Permit CITY OF TIGARD ELECTRICAL PERMIT
11 .
2 COMMUNITY DEVELOPMENT Permit #: ELC2012 -00325
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/29/2012
Parcel: 2S101DC04602
Jurisdiction: Tigard
Site address: 7379 SW TECH CENTER DR
Project: Spectra Contract Flooring Subdivision: TECH CENTER BUSINESS PARK Lot: 2
Project Description: (10) branch circuits for TI
Contractor: CURRENT ELECTRICAL CONST CO Owner: MCCORMACK PROPERTIES LP
PO BOX 19652 7190 SW SANDBURG ST
PORTLAND, OR 97280 TIGARD, OR 97223
PHONE: 503 - 245 -5997 PHONE: 503 - 624 -2090
FAX: 503 - 245 -2919
FEES
Quantity Description Date Amount
10 crt Branch Circuits wo /Purchase 05/29/2012 $122.96
Specifics: Service or Feeder
1 ea 12% State Surcharge - 05/29/2012 $14.76
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $137.72
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in a -- • - _ 'th approved plans. This permit will expire if work is not started within 180ys__of issuance, or if work is suspended for more the 180
days. AT . TION: Orego law -:uires ou to follow the rules adopted by the Oregon Utility No — • enter. Those rules are set forth in OAR
952 -001 1110 through OAR 952 ' #1-0090. i may obtain a copy of the rules or direct questions to OU by calli , 7 or 1.800.33 344. •
I
Issue. By: 1 ' / ' • 2' L .iV / Permittee Sig ure: ,1: �..�rz�. -
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent. '
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC T �_ - Date: c! 2
/ - r
LICENSE NO. J a -3,2- S
Call 503.639.4175 by 7:00 a.m. for the next available Inspection date.
This permit card shall be kept In a conspicuous place on the Job site until completion of the project.
Approved plans are required on the job site at the time of each Inspection.
Electrical Permit Application FOR OFFICE USE ONI..Y
City of Tigard Received Permit No.: , o/ -�3t
�' g Date/B : 6 AR JEER" a a
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C Phone: 503.718.2439 Fax: 503.598.1960 Date/B ; Other Permit: - ,19040-000 7$
f I G A l D Inspection Line: 503.639.4175 Date Ready /By: Juris: 65 See Page 2 for
Internet: www.tigard -or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: Al2123 Job site address: 7379 SW TECH CENTER DRIVE IOOHP or more. occupy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: 97223 ❑ Health facilities. ['Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: SPECTRA ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qtv. l_ Fee. I Total I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Tax map/parcel no.: Ea. add'( 500 sq. ft. or portion 33.92 1
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
ADD CIRCUITS residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2
Name: 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
City/ State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 59.36 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 7 42 2
each branch circuit
Business name: B. Fee for branch circuits without
service or feeder fee, first 1 56.18 56.18 2
Contact name: branch circuit
Each add'l branch circuit 9 7.42 66.78 2
Address: Miscellaneous (service or feeder not included)
City / State/ZIP: Each manufactured or modular 67.84 2
dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E -mail:
Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s) or limited-energy
Business name: CURRENT ELECTRICAL panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: PO BOX 19652 Additional inspection (1 hr min) 66.25/ hr
City/ State/ZIP: PORTLAND, OR 97280 Investigation (1 hr min) 66.25/ hr
Industrial plant (1 hr min) 78.18 / hr
Phone: (503) 245 - 5997 Fax: (503) 245 - 2919 Inspections for which no fee is 90.00/ hr
specifically listed ('h hr min)
CCB Lic.: 46994 Elec.. - -.■ c.: 26 - 4� 1C Suprv. Lic 5232S ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: j , o Subtotal: 122.96
Plan review (25 /o of permit fee):
Print name: JASON JACOB //�� .!' Date: 05/29/12 State surcharge (12% of permit fee): 14.75
(/_ TOTAL PERMIT FEE: 137.71
Authorized signature: (T This permit application expires If a permit is not obtained within 180
Print days after it has been accepted as complete.
rint name: DAVID THOMPSON Date: 05/29/12
• Number of inspections allowed per permit.
1:\ Building \ Permits \E.C- PermitApp.doc 07/01/10 440-46IST(11/05 /COM/WEB