Permit AWITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00380
�'�" �i1 DEVELOPMENT SERVICES DATE ISSUED: 8/7/03
13125 SW Hall Blvd.. Tioard. OR 97223 (503) 639 -4171
PARCEL: 1S136DA-00100
SITE ADDRESS: 11308 SW 68TH PKWY 1ST FL
ZONING: MUE
SUBDIVISION:
BLOCK: LOT : JURISDICTION: TIG
Project Description: TI
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
BENENSON 68TH PARKWAY OREGON ELECTRIC CONST /GROUP
KEY LLC, THE 1010 SE 11TH AVE
BY FIRST AMERICAN TAX VALUATIO PORTLAND, OR 97214
WORCESTER, MA 01615
Phone: Phone: 503 - 234 - 9900
Reg #: LIC 203
SUP 4460S
FEES ELE 26 -95C
Description Date Amount
Required Inspections
CITY OF TIGARD MENU 8/7/03 $761.75
[ELPLCK] ELC Pln Rev 8/7/03 $190.44 Elect'l Service
[TAX] 8% State Tax 8/7/03 $60.94 Rough -in
Elect'I Final
Total $1,013.13
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or
1- 800 - 332 -2344.
Issued By: 4/ti---0-461--- Permit Signature:
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'N: DATE:
LICENSE NO: 46.11A0,5
Call 639 -4175 by 7:OOpm for an inspection the next business day
1ectrical Permit Application
OFFICE USE ONLY
City of Tigard Date received:6 -• Z -03 j) Permit no.,Ca00 3
` , 13125 SW Hall Blvd Project/appl. no.: Expire date: \
..,4,41„ 11 Phone: (503) 639 - 4171, FAX: (503) 598 - 1960 Date issued: Bylg -, (Receipt no.:
Internet address: www.ci.tigard.or.us Case file no.: Payment type: 0
24 -Hour Inspection Re • uest 503 -639 -4175
U 1 &2 family dwelling or accessory U CommerciaUndustrial U Multi- family ❑ Tenant improvement
❑ New construction O addition/alteration /re•lacement ❑ Other: . ❑ Partial
JOB SITE INFORMATION
Job Address: 11308 SW 68th Parkway Bldg. No.: Suite no.: Tax map /tax lot/account no.:
Lot: Block: Subdivision
Project Name: Tigard Data Center Description and location of work on premises: Generator and UPS
Estimated Date of completion /inspection:
Will ou call for inspection within 24 hours? Yes ❑ No O Project Contact John Vitro (503 849 -2787 Phone
CONTRACTOR APPLICATION FEE SCHEDULE
, ax no.
Job No.: 18437 Description Qty Fee (ea.) Total insp C�
New residential - single or
multi- family per dwelling unit.
Business name: Oregon Electric Group Includes attached garage.
Service Included:
Address: 1010 SE 11th Ave. 1000 sq. ft. or less $ 145.00 $ - 4
City: PortlandlState: OR Zip: 97214 Ea Addl 500 SF or Portion $ 33.40 $ -
Phone: (503) 234 -9900 Fax: (503) 234 -1001 1E-mail: Limited Energy, 1 & 2 Family $ 75.00 $ - 2 C
CCB no.: 21 lec. . lic. no.: 26 -95C Umited Energy, Multi- Family $ 75.00 $ - 2
City/me a •'. ■ o.:
%* p Each manufactured home or
modular dwelling. Service M
Sumature ofsu, nnsing eleeuician tired/ Dat e• . /2003 and/or feeder. $ 90.90 $ - 2
Service or Feeders -
Su Elect. Name • rint :Mark Kenne `J License no: 4460S Installation, Alteration or
Relocation:
PROPERTY OWNER 200am•sorless $ 80.30 $ - 2
Name (print): 2olamps- 400amps $ 106.85 $ - 2
Mailing Address: 401amps - 600amps $ 160.60 $ - 2
City State: (Zip: 60 1amps - 1000amps 1 $ 240.60 $ 240.60 2
Phone: Fax: 1E-mail Over 1000A or volts 1 $ 454.65 $ 454.65 2
Owner Installation: The installation is being made on property I own which is Reconnect Only $ 66.85 $ - 1
or
not intended for sale, lease, rent, or exchange according to ORS 447, 455, Temporary Feeders - I Services Feeders nstallation,
479, 670, 701. Alteration or Relocation:
Owner's si nature: Date: 200 am s or less $ 66.85 $ - 2
201amps - 400amps $ 100.30 $ - 2
Name: Over 40 tamps - 600amps $ 133.75 $ - 2
Branch Circuits - New,
Address: Alteration or Extension Per
Panel: A. Fee for branch
City: State: Zip: circuits with purchase of service
or feeder fee, each branch
Phone: Fax: E -mail: circuit to $ 6.65 $ 66.50 2
B. Fee for branch circuits W /Out
Purchase of Service or Feeder.
1st Branch Ckt $ 46.85 $ - 2
❑ Service over 225 amps -comrr ❑ Health -care facility Each additional branch circuit $ 6.65 $ -
El Service over 320 amps - rating of ❑ Hazardous location Miscellaneous - (service or
feeder not included)
18,2 family dwellings ❑ Building over 10,000 square feet four or Each pump or irrigation circle $ 53.40 $ - 2
❑ System over 600 volts nominal more residential units in one structure Each Sign or Outline Lighting $ 53.40 $ - 2
❑ Building over three stories ® Feeders, 400 amps or more Signal Circuit(s) or Limited Energy
Panel Alteration or Extension'
❑ Occupant load over 99 persons ❑ Manufactured structures or RV park _ $ 75.00 $ - 2
❑ Egress /lighting plan ❑ Other:
'Description:
Each Additional Inspect over
the Allowable in any of the
Above. Per inspection
$ 62.50 $ -
Submit 2 sets of plans with any of the above. Investigation fee:
The above are not applicable to temporary construction service. Other
Permit Fee $761.75
Notice: This permit application Plan review 25% $190.44
expires ifa permit Is not State Surcharge 8% $60.94 t9
obtained within 180 days after It
has been accepted as complete. Total $1,013.13