Permit CITY OF TIGARD ELECTRICAL PERMIT
a COMMUNITY DEVELOPMENT Permit#: ELC2013 00528
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/05/2013
Parcel: 1 S134AA01800
Jurisdiction: Tigard
Site address: 10260 SW NIMBUS AVE M6A
Project: BIOLOGIC Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 2
Project Description: (1)branch circuit for lab.
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 09/05/2013 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 09/05/2013 $6.74
Type of Use: COM Electrical
Class of Work: ALT
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 952-001-0090. You may o• ..• . opy of for direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
ini
Issued By: _ �� Permittee Signature:
OWNER INSTALLATION ONLY �y
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 603.639.4175 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.
09/03/2013 15:49 5032 551 96 6 CAPITOL ELECTRIC PAGE 01
Electrical Permit Application hot.of Ic1•_ (Isl.:()NIX
City of Tigard �� Received y
a 13125 SW Hall Blvd„Tigard,.OR !,1_,P .„-I.,.A Anto/9v, yi
g. Phone: 503.718.2439 Fax: 503.5; t ,�,0\�J Plan Review Other Permit:
Inspection Line: 503.639.4175 `Q �� .r al
T]Ci A Ii I) D Q la See Page 2 for
Internet: www,tigard-or,gov 3 \G 1l 2 L. f�0 Supplemental Infermaban
/9h u• + 1 IM1N.,• ,.,h ,.,,�.,• .n rr 11.."•LFFd I; Gk S, Z T ! ,w{..4,•-. f 1.4 I' kJ�N ' '4''' 4
....1s „ rt,'r ; •+y ,a •.;d re- �r a ^� I i _ e"� �` ; 1 ,.=' 1 r t� n4#' \T,),:4.
,,,...r,1,ge.r. :4.,v...,u .'1rf .,:1.1 ri-,, •.its- ..td+t,..:.,,�,,..:,:s ow.44, r ha,"., i „�"rs• ,5.....,,,.,.,R• �:�en-.,, ems„'m, t,-Hi,” .c, .,p At•a, '';13,1
❑New construction ®Addition/alteration/r': } ,�� Please check all that apply(submit 2 sets of plans w/;tans checked below):
❑Demolition ❑Other: ❑Service or feeder 400 amps or more ❑r.3uilding over three stories.
• whore the available fault current ❑Marinas and boatyards.
'i ■t .1' 4 a i'a ,� ^ n a al' n� n:I r, in " r ,R" m'_ n r;' exceeds 10,000 amps et ISO volts or ❑Flouting buildings.
6 d+ a . �cx •, r j ri d L;irta+`4 i�*2 w ,Z1. •;?w e-1 :.F•jL+i,"t less to ground,or exceeds 14,000 ❑Cemmorela6use agricultural
❑ I-and 2-tkmllydwelling ®Commercial/industrial ❑Accessory building r_ s for au r' t btdldinka
❑Multi-family ❑Master builder ❑Other h6u+++p• ❑rrtstanuhon of 150 xvA or
"�- c T"i ��m��i v M a envy larger separately derived system,
�, ,, ,ti, r .���+il3;e:ry.:T�4±- _., �'e t,.l_�r-,. FH,,Y�,- �_n� ��, � " Apr)efoe,v m2tns load of ❑"A„„E„ ,.1-2","1.1`•,
Job no.:131307 Job site address: 10260 SW Nimbus Ave�• 100HP or more. R reaney.
❑Six or more residential units, ❑Recreational vehicle parks.
City/State/ZIP;Tigard,Ore 97223 ❑Hoalth-care facilities. ❑Supply voltage for more than
❑Hvmdous locations 600 volts nominal.
Suite/bldg./apt.no.:M(,4- 1 Project name:Biologic New Outlet ❑Service or feeder 600 amps or more
;"7 • w•_yws.. .1;3,_'`,e"•_111b t: P , ' "`se- it;",
Cross street/directions to job site:Nimbus and Scholls • n_ acrlptins ("Ay. Pee, Total •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision:Scholls Business Center I Lot no.: 1,000 sq.tl,or less 168,54 4_
Ea.add'1 500 sq,ft,or portion 33.92 I
Tax map/parcel no.: Limited energy,residential
r11 '0J ,t', ''i r-,:fL i"-. mil}_y 4:iv,_ w1'4.N, ..: ":c=at''„si7, iKIt'.a 7 %rte*`,- (with above sq.R) 75.00 2
Limited energy,multi-family 75,00 2
Install new Circuit in the lab. residential(with above sq.R)
'Renewable:Energy'.? . • • , [ & P2 : •.
Services or feeders Installaeionialteration,and/or relocation
r ' a 'I:.'a 4°4 n w'- r t +H . �`_ .ti,L�1tra ` W.`-. �� 200 amps or less 100.70 2'• t, �ti .., i .1•N.,u.I,.�I• , � . . ?; �. ‘-4.).' i.��:
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 r 2
_
Over 1,000 amps or volt; I 552.26 7
TCity/State/'LIP: Temporary services or feeders installation,alteration,and/or
Phone:( ) _I Fax:( ) relocation
200 amps or less 59,36 I 1
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.05 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,yrcrpanel
. t_ -•1-",‘'..1.:X.y ,r� ./�.1 ,rte: _-,r�;r,.�1 i'a {ry ' ,: , a4�, .':-. A,above branch
service c or circuits
. -. -^.«'' '`cr��'— 4`”" "' a�'`�`•''2 �"� above service or feeder tae.
Business name:Capitol Electric Co.,Inc. _ each branch circuit 7.42 2
B.Fez for branch circuits without i
Contact name:Gary Steiert service or feeder the,first 56.18 2
. branch circuit
Address: 11401 NE Marx Each add'I branch circuit 7,42 2
City/State/7IP:Pnrtiand,Or 97220 Miacellanenus(service or feeder not included.'
Each manuthctured or modular G7.84 2
Phone:(503)255-9488 11'ax::(503)255-9488 dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail:gary@cepdx.com P ,
•„ Pump or irrigation circle 67,84 2
. , m mgnho
'kl ",« , . lu4 ; w1.4 4 is r w _ ..'s.....nv'Ir;ial'' 'tu'� '" w_
.,13Er,/h11 i .,�y 1 �: +?l �n°� ?rfl ,., , • .. „. , Signoroutlinelighting 67.84 2
Business name:Capitol Electric Co.,Inc Signal eircuit(s)or limited•energy Sec
panel,alteration,or extension, Page 2 2
Address: 11401 NE Marx Each additiodal inspection over allowable in any of the above
- Additional inspection(1 hr min) 66.25/hr
City/State17_IP Portland,Or 97220 - Investigation(1 hr min) 66.25/ltr
Phone:(503)255-9488 I_ Fax:(503)255-1966 industrial plant(1 hr min) 78,18/hr
Inspections for which no fee is
CCB Lie.: 48748 I Electrical Lie.: 26-496C I Suprv.Lie.: 3132-S a 90.00/hr
cciflcal listed %h hr min
• -t '?a F J�." s P�+l cl t;, , l_tit,„c "Suprv.Electrician signature,required:
�t1.... � ___. Subtotal: 56.18
Print name: Darrell McNccl Date: /12/13 Plan review(25%of permit fee):
—•• State surcharge(12%of permit l'cc): 6.74
Authorized signature: , TOTAL PERMIT FEE: 62.92
this permit application expires if a permit is net obtained within 180
Print name: Darrell MCNeel Date: 7/ /13 days after it has hecn accepted as complete.
" Number of inspections allowed per permit,
1.10uildins\PermitdELC PermIrapp_grR-GRE.6a Rev 05(21/2012 440-4615T(11/05/COM/WEB