Permit CITY OF TIGARD ELECTRICAL PERMIT
111 q COMMUNITY DEVELOPMENT Permit#: ELC2013 00516
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/29/2013
Parcel: 2S 101 AA09100
Jurisdiction: Tigard
Site address: 12447 SW 69TH AVE
Project: Capitol One Subdivision: WEST PORTLAND HEIGHTS Lot: A
Project Description: Office furniture restack, 1st&2nd floors,(40)branch circuits and low voltage for data
Contractor: COCHRAN INC Owner: TIGARD CORPORATE CENTER LP
7550 SW TECH CENTER DR#220 15325 SW BEAVERTON CREEK CT
TIGARD, OR 97223 BEAVERTON, OR 97006
PHONE: 503-234-6564 PHONE:
FAX: 503-238-2098
FEES
Quantity Description Date Amount
40 crt Branch Circuits wo/Purchase 08/29/2013 $345.56
Specifics: Service or Feeder
1 ea Signal circuit or Limited 08/29/2013 $75.00
Type of Use: COM Energy Panel
Class of Work: ALT 1 ea 12%State Surcharge- 08/29/2013 $50.47
Electrical
Type of Const:
Occupancy Grp:
Total $471.03
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTE N: OregQn law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR•952-001-00 through OAR$ 2- - 09 . You may obtain a copy of the rules or direct questions to OUNC(by_ - g-503.2'2.1987 or 1.800.332.2344.
Issued By: Permittee _
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' � t� Date:
LICENSE NO.
Call 503.639.4175 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.
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•
Electrical Permit ApplagiZE CEIVED FOR OFFICE USE ONLY .„•
Cl of Tigard Received �yMI��/ L'�C O/p1��` /
`,r g Re eiv : b i Permit__0.: C, �J
. ° 13125 SW Hall Blvd.,Tigard,OR 97Rpr, 2 7 Plan Review
Phone: 503.718.2439 Fax: 503.59 . L 20 3 DateB: Other Permit:
TIGARD' Inspection Line: 503.639.4175 Date Ready/By: Jam: ® See P2 for
rormation
Internet: www.tigard-or.gov ����CTT��IrrT��YOFTIGARD Notified/Method: Supplemental
TYPIa-'ORialik J DIVISION . . PLAN;REVIEW
El construction g Addition/alteration/replacement Please check all that apply(submit lsets 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.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑ 1-and 2-family dwelling gCommerciaUindustrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder 0 Other: ❑Ere pump. ❑installation of 75 KVA or
❑Emergency system. larger separately derived system.
. JOB SITE INFORMATION AND LOCATION . ❑Addition of new motor load of ❑"A",
/ 100HP or more occupancy.
Job no. �/V/?j Job site address:/0 yfl7 �� !0 9 4Y� ❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: �� 7� ,e� q q ❑Health-care facilities. ❑Supply voltage for more than
�(O/fii') tJ ` `� CI Hazardous locations. 600 volts nominal.
Suit`.ld:. .pt.no.: & Project name:6,�/J�.. d�� ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: SO 8, ur. /AAD 5#-- ikvb Description I Qty. I Fee. I Total I •
New residential single-or multi-family dwelling unit.
S1.17 (04 61- A Ve— ' Includes attached garage.
Subdivision: Lot no.: 1,000 sq.R.or less 168.54 4
Ea.add'I 500 sq.R.or portion 33.92 1
Tax map/parcel no.: Limited energy,residential
DESCRIPTION OF WORK
(with above sq.IL) 75.00 2
OM �!J Limited energy,multi-family 75.00 2
O i L t 2 Turn 1 7"u r . /'Q.srl} —e 1-}�7 r/ t.c residential(with above sq.ft.)
Services or feeders installation,alteration,and/or relocation
ggN IG} G e {Lis V B i C e, / \ -rif- /f h I/fl
(7 200 amps or less 100.70 2
1 .
D PROPERTY.OWNER l 0 TENANT
201 amps to 400 amps 133.56 2
401 sups 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
Temporary services or feeders installation,alteration,and/or
City/State/ZIP: relocation
Phone:( ) Fax:( ) 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. I 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 51=CONTACT PERSON above service or feeder fee, 7 42 2-
each branch circuit
Business name: B.p.n C B.Fee for branch circuits without
i F{ service or feeder fee,first
I /_g/_,l a 2
il Contact name: Ng E.,/A n Bean branch circuit
7�so �� T h1 ^ n)?' t \ r 3 Each acid'!branch circuit 3� 7.42 0��'>e 2
Address: L/L9 1N\ Z� Miscellaneous(service or feeder not included)
City/State/ZIP: { eo b 1 Q 1-2 Z2 ? Each ing,service a dr modular 67.84 2
ty dwelling,service and/or feeder
/ ) OZ/ 2 5 Fax::(97n 0125—�Z CO / - Reconnect only 67.84 2
Phone:t
v Ptunp or irrigation circle 67.84 2
E-mail: Sign or outline lighting 67.84 . 2
CONTRACTOR . Signal circuit(s)or limited energy �/L
Business name:COCHRAN INC panel,alteration,or extension. 1 Page 2 {e3°.6 2
Each additional inspection over allowable in any of the above
`\) Address:7550 SW TECH CENTER DR.SUITE#220 Additional inspection(1 hr min) , 66.25/hr
City/State/ZIP:TIGARD OR 97223 Investigation(I hr min) 66.25/hr
Phone:(971)205 Industrial plant(1 hr min) 78.18/hr
.4242
Fax (971)205-4268 Inspections for which no fee is 90.00!hr
specifically listed
hr hrmin)
CCB Lic.: 72942 Electrical Lic.: 37546Cuprv.Lic.: 34475 ELECTRICAL PERMIT FEES
C (Vim/ 1 Subtotal f ZD r
Suprv.Electrician signature,required: \ \ Plan review(25%of permit fee): ,j
Print name: KENNETH K TO Date: g_ ;�-��
— State sun barge(12%of permit fee): a,5 ' l
G� Q TOTAL PERMIT FEE: j• J
Authorized Signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete.
Print name:.Qt) fl to t Date: 8e7�� • Number ofinspectionsallowedperpermit / 2/7/.°5
1\13uildiagVermits\ElC•P pp.dx 07/01/10 441-4615T( 1/05fCOM E6 /^ f
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Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
{{`RESIDEIAT;; O iONL :,. ;`` - :_.
t ,. � - FEE.SCREDUGE.Fee for all residential systems combined $75.00 Doscription I Qty. I Foe I Total I •
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to zs kva 200.34 2
❑ Burglar Alarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance with 552.26 2
❑ Heating,Ventilation and Air Conditioning OAR 918-309.0040)
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66,25/hr •
charged at an hourly(I hr min) ,
Inspections for which no fee is 90.00/hr
•
specifically listed
� ' ELECTRICAL.PERMIT..FEES
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
State surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
❑ Audio and Stereo Systems days after it has been accepted as complete.
• Number of inspections allowed per permit.
❑ Boiler Controls
❑ Clock Systems
E4--Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems: /
•
*No licenses are required. Licenses are required
for all other installations
I:1BuildintelPmnItseELC PermitApp ELR ERE.doe Rev 05212011