Permit CITY OF TIGARD ELECTRICAL PERMIT
1 1 1- COMMUNITY DEVELOPMENT Permit #: ELC2013 -00374
Date issued: 2013
07/03/
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 7/ 3 /2013 00
Jurisdiction: Tigard
Site address: 10110 SW NIMBUS AVE
Project: Scholls Business Center - Building B Subdivision: IKOLL BUSINESS CENTER, TIGARD Lot: 2
Project Description: (1) branch circuit to reconnect HVAC for reroof project for Building B.
Contractor: CAPITOL ELECTRIC CO INC Owner: HANSON, RONALD D
11401 NE MARX STREET ROBINSON, CONSTANCE A
PORTLAND, OR 97220 ROBINSON, CHESTER TRUST ET AL
203604 EAST FINLEY RD
KENNEWICK, WA 99331
PHONE: 503 - 255 -9488 PHONE:
FAX: 503 - 257 -7121
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo /Purchase 07/03/2013 $56.18
Specifics: Service or Feeder
1 ea 12% State Surcharge - 07/03/2013 $6.74
Type of Use: Electrical
Class of Work:
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. 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 OAR 9 - 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: P P - Permittee Signature: QA/ /9 (`1-T !'
CV /
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 603.639.4176 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.
07/02/2013 13:01 5032551966 CAPITOL ELECTRIC PAGE 01
Electrical Permit Application RECE ).'Uft 0,:i.„(.,.: I .Sf•. �l�'1.,
ecetve.
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.. .• City of Tigard ca /3 / ; ''. It no , - e03 f
■ 131 SW Matt B lvd. , Tigard, OR 97223 JUL 2 2013 Plan Rcvi.w
W ' - Phone: 503.639.4171 Fax: 503.598.•1960 Other Permit:
In action lane; 503.639.4175 'CITY OFTIGARD Da diPo -000 r r
[' I C:: A. I: f1 W Vf Ia/'N1L7 Dale Ready/By: ❑ Ors r„� z for
Internet www.tlgard- or.tyav
BUILDING otvis Notllied/Mcthod; anppu»nhnnitnfnrmnrlon
=f& '�-W •°5 .' . .'4 ���_Ul2 i:: T `ff4t = r ,`•' {J r.�. � 111.V Div ism J S.;.(i. _ iii:. -._1 Las -1F.i J 6,irit�` "i�..: Zk,, ";*+r.(. .. ,.•,. t,.tu ✓S
❑ New construction El Addition /alteration/replacement Please chock all that apply (submit a sets of plans wlltems checked below):
❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more ❑ Building over three stories
7.3i. r ',;;, gip_ jdh • f y am,i � _>.,' where the available fault current ❑ Marinas end boatyards
❑ I. • and 2-family dwelling O Commercial /industrial ❑ Accessory building 0xeeede 10,000 amps at 150 volts ar ❑ Floating buildings
❑ Multi-famil ❑ Master Builder ❑ Other loss to ground, or exceeds 14.000 ❑ Commerclal -uae agricultural
" 0t4a' %;.1;isA . ivt.".44 7 arILFZ' , .{',t' .' i ric w 1 amps for at other installations. buildings
Jab no,; 131240 ,lob site address; 10110 SW Nimbus Ave ❑ Fire Pump ❑ Installation of 75 tWA or
❑ Emergency system larger separately derived system.
City/StaleJZIP: Tigard, Or 9722$ ❑ Addition at new motor load of ❑ "A ", "E ", "1 -2 ", "1-3",
/ 100HP or more, ❑ occupancy
V Suite/Irldg, /apt. no.: Bldg B Project name: Bldg 8 HVAC ❑ Six or more resldentiel units ❑ Recreational vehleie parks.
❑ Hcalth•care facilities ❑ Supply voltage for more than
Cross Street/Directions to job site; ❑ Hamrdoun locations 600 volts nominal,
❑ Service or feeder 600 amps or more
Subdivision: Lot i1•" "'4.+�3•.b�:.>t.a,wtiitt_ a . - -`d :r 11•_'�t•.:..`.'',5:0-.1.1u:.. , � 'Att '.�? „ �cS.i;i4;:,u "a3°
Scholl Business Ctr Description Qty. Fn, Total
Tax ma /.arcel no.: New residential - single or multi t family dwelling unit. •,
J, 1. ' •` °-,27,.Y w."
s ;3" z � - ..aL4 {°ti &,: 1.i,E41 "�F.t:_. µ?:siIBM g:hatil includes attached garnpe.
Replace HVAC disconnect 1000 sq, n'. or less $ 168.54 4
aL� + .i n • . , a F i' a Vii'' 'y ? �s ■ 6 .a r •. c p" Ea Add'I 500 sq. ft or portion 5 33.92 1
�l "� =1y ^Sr. ' t�-iiit,•_.. ,1-. *'.f'•v ., •' 7,i;a•.a,', :i Limited energy residential
Name; (with above sq ft.) $ 75,00 2
-
Limited energy multifamily
residential
Address: (with above s . R.
( ) , s 75,00 2
Service or feeders Installation, alteration, and /or relocation
—
City/Statc/7_IP; 200 amps or less — 5 (00.70 2
201 amps to 400 amps s 133.56 2
Phone: tax: 401 amps to 600 amps $ 200,34 2
601 amps to 1000 amps — 30i,o4 2
Owner installation: This installation is being made on property that I own which is not Over 1000 amps or volts $ 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 /nr
Owner signature. Date: relocation
200 amps or less 1 I S 59.36 J I t
,n ■ .,,, �.�9' '^ rlieL.. U . 62 c ?� 1 5 R k : ��1�tv:i:Y, „.t 201 amps to 400 amps 1 I L s 125.081 2
Business Name; 2
Branch circuits • new, alteration, or extension, per *and
Contact name: A. Fee for branch circuits with
service or feeder fee, each
Address: branch circuit 5 7.42 2
13, Fec for branch circuits
Cirylstatcl7,1p; without service or feeder fee.
first branch circuit 1 $ 56.18 86.18 2
Phone; Fax: Each additional branch circuit: 5 7.42 2
Miscellaneous (service or feeder not included)
Email: _�� .,;t; Each manufactured or modular
a ,1; 'W'l& :: .5 -,.7 i?•;j_;.1..e. l l ittIL:h • ; c15 s, M rs: J.? dwelling, service and or feeder S 67,84 2
Business Name: CAPITOL ELECTRIC CO., INC. Reconnect only S 67.84 2
Pump or irrigation circle $ 67,84 2
Contact name: Gary Stolen Sign or outline lighting S 47.1i4 2
Signal circuits) Or limited -energy . Sec
Address: 11401 NE MARX ST. panel. alterations, or extension. Page 2 2
Each additional inspection over allowable In any of the above
City/State /ZIP: PORTLAND, OR 97220 -1041 Additional inspection (I hr min) . 65.25/ hr -
Investigation (1 hr min) 66,25/hr
Phone: 503 - 2554488 Fax: 603 -257 -7121 industrial plant (1 hr min) 78, I O/ hr '
Inspections for which no Fee is 90.00/ hr •
CCB Lie,; 40748 [Electrical i ic,: 26 -496C ISuprv. Lie.: 3132 -S s.ccificall listed 1/2 hr min
o _
Suprv. Electrician signature requi a `i, i a i }. X40. FS1c?Z.L,r 1 :;14 y r r r 7-` --
i./.../../.44 / _ i 186.18
Print Name: D cal ,.LA& Plan review 25% of .ermbtotcl: 36.18
Authorized signature: 07102/13 I ” / State surcharge (12% rmit fee); $ 6.74
Print Name: Darrell MoNeel �'
TOTAL PERMIT FEE_ 62.92
no permit lippltcodon tapirs Ito 850911 Is nor nbtxlnrd want; I 6a
poyr aaer It hat been nocepte,I at comnttlr-
• Ntanberofinopacrions per permit ollewccl.
I.13uilding\Pett tiEt.C.roaniiApadw Iofoi/m
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