Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2010 -00042
T'GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued:' 01/27/201.0:
'Parcel: 2S1,01 DA00101
Jurisdiction:: Tigard
Site address: 13190 SW 68TH PKWY 200
Subdivision: TRIANGLE CORPORATE PARK Lot: 3
Project: InFocus
Project Description: Add /alter (2) branch circuits for switches and lighting in conference rooms Cascades and Pacific.
Owner: FEES
PACIFIC NW PROPERTIES LIMITED PA Quantity Description Date Amount
STERN FAMILY LIMITED PARTNERSHIP &,
STERN, HELEN R REV TRUST, 6600 SW 105TH 2 crt Branch Circuits 01/27/2010 $63.60
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 01/27/2010 $7.63
Electrical
Contractor:
CAPITOL ELECTRIC CO INC
11401 NE,MARX STREET
PORTLAND, OR 97220
PHONE: 503- 255 -9488
FAX: 503 - 257 -7121 .
•
Type of Use: COM
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 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. AT N- Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -0 -0010 through 'OAR 0 -0100. You may obtain a copy of the rules or direct questions to OUNC by callin . 6.6699 or 1.800.332.2344.
Iss By: Permittee Signatu Lw.�
OWNER INSTALLATION ONLY
The installation is being made on property`L: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 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
B1/25/2010 13:52 5032577121 CAPITOL ELECTRIC PAGE- 02
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m 4312 SW Tr1it11, Tigard, {)R 9722 Other Permit:
k N Phone: 503,639,4171 FL 503.595:196oJA 2 _ 5 � Date ' T Line: 09 5 634.417 .5 ae Read /B _
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CITY OFTIGARD NOLit cdMicthod: ■
TYFE OF woluc IntILDIIVG DIVISION _ .
PLAN REVIW
New construction -, Addition /alteration /replacement Please check ell that apply (submit 2 sots of plans w/ltems checked below):
❑ Demolition ❑ Other. - ❑ Serolce or feeder 400 amps or more E
, Bing over three store!
CATEGORY OF CONSTRUCTION ' where the available fault current ❑ Marinas and boatyards
LJ i • and 2- fancily dwelling I .1 I Commercial /industrial LJ'Accessory building exceeds 10,000 amps at 150 volts or Pleating bulldinge
❑ Multi- family ❑ Master Builder ❑ Other leas to ground, or, exceeds 14,000 Commercial-On agricultural
5013 SITE INFORMATION AND LOCATION amps for au "other installations, n buildin
.lob no.: 100058 Job situ address: 13190 SW 68th Parkway ❑Fire Pump E.1 Installation of 75 KVA or
LI Emergency system Iargor separately derived system.
❑ Addition of new motor load or ❑ "A', "0 ". "1 -2 ". "1 -3 ",
Cit 'State /Z1P: Portland OR
y 100HP or more, ❑ occupancy
$vile /bldg. /api. no 200 IProjcct name; InPocUS Gt7nf. Rms. ❑ Six or more res4entlal units [ _i Recreational vehidn parks
Health -care facilities n Supply voltage for raorcdhan
Cross Street /Directions to job site: ❑ Hazardous locations ❑ 600 volts nominal.
❑ Service or feeder 600 amps or more
FEE SCHEDULE
Subdivision: 1 Lot no.:
DeaerlplIOn i pry. I Fee. _ I Tntnl' 1
Tax map /parcel no.: New residential:- •lngle'or• multi - family dwelling unit.
DESCRIPTION' OF WORK Includes: attached garage.
AlterlAdd switches and liOl:ing to conference rooms Cascades and Pacific, 1000:.. ft, or less $ 105,54 4
Ea. Add'I 500 sq. ft or portion 0 33,97 1
PROPER OWN J LJ TENANT - Limited energy residential
Name:
(with sq. ft) $ 67,84 2
Limited energy, ,mutl'.i • fa ily
residential (with above sq. n..) $ 607.84 2
Address: -
Service or feeders' Installation, niteratlon, and /or rclo Catinn,
200 amps Or less $ 100.70 2
City/State/ZIP: :
201 amts to 400 amps _ $ 1 31.56 2
T 401 amps to G00 amps S 200.34 2
Phone: Fax:
601: amps to 1000 amp $ 301.04 2
Owner installation: This installation; is being made oft prciperty Vial: i own which is not Over-1000 amps or volt x 5 552.26 2
inicnclo d for sale, least, rent or exchange, according to ORS 447, 449, 6,70, and 701 Temporary scrvieea or feeders installation, alteration, and /or
Owner signature: _ Date; relocation
200 amps or loos 1 6 5936 1
LJ APPLICANT 1 LJ CONTACT PERSON 201 amps to 400 amps S 125,08 2
401 amps to 599 amps . $ 168.54 _ 2
Businc55 Name'
Branch circuits - neN' alteration, or extension, per panel
A. Fcc for branch circuits with
Contact name;
service or feeder fee, each
branch circuit 0 7.42 2
Address: 13. Fee for branch circuits
without'scrvict or recderfee,
(Sty /State /ZIP: first branch circuit 1 $ 56.18 56.18 2
Each udditionpi branch circuit: 1 $ 7.42 7,42 l r 2
Phone: Fax;
Miseollaneons (servlceor'fccdcr riot included
E- tuail: Each manuFtctured or :nodular
CONTRACTOR dwelling, service and or feeder 0 67;24 2
Busincsa Name; CAPITOL ELECTRIC CO., INC. Reconnect only $ 67,84, 2
Pump or irrigation circle $ 67.84 2
Contact name: John McNeil Signor outline. lighting $ 67 .84 2
Signal cireuit(s) or limited.
Address; 11401 NE MARX ST. energy panel, eltcrnlinns, or
extension, Describe; Page 2 2
C.itilStole /7..iP: PORTLAND, OR 97820.1041 Each additional Inspection over allowable In any of the above
Phone: 503 - 255.9488 Fax: 503-257-7121 Per inspection S 6,25
l nvcstigation`per hour (1ltr'rain) 0 06.25
CCB Lica! 48748 F.lcctrical,Lic 26 -4960 Suprv, Lic.: 3132 -5 industrial plant per hour $ 78.18
Suprv. Electrician signature, required: 14 p „ pf- pCTRICAL P1 CtMIT FEES*
` Subtotal $ 63.60
Print Name: DAR MCNEEL Date: 01/25/10 Plan review .(25 %ofpermitfee)
signature: rs
State surcharge ( 12% of permit fee) $ 7.63
Authorized signature: TOTAL PERMIT FEE $ 71,23
'Print Name: DARRELL MCNE Teti permit application expiran If n parmIC la not olrt =1 J PIMP„ tae
tlny atte' , If fan harm accepted ae complete.
" Number of iusaccli6trs per permit nllnwed