Permit CITY OF TIGARD ELECTRICAL PERMIT
r • • COMMUNITY DEVELOPMENT Permit #: ELC2013 -00309
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 Date Issued: 06/04/2013
Parcel: 25101 DCO3800
Jurisdiction: TIGARD
Site address: 7180 SW SANDBURG ST 400
Project: Spec Space Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4
Project Description: (8) branch circuits for TI
Contractor: CURRENT ELECTRICAL CONST CO Owner: MCCORMACK PROPERTIES LP
PO BOX 19652 7190 SW SANDBURG ST
PORTLAND, OR 97280 TIGARD, OR 97223
PHONE 503-245-5997 PHONE: 503 - 624 -4649
FAX' 503 - 245 -2919
FEES
Quantity Description Date Amount
8 crt Branch Circuits wo /Purchase 06/04/2013 $108.12
Specifics: Service or Feeder
1 ea 12% State Surcharge - 06/04/2013 $12 97
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $121.09
Required Items and Reports (Conditions)
This permit is issuediub'ect 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 rdance with :pproved plans This permit will expire rf work is not started within 180 days of issuance, or if work is suspended for more the 180
days ATT TION Oregon :w r-• -s you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952 -001 -0 10 th ugh OAR 952 -r; - 00990Y• - ay obtain a copy of the rules or direct questions to OUNC by calling 503.232 1987 or 1 800 33
Issued � • 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' . � / r.= 'i Date: 4/
LICENSE NO. '3&Z 7 2- 5
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 ApplicatiIECEI VED FOR OFFICE USE ONLY
City of Tigard Date /B CQifAM� Permit No. CL.t'_'h'/5-oz) 3
13125 SW Hall Blvd., Tigard, OR 97224 UN - 4 2013 Plan Review Q �
gl Phone: 503.718 2439 Fax: 503.598 1960 Date /B : Other Permit. AS Ac:// Z -G7 /� .
T I G A R U Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By ions ® See Page 2 for
Internet. www tigard- or.gov BUILDING DIVISION Notified/Method. Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ® Addition/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 stones
❑ 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 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately denved system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: A13118 Job site address: 7180 SW Sandburg St., STE. 400 100HP or more occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal
Suite/bldg. /apt. no.: Project name: McCormack Prop ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description P I Qty. I Fee. I Total I •
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'I 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.)
Limited energy, multi -family 75.00 2
add circuits residential (with above sq. ft.)
Renewable Energy ❑ See Page 2
Services or feeders installation, alteration, and/or relocation
❑ PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name: 401 amps to 600 amps 200 34 2
Address: 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/ State/ZIP: 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 ❑ 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 I
56.18 56 18 2
branch circuit
Address: Each add'l branch circuit 7 7.42 51.94 _ 2
City/ State/ZIP: Miscellaneous (service or feeder not included)
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: Current Electrical Signal circuit(s) or limited- energy See
panel, alteration, or extension Page 2 2
Address: PO Box 19652 Each additional inspection over allowable in any of the above
Additional inspection (1 hr mm) 66 25/ hr
City/State/ZIP: Portland, OR 97280
Investigation (1 hr mm) 66.25/ hr
Phone: (503) 245 -5997 Fax: (503) 245 - 2919 Industrial plant (I hr min) 78.18 / hr
yl01 . - Inspections for which no fee is
y /,g9
90.00/ hr
CCB Lic.:
'f Electrical Lic.: 26-471 c Suprv. Lic 5232s specifically listed ('A hr min)
ELECTRICAL PERMIT FEES
Suprv. Electrician signature -
Subtotal: 108.12
Print name: Jason Jacobucct -No.. .... ai r
Date: 05/31/13
Pl review (25% of p ermit fee):
State surcharge (12% of permit fee)' 12.97
Authorized signature: , TOTAL PERMIT FEE 121.09
Print name: David Thompson Date: 05/31/13 This permit application expires if a permit is not obtained within 180
p days after It has been accepted as complete.
• Number of Inspections allowed per permit
t \ Building \ Permits \ELC_PennnApp_ELR_EREdoc Rev 05,21 /2013 440-4615T(II /05 /COM/WEB
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
7180 SW SANDBURG ST 400, TIGARD, OR,
97223
Commercial - Electrical
125 Wall cover
06/10/2013 00:00
ELC2013-00309
PASS
Matthewfaus@comcast.net
Violation Summary:
Inspector Contractor