ICOM/WEB