Permit . . .;
„..
CITY OF TIGARD ELECTRICAL PERMIT
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1 •• - COMMUNITY DEVELOPMENT Permit #: ELC2013 -00039
•
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/17/2013
Parcel: 1 S134AA01800
Jurisdiction: Tigard
Site address: 10170 SW NIMBUS AVE H5
Project: Hanson Subdivision: IKOLL BUSINESS CENTER, TIGARD Lot: 2
Project Description: (1) branch circuit to replace power to HVAC unit #5 on Building H
Contractor: CAPITOL ELECTRIC CO INC Owner: HANSON, RONALD D
11401 NE MARX STREET ROBINSON, CONSTANCE A
PORTLAND, OR 97220 ROBINSON, CHESTER TRUST ET AL
203604 EAST FINLEY RD
KENNEWICK, WA 99331
PHONE: 503 - 255 -9488 PHONE:
FAX: 503 - 257 -7121
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo /Purchase 01/17/2013 $56.18
Specifics: Service or Feeder .
1 ea 12 %State Surcharge - 01/17/2013 $6.74
Type of Use: COM Electrical
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: Orego 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 OAR - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �'f�C Permittee Signature: Dlll /"rl�Pu l0k\
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 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.
01/15/2013 12:28 5032551966 CAPITOL ELECTRIC PAGE 01
Electrical Permit Application RE��, T� y '�� V ED
503.598.1 Tigard, OR 97223
City of Tigard JAN Il 5 2013 R D:7 6 , d �7 /l� L-C7 - 00031
r Datg Q . i Permit No.:
g !3125 5 W Haul Blvd, Phone; 503,7182439 Fax C b Plan Review
inspection 5(3,639,4175 ��p ttc/Bv Other Permit:
I' I f; l L Pc Uff LIiNra DIVISION Date Ready/a . lur Internet: t: www,tigard- or.gov
Nntifi y; ®Sec Page for
- 1 i 6 Supplemental information
Into
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Pleease check e.0 that appl (submit 2 sate of plans w /items checked below):
❑ Ncw construction Ei Addition/alteration/replacement
12 Demolition ❑ Other: ❑ Service or feeder 400 amps or more ❑ Building over three stories.
n'I li.; It.lol.,,�: „�, ,! ,. i Il iy ;n. •f r f , :j1; :• r. a T , , ;::� where the nvailablc fault cu ❑ as and boatyards,
` ^. r;r,;;o:l ; +'r rr; t'rrnt Maria
1'��. I� '��l iu: }} '�I. �I :',h ,i , ;n I ,� RI, ii!1�4 ,!,i.. 1 ,,,,, i , r •
IB � III �I...: � hi i i il !',P,;�, fl ,i „ i .7; I 'iii:'i • "C77..i" sit: . re.;, k:i -'I ,Ill;i « ^ : :1�' 1 �, 110 exceeds 10
n iilii�li i t �.,�,le „I,,: i l , ,,,, : .p , ,. .I lilnnfnr a' ioCiiCi er,in �:dij i„; ':1 G.E !, „ �h � 1 [ili;ll .l ,ll 000 amps al 15 volts or ❑ Flouting buildings.
❑1- atnd family dwelling ® Commercial/industrial ❑ Accesso building amiss for OCammcreial -ti amiculmm
Multi-family ❑ M ❑ Fire pump, rY g amara tar all other installations. buildings,
_ r y ❑ asterbuilder Ot her:
I'f� I I� i;7n: P'p� _; ^ = :. v c^ •: ^ .. ^I���li,:: r•g , , 'I R • , : �ml• :k:• =- :� ",n1' ❑ �n:rM�: ❑ lrtalallali0n of 75 KVA or
�� . 1 :q:!'tt •ll;. I ::r r r 'i ; iii, I ,',; :i :', .,. rr „i.y: 'iit';Irr...' I'•i;i: p!y ii'lll rpij " ❑ Emergency system. larger
7�i 4ff��!I.,]ifii o .L „ I Iliill' u!Il: ir a, ..l',,,,�pml,ll,. : .; i; ,II,1n.G,_ lIarseVarnt2lydedvedyystem.
' an a �: a;:. +. n ar,:, �,,: �: al: if�.,, .. .niiil�I�L,: Wt ,.,� u w:,iia4j i i ❑ McMinn elf eewmoter loud of
Job no,: 130396 Job site address: ,I.: '0 SW Nimbus 1001tP or mart. occupancy.
❑ Six or more resideman! units. ❑ Recreational vehicle omits.
City /State/ZIP: Portland, Or 97223 1 0 1 ' [] Health-cam facilities. ❑ Supply voltage for more than
Su ite/bl(i /a t no.: N O Hazardous locations. 600 volts nominal.
g• p Project name: Seholls Bldg H Unit 5 Pwr ['Service erfeeder600 amps or mole.
C fat ir,4' I (�1 i t i p'•I! 1 1, aatM n i l l i, J •dh![ y f �i {'. w h
Cross street/directions to job site: Scholls ferry and Nimbus 7 e pt i , i . ' »I•I+1tiNltj r .x, 8 ,,, , _,L,.,,.l,,l,�..,,I,i, ll�t' il;'
oertrtptba Fee Tnl°I
New residential single- or multifamily dwelling trait.
Includes attached garage.
Subdivision: Scholls Business Park Lot no.: ^ 1.000 sq. ft. or less T 168.54 4
T map /parcel no.: Ea, add'I 500 sq. it or portion 33.92 1
i�, '' — °u., ';i:: "rijgf `"f:�4i' 's,�tr �r.::n,� �.
. -rTq - .r:•i: -� �- ,• - �' • - -- Limited energy, residential
i;'fA11111IWll:i li'r'a'lll�a „.,.i :1',,_; ., r.''La r.'at�ia. {, d�.�:�i • " �,�P.A:.,. iMi ".`'fi!! .viii li «I:1!:. ;;, I ,.. m -. :, - ,..�
i h ial . i_. , �f , t,iii �ry ft.) 75.00 2
,,w ,, .,L..•i "a. di fl,•,::.riv ^ .,:.S. +JiN Itb(,,ttSaL'1Mzu : it l4id'�,uillla.:Ci::P1Ils �;i! (11MIt.4�, (with above sq.
Replace power to the HVAC unit #5 on Bldg H Limited energy, multi - family
residential (with above sq. R.) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 ,k. 1 I fil l'II'; �I: ;iI "::Illianll. "ai' Pw :I P ia:i ' I'� lA .,n-:W: a'CY•'a -" :: amps or less 1�0.7��
,� Illll,. l_ mlaar . „I r�N ' , iii h,l•i,`, ;I. � ,,�„ „• 'p�
20
��1t�l�lJ lalll�l�.�! t 11 i _ ;�:,cu� n,Il lul.:,S h {a::,�. �: I :. iL "�l1tiIL l� i i Lf� . IId : Il l r 201 an" to 400
- .. 6 udll t�II;+A(`i d,'r„r> i a� Ir,rllr•:;:;:aCi4 F I xq i wl l I�ii?'l�h'N;I amps 133.56 2
Name: 401 amps to 600�ps 20034 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 I
Owner installation: This installation is being made on property that T own which is not 201 amps to 400 amps i25,08 r 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449. 670, and 701, 401 amps to 599 amps 168.54 2
Owner Signature: _ Branch circuits — new, alteration, or extension, per panel
Date- A. Fee for
�
�Cliirr r ;„ _' : . i , ,::ll: : r: s I::t ., branch circuits with
f!11, 1i
I I , I' , , n ..'1 ,11 I; :F: :' ij,:r In!Ini, , 1 ,. Kg1,::ao:n� . .
.l:i.1 ii N,; ",!,,
LimItL�l„ j�i .I� a.N.a a , pu:ll,'I i vii;,ii,li i"i,l 'ialr; :a:° -1; above
.14h ,l .1.1, :ilf. „ `' .I.. I . ;..I I e. • N1i ', . i. ' 'i ,.i, , 1 a service or feeder feu,
• ri• il, oil:_:p1n,,mn,,.,,,,+1117i1�f vI ii pit FIiIiI iii dill:I,i. ^ilir „,,;,:; 1il iiIVIN��', i.!,: 'i:ilhl:c�'
:,:~�11,�,�1!I;:I ;:�oilil llll l�l,l each branch circuit
7,42 2
Business name: Capitol Electric Co., Inc B. Fee for branch circuits without
service or feeder fee, first 1
56.18
Contact name: Gary Steiert branch circuit 56.1R 2
Address: 11401 NE Marx. Street Each add'I branch circuit 7.42 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Portland, Or 97220 Each mmlufacared or modular
dwelling, service and /or feeder 67.84 2
Phone; (503) 255 - 9488 Fax; : (503)255-1966 . Reconnect only 67.84 2
E-mail: garyQcepdx.eom Pump or irrigation circle 67,84
�7 t•_ r;tat : � � ` 11 i � r Sign or outline lighting 67.14 2
'w it irliti IIIi1dI 1 i0S. : . lI ...�d,.i'i` i ,.t,,.,I I4Eililk q �, , > 71.'7, `t "r,: lifit 1 r 1i'.IS Ifira �',iiiilf.7 Signal grm circuit(s) or limited-energy
Business name: Capitol Electric Co., Inc. panel, alteration, or extension. Pave 2 2
Address; 11401 NE Marx Street Each additional inspection over allowable in any of the abov
Additional inspection (I hr min) 66,25/hr J L
City /State /ZIP: Portland, Or 97220 _lnvescgadon (I hr min) 66.25/ hr
Phone: (503) 255 -9488 Industrial plant (I lit min) 78.18 / hr
Fax: ( ) 255-1966 Inspections for which no fcc is
s ifreall listed .4 hr min 90.00/hr
CCB Lic.: 43748 Electrical Lic.: 26 -496C Suprv. Lie.: 3132 -S gl ,iiii i ;;`ml,'.'INL LF g4ii'.l°;,I,0:1 la 5,,—,1.,: iiiE!1E.+ V. 111 g,rl`;iiil Nl'Z .z.`I'
Suprv. Electrician signature, required: Subtotal: 56.18
,-.....--,../.."../ AU Plan review (25% of permit fee):
Print name: Darrell McNeel t State surcharge (12% of permit fcc); 6.74
Authorized signature: 7 TOTAL PERMIT FEE; 62.02
^�' + �' Thi permit application aspires if a permit is not obtained within 180
Print name: Darrell M Date: 1115/13 days after it has been accepted as complete.
° Number of inspections allowed pm
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