Permit (250) qII
CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT COMMUNITY
ELC2016-00848
Date Issued: 11/17/2016
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101DC04500
Jurisdiction: Tigard
Site address: 7555 SW TECH CENTER DR A
Project: Apollo Mechanical Subdivision: TECH CENTER BUSINESS PARK Lot: 1
Project Description: (2)201-400 amp services, (1)601-1,000 amp service&(28)branch circuits.
Contractor: CHRISTENSON ELECTRIC INC Owner: SUMMIT PROPERTIES INC
111 SW COLUMBIA ST, STE 480 4380 SW MACADAM BLVD STE 330
PORTLAND, OR 97201 PORTLAND, OR 97239
PHONE:
PHONE: 503-419-3300
FAX: 503-419-3695
FEES
Quantity Description Date Amount
2 ea Services or Feeders-201 to 11/16/2016 $267.12
Specifics: 400 amps
1 ea Services or Feeders-601 to 11/16/2016 $301.04
Type of Use: COM 1000 amps
Class of Work: ALT 28 crt Branch Circuits w/Purchase 11/16/2016 $207.76
Service or Feeder
Type of Const: 1 ea Plan Review Electricial 11/16/2016 $193.98
Occupancy Grp: 1 ea 12%State Surcharge- 11/16/2016 $93.11
Electrical
Total $1,063.01
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 susp ded for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification ,,Center. hose rul ar set forth in OAR
952-001-0010 through O 2-001-0 90 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19V or 00.332.2344.
I s J
Issued By: �` /L"/. ' - Permittee 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 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 ApplicaiLt,:;F:A..1. 717/ i„b,,”
ReceiVed.„. . ,
City of Tigard
(--- 0-) Permit N • 6.1.-e_c2-0/6) Oc ke/g
Date/By: (( a` /(P' °- -
4 13125 SW Hall Blvd.,Tigard,OR lt',W3 2 ?015 Plan Review -
. I. Phone: 503.718.2439 Fax: 503.598.1960 - ElateiBy: //co #--C. Other Permit:
TIGA1113 Inspection Line: 503.6394I 72,ii., , ,. , ,•.,- r;•,A i.., Date Ready/By( ., ,,,,.A6 4.4v:_los:
I
, .
1Supplemental pages 1'i:formation
Internet; www.tigard-or.gov A..,ii li .,u..'.' ', ky Notifted/Method: irof 7
••::. ' • ..:.'-',?.... ...',..' !..::•4 '.:.:TIC:0C 244):04%; 10t::'.: '...**-4//i4741, :le, 'IS..PIN liE.V;EIV
0 New construction D3 Addition/alteration/replacement Please cheek all that apply(submit 2 sets of plans w/items checked below):
0 Service or feeder 400 amps or more 0 Building over three stories.
' ED Demolition Ei Other:
where the available fault current 0 Marinas and boatyards.
.****044,..:-'4i;:.iii ..:.,,,:.:1... t!.2 exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground,or exceeds 14,000 0 Commercial-use agricultural
0 1-and 2-family dwelling 211 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
• 0 Multi-family El Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or
.: 0 Emergency system. larger separately derived system.
. • . •••.••• '.. .". 1;.140CSji1041004 ***P.O..,4****Aiii.:..11k....fkit..,. .1::;,::: 0 Addition of new motor load of ti"A" "r,-1-2",“1-3",
Job no.:22208 I Job site address:7555 SW TECH CTR DR 100HP or moreiSix or more resdential units. occupancy. .
0 Recreational vehicle parks.
City/State/Z1P:
0 Health-care facilities. 0 Supply voltage for more than
TIGARD, OR 97223
0 Hazardous locations. 600 volts nominal.
r
Suite/bldg./apt.no.: I Pmject name:APOLLO MECH 1: Service or feeder 600 amps or morn
14Clieklellik 3411#0010_0T:ig:.:•- . F';':.. 1.•:'::•. '''', .
Cross street/directions to job site: JUSTIN 503-679-0380 Description - I Qty. I Foe. I Total I •
•
New residential single-or multi-family dwelling unit. •
Includes attached garage.
Subdivision:
I Lot no.: 1,000 sq.ft.or less
168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 1
Tax map/parcel no.:
Limited energy,residential
75.00 2
J''••:'4.'..:0.t.;3.Yq11_::4;;Y.'.01!:::0: 60.11#0,0ft,1:10SAIrrAVATAA.Z.. (with above sq'ft)
Limited energy,multi-family
75.00 2
NEW LOC BUILD OUT residential(with above sq.ft.)
Services or feeders Installation,alteration,and/or relocation
200 amps or less 100.70 2
.i.7..::.:. ;,•S,1:;IN..7.$4,4.0#fASN:#,C9tekltrtiketart4104*.A.Viiiati . 201 amps to 44"amps 2 133.56 267 .124 2
401 amps to 600 amps 200.34 2
Name:
601 amps to 1,000 amps 1 301.04 3 01 . 04-2
Address: .
Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
City/State/ZIP:
relocation
• Phone:( ) Fax:( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08
-Owner installation:This installation is being made on property that 1 own which is not 22
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54
Branch circuits-new,alteration,or extension,per panel
Owner signature: Date: A.Fee for branch circuits with
i.i'.:?':'rrf.:'fii&4.i.PaZfto*gt,0VLVIAT:14"Mltagr:#TMW-4t4OW,K1-M above service or feeder fee,
each branch circuit 28 7.42 207 .7E 2
Business name:C HR I S TENS ON ELECTRIC B.Fee for branch circuits without
service or feeder fee,first
56.18 2
Contact name: . branch circuit
Each add'l branch circuit 7.42 2
Address:
Miscellaneous(service or feeder not included) . .
' Each manufactured or modular
City/State/ZIP:
dwelling,service and/or feeder 67.84 2
Phone:( ) I Fax;:( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail:
Sign or outline lighting 67.84 2
'i':•!':.:-:.•-•..4i1:',V'!!;.'NZ Ni,21344084140.044%.t.qa..A0-0Zitt-0*.V.41:i signal circuit(s)or limited-energy
Business name: CHRISTENSON ELECTRIC panel,alteration,or extension. Page 2 2 •
Each additional inspection over allowable in any of the above
Addmss:17201 NE SACRAMENTO ST Additional inspection(1hr coin) , 66.25/hr
Investigation(1 hr mm ) 66.25/hr
CitY/State/ZIP:PORTLAND, OR 97230
. Industrial plant(1 hr min) 78.18/hr
Phone:(503)4 1 9-3344 I Fax:(503) Inspections for which no fee is
90.00/hr .
4 1 9-3 6 95 -- specifically listed CA hr min, ,
CCB Lic.:458 Electrical Lic.:26-34c. Su>iu.:5215S NainirMITC0-,ii:'.(.:.A,.;.1b-ER:•..tAisv::-.f.:.F.c.-,.::,::.;,.:?='
, ./. Subtotal: 775. 92
Sup .Electrician signature,required:
l 'e
Print name: ROBERT BRUENEO 7
Date
1 4 '
.t, .
11/1/16
•
• Plan review(25%of permit fee): 193. 98
State surcharge(12%of permit fee):
TOTAL PERMIT FEE: 1, 063.01
Authorized signature: 11 e ..,o:. ef()) •
This permit application expires if a permit is not obtained within no
93 11
days after It has been accepted as complete.
Print name: 71-/ r . toc;,. I Date:
• Number of inspections allowed per permit.
. 1:113aildiroffemits1ELC-PertnitApp.doe 07/01/10 440.461310 I/OS/COM/WEB
i ...c:ew.7.minsminimizi 4:2==.3...=.xmowswNaa,/gfw.........w.......... ..__-iq, S .ltife Perj2./C-/,
Electrical Permit ,t�
lc 11 A1'_ i,• ?_..i P rrFOR Oil I( I. 1"‘,I.,r,\l1
City of Ti! • d NOV 1 7 'aawed /f
mmilaw
: n 13125 SW Hall Blvd.,Tigard,OR 3 a DPate/I3 : /itit No.: 6, -C .016_DU ire/•
"11 Phone: 503.71 2439 Fax: 503.598.1960 � n", ;: yeW
1 1(.A l;n Inspection Cine: 03.639.417ni Omer
Internet: www.ii a . ovilialaTYa y' See Pa 2 for
hod' Supplemental lnformatlon
❑New construction '-, .•'. ,..... . . .:�;. .:.W,r�...lt:;., .,;.• � �'�. . :.
Addition/alteration/replacement Please check all that apply(submit z sets of plans w/items checked below):
❑Demolition Othei: ❑Service or feeder 400 amps or more 0 Building over three stories.
where the available fault current
l. c I;;.,�: . }_. ❑Marinas and boatyards.
`.' •:.::. •• A.*'. ..,04:100i440#441;..:-
04 . .A ,, : ; X134.
t� •. :r.1.1'...
nµ, .,::: amps at 150 volts or ❑Floating buildings.
Ni, il411it-.. ;, exceeds 10,000
t ••±; :.•.;:i:::' less to
❑ 1-and 2-family dwelling Commercial/industrial 0 Accessory building ground,orexceeds 14,000 ❑Commercial-use agricultural
❑Multi-familyamps for all other installations, buildings.
0 Master builder ❑Other: 0 Fire pump.
$. I 4000304,i;4404100.04411'.. ° ❑Emergencys tem. ❑l age cepaation sepaf 75rately
KVA or
4.. ' rt;:. t5:.;r'.;,: ! Ys largtr separetci1derived", stem.
Job no.' `.� 4'it`�` r'�:� Q Addition ofnew motor load of �(�«A" «g',"1-2",«l.g•' Y
22208 I Job site address:7555 SW TECH CTR DR 100HPormore. occupancy.
City/State/ZIP: O Six or more residential units. °Recreational vehicle parks.
T I GARD, OR 9 7 223
❑Health-care facilities. 0 Supply voltage for more than
Suite/bldg./apt.no.: ❑Hazardous locations. 600 volts nominal.
J Project MECH C Serviceorfeeder600a
ops or more.
Cross street/directions to job site: 503-679-0380es `tIon i6*ii* �, "Sri; p. l i ;4 .r: .__
JUSTIN Description .j Pen. i Toal i
•
New residential single-or multi-family dwelling unit.
includes attached garage.
Subdivision: i Lot no.: 1,000 sq.ft.or less 168.54 4
Tax map/parcel no.: Ea.add.]500 sq.ft.or portion 33.92
r:. ,y: :yr y} hr yt::- C tr „�..r w«•. �.• ,•. Limited energy,residential 1
:i;. ., . ie_:,. - c! - ,a °'. 't• , >.l;h r: (with above sq.It) 75.00 2
NEW LOC BUILD OUT Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
- Services or feeders Installation,alteration,and/or relocation
!.;7.4.:i%
,.'•. ;::,...�. i .. :•:.,•,�_. ��••� 200 amps or less 100.70
.. .. „�w. : . • 201 267.14 2
- . . ....., :: �. ..� •..: �' ,, i L � am� 400 amps
2 133.56
Name: 401 am to 600 amps 200.34 2
Address: 601 amps to 1,000 amps 1 301.04 3 01 .0 9 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: Temporary services or feeders installation,alteration,and/or
relocation
Phone:( ) I Fax:( ) 200 amps or less 59.36
I_
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 12x•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
Branch circuits-new,alteration,or extension,per panel
Owner signature: Date:
- rry � y t A.Fee for branch circuits with
-' `iii'.'f`4#^ aft4 1, f?f�i~�Y . IN sl ; •sr �."T. x "t above service ns feeder fe
s ,�::°it�= '' .: �..� �� ��:r.+ :� `' 28 7.42 207.7E z
Business name:CHRISTENSON ELECTRIC Fee for Fee for branch circuits without
Contact name: service or feeder fee,first
branch circuit 56.18 2
Address: Each tidebranch circuit 7.42 2'
Miscellaneous jservlce or feeder not included)
City/State/ZIP: Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Phone:( ) I Fax::( ) Reconnect only 6784
2
E-mail
. .. .::,,:•�;h.., ,..,1.,•,. circle 67.84
Pump or irrigation 2
/;,!':.:..:�:. s' at: •,.- b;s ,;I,?__:•F =; �; r,.c.. ,a Sign or outline lighting
. • ' etc.. y,.: •. .•. r.0:t; 8hti67.84 2
's a 4Btf,i'fi .r Signal circuit(s)or limited-energy
Business name:CHRISTENSON ELECTRIC panel,alteration,or extension. Paget 2
Each additional Inspection over allowable in any of the above
Address:l7 2 01 NE SACRAMENTO ST
Additional inspection(l hr min) 66.25/hr
CityIState/ZIP:PORTLAND, OR 9 7230
Investigation(1 hr min} 66.25/hr
Phone:(5 0 3)419-3 3 4 4 I Pax:(5 O 3) Industrial plant(1 hr min) 78,18/hr
In
41 9-3 6 9 5 spections for which no fee is
CCB Lic.:4 5 8 i Electrical Lic.:2 6-3 4 C Suprv.Lic.:5 Z 15S
specifics/1x xhsted('A hr min 90.00/hr
I ;,�McAMt awl .:,. ,` .. 1;
Suprv.Electrician signaturerequired: '
Subtotal: 7 7 5. 9 2
Print name: Plan review(25%of permit fee): 1 93. 98
ROBERT RU r�E l Date: 11/1/16 State surcharge(12%of permit fee): 9 3.11
Authorized signal TOTAL PERMIT FEE: 1, 063.01
,
{ Thio permit application expires if a permit is not obtained wuhin 180
Print name: i Date: �'1 I (d days atter it has been accepted u eoarpieta.
• Number of inspections allowed per permit.
►:tauilclingwetmrtslfil.GPermitApp.dac 07rolt10 440.46157(11/03/COM/w6a