Permit CITY OF TIGARD ELECTRICAL PERMIT
• it COMMUNITY DEVELOPMENT Permit #: ELC2013 00435
T f GAAO 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/25/2013
Parcel: 25101 DC04000
Jurisdiction: Tigard
Site address: 7550 SW TECH CENTER DR 230
Project: Gensco Subdivision: TECH CENTER BUSINESS PARK Lot: A
Project Description: (2) branch circuits for lighting upgrade to warehouse and office
Contractor: CAPITOL ELECTRIC CO INC Owner: WALTON CWOR SOUTHWEST 12 LLC
11401 NE MARX STREET BY CTMT - WALTON RE TAX
PORTLAND, OR 97220 4678 WORLD PARKWAY CIR
ST LOUIS, MO 63134
PHONE: 503 - 255 -9488 PHONE:
FAX: 503 - 257 -7121
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo /Purchase 07/25/2013 $63.60
Specifics: Service or Feeder
1 ea 12% State Surcharge - 07/25/2013 $7.63
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $71.23
• 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 a • • - • - 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. AT - TION: Oreg•• law .•uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -'4010 through OAR 9 -' '1-009', You may obtain a copy of the rules or direct questions to OUNC by ca ' 1987 or 1.800.332.2344.
Issued :y: ' - • 1 ��� ' Permittee Signature: L «�
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' 4111111160_ i ✓r diff/g Date:
LICENSE NO.
Call 503.639.4170 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.
07/24/2013 10:54 5032551966 CAPITOL ELECTRIC PAGE 02
Electrical Permit Application RECEI V _ cccrve� i'U►t OI rI( u: I '.,,I O \ I,1
City of Tigard
Dumm 7 55 04 Permit no.: ELC to l3-00
" 13125 SW B 2013 all Blvd., Tigard. Oft 97223 JUL 2 4 Plan kevic Ow�3 ^�� 3 S
111 ~ _ - Phone: 503.539.4171 Fax: 503.598.•1960 Date/By: Other Permit:
.L I r�,., R n Inspection Lb*: 503.639.4175 CITY �Tf OauReedy/By, luris: ❑
GARD
Internet: www.tigard-or.gev V atrf
EXIDING DIV it N t��� men ` � ya an rnt>;t
,� t�
;15417:24707 a
) r �Y: '1:^, E.7-� T L- _ • Y . �. 1�.F.,r -r
e a se ch e ' k ' l ( s e t s f l lad' + +? + b el o w ;, ,
❑ New construction ID Addition /alteration /replacement
❑ Demolition Please Check alt lhet apply {submit 2 Seta of plena w /Items checked below);
❑ Other ❑ Service or feeder 400 amps or more 0 Building ver three 1 ;l 7117 fir.- -�; f�L i. a" ,, , n :',,Z .0..:';',', 1T z - ..U..� 7. ,` ;, l et where the available fault current 0 roe stories
0 1 and 2- family dwelling Q Commercial /industrial
❑ Accessory building exceeds Marinas and buildings
MS
❑ MUlli•feln Il ❑ Master Builder ❑ Otl>M, eda 10,000 amps tit 150 volts Or ❑ Floating bulldings
° � n`ji 0 Builder
Dc'-''' sa' C 2 , A°iJ' a�' a�' +72-1? :za72 i r d lase mAround, er ❑ Commercial-use agriculture!
art` - G= � - . F i;'f. amps for at other installations. buildings
Job no.: 131188 Job site address: 7550 SW bath Center Dr ❑ Fire Pump 0
installation of 75 KVA or
❑ Emergency system larger Separately derived system,
❑ Addition of new motor load of ❑
City/State /ZIP; Tigard, Or 97223
A E" "1.2", "1 -3
II 100HP or more, 0 occupa
Su /apt, no.: .-30 IPmlect name: Goneco Lightin U pgra d e - ❑ Six or more reslaontlel units 0 Recreational vehicle parks,
II
Crass Street/Directions to job site; ❑ Health -care facilities ❑ Supply voltage for more than
❑ Hazardous locations 600 volt nominal,
— Subdivision; 0 Service or feeder 600 am • s or
mo
SW Commerce Park 1 Lot no.: :`7'fi ; ::: M mss — - -- �,
Tax inn • eel ne.:
Description
ic. 7- L tee z A a ..
_ QV• Ft Toinl_
"7 ; ��' ; T rsld r �rn; :. 1 1 ,� y r- :; � � I New-residential - single or multi = family dwelling unit, ••
Lighting upgrade to Warehouse and office area { includes attached garage
1000 sq. ft, or lass
��r r11 ;_ i "i�r1 ��"—[ �° �.. _ `1 " , ' Ea. Add1500 S f t �— S 163,92 4
g l e or portion $ 33,92 ~
� . �..i �;:,: ,, fr.1 F+ : Limited energy residential
, i —
Name: (with above eq. ft.)
5 75.00 2
Address; —__' _ Limited energy, multi - family
residential (with above sq. ft.) $ 75.00 2
Service or feeders Installation, alteration t an d /or relocation
City/State /ZIP: '
--- 2nD amps or less
5 100.70
201 amps to 400 amps 2
Phone: Fax 401 amps to 600 amps S 13 3 5G ` 2
601 amps to 1000 amps $ 55 0 4 2
Owner installation: This installation is being made on property that I own which is not — ,2 2
intended for sale, lease, rein or exchange, according to ORS 447, 449, 670. and 701 Temporary Over 1000 amps or volts $ S 3522,
—
Owner s ignature: services or feeders installation, alteration, and/or
552,26 2
Date; — relocation
atloa
as ? r:; at r, "'_"s 200 am or less
t .l. L �{r c r, �; .,-, ` , , ; :'• ,. T ^ :, :.,, a . ;: .il ' : ;.: 201 amps to 400 am S 59,36 1
Business Name: Branch ci40► amps to 599 amp _ $ 1 68.54 2
rcaits - n $ 168.54 2
—
Contact name: new, or Citelrcl0n. per ?antl
A. Fee for branch circuits with
service or feeder fee, each
Address; branch circuit
City /State/ZIP:
B. Fcc for branch circuit 5 7.42 I 2
without service or feeder fee.
first branch circuit ' 1 S 56.18 66.18 2
Phone Fax: Fach additional branch circuit:
1 S 7.42 7.42 2
Miscellaneous (service or re
E-mail, realer not intende
`. E 4":. w T� °,f irs i y ,.. ;— .7C ^ y Each manufactured or modular
-1 ►`! a. y .... l�- 7 , °'' `r^ ' .',r dwcllin service and or feeder d
Business Name: CAPITOL ELECTRIC CO., INC. �, -,a; $ b7.84 2
Reconnect one S 67 B4
Pump or irrigation cirol 2
Contact name; Gary Staled
or nutllee _lighting S 67,x4 2
Sign c itcui t( g) or limited -energy . S Sec a
Address: 11401 NE MARX ST. anal, altcrs or extension.
Page 2 2
Each additional inspection over allowable m an of the ebovc
City /State/ZIP; PORTLAND, OR 97220 - 1041 Additional i • on I hr min
Investigation (1 hr min) 6 625 / hr
Phone: 503 255.9488 Fax: 603 - 257.7121 Industrial plant (1 hr min) _
inspections for which no fee is 70.18 /hr
CCB Lie.: 48748 Electrical Lie.: 26 -4960 Su•rv. Lie,: 3 / 90.00/ lir a s ificall listed I/2hrmin
Suprv. Electrician signature, required: r--- --
Print Name: • � �'-� I �� ��e p ; .:' -?�`r r ` 't :1, ? ". W' 72,:i .J° ^ .
_ ri1 r r:;l �6
11 Mct vt�f Date: 07'2 , ;J:
Plan review (25% ofpetTnit tie Subtotal: $ 63.60
Authorized signature: 1 / Al — ) .
: $
Print Name: /'�( State surcharge (12%ofpermit fee) 7.63'
Da II McN TOTAL PERMIT FEE $ 71.7$
This Penns! appnentlon expiree Ira Alarm{ hi not obtolnrd within lea �, /
da after It has boon accepted os templet. 1 p / /�'�
• Number of irmsetion, per permit snowOd.
t eitdinernnitel0LC- PormrtApp,doo 10/01/no
44 04015TO 1109 /COM/wea