Permit CITY OF TIGARD ELECTRICAL PERMIT
s COMMUNITY DEVELOPMENT Permit #: ELC201300230
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/22/2013
Parcel: 2S 101 DC04601
Jurisdiction: Tigard
Site address: 7409 SW TECH CENTER DR 150
Project: Quality Counts Subdivision: TECH CENTER BUSINESS PARK Lot: 2
Project Description: (4) branch circuits and low voltage for data
Contractor: TAURUS POWER & CONTROLS INC Owner: WPC TIGARD LLC
9999 SW AVERY 307 LEWERS ST 6TH FL
TUALATIN, OR 97062 HONOLULU, HI 96815
PHONE: 503 - 692 -9004 PHONE:
FAX: 503 - 692 -9273
FEES
Quantity Description Date Amount
4 crt Branch Circuits wo /Purchase 04/22/2013 $78.44
Specifics: Service or Feeder
1 ea Signal circuit or Limited 04/22/2013 $75.00
Type of Use: COM Energy Panel
Class of Work: ALT 1 ea 12% State Surcharge - 04/22/2013 $18.41
Electrical
Type of Const:
Occupancy Grp:
Total $171.85
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 a,•• • - 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. NTION: Oreg• - law r- •uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -0 1-0010 through OAR 952 -009 - 0�may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2
ed By: k Permittee Signature: �—
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.
Electrical Permit Application FOR OFFICE USE ONLY
11 City of Tigard Received
Date/By: 00 / Permit No.: E4 L 5—Gd0231)
11 14
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready /By: Juris El See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental information
TYPE OF WORK PLAN REVIEW
❑ New constructionAddition /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.
El Addition of new motor load of ❑ "A", "E", "1-2", "1-3",
Job no.: Job site address: 7 0 - I 1n/ � r C 1, (, � i .t -P s Six or or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: I t f5 (i1 ❑ Health -care facilities. ❑ Supply voltage for more than
/ ❑Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: B 15 0 Project name: /MA-4 'r 000.-6.1r- El Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street /directions to job site: 71 /
,A „ ),D Description I Qty. I Fee. 1 Total
d1 /`�V ( New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'l 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
-
I j ` Limited energy, multi - famil
Instil 3 , wt'r PC 4-'2_5 5 - v'/ £ j -h m e or? 2 - ti V (ijt ^Gl/ residential (with above sq. ft.) 75.00 2
Renewable Energy 0 See. Page 2
- 11. - C1 / I 7- A d eebectiec) itl4( ti) reteri Services or feeders installation, alteration, and/or relocation
❑ PROPERTY OWNER rEl TENANT • . 200 amps or less 100.70 2
�1 � 7 r 201 amps to 400 amps 133.56 2
Name: X.JcI 7� I ' 1 O I) S L L 1. 401 amps to 600 amps 200.34 2
Address: 7 L 4Q ci s, .1-.,0 c I vl _ 415i4 C yl -1-t r AF 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City /State /ZIP: � i- (A OR_ Cl? a 2 Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
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
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with
above service or feeder fee,
7.42 2
Business name: each branch circuit
B. Fee for branch circuits without
Contact name: service or feeder fee, first ' tP
56 18 5/ g 2
branch circuit
Address: Each add'l branch circuit 3 7.42 a a, 2
City /State /ZIP: Miscellaneous (service or feeder not included) __ rr
Each manufactured or modular 67.84 2
Phone: ( ) Fax:: ( ) dwelling, service and/or feeder
Reconnect only 67.84 2
E - mail: Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name: 741. 5 ft,
v,,.e/ !,� fVO S Signal circuit(s) orlimited- ene
/ panel, alteration, or extension. Page 2 75 2
Address: 6 1 6 1 C i c l 6 VU Akhat2 I 5 ("ell Each additional inspection over allowable in any of the above
Additional inspection (1 hr nun) 66.25/ hr
City /State /ZIP: Tual Ct 1 r'1 Of ' 1 196 Z Investigation (1 hr min) 66.25/ hr
Phone: ( 3 ST}3 ) Ct' Z- �L ! p o4I Fa x: ( Industrial plant (1 hr min) 78.18/ hr
(�� ) — �� 3 7 Inspections for which no fee is
CCB Lie.: 74,7y/ Electrical Lic.:Z`C _� 1 Suprv. Lie.: �'7 specifically listed (Y4 hr min) 90.00 / hr
Suprv. Electrician signature, required: ✓ ` ELECTRICAL PERMIT FEES
_ _ .6l(tMr- Subtotal: /53 £y-
Print name: R i 1 1 t� (� - e id D. e: i t Plan review (25% of permit fee): .�-- ∎
YY�� State surcharge (12% of permit fee): /� IT
Authorized signature 4(.1 TOTAL PERMIT FEE: 1 7
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\ Building\ Permits \ELC_PermitApp_040913.doe 440-461 5T(I 1 /05 /COM/WEB
for all other installations
Electrical Permit Application — City of Tigard
Page 2 — Supplemental Information
Limited Energy Permit Fees:
RESIDENTIAL WORK ONLY: S o 9.7 223
Fee for all residential systems combined ... $75.00
Check Type of Work Involved: VI VeCk?
❑ Audio and Stereo Systems*
n Burglar Alarm _
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial system $75.00
(SEE OAR 918 - 309 -0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
I: \Bui (ding\ Permits \E LC_PermitApp_040913.doc