Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2010 -00506
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/16/2010
Parcel: 2S112AA00600
Jurisdiction: Tigard
Site address: 6713 SW BONITA RD 270
Subdivision: NELSON BUSINESS CENTER Lot: 0
Project: ServPro
Project Description: (1) branch circuit for warehouse.
Owner: FEES
WALTON CWOR NELSON 13 LLC Quantity Description Date Amount
BY TTA/EPROPERTYTAX DEPT 735, PO BOX
4900 1 crt Branch Circuits 09/16/2010 $56.18
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 09/16/2010 $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 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: Oregon 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 • ' • 2- 001 -0100. You may obtain a copy of the Y, direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee 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' Date:
LICENSE NO.
Call 603.639.4175 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.
09/15/2010 09:05 5032577121 CAPITOL ELECTRIC PAGE 02/02
RECEIVED e/ FOR OFFICE U51•: i)INI
Electrical Fermat Application Reek:ivaa
patemy: ,i7i Pcrmit no,: C e ,,,,i . - 0
III III City of Tigard
13125 SW Hall Blvd., Tigard, OR 97223 S E P 1 5 20 Plan Review ocher permit f 10 - CO'
Q Phone: S03,639.4171 Fare 503.598.1960 I _..A
T I C: A R D Inspection Line: 503,639,4196 CITY OF TIGARD Date Re:trtyBy: ■ son rar+ 2 for
Internet www.tigard- or.a�tsv BUILDING DIVISION Notified/Method: w S • •kmcnmilnMm
'ntion
TYPE OP WORK PLAN REVIEW
=slew construction LI Addition /alteration /replacement Please check on that apply (submit 2 sets of plans wAtems chocked below):
❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or mere L Building over three :tones
CATEGORY OP CONSTRUCTION whore the available fault current ❑ Manna's and boatyards
L I- and 2- family dwelling —W—Commercial/industrial LI Acccasory building exceeds 10.000 amps at 150 volts or Floating buildings
L] Multi - famiy ❑ Master Builder ❑ Other less IO ground, or exceeds 14,000 Commorclal -use agriculturat
— JOB SITE INFORMATION AND s•
D LOCATION amps for all other inelrnetlone. 0 bullding
U F
6713 S Bonita Rd m Pump n Installallon of 75 KVA Or
Job no,; 100948 lob site address: 11 Emergency system torpor separately derived system.
I ❑ Addition of new motor load of n "A', - E'. '1 -2", "1 -7,
City(StatcfZIP: Tigard OR 100HP or more. ❑ occupancy
rtt
Suite/bldg. /apt, no.: 270 1Prnjcct name;
ServePro I_.i re
Six or more realdentlal units ❑ Reeadonel vehicle parka.
0 Health -care facilities ❑ Supply voltage for more than
Cross Street/Directions Minh site: ❑ Hamrtttus locations ❑ 500 volts numinal.
❑ Service or feeder 600 amps or more
1 lot PEE SCHEDULE
Subdivision; Description J Qtr. 1 red. I Total 1 r
Tax maa rccl nu.: New residential • single or multifamily dwelling unit -
DESCRIPTION OP WORK Include; attached garage.
—
Update lighting circuit in warehouse 1000 sq. ft. or IcSS S 16854 4
En. Add'I 500 sq. ft or portion S 33.92 1 ._ L PROPERTY OWNER I J TENANT Limited energy residential
£with above sq. ft.) S 75.00 2
Name: Limitcd energy. multi- family .
residential (with above sq. ft,) _ S 75.01_ 2
Address: Service or feeders Install ation, alteration, And/or relocation
200 amps or 1esS 5 100.70 2
City /StatcaIP: 201 amps to 400 amps $ 133.36 2
401 amps to 600 amps 5 200,34 2
Phone: F ax: 601 amps to 5000 amps 8 301.04 2
Owner installation: This installation is being mode on property that 1 own which is not Over 1000 amps or volts _ 5 552.26 2
intended for sale. lease, rent or exchange, according to ORS 447, 449.670, and 701 Temporary services or feeders installation, alteration, and /or
Owner signature: Dale: relocation f
200 amps or 11M
Li APPLICANT 1 ---- CONTACT PERSON 201 amps to 400 amps I 1 S 125 08 L 2
421 an a to 599 amps f 5 168.54 r
Business Name: Branch circuits • new, alteration, or extension, per p 1ne1
A. Fee for branch circuits with
Contact name: service or feeder fee, each
branch circuit S 7,42 ` 2
Address: ,
B. Fee for branch circuits
without service 0? feeder fee.
City /State/ZIP: Eon branch circuit 1 S 56.1e 56.18 2
Each additional branch circuit 5 7.42 _ 2
Phone: Fax: Miscellaneous (service or feeder not inelud
E -mail: E1cb manufactured or modular
CONTRACTOR dwelling, service and or feeder S 67.84 2
Reconnect only S 67,84 , 2
Business Name: CAPITOL ELECTRIC CO., INC. Pump or irrigation circle $ 67.84 , 2
Sign or outline lighting , $ 67.84 2
Contact name: John McNeal Signal circuit(S) nr limited-
energy panel, alterations, or
Address: 11401 NE MARX ST. extension. Describe: Firc Alarm S 75,00 2
Page 2
City/State/ZIP: PORTLAND, OR 97220.1041 Each additional inspection over allowable In any of the above
Fax: 503" 257 -7121 Per inspection $ 66.25
Phone: 503- 255.9488 lnvcst�tion per hour (1 hr min) 5 66.25
CCB Lie.: 48748 Electrical Lie.: 26.496C Su•rv, Lic.: 3132 -S / Industrial .last • hour s 78.18
ELECTRICAL PERMIT FEPS'r ra
Suprv. L'tectrician signanim, requited _ l Subtotal S 56.16
Print Name: DARRELL MCN Date: i • (15110 _ Plan review (25% oft0rmit fee)
Slate surchi c ( 12% of permit fee) S 6.74
Authorized signature: 4.444./ V
IA t ? f . , , TO1Al, PERMIT FEE S 62.92
Print NamName; D LL NEEL /" � ' �•,"' Thin permit application expire, Ir a permit la not obtnlnen within 140
doya after it ha+ hem accepted at complela
• NucnbCr or Inapectienx per pCmlit allowed.