Permit CITY OF TIGARD ELECTRICAL PERMIT
s.: COMMUNITY DEVELOPMENT Permit #: ELC2013 00249
T [GA R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/30/2013
Parcel: 1 S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 200
Project: Swipe Now Subdivision: METZGER, TOWN OF Lot: 9
Project Description: (5) 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
5 crt Branch Circuits wo /Purchase 04 /30/2013 $85.86
Specifics: Service or Feeder
1 ea 12% State Surcharge - 04/30/2013 $10.30
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $96.16
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 OA 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.
, +
Issued By: Permittee Signature: 00 4P/ ! U Al.
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.
04/30/2013 10:53 5032577121 CAPITOL ELECTRIC PAGE 02/02
Electrical Permit ApplicatioiaREcENED ecc,v
City of Tigard ' -I ( '� Permit no.:EL4 JO/ 3 -- � �
Date/By:
IN 0
13I25 SW Hari Blvd., Tigard, OR 97223 d p R 3 0 2013 Plan Review
• Phone: 503.639,4171 Fax: 503.598.'I ` Date/By; Other Permit;
'
T 1 ; n. R T+ inspection Line: 503.639 Date RcadyBy: Juris; / See wan z r e
Internet: www.tlgard•or.gov CITY OF TIGARD Notified/Method: 1 ' C/ [El Supplemental tntbrmetion
�
BUILDING D
❑ New construction p _ N 1►
4 Addition/alteration/replacement n /replacement Please Check all that apply (submit g sets of plane wriitems checked below):
❑ Demolition ❑ Other: 0 Service et feeder 400 amps or more ❑ Building over three stories
)- . '. - where the available fault current ❑ Marinas and boatyards
❑ 1- and 2- family dwelling p Commercial /industrial ❑ Accessory building exceeds 10,000 amps at 150 volts or ❑ Floating buildings
❑ Multi -farnt ❑ Master Builder 0 Other less to ground, or exceeds 14.000 ❑ Commercial -use agriculture!
amps for al other initaletlons. building*
Job no.: 130770 Job site address: 10220 SW Greenburg Rd ❑ Fire Pump Cl Installation of 75 KVA or
❑ Emergency system larger separately derived system,
City/State/ZIP: Tigard OR Cl Addition of new motor load of ❑ "A ", "E ", "1 -2', "1 -3 ",
100HP or more, ❑ occupancy
Suite/bldg./apt, no,: 200 Project name: Swipe Now ❑ Six Of more residential units ❑ Recreational vehicle parka.
❑ Health-care facilities ❑ Supply voltage for more than
Cross Street/Directions to 'oh site. ❑ Hazardous locations 600 volts nominal.
❑ Service or feeder 600 am or more
Subdivision:
Description Qty, Fee Teem "
Tax m • reel no,; New residential - single or eitdti-family dwelling unit.
.. -_'_ a :.1 % , AW .. 'T. -: -, , – ... includes attached garage.
Tcnant im •rtivement 1000 scLft, or ices _ S 168.54 a
Ea. Addl 500 sq. ft or portion S 33 92 1
i . -._:x..1. s'' ,. . _ ,,. _ 'r, - ,.:. '� :,, - Limited energy residential
Name. (with above sq, R.) S 75.00 2
Limitcd energy, multi- family
Address:
residential (with above sq. ft) S 75.00 2
Service or feeders installation, alteration, and /nr relocation
City/State/ZIP. 200 amps or less $ 100,70 2
201 amps t0 400 amps S 133.56 2
401 amps to 600 amps $ 200.34 2_
Phone Fax; 601 am •s to 1000 em •s S 301,04 2
Owner installation: This installation is being made on property that 1 own which is not Over 1000 amps or volts 5 552.26 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 S 59,36 l
E'Ut. � U.:_ ' .. 1, .. r, T •y'i .U''�' :.y.,;f ._ ._ . _.tim... :,.- ; 201 amps to 400 amps _ 5 125.08 2
Business Name 401 amps to 599 amps I S 165.54 2
Branch circuits - new, alteration, or extension, per panel
Contact name;
A. Fee for branch circuits with
service or feeder fee, each
Address; bmneh circuit 5 7,42 2
13, Fee for branch circuits
City /Stale/2[P: without service nr feeder Fee,
lilt branch circuit 1 S 56.11 55.18 2
Phone: Fax Each additional branch circuit: a , S 1.42 , 29.68 2
Misccllanenuv (service or feeder not included)
E-mail: Each manufactured or modular
_ _ _
G. = • . ' . _ . ,, ,.,,, `,"" '"' • ,^j dwelling, service and or feeder
- _:a. -.: :7�c .
; _ - `. "
a. ' ., .. g. S 67.54 2
Business Name: CAPITOL ELECTRIC CO., INC. Reconnect only 5 67.84 2
Pump or irrigation circle 5 67.14 _ 2
Contact name: Gary Staled or outline lighting - S 67.84 2
Signal circuit(s) or limited -
Address: 11401 NE MARX ST. energy panel, alterations, or
extension, Describe: S 75.00 2
City /State/ZIP: PORTLAND, OR 97220 -1041 Page 2
Iiach additional Inspection over allowable in any of the above
Phone: 503 -255 -9488 Fax: 503 -267 -7121 Pcr inspection S 66.25
investigation per hour (1 hr min) S 66.25 _
CCB tic.; 48748 Electrical Lic,; 26.4960 Suprv. Lie,: 3132 -$ Industrial •lent • r hour S 75.18
te r , �(' Subtotal S ~' 85.138
Print Name: Da �. .. - i r Date: ' 1 13 Plan review 25% of
( permit ice
/ 7P State surcharge ( 12% 01' permit fcc) $ 10.30
TO AL PERMIT FEE $ 96.16
Print Name: • rrell McNees Tea Iteemuapp ,k•tlon entire. it•per• % not obtained within iso
did/ Mae It has hen neeepte4 •R eompkte.
' Nnmber of Inepoetiohs par permit allowed.
I'V inildinaV 'mmil1ELC•Permit•1pp.dae mini too 440 46157i ist51comnv u
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 200, TIGARD, OR,
97223
Commercial - Electrical
130 Ceiling cover
05/14/2013 00:00
ELC2013-00249
PASS
Violation Summary:
Inspector Contractor
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 200, TIGARD, OR,
97223
Commercial - Electrical
130 Ceiling cover
05/14/2013 00:00
ELC2013-00249
PASS
Violation Summary:
Inspector Contractor