Permit a CITY OF TIGARD ELECTRICAL PERMIT
o • COMMUNITY DEVELOPMENT Permit #: ELC2010 -00453
T 1 G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/26/2010
Parcel: 1S135AB04500
Jurisdiction: Tigard
Site address: 10250 SW GREENBURG RD 212
Subdivision: LINCOLN BUILDING Lot: 0
Project: Wave Q
Project Description: (1) branch circuit for (2) base feeds.
Owner: FEES
LINCOLN CENTER LLC Quantity Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555
CALIFORNIA ST 49TH FL 1 crt Branch Circuits 08/26/2010 $56.18
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 08/26/2010 $6.74
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 $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 acco • - • -= ith 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. ATT • ION: Oregon :w requires you to follow the rules adopted by the Oregon Utility Notifi Center. Those rules are set forth in OAR
952-001-1 through OAR 952 -0• • • •. ou may obtain a copy of the rules or direct questions to OUNC b - - 99 or 1.800.33 .2344.
Issu: d By: � iI �� Permittee Signa ure:
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' 70: ! l 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.
08/25/2010 14:41 5032577121 RECEIVED CAPITOL ELECTRIC PAGE 02/02
Electrical Permit .Application AUG 2 5 2010
Received
City of Tigard Date/By: 0)-5' I O eemtit nn.. e h e A e y „ ` to y5 3
. • 13125 SW 1.1811 Blvd., Tigard, OR 972 TY OF TIGARD Plan Review
Phone: 503.639.4171 Fax 503.56.MODING DIVISION Datc/By: Other Permit:
TIGARD
Tnspection ►., 5(13 Date Ready/Fly: Juris: ❑ sue rase 2 for
•
Internet: www.tigard•or.gov
Notified/method: TT Sapplomontal Mlermation
TYPE OF WORK PLAN REVIEW
lJ New construction L'd Additiontullurariou /replacemrnt Please check ell that apply (submit& sets of peens wlltems checked below):
LJ Demolition ❑ Other: ❑ Service or feeder X100 amps or more ❑ Building over three stories
CATEGORY OF CONSTRUCTION where the available hook current ❑ 511nrin0R and boatyards
J_I I • and 2•family dwelling L I Commercial/industrial ❑ Accessory building exceeds 10.000 amps at 150 volts or Floating buildings
❑ Multi- i'urnily LJ Master Builder ❑ Other lees to ground, or exceeds 14.000 Commerclal -use agricultural
JOB SITE INFORMATION AND LOCATION amps for all other installations, ❑ buildings
Joh no.: 100946 Job site address: 10250 SW Greenburg Rd I— Pre Pump ❑Installation of 75 KVA or
r__� 1 Emergency system larger separately derived system.
City/Slate/21P! Tigard OR I
❑ Addition of new motor load of 0 "A”, "E", "1.2", "1.3",
'COMP or more. 0-J occupancy
Suite/bldg./11M, nu.: 212 Project name: Wave Q ff19d9 ❑Six or more residential units ❑ Recreational vehicle parks,
❑ Health -care facilities ❑ Supply voltngc fur man; than
(:mss Street/Directions to job site: ❑ Ha7ardnuc locations ❑ 600 volts nominal,
❑_ Service or feeder 600 amps or more
Subdivi.:inn: 1 Lot no.:
na FEE SCHEDULE
111 erlpdnn Qtr. 1 Fee. I Total I M
Tnx map /parcel no.: New rexldendal - single or molt! - family dwelling unit,
. DESCRIPTION OF WORK Includes attached garage.
Install (2) base feeds on OP circuit 1000 sq. ft. or 1056 $ 168.54 4
Ea, Add'I 500 sq. fl or portion $ 33.92 _ I
_ Lf PROPERTY OWNER I LI TENANT Limited energy residential
Name: (with above sq, ft.) $ 75.00 2
Limited energy. multi-family
Address: residential (with above sq. 0,) S 75.00 2
Service or feeders Installntien, alteration, and /or relocation _
City /Ststo/7.IP: 200 amps or Icss $ 1 n0.70 2
201 amps to 400 amps $ 133.51) 2
401 amps to 600 amps $ 200.34 2
Phone: Pax: 601 amps to 1000 amps $ 301,04 2
Owner Installation: Tbia installation is being made on properly that I own which is not Over 1000 amps or volts 5 55216 2
intended for sale, Ica.sc, rent or exchange. according to ORS 447, 449. 670, and 701 Temporary services or feeders installation, alteration, and /or
Owner Signature: Date: relocation
200 amps or lcse 6 50.31) I
LJ APPLICANT 1 l CONTACT PERSON 201 amps to 400 amps $ 125.08 2
fiuginCSS Name: 401 amps to 599 amps _ • $ 168.54 2
Branch circuits • new, alteration. or extension, per panel
A. Fee for branch circuits with
Contact name: service or feeder fee, each
branch circuit $ 7.42 2
Address: B. Fcc for branch circuits
without service or feeder fcc,
City/State/ZIP: first branch circuit 1 S 56.18 56.18 2
Mode; Fax: Each additional branch circuit; 6 7.42 2
Miscellaneous (service or feeder not included)
Email; Each manufactured or modular
CONTRACTOR dwelling, service and or feeder 1 67.84 2
Business Namc: CAPITOL ELECTRIC CO., INC. Reconnect only S 67.84 2
Pump or irrigation circle 5 67.84 2
Contact name: Sign or outline lighting 5 67.84 2
Signal circuit(s) 01' linlited-
Address; 11401 NE MARX ST.
energy panel, alterations, or
extension, Describe; Fire Alarm 5 75.00 2
City /State/7TP: PORTLAND, OR 97220 -1041 Page 2 _
Each additina8l inspection over nllnwoble in any or the above
Phone: 503-255-9488 Fax: 503-257-7121 Per inspection 6 66.25
investigation per hour (1 hr min) 6 66.25
(:CB 1,ic.: 48748 lEIcctrica,J.ic.: 26 -496C ISup , Lie.: 3132 -S Industrial plant per hour $ 78.I
Suprv. Electrician signature, required: ELECTRICAL PERMIT PEES'
/ �j /' "�- Subtotal $ 56.18
Print Name: DARREL NEEL Date: 08125/10 / Plan review (25% of pemtit fcc)
Authorized signature: 144140.1—) A ,1 p TOTAL surcharge PII 12% of permit fcc) $ 6.74
/ /J !`��"' ���jjjs.Kbs ✓✓J TOTAL. PERMM IT FEE _ $ 62.92
Print Name: DARRELL MCNEEL Thal permit application expires if a permit 1 not obtained within ISO
days after It tom been accepted at complete.
• Ninth= of inspections per permit allowed.