Permit CITY OF TIGARD ELECTRICAL PERMIT
-2 `` COMMUNITY DEVELOPMENT Permit #: ELC2013 -00068
T I GARE)'; 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/29/2013
- Parcel: 1S135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 551
• Project: Apex Systems Subdivision: METZGER, TOWN OF Lot: 9
Project Description: (4) branch circuits to wire for office expansion TI
Contractor: STONER ELECTRIC Owner: LINCOLN CENTER LLC
1904 SE OCHOCO BY SHORENSTEIN PROPERTIES LLC
MILWAUKIE, OR 97222 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
•
PHONE: 503 - 462 -6500 PHONE:
FAX: 503 - 659 -4968
FEES
Quantity Description Date Amount
4 crt Branch Circuits wo /Purchase 01/29/2013 $78.44
Specifics: Service or Feeder
1 ea 12% State Surcharge - 01/29/2013 $9.41
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
•
•
Total $87.85
•
Required Items and Reports (Conditions)
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through 0 R 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332,2344. ,1,(
Issued By: & Permittee Signature: 0 L- A P JCi .fli
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection. .
•
Jan. 29. 2013 10:14AM Stoner Electric Group No.5081 P. 1
RECEIVE 6
Electrical Permit Application FOR OOFFIC1''. USIC ONLY
City of Tigard JAN 2 9 2013 Dar , i J 1 3 1- Penni'No.! �(3' O00
N__. 13125 SW Hall Blvd., Tigard, OR 97223 IN plan Review
0 Phone; 503.639.4171 Fax 503.598.196% -ITY OF TIG ' a 1' rhtolB . 0th.,PermrL• i . 2s13—••• I
11 c :,, t; 1 Inspection Line: 503.639,4175 BUILDING DNISI II to Ready/By: ' of See Page 2 for
Internet: www.tigard- or.gov Mitifed/Method: Supplemental Information
. ' TYFE OF WORK'• - _ g`•.. . _ ' *.• . P,I.A 3 •7
fl New construction Addilion/al(eral!on/replacement Please check all that apply (submit$ sets oratenaw /items checked below):
❑ Service or feeder 400 amps or more Q Building Over three dories,
❑ De111011fi0n El Other:
whcro the available fault current ❑ Ma rinas and boatyards.
l' :CATEGORY OF .CONSTRUCTION exceeds 10.000 amps at 150 volts or L] Floating buildin0e.
U� "' lets to ground, or exceeds 14,000 ❑ Commoreioln1st agricultural
❑ 1- and 2- family dwelling gLCommercial/industrial ❑ Accessory building amps the all other installations. buildings.
D Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
r�`. 1 ; ;•,Irk.:
, ❑ Emergency system larger separately derived system.
J'OB SITE INCOAMAIIO\ AR1)''I:OCA IO I ...:�K:. ❑ ❑
�J , ter„ ,:. r .. Addition of of "A ", "E', "1-2', "I -3 ",
Job no.: '7 R I Job site address: /0 #I 100FIP or resi occupancy,
17Six Or momrosidenlialunits. ❑Recreationalvehicle
City /State/ZIP: r7 <(r:00;410 ❑Health -care I9elirios ❑ Supply vonlags for mom than
L] Hazardous locations. 600 volts nominal,
11 .ldg. /apt. no.: 5' Project name: 4-5E la Service or feeder 600 amps or more.
Cross street/directions to job site: ...3.•• -i:'. FEE :SCHEDULE ' : .; 3L
J DHrriarron I Otv. I see. I Tout I•
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. it or less 168.54 4
Tax map /parcel no.: Es, add'/ 500 sq. ft, or portion 33,92 1
- w- Limited energy. residential 75.00 2
5 �` ti p' ° :'i:'s'I)Yfdi1'lil 9 �,, Oft (with abovesq.It)
y ` " v ' 4x � L energy, multi- family
wr�e- Ave o G t— e.� residential (with above sq. fl.) 75.00 2
Services or feeders Installnllon, alteration, and/or relocation
200 amps or lam 100.70 2
' l 1 "`'> 4 "?1; A nil ; _ , - . ": • am to 400 amps �+. ;' .�_,; �f�1g01PlEATi+ O�ac ��TI 4 � ,:-, _Se; -0• A �_ 201 Ps ps 133.56 2
401 amps to 600 amps 20034 2
Name: 601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
Temporary senices or feeders toslalbalion, alleralion, And/or
City /State/ZIP: relocation
Phone: ( ) I Fax: ( ) 200 amps or loss 59.36 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps l0 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amp 168.54 2
Branch circuits- new, alteration, or enlenslou, per panel
Owner signature: Date: A. Fee for branch circuits with
above service or feeder fee
qss d APPLICANT °.: :. : I . ': CONTACT• on § oN _. 7.42 2
each breath circuit
Business name: 5p. b ,AF/ 4 B. Fee for branch circuits trithour
service or feeder fee, first / 56.18 ta , g 2
Contact name: 4 r5 "'����"" branch circuit
Eachadd'I branch circuit _ 7,42 22, W 2
Address: /[Y0 i ..5 • io 4 Miscellaneous (service ar feeder not included)
/Slate/ZiP Each manufactured or modular 67.84 2
Ci[
y . i ce ere 9 z dwelling. service and/or feeder
Phone: (51 4 6 4- II Faax: :,574 )4, •71 4-4,94 $ Reconnect only 67.84 2
E-mail:OE t/45 f �A s�4l/ v�+t��a COT-1.4. Pump r irrigation t ne ig t in g e 67.84 2
r � -, Sign orottpinelighGng 67.84 2
u e ,'w, ^ ;.'�_; .1_„",a .,:'4 C01"I:RA 'QYt''or 7ie. ;"y am` , -:e Signal circuit(s) or limited-energy
Business name: STONER ELECTRIC, INC. panel, alteration, or extension. Page 2
Each additional inspection over allowable In any of (he above
Address: 1904 SE OCHOCO Additional inspection (1 hr min) 66.25/hr
City/State/ZIP: MILWAUKIE, OR 97222
investigation d iplant min) 66.25/ hr •
t Industrial plant (I fa min) 78.18 / hr
Phone: ( 503) I Filx: ( 503) 659 -4968 inspections for which no fee is 90.00 / Inv
specifically listed (' /, hr ruin)
CCB Lio -: Electric Lic.: Su rv_ Lic.: '- mi'. " " ° ;r
44823 26 -1220 1? 3496S . • 'YiC;ECTRICAL PERMIT. ;. ,�
Suprv- Electrician signature, required: —
Subtotal: - a�
Plan review (25% of permit fee):
Print name: MICHAEL FALCONER Date: // 44 Slate surcharge (12% ofperntit fcc): 9, y-/
TOTAL PE1M1T EE: r 9 5
Authorized signature: This permit application expires Ira permit Is not obtained within 180
days after It has been accepted as complete.
Print name: I Date: • Number of inspections allowed permit*,
ImuvmnaTenr*alt Pemlitaaanoc 07101/10 440•46lsT(IIN7/COMfW2
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
10220 SW GREENBURG RD 551, TIGARD, OR,
97223
Commercial - Electrical
199 Electrical final
03/08/2013 00:00
ELC2013-00068
PASS - No C of O
Violation Summary:
Inspector Contractor