Permit CITY OF TIGARD ELECTRICAL PERMIT
1 11 1- '= COMMUNITY DEVELOPMENT Permit #: ELC2013 -00359
13125 SW Hall Blvd , Tigard OR 97223 503.718.2439 Date Issued: 06/27/2013
TIGARD Parcel: 1 S 135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 525
Project: Kannact Subdivision: METZGER, TOWN OF Lot: 9
Project Description: (8) 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
8 crt Branch Circuits wo /Purchase 06/27/2013 $108.12
Specifics: Service or Feeder
1 ea 12% State Surcharge - 06/27/2013 $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 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 2- 84+6 90 , ou 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: 1A/
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 503.639.4176 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.
06/26/2013 12:25 503257712 �� \J CAPITOL ELECTRIC PAGE 02/02
Electri Pe rmilt,Aoe�lication 201 active ��..''ermitno�G 020, ....10e35, City of Tigard JUN 2 D ate/By� 7 /3
IN • 13125 SW 11811 Blvd„ Tigard, OR 47223 Tin
p D Pion Review ether Ponn
Phone: 303.639.4171 pax: 503,599.19600 O i ika... _ Datc/By: igui°aoi3—ea/o
TI,-,A111.- Inspection Lino. 503.639 BUILDING DIVISION Date Ready /By: GI 9r+ Pn4c 2 for
Rooney, www.tigard- or.gov 1 . Notified /Method' SnoolemrntnlInfermmino
ii a.= a v j+ " , T n '+'':. ..L, a/ R s 5 , , *.4:11 :''i•Iffi '':f '. 1.1,.. , 6'1 .0.f ` 1 : .. !fi,* ,�1 �l 1A+1-i'rJ, 0 t�"'157iefii,k.tht .!.
F. ' �: .i /�!: {.�r�rt, ?, �;;, , • ,;;.r,b ,:.•�/!.. , +J,i,:in,:R.. ,..,..9 k�..- ,._•;� . ..
O New construction
Q Addition/alteration/replacement lacement Please cheek all that apply (submit 2 sets of plans w/ttems checked below),
o
1itlon ❑ Other: ❑ Service or feeder 400 amps or more 0 Building over three stories
O Demolition
r'., of 1.7WA ,,t 5 2 m aA.rG i t iM .1 1'-' v n - 4'" ( , where the available fault current ❑ Marinas and boatyards
❑ 1- and 2 - family dwelling 1] Commercial /Industrial ❑ Accessory building exceeds 10.000 amps at 150 volts or ❑ Floating buildings
O Multi -famil 0 Master Builder ❑ Other less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
a!¢ , z + E- a n T- ^ * r R , +a I u i` +t } ° 7,r ty', amps for all other installations, bullddlga
'" r � Er,, J, ,34!.5d5 al s.J.::�.11..x�, ,u'�"uS
❑ Fire Pump ❑ Installation of 75 KVA or
dab no.: 131024 lot site address:
1 0260 SW Graanbur Rd ❑ Emergency system larger y system.
lar er tion of
derived s m,
❑ Addition or new motor load of ❑ "A" "E" "1.2' "1.3"
City /StatrJZIP: Tigard OR iOOHP or more ❑ occupancy
❑ Six or more residential units ❑ Recreational vehicle parks.
Suttc/bldg /apt. no. 525 Project name, Kannact 0 Health-care facilittcs 0 Supply voltage for more than
Cross Street/Directions to job site'
❑ Hazardous locnlions 600 volts nominal.
❑ Service or feeder 600 am • s or more
SubdiviSion: Lot no.: Opcn•kr InallifillM Total
i New residential • single or multi- family dwelling unit.
Tax m+• arccl no..
:2.e:i ` :,w` ...�"'` +' , L 14 7 ..ai 'r: ;i, e'.ol o uw: i.., :2x1 : f c,'sf , :_ at tit ,+?!sr Includes attached ga rstge .
Tencnat Improvement 1000 slit. or loss ' $ 168 54 4
,
Es. Add'1 5005 ft nr portion S 33,82 1
. • .t f a J lib c u q , i - w . ; {i rr � ., 1"'; , - r? ,r o- ^ Lltmtcd energy residential
{ l S5 1ii9i._l L 1..:iti'Cla .:..� w : n = l4 tai 1 r? #a. m., . a erg a t (with above sq. FL) S 75 On 2
Name Limited energy. multi - family
residcntinliwith above sq. ft.) $ 7500 2
Address Service or feeders installation, alteration, and /or relocation
200 amps or less ' S 100.70 ' 2
City /State/ZIP 201 amps to 400 ame _ 5 135 56 2
401 nm•sto600am s 3 20034 2
Phone' Fax 601 Dm •s to 1000 am •5 S 301.04 2
Owner Installation: This Installation Is being made on property that i own which is not Over 1000 amps Of volts
R 552 26 2
I ntended for salt, lease, rent or exchange, according to ORS 447. 449, 670, and 701 Temporary services or feeders installation, alteration, and /or
Owner signature' — Date. reloefHon
200 am •s or less 3 59.36 I
■ /,t, 1 .c. . i t e Af "6rk rw li"+aa 2 rt S?. t" =.':t -i. �' i if4 ' f 201 amps to 400 amps $ 1 25,08 2
' ° bt ,l '. �l r # 401 ads To 599 amps 1 168 54 2
Rosiness Name: -,
Branch circuits • new. alteration, or extension, per sanel
A. Fcc for branch circuits with
Contact name, service or feeder ibc, each
branch circuit S 7.42 2
Address: 13 Fcc for branch circuits
without service or feeder fee,
City/State /ZIP; first branch circuit 1 S 56.18 58.18 2
Each additional branch circuit: 7 , 3 7.42 61.94 ; 7
Phone: Fox: Miscellaneous (service or feeder nor included1
—
E -mail' Each manufeetuted nr modular
r t , awj la. , ,� a .�;�7 7 I + Jy.• i �gi dwelling, �^•.`• ''r++ • 4� p ,:ttry 4,P,�17+n1."t �.•lti .. + dwelling service and or feeder S fi7 fl4
o a'a 1.' ;• • ' " e1 " Reconnect only $ 67.84 2
Business Name, CAPITOL ELECTRIC CO., INC. _ _Pump or irrigation circle S 67.84 2
SI: or outline li htin • S 67.84 2
Contact name: _ Signal circuit(s) or limited -energy Sec
Eanel. altcmtions, nr extension. Pale 2 2
Address. 11401 NE MARX ST. Eaclt additional inspection over allowable in any of the above
Additional ins A oction lhrmin 6625/lir
City /Stnte./ZiP: PORTLAND, OR 97220 -1041 Tnvesti_ Lion 1 hr min) liM 66,25/ Iv
Industrial plant (1 lir min) 78 18/ hr
Phone: 502 -255 -8488 Fax 503- 257.7121 Inspections for which no fcc is 90 OD/ hr
CCB LiC.' 48748 !Electrical Lic : 26-496C I9upry Lie,: 3132 -S s • CIflcall listed (1/2 hr min
' ' S. T . `J :A4�l Liz." IT:.T./.5' ..ti 3 ''d).. IL1.• .+�. —...K :s t, a ro .3a7. z7
Supry Electrician signature, required. Subtotal: 108.12
Print Name Darre! TOl1CNeel -- 0• c' 0./28/1 • plan review •crttfee •
Authorized signature'
_l (� ,n m State eureharge (12% of permit fee) (�/'�/ ' - TOTAT. PERMIT FEE $ 10,52
Print Name: Darre MCNB This permitapplikMM hv eu rxp If* pa,mlt I. not ohtnined within ISO ® q
. ,,y after It ha* hear acrepte,t Si template. I B f
• Meatier of inspection Perm per gnawed +
fOS,dldinLOPermm\F l C- PermnApo dnc to/ai /09 d40.4615T(i I/a5 /COMAVG5