Permit \.CITY OF TIGARD ELECTRICAL PERMIT
. . = PERMIT #: ELC2003 -00011
itt DEVELOPMENT SERVICES DATE ISSUED: 1/15/03
v ' -III 13125 SW Hall Blvd., Tistard, OR 97223 (503) 639 -4171
PARCEL: 2S112AA -00900
SITE ADDRESS: T / b 7
SUBDIVISION: NELSON BUSINESS CENTER ZONING: I -H
BLOCK: LOT : JURISDICTION: TIG
Project Description: 1600 amp service replacement for Building E. Job No. 23 -81
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: 6 W /SERVICE OR FEEDER: 31 PER INSPECTION:
201 - 400 amp: 1 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: 1 > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
RREEF CAPITOL ELECTRIC CO INC
720 SW WASHINGTON 11401 NE MARX ST
PORTLAND, OR 97205 PORTLAND, OR 97220 -1041
Phone: 503 - 295 -5555 Phone: 255 -9488
Reg #: LIC 048748
SUP 3132S
FEES ELE 26 -496C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 1/13/03 $1,249.45
[ELPLCK] ELC Pln Rev 1/13/03 $312.36 Elect'I Service
[TAX] 8% State Tax 1/13/03 $99.96 Rough -in
Elect'I Final
Total $1,661.77
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 • - -8: -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- . 2 -2344.
Issue y: 1 / ,1_ : 4 7gel t∎ ,It jam!_, Permit Signature: , 4/f , „ Af i n
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: Q Q DATE:
LICENSE NO: O
Call 639 -4175 by 7:OOpm for an inspection the next business day
`, Electrical Permit Application OFFICE P ermit no.:t USE ONLY
RECEIVED received: ��� Permit , ,/ -O,�JO
�I�
City of Tigard Project/appl. no.: moire date:
-- y b Date issued: min eceipt no.:
CITY OF TIGARD Address: 13125 SW HALL BLVD, TIGARD, ?lJA M22f 3 2003 Case file no.: Payment type:
Phone: (503) 639 -4171 Fax (503) 598 -1960' 3
Land use approval: CITY OF TIGARD
7. ■ , 1 Ili.
TYI'E OF PERMIT
❑ 1 & 2 family dewlling or accessory Commercial /industrial ❑ Multi- family ❑ Tenant improvement
o New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial
JOB SITF: INFORMA'T'ION
Job address: 14160 SW 72ND AVE City: TIGARD Bldg. No.: Suite no.: Tax map /tax lot/account no.:
Lot: (Block: N/A (Subdivision:
Project name NELSON BSNS PARK (Description and location of work on premises: 1600AMP SERVICE REPLACEMENT BLDG E
Estimated date of completion/inspection:
Job no: 23 -81 Fee Max.
Business Name: Capitol Electric Co., Inc. Description Qty. (ea.) Total no. insp
Address: 11401 NE MARX New residential - single or multi - family per
City: Portland State: OR ZIP: 97220 - 1041 dwelling unit. Includes attached garage.
Phone: 503- 255 -9488 (Fax: 257 - 7121 IE -mail: darrell @cepdx.com Service included:
CCB no.: 48748 'Elec. bus. lic.no: 26 : ' 1000 sq, ft, or less $ 145.15 4
Cit3t,gtro lic.no.: N/A Each additional 500 sq. ft. or portion thereof $ 33.40
2/7 `� iY 1/9/03 Limited energy residential $ 75.00 2
gns
Si o of supervising electrician (required) Date Limited energy, non - residential S 45.00 2
Sup. elect. name (print): Darrell MCNeeI Li ense no.: 3132-S Each manufactured home or modular dwelling
PROM WIN OWNER Service and/or feeder $ 90.90 2
Name (print): RREEF Services or feeders - installation,
Mailing address: 720 SW WASHINGTON alteration or relocation:
City: PORTLAND I State: OR (ZIP: 97205 200 amps or less 6 $ 80.30 481.80 2
Phone: 503- 295 -5555 Fax: IE - mail: 201 amps to 400 amps 1 $ 106.85 106.85 2
Owner installation : The installation is being made on property I own 401 amps to 600 amps S 160.60 2
which is not intended for sale, lease, rent, or exchange according to 601 amps to 1000 amps $ 240.60 2
ORS 447, 455, 479, 670, 701. Over 1000 amps or volts 1 $ 454.65 454.65 2
Owner's signature: Date: Reconnect only $ 66.85 1
Temporary services or feeders -
Name: installation, alterations, or relocation:
Address: 200 amps or less 5 66.85 2
City: State: ZIP: 201 amps to 400 amps $ 100.30 2
Phone: Fax: E -mail: 401 amps to 600 amps $ 133.75 2
PLAN REVIEW (('lease check all that apply) Branch circuits - new, alteration,
❑ Service over 225 amps-commercial ❑ Health -care facility or extension per panel:
❑ Service over 320 amps- rating of I &2 ❑ Hazardous location A. Fee for branch circuits with purchase of
family dwellings ❑ Building over 10,000 square ft. four or service or feeder fee, each branch circuit 31 $ 6.65 206.15 2
❑ System over 600 volts nominal more residential units in one structure B. Fee for branch circuits without purchase
❑ Building over three stories pi.Feeders, 400 amps or more of service or feeder fee, first branch circuit: $ 46.85 2
❑ Occupant load over 99 persons ❑ Manufactures structures or RV Park Each additional branch circuit: $ 6.65
❑ Egress/lighting plan ❑ Other: Misc. (Service or feeder not included):
Submit V sets of plans with any of the above. Each pump or irrigation circle $ 53.40 2
The above are not applicable to temporary construction service. Each sign or outline lighting $ 53.40 2
Signal circuit(s) or a limited energy panel,
alteration, or extension* $ 75.00 2
11: F1cry) *Description:
Each additional inspectionover th allowable in any of the above:
SA p Per inspection I I $ 62.50 I
/'� 1� Investigation fee
Other
❑ Visa Ma to
/L Permit fee $ 1,249.45
Credit card number: / / Notice: this permit application Plan review ( ) $ $312.36
Expires expires if a permit is not obtained State Surcharge 8% ) $ 99.96
Name of cardholder as shown on credit card within 180 days after it has been
$ 9 y TOTAL $ 1,661.77
Cardholder signature Amount accepted as complete.