Permit CITY OF TIGARD ELECTRICAL PERMIT
514- 0 , COMMUNITY DEVELOPMENT Permit #: ELC2013 00448
Date Issued: 07/30/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 7/30/2 A01800
Jurisdiction: Tigard
Site address: 10160 SW NIMBUS AVE F8
Project: Spec Space Subdivision: IKOLL BUSINESS CENTER, TIGARD Lot: 2
Project Description: (1) branch circuit for replacement of 5 -ton RTU with like kind and curb adapter.
Contractor: CAPITOL ELECTRIC CO INC Owner: HANSON, RONALD D
11401 NE MARX STREET ROBINSON, CONSTANCE A
PORTLAND, OR 97220 ROBINSON, CHESTER TRUST ET AL
203604 EAST FINLEY RD
KENNEWICK, WA 99331
PHONE: 503 - 255 -9488 PHONE:
FAX: 503 -257 -7121
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo /Purchase 07/30/2013 $56.18
Specifics: Service or Feeder
1 ea 12% State Surcharge - 07/30/2013 $6.74
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $62.92
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: Ore gn 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 0 952- -009 . 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:
® Ar C eY
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.
07/29/2013 10:04 5032551%6 CAPITOL ELECTRIC PAGE 01
Electrical Permit Apoli ;k `i t „' i E1 ' 1.-(w OFFICE l_ISF.ONLY
City of Tigard 1 L D ;; ° 7 3 . '". PcrmitNo /3 -0O /,'
Ili 13125 SW Hall Blvd., Tigard, OR, 9 2 Rhin Review
0. Phone: 503,71.8.2439 Fax; 503)08.199 20 DudB : Other Permifra2,043_d03
T t %r A R D Inspection Line: 503.639.4175 Date Rcadymy: Juri3: /� 65 See Page 2 for
Internet; www.tigard- or.gov CITY OFTIGARD Notlfed/Method: l3 Supplemental Info rmntion
.+ n, .,, wt" --a w n z Mi1" p, •'.". • , •'er t .• i '.'IS". 1 i[ 'dn`. NAbr;!"' `{ .. ,r.i. Y•rf.�.:.4. w , r. . , 7.7.1. '.'tit" .. tn, Lt• , "° . . r•a� i," 'mrx i . +i 'f - . � " . w -1. •,. - • • � S , ,.,'
Ncw co n struction Please check all that apply (submit 2 sets of plans w /items checked below):
❑ ® Addition /alteration /replacement
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current C1 Mnrinnn and bontynrds,
� , � ,,,,,� : ;. , wr p`� ,, ° ," ° ' ,� t: , ,• exceeds 10,000 amps at 150 volts or El ,
Floating baildintR
- " t"'=ti i �" � " 1 " 4-4 * . _ ma . . 1,0, �" . y `' i lets to ground, or exceeds 14,000 ❑ Commercial -use agricultural
0 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for NI ether Installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ rim pump, ['installation or 150 KVA or
r, " _ - M , g Emergency syst larger separately derived system.
114+ ' y��
tp' w M� :fW' ",�,u «cf n ,j=Er, 1: e ^"a i i r e.Qi .:..IF. W '2 " 71' ' '.!.v., n. ,'t= , l ^ r{ 4 .F-: t!> Addition of new motor land or ❑„A,. „E- .,1- 2, - °1.3•
Job no.: 131382 Job site address: 30160 SW Nimbus Ave 100HP or more. occupancy.
❑ six or more residential units. ❑ ReereMiennt vehicle parks.
City/State /ZIP: Tigard, OR 9722 ❑ 11anith -ones facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Bldg Fr eject name: BLDG F BTU #8 ❑ Service or feeder 600 amps or more.
Cross street/directions to job site: Scholls Business Center ,. -' 1'.� s r " " .
! lh,erlptVnn Qty. Fee.
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Scholls Business Center ---- Lot no.: 1,000 sq. ft, or Ices 168.54 4
En, ndd'I 500 sq. R. or portion 33.92 I
Tax map/parcel no.:
Ire ,4r •, a.. 4e .,,, + � -.�... roiled energy. residential 75.00 2
r4 l4 1 c ±.... 1 r~ ,, -. 1 ru d � _ e .'. ,� � .. .. `* ., ,, (with above M. R.) ,
Replace RTU #$ Disconnect
Limited e e multi- family 7500 2
P residential tial (with above sq. ft.) _
Rene'wa'ble :Ehetgy, .. :❑:See Page 2"
Services or feeders installation, alteration, and /or relocation
` l -- • e n J, t'e. R A-a +1 - 4.¢im rl �l: l'417,- . � p, � �' �' , r a ,_ , r t . . �, 200 amps or less 1(1(1,7n 2
{, { t,' '� : Vi a'- i - 1 � ... ."R f9-'. i::-'+ �� a ..
201 amps to 400 amps 133,56 2
Name: 401 amps to 600 amps 200.34 2
Address: 601 amps to I ,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: ( ) I Fax: ( ) relocation
200 amps or less 59.36 1
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
Owner signature: Date: Branch circuits - new, alteratio o r extension, L►etp►ancl _
,a; ibar c F .�,p , i; ,• Cr = rr , i a p wr' , , 7R+ a A. Pee for branch circuits with
.,iw "G. , ;, N i i - rr , A '' a 44 v t ,M it a� ....1 2. ,. r o {.1 shrove crmeo f f
„ ; '" " `°I ' : �" � a r r ceder cc,
13uginesS name: Capitol Electric Co -, inc. each branch circuit 7.42 2
B. Foe for branch circuits without 1 56.18
Conl.act name: Gary Steicrt service or feeder ibe, first 56.18 2
branch circuit _ _
Address: 11401 NE Marx Each add'I branch circuit 7,42 2
City/State/ZIP: Portland, Or 97220 Miscellaneous (service or feeder not included)
Each manufactured or modular
67,84 2
Phone: (503) 255 - 94888 I Fax: ' (503) 255 - 1966 dwelling, service and/or fccdcr
Reconnect only 67.84 2
E gary@ccpdx.com Pump or irrigation circle 67,84 2
' 7..+ w w ,
w, t a, rS E q ' r . 1 0 w .+s ti 4∎4' !1.• , v y .-
. _ 1: ,:�twr• +,S,�R .�,., ¢a�, •�;yr,;. -..,...._ Cr _ -�F�...,:r�rn � ,� Xa1 :., Sign or outline lighting 67.84 _ 2
Business name: Capitol Electric Co., inc. Signal circuit(s) or limited- energy See
panel, alteration, or extension, Psgc 2 2
Address: 11401 NE Marx Each additional Inspection over allowable in any of the above
City/State /ZIP' Portland, Or 97220 Additional inspection (1 hr min) 66.25/ hr
Investigation (1 hr min) 66.25/ hr
(503 - ) 255 - 9488 Fax: (503) 25 1.966 Industrial plant (1 hr min) 78.18 / hr
/ Inspections for which no fee is Qq QO/ hr
/ ione:
CB Lic.: 48748 Electrical Lic.: 26-496C Su tv. Lic. 3132 - vpccifi I
p enlylisted()i
Suprv. Electrician signature, required: 1,164.- / " z a t Subtotal: a : 566 6t' "1 �5c'ir�`
.18
Print name: tilVaftk VA C-Met Date: 7/29/13 Plan review (25% of permit fee): 0
State surcharge (12% of permit fbc). 6.74
Authorized signature: ' .� ' � ` ..A.: TOTAL PERMIT FEE: 62.92
I � This permit application expires If a permit is not obtained within 180
Print name: a-tto\1 („ 1 ?....ej Date: 7/29/13 days after It has been accepted as complete.
Number of inmpcctinmm ntlnwad per permit.
1'fluildingWermil, \GLC_PoreMApp ELR,t;RE.tloc Rev 05rlt/2n13 40-4613T(1I /OS /COMIWEB