Permit CITY OF TIGARD ELECTRICAL PERMIT
Permit#: ELC2013-00538
COMMUNITY DEVELOPMENT
111111 Date Issued: 09/11/2013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 9/11/2 D06201
Jurisdiction: Tigard
Site address: 10450 SW NIMBUS AVE R
Project: Scholls Business Center Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 3
Project Description: (1)branch circuit for replacement of (1)RTU unit.
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 09/11/2013 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 09/11/2013 $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•:.-00 .90. Yo may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
1. A7 .9-P� 'i#ev--TinAJ
Issued By: �� �I///f � Permlttee 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' 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.
09/10/2013 09:51 5032551966 CAPITOL ELECTRIC PAGE 01 Electrical emit A ucatiO I -eceiv , IO,:•„,,rte ,•: I i11•'0\1.1.
IN City of Tigard
9
Date/By; 7 // s /'• It no.:
• 13125 SW Hall Blvd.,Tigard,OR 97223 S E P 1 0 2013 Plan Rcvi •— /` �� EL C.240/3°DOS
{i-. Phone•, 503,639.4)71 Roc 503.598.•1960 Date/By; Other Permit/IF—a:20 g_ ■03-42
T I":;,,;z D. Inspection Line: 503,634.4175
Air
Intcmet: wtigardl or,�ov CITY OF TIGARD Date Ready/By: ❑ See Papa 2fnr
+vsv.
Dial I Notified/Method:►iV •� Supplemental Inlbrmetbe
WHI
- ::'""' _x45 tr0.,e,E: r.. -.4 �•tit✓fp?)431.nt? -.,-SLL"'U i . !:..pfa•y,dvc r. „;.:, -4 ' e. .TL y 7.-7==.^ °_..,�'_
, ''ti`ni ._�, •�• T;�
'F �Ilr =',w❑ Ncw construction ❑ Addition/alteration/replacement
Please check as that a
❑ Demolition ❑ Other; apply(submit 2 seta of Plana warom8 checked below):
Demolition
: " ❑ Service or feeder 400 amp ❑ Building over three stories
..�..,{y. :.Sx_.2!-r'-1 - -r �y�:.-6., P e more
❑ 1-and 2-family dwelling where the available fault current ❑ Marinas and boatyards
g ❑ Commercial/industrial ❑ Accessory building
:" ci ex
ceoda 10,000 amps at 150 volts
or Q Floating buildinga MUlir flmll ❑ Master Builder 0 Other less to ground,or exceeds 14,000 0 Commercial-u9e a
gricultur9l. G.w,kµ-- „_: -yiir ^;, r :y L-• ,_ r ". . amps for all other lnstratatIone.
buildings
Job no.: 131397 Job site address: 10450 SW Nimbus ❑ Fire Pump ❑ Installation of 75 KVA or
❑ Emergency system larger separately derived system.
City/State/ZIP: Tigard,Or 97223 ❑ Addition of new motor load of ❑ "A•,-E^,'1-7' •1.3"
_ 100HP or more. ❑ occupancy
Suite/bldg./apt,no.: Bldg R Pmject name: ❑ Six or more residential unite
RTUse 04 replacement ❑ Recreational vehicle perks,
Cross Street/Directions to job site:
❑ Hcafth•Care facilities ❑ Supply voltage for more than
II Hazardous locations 600 volts nominal.
❑ Service or feeder 600 am s or more
Subdivision: Scholia Business Center
' Lot no.. c. --
7L �� cry: t T2L.Z F.fLizV,Tti-P. riirau r` ..
Tax mp reel no.: Dr°100n -"
Qty. Fee_ Total '•
' t�,�yrt_':;r ���.?Yc-' °"•�,.Lx�! `.ph'.,'E„�-�n ` inn �r Tr ,�' eµy=. New residential•single or multi-family dwelling unit.
rJ ^ :T1 ;4� k Incindts attached
Race disconnect on Bide R RTU b D-4 above software Professionals space a garage.
�� 1000
r
Sq. or less g 1_68.54
■ ;d:TdZi« a ,,- --t.r r- Ea.Add'I 500 sq.ft or Rion 1
,.:. �., :ifs A L._ v.�u?:7:c�.��.... : ,y'■.rr"n:;^tr„ r�1[s',3.w _ix:t sd Limiledencr residential �.S 33.92_ I `
Name' PY
(with above sq.ft,L s 75,00
Limited energy,multi-family
2
Address: €S f ally
residential(with above sift.) 3 75,00 2
'"" __— Service or feeders Installation.alteration,and/or mlOCation
CirylState!ZlP' 200 amps or less
201 amps to 400■amps 5 133.56 .2
Phone: — 5_ 123.56 2
Fax; 401 amps to 600 amps S 200.34
601 amps to 1000 amps
Owner installation: This installation is being made on pmperty that T own which is not S 552,26 2
intended for sate,lease rent or exchange, ��1000 amps or volts 5 552,26
ge according to ORS 447,449,670,and 701 Tempnraty services or 11bpders Installation,alteration,and/or
Owner signature: Date:
relocation
200 amps Cr less I R 59,46 —t--
.sl•-.4■' aa , / ..'�r .^ I l• : �1"■ i r i t af47i t::„rir',t 201 amps to 400 amps 5 125.08 2
Business Name' 401 amps to 599 amps
Branch circuits-new.alteration or extension, $ Iba,54 2
Contact name:
A. for circuits with r �r 2anN i
_ service or feeder fee.each
Address; branch circuit S 7.42
B. Fee for branch circuits 2
City/Srate/ZiP: without service or feeder fee.
first branch circuit 1 S 56.18 66.18 2
Phone; Fox: Each additional branch circuit
3 7,42 2
E-mail:
Mlseelianemia(scry Ce or feeder not IIle loded�
r r rr n_ •�. Eatch manufhcturcd or modular
eustnesa Name: CAPITOL ELECTRIC CO.,INC. ^ dwelling service and or feeder 3 67,54 2
Reconnect only s 67.x4 .
Pump or irrigation circle 2
Contact name: Gary Stolen
_S 67.83 2
ry Sign or outline lighting S 6784 2
Signal circuits)or limited-energy Sec
Address: 11401 NE MARX ST. the above
panel,alterations,or extension, Page 2 2
—
Each additional Inspection over allowable In an of
City/State/ZIP: PORTLAND,OR 97220-1041 Additional inspection 1 hr min
lnvaatipat,on(I hr min) 66,231 hr_
Phone: 503.255.9488 Fare: 503-257-7121 industrial plant(1 hr min) 7818/hr
Inspections for which no fee is 78.18/hr
CCB Lie.: 48748 Electrical Lie.: 6-496C Suprv.Lie.: 3132-5 90,00/hr
s ecifical listed 1/2 hr min
lfn r.;f w :.:•i;:66i:i(2. 'r.:` '7"-Y I''4.C21155:1 " -÷,'''',i;t r'Sprv,Electrician signature,required:
Print Name: Darrell McNoel Date: 09/10/13 Subtotal: 56,18
Authnri2ed signature: — 1 Plan review(25%of permit fee
State surcharge(12%of permit fee); $ 6.74 • /
Print Name: Darrell Me �`� �� TOTAL PERMiT FEE: 9 62,92 lV
nil permit applkatloo expiry,Ira permit IS ant&mined witch,leo
Set's 5ner It ban been neeept,d as compute,
•Number of inspections par permit allowed,
0uildlnoWermlulF..LC-prnnlrnpp,doe in/et/OP
440.161 STry ltaS/C0M/wg0