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Permit s„ CITY OF TIGARD ELECTRICAL PERMIT 1 1 4 a COMMUNITY DEVELOPMENT Permit #: ELC2013 00010 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/08/2013 Parcel: 1 S 135AB01003 Jurisdiction: Tigard Site address: 10300 SW GREENBURG RD 500 Project: Matt Bell Subdivision: METZGER, TOWN OF Lot: 9 Project Description: (9) branch circuits for TI • Contractor: CAPITOL ELECTRIC CO INC Owner: LINCOLN CENTER LLC 11401 NE MARX STREET BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97220 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503 - 255 -9488 PHONE: • FAX: 503 - 257 -7121 FEES Quantity Description Date Amount 9 crt Branch Circuits wo /Purchase 01/08/2013 $115.54 . Specifics:, Service or Feeder . 1 ea 12% State Surcharge - 01/08/2013 $13.86 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $129.40 Required Items and Reports (Conditions) This permit ' issued subl to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable law. All work will be don in accordance with a roved 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 la r ' esYYYou to follow the rules adopted by the Oregon Utility Notifi .• '•n Center. Thos = ' rules are set forth in OAR 952- 01- 0010th ugh OAR 952 -0 -0090. )F may obtain a cop of the rules or direct questions to OUNC b 03.232.1987 or 1.80* 32.2344. I__..._ Iss ed By: Permittee Sign: 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' - e . Ar, .'�✓ Date: LICENSE NO. • 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. 01/07/2013 11:43 5032577121 R,Ef J D CAPITOL ELECTRIC PAGE 02/02 Electrical Permit Application JAN 0 01 3 ecelve. FOR t)i 11(1: I : ()NIA , tit City of Tigard Dme/13 / 7 / so , Permit no.: Ezzied /6 w 13125 SW Hall Blvd., Tigard, OR 97223 CITY OFTIGARD Plan Revic , Other Permit: Phone: 503.639.4171 Pax: 503.598.1 D3te/gy: TI � ; , � ;; t, Inspection L DU ion: 503.639,4175 ILDING DIVISION Date Roady/By: Juris: ❑ sue logo 2 Ibr Internet: ww.tig�ard- or,gov w Notified/Method: Supplemental Inromloaon ❑ Ncw construction ❑ � Additinn/alteratlon/replacemcnt Please check at that apply (submit g nets of plane wAtems checked below); ❑ Demolition CI Other; ICI Service or feeder 400 amps or more ❑ Building din over three stones t a., , ,, �'' j: " �I!. r,<'-! " d l :'J j �l :, - L r ' 'u .- , ', wnere the available fault current and ❑ Marinas and boatyards 2- family dwelling ❑ Commercial/industrial ;11 ❑ Accessory building exceeds 10,000 amps at 150 volts or ❑ Floating buildings ❑ Multi femll F ID Master Builder ❑ Other less to ground, or exceeds 14,000 ❑ Commerclal-uae agricultural , N_ .i. 1:"`'3. 2.5.'..II..; '.rH : .hi _:.,,.rl,, T1 .,.v.Ce�r��;r; -- , ''r.. .— amps for ell other Installations, buildings Soh no,: 130060 10300 SW Greenberg Rd Suite 500 ❑ Fire Pump ❑ Inatallatlon of 75 KVA or © Emergency system larger separately derived system. City /State/ZIP: Tigard Oregon El Addition of new motor load of ❑ •A "r, •1.2•, ^1_3", 100NP or more. ❑ occupancy Suite/bldg. /apt. no.: Suite 500 (Project name: Myatt Boll ❑ Six or more residential units CI Recreational vehicle parks. ❑ Health-care facilities ❑ Supply voltage for more than Cross Street/Directions to job site; ❑ JTnzardous locations 600 volts nominal. ❑ Service or feeder 600 am or more - - - , Subdivision 1 Lot no.: ;. -c ,.. Y ...:' 1 . . -• �_ . -' 1 ,'.I G — 4„ y � : . 'r Tax ma •/ erect no.; Dl CPS- Torsi '" New residential single or multifamily dwelling unit. . . : .. _: is _ : 'fC _ i .r...l_,. '� . L )\:Q , \ �'.� tis4i, : " es attached garage, .._,��y ,_. ,. Tndud a Tenant Improvement 1000 sq. ft. or less $ 188,54 4 ■I .� t n; a) `r n i i , -? 4 r Ea. Add'1500 sq. ft or portion S 33.92 1 ... .. A 41rc A ;1 6 ��., t t ... ,.. • _...� !"�'l,14 - +�� I� r ,' .��. - '.:'. Limited energy resid ential Name; (with above sq. ft.) S 75.00 1 2 Limited energy, multi - family Address: residential (with above sq. ft.) $ 75.00 2 Service or n:cdcrs Inatallatlon, alteration, and /or relocation City /State/VP: 200 amps or less S 100.70 2 201 amps to 400 amps $ 133.56 Phone: F ox; 401 amps to 600 amps S 200,34 I 2 601 amps to 1000 amps i i S oi 2 Owner Iaatallation: This installation is being made on property that I own which is not Over 1000 amps or volts S 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: Date: relocation 200 amps or less I m m �-'.�4..'j rfe;.; i 7- _ liE , ..,-. :. ` � '$rti l . r 1 �'r ;1: n..,::_t1- 1 5 59..' i 1 -,, . "_.,._.G.._,, A.,l, , i 201 snips to 400 amps 1 3 125.0R 2 Business Nome: 401 amps to 599 amps 5 168.54 2 Branch circuits - new, alteration. or extension. per panel Contact name: A, Fee for branch circuits with service or feeder fce, each Address: branch circuit S 7,42 2 B. Fee for branch circuits City/Statc/ZIP: without service or feeder (be, first branch circuit 1 S 56,14 513.18 2 Phone: P te: Each additional branch circuit: 8 S 7.42 69.3$ 2 Miscellaneous (service or feeder not included) E—mail: Each tilted Oi model , r-r- m ufhc o ' r y I a = ' ^ " ,•e an � �1 "; dwelling, service and or feeder 67.64 2 Business Name: CAPITOL ELECTRIC CO., INC. J Reconnect only $ 67.84 z Pump or irrigation circle S 67,84 2 • Contact name: Danny Gibbs Sign or outline lighting S 67.84 2 Signal circuit(a) or limited. Address; 11401 NE MARX ST. energy panel, alterations, or extension, Describe: S 75,00 2 City/State/UP: PORTLAND, OR 97220-1041 _ Page 2 _ Each additional inspection over allowable in any of the above Phone: 603 - 265.9488 Fax; 503. 267.7121 Per inspection S 66.25 Investigation per hour (1 hr min) $ 66,25 CC13 Lie.: 48746 (Electrical T,ic.: 26. 4960 IS_ v, Lie,: 3132 -S Industrial .lent r hour 5 78.18 Suprv, Electrician signature, required; /l :� n u �� i , r .;.'1.L':.:.,:,, m a u ?'�v; , ».,c .r. T;, :37-7 ,t: ;: n;Np McNeal � �((���� subtotal Print Name; 116.64 am: 110 113 Plan renew (25 % ofpermlt fee) Authorized signature: 1- State surcharge ( 12% of permit fee) $ 13.86 r' --'.'" Lrl TOTAL PERMIT FEE $ 129.40 Print Name: Darrell Mc ' This permit appticatlan aspires Nn permit 0 nes obtained within ran �- / nays aster n er is h been aevr fled ns complete. U vl // • Number of irreaelions per permit allowed. : \ Building \renn;i t,.C- rorm1tApp.das 10101/54 445-e61ST(I IRV/COMrwl?B Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 10300 SW GREENBURG RD 500, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical final 02/21/2013 00:00 ELC2013-00010 PASS - No C of O Violation Summary: Inspector Contractor