Permit CITY OF TIGARD ELECTRICAL PERMIT
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II 1 COMMUNITY DEVELOPMENT P ermit#: ELC2013 -00216
T f .; A R r 13125 SW Hall Blvd.. Tigard OR 97223 503.718.2439 Date Issued: 04/11/2013
Parcel: 2S 101 DD00100
Jurisdiction: Tigard
Site address: 7000 SW SANDBURG ST
Project: Pape Material Handling Subdivision: TECH CENTER BUSINESS PARK Lot: C
Project Description: (1) branch circuit for electrical upgrade /retrofit
Contractor: TWICE THE LIGHT INC Owner: TOOKE, DIAN P
6137 NE 63RD STREET PAPE', TERRANCE E
VANCOUVER, WA 98661 355 GOODPASTURE ISLAND RD
EUGENE, OR 97401
PHONE: 360- 573 -6101 PHONE:
FAX: 360 - 566 -0486
FEES
Quantity Description Date Amount
1 cR Branch Circuits wo /Purchase 04/11/2013 $56.18
Specifics: Service or Feeder
1 ea 12% State Surcharge - 04/11/2013 $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. ATTENTI• • - •on law requires you to follow the rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR
952- 001 -0010 r rough OAR +5 -00 '090. You may obtain a copy of the rules or direct questions to OUNC by callin or 1.800.332.2344.
Issued By. - / , f Permittee Signature(—� C��
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.
04/10/2013 11:07 Twice The Light Inc. (FAX)360 566 0486 P. 002/003
Electrical Permit Application RECEIVED ; FOROFFlr•t• IISi ONI1
7 w
City O71' Tigard Received
Atn Na.:
D e e iv : 5/ L. DL
13125 SW I lull Blvd., Tigard, Olt 97223 � R 1 0 2013 3 fl an Rt view
Phone: 503.718.2439 Fax: 503.598.1960 D „ten : Other Perm it:
T 1 GA R D Inspection Line: 51)3.639.4175 CITY OFTIGARD h R D Datc kcady /By: r Rl Sec Page 2 ter
Internet: www.tignrd or.gov l i l i V 1 Vt11lL Notified/Method: ytpplaoenIal ld raattoa
BUILDING DNISIOAG
TVPF; OF WORK
El New construction ® Addition/alteration/replacement Plena check all that apply (submit a acts of plans whims checked below):
❑ Service or feeder 400 amps or more D Building over Woe xlurim.
El Demolition ❑ Other;
where the available fault ewtcat ❑ Marina wail hrx.ytmlx,
_C.'ATECORY OF C-ONSTRUCIllON . exceeds 10,000 amps at 150 volts or 1:1 Flouting buildings.
. less lu ground, or exceeds 14,000 ❑ Commercial -use agricultural
0 1- and 2-family dwelling El Commercial/industrial ❑ Accessory building amps ror all other installations. buildings.
❑ Multi - family 0 Master builder ❑ Other: ❑ Fire pump. p lusiulluIion of 75 KVAor
JOB. Mt INFORMATION ,AND LOCATION ❑ Emergency system. huger separately derived system.
DAdditiont of tom mater Irxul of ❑ A. "E”, "1- 2", "1 -3 ".
Job no.: Job site address: 7000 SW Sandberg Street tootle Ormore. occupancy.
❑ Six nr more residential units. ❑ Recreational vehicle paths.
City/Slate/ZIP: Tigard, OR 97223 ❑ Health facilities. ❑ Supply voltage for mole chit(
❑ Hazardous locations. 600 volts nominal,
• Suite/bldg. /apt. no.: Project name: Pape Material, Handling , ❑Service or recd« 600 Amps or more.
' FEE.;SCHEDULE .
Cross street /directions to_ job site: ' nwrri r qty. I wee.
New residential single- or multi- family dwelling unit
Includes attached garage.
Subdivision: 1.01. no,: 1,0141 sq. ft. ur less 168,54 4
Ea. add'I 500 sq. ft or portion 33.92 I
Tax map /parcel no.:
Limited energy, residential 75.110 2
DESCRIPTION WORK (with above sq. IL)
Limited enerb r, multi - family 75,00 2
Lighting upgrade Retrofit residential (with above sq. ft.)
Renewable Energy ; _CI Sec Page 2 , •
_Services or feeders installation, alteration, and/or relocation
❑ PROI,'ERTY, OWNER.. '`. ' 0 TENANT' 200 amps or leas 100.70 2
•
201 amps to 400 amps 133.56 2
Name: 401 amps to 60) amps 200.34 2
Address: 601 amps to 1,00u amps 301.04 2
Over 1,000 amps or volts 552.26 2
City /Slate /ZIP: Temporary services or feeders installation. alteration. and/or
Phone: ( ) I Fax; ( ) relocation
200 amps or less 59.36 1
Owner installation; This installation is being made on property that 1 own which is not 201 amps to 400 =PS 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
Owner signature: Date: Branch circuits - new. alteration, or extension, Lter_panel • APPLICANT; r ,.' . ❑ CONTACT ,PERSON A. Fee for branch circuits with
above service or feeder fee,
7.42 2
Business name: Twice the Light. Inc. cacti Mooch cumin
B. Fcc for branch Circuits without .
Contain mime: service or feeder (cc, first 1 56.18 56 2
-- hranch circuit
Address: 6137 NE 63n Street Each add'l branch circuit 7.42 2
City/State /'LIP' Vancouver, WA 98661 Miscellaneous (service or feeder not included)
Each manutbctured or modular 67.84 2 —
Phone: (360) 573 - 6101 — 1 Fax: : (360) 566 - 0.(86 dwelling service und/or feeder —
Reconnect only 67.84 2
I;- mail: customerserviccl i)twicethelight.colll Pump or irrigution circle 67.84 2
CON I'KAC1'OR Sign or outline lighting 67,84 2
Business name: Twice the Light, Inc Signal circuits) or limited-energy
panel. ultemtion, or extension, Page 2 2
Address: 6137 NE 63rd Street Each additional inspection over allowable in at of the abov
Additional inspection (I hr mitt) 6625/ hr
City/Statc/Z,IP: Vancouver, WA 98661
Investigation (1 hr mint 66.25/ hr
Phone: (360) 573 -6101 l ( ail I `f I Fax: (360) 6-0486 6 t 1 Itadustrnd plant Cl hr min) 78.18/ hr
1 1 Inspections for which no fee is
CCB Lie.: 195886 Electrical Lk.: C836 1 tiA l Suprv. Lic.: 5757S recificallylisted nth hr min) 90.00/ hr
ELECTRICAL:'PERM17� M'1a5:.: c ... ..
Suprv. Electrician 5i�r11lture. required: / Subtotal: I 56.18
Print flume: Wade I lanitnerrstrum Dale: 04/10/2013 Plun review (25 %ofpermit fee):
State surcharge (12% of permit fee): 6.74
Authorized signal 'TOTAL PERMIT FEE: 62.92
.r rim, permit application expires ire permit is nut obtained within 1g0
Print name: I l h0 rid ��� Q � e t I)7Uc: �-• � �.��3 days after It ha been accepted us complete, 7/./
rid t 11c l� * Number of inspections allowed per remit.
1.0tiidia Permit,4CLe_PnrndIA 04e51).duc 440-4415'I'(11r05 /COM/WLD
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
7000 SW SANDBURG ST, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
06/10/2013 00:00
ELC2013-00216
PASS - No C of O
Violation Summary:
Inspector Contractor