Permit CITY OF TIGARD ELECTRICAL PERMIT
II
II COMMUNITY DEVELOPMENT Permit#: ELC2015-00225
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/08/2015
Parcel: 25101 DC04603
Jurisdiction: Tigard
Site address: 7405 SW TECH CENTER DR 140
Project: Pivot Subdivision: TECH CENTER BUSINESS PARK Lot: 2
Project Description: (10)branch circuits for TI
Contractor: COWGER ELECTRIC LLC Owner: WPC TIGARD LLC
3418 KNOLL DR 307 LEWERS ST 6TH FL
NEWBERG, OR 97132 HONOLULU, HI 96815
PHONE 971-222-6650 PHONE.
FAX:
FEES
Quantity Description Date Amount
10 crt Branch Circuits wo/Purchase 04/08/2015 $122.96
Specifics:, Service or Feeder
1 ea 12%State Surcharge- 04/08/2015 $14.76
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $137.72
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 t ...g • - 952-0 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 2.1987 or 1.800.332..23344 .
Issued By. Permittee Signature: e�T
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' 1 t --- Date: Y g /S
LICENSE NO. 6aU j S
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 ApplicatifitEC E I'. ' "- FOR OFFICE USE ONLY
Received / G��t n„ �O n.��
City of Tigard Da[eBy: a ��
Y. r;� Permit No.: C OCIIJr i5o
pri
" 13125 SW Hall Blvd.,Tigard,OR 9722
PR 8 2015 Plan Review Other Permit: ��/ Q(�35
Phone: 503.718.2439 Fax: 503.598.1960
Date/By:
TIGARD Inspection Line: 503.639.4175 C�N OF l Date Ready/By: tuns: 0 See Page 2 for
Internet: www.tigard-or.gov BUII DIN Notified'Method: Supplemental Information
TYPE OF WORK ,n ,, . _ PLAN REVIEW
, Please check all that apply(submit 2 sets of plans w/items checked below):
❑New construction ❑Addition/alteration/replacement
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATEckRY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
0 1-and 2-family dwelling OCommercial/industrial ❑ Accessorybuilding 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 derived system.
❑Addition of new motor load of ❑"A","E","1-2","1-3",
1 100HP or more. occupancy.
Job no.: Job site address:
7 N us Ted" cc pit f r D i 7�14 ❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: I is . ,d. 0', en`2-7_3 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: /`r 0 Project name: p,vet ❑Service or feeder 600 amps or more.
-- FEE SCHEDULE
Cross street/directions to job site: 7Z N`t Ave. Description I qty. I Fee. I Total I •
New residential single-or mufti-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 1
Tax map/parcel no.: limited energy,residential 75.00 2
DESCRIPTION OF WORK —1'77 (with above sq.ft.)
Limited energy,multi-family
Ill 010(4- G(n ar..5 r, I I 1115 04.1 2-(f ilA .5 residential(with above sq.ft.) 75.00 2
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
200 amps or less
100.70 2
❑ PROPERTY OWNER ❑ TENANT .
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 / 56.18 Ziff 2
branch circuit
Address: Each add'l branch circuit 7 7.42 4,7g 2
City/State/ZIP: Miscellaneous(service or feeder not included)
Each manufactured or modular
67.84 2
Phone:( ) Fax: )
dwelling,service and/or feeder
r - Reconnect only 67.84 2
E-mail:r • h i ej__ e✓e'/e 1 ii, Pump or irrigation circle 67.84 2
y= , ;"::1;4 . N,,,,,,.:.x.,,• IN ..a;-, , nr: _ Sign or outline lighting 67.84 2
Business name: uc..✓ C._ Signal circuit(s)or limited energy See
�� I���rt G panel,alteration,or extension. Page 2 2
Address: -3L-11S K ri v I` be' Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
City/State/ZIP: J`it e W b oss 0I_ 9-7 i 3 Z / f / Investigation(1 hr min) 66.25/hr
e/5 6 Industrial plant 1 hr min 78.18/hr
Phone:( 1)r) Z22. 'Co(,SC� Fax:(, ) S.�e>56 P ( )
'�// /7 - Inspections for which no fee is
90.00/hr
CCB ic.: 19 cZvf s- Electrical Lic.: C�q- Suprv.Lie.: SX)s-S specifically listed('/z hr min)
Su/ / ETECTRICAL PEA. -. .. >,„
p .4eectrician signature,required: i Subtotal: /z2. 9ti
3 l / Plan review(25%of permit fee):
Print name: 1:f Le 4116.d a1 Date: 3 A S,eie State surcharge(12%of permit fee): /9, '76
Authorized signature: 77� - TOTAL PERMIT FEE: /37 7&
This permit application expires if a permit is not obtained within 180
Print name: Jo S�u w9 2✓ Date: 3/3//i. days after it has been accepted as complete.
• Number of inspections allowed per permit.
1:\Building\Permits\E[ PermitApp ELR ERE.doc Rev 05/21/2013 440-4615T(11/05/COM/WEB