Permit CITY OF TIGARD ELECTRICAL PERMIT
I
l: COMMUNITY DEVELOPMENT Permit #: ELC2010 00494
T I G A R O 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/14/2010
Parcel: 2S104CB04000
Jurisdiction: Tigard
Site address: 13324 SW ASCENSION DR
Subdivision: HILLSHIRE WOODS Lot: 86
Project: Mills
Project Description: Bathroom remodel, (1) branch circuit.
Owner: FEES
MILLS, ALAN J & CATHLEEN A Quantity Description Date Amount
13324 SW ASCENSION DR
TIGARD, OR 97223 1 crt Branch Circuits 09/14/2010 $56.18
wo /Purchase Service or
PHONE: 503 - 350 -2117 Feeder
1 ea 12% State Surcharge - 09/14/2010 $6.74
Electrical
Contractor:
SUNLIGHT ELECTRIC INC
2800 NE 65TH AVE SUITE B
VANCOUVER, WA 98661
PHONE: 360 - 772 -3877
FAX: 360 - 694 -9728
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $62.92
Required Items and Reports (Conditions)
This permit ' issued subje the regulations contained in the Tigard Municipal Code, State of OR. Special Codes and all :other applicable law. All work will
be done n accordance with ap• •ved . -ns This permit will expire if work is not started within 180 days of i- ante, or if ork is suspended for more the 180
days. TTENTION: Oregon law • uires ou to ollow the rules adopted by the Oregon Utility Notificati • Ce• t r. hose rules are set forth in OAR
952 -00 -0010 thro • h OAR 952 -00. 00. Yo a copy of the rules or direct questions to OUNC by calling 503 • • 99 or 1.:00.332.2344.
Issue By: Permittee Signature:
1
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 an Inspection that business day.
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 ApplicatiRECEIVED
City of Tigard
—SEP 1 4 2010 Al M Received
Date/By: 1 Permit No.ae 4 _ eel,/
13125 SW Hall Blvd., Tigard, OR 9 /Lao Plan Review
111111 .,
Phone: 503.639.4171 Fax: 503.59t126Q Date/By: Other Permit:
)
.._
Inspection Line: 503.639.4175 ITY OF TIGARD Date Ready/By: lurir. W See Page 2 for
TIGARI
Internet www.tigard BUILDING DIVISION Notified/Method: Supplemental Information
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0 New construction El Addition/alteration/replacement Please check all that apply (submit a sets of plans w/items checked below):
El Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
sii, ?... 0.-...**-Io .:0300030: r y71:. 4 .:• ! :‘ 4-1- ,... ,... . exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground, or exceeds 14,000 0 Commercial-use agricultural
to 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for alt other installations. buildings.
o Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or
larger separately derived system.
''''':'—i .4 TiFORrttAneit.A1 Y. ":-.'?:' ' • ' I3 Addition of new motor load of 0 "A", "E", "1-2", "1-3",
Job no.: 1 Job site address: 13324 SW Ascension Drive 100HP more.
or occupancy.
o Six or more residential units. 1:1 Recreational vehicle parks.
City/State/ZIP: Tigard, OR 97223 El Health-care facilities. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bIdgJapt no.: Project name: Mills Bathroom Remodel ['Service or feeder 600 amps or more.
''' :4140gf tela4W' '' ...;.';':
Cross street/directions to job site: Descliption I Qtv. I Fee. r • 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. WW1 500 sq. ft. or portion 33.92 1
Tax map/parcel no.: Limited energy, residential
"iiiikoxfrnii4 4*.ir1uC -;;;;,::: -,'...;,:':;, = , (with above sq. ft.) 75.00 2
Limited energy, multi-family
75.00
move vanity lights and outlets residential (with above sq. ft.) 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
133.56 2
tp•i*.itiOrti l tiiiiR0 ': ` ','...- '':.T,5::.,. ' ''''',."' `1:1; :.AS:t, :=::44';:_li41:,.,.=: 201 amps to 400 amps
200.34 2 401 anis to 600 amps
Name: Kathy and Alan Mills
601 amps to 1,000 amps 301.04 2
Address: 13324 SW Ascension Drive Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and/or
City/State/ZIP: Tigard, OR 97223 relocation
Phone: (503)350-2117 I Fax: ( ) 200 rumps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch drcuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
' ' - - : '' ' i l' '' i ';:'"--.. *Pi' : thOtief A ' '!•:`z ' -':4 - +' '' vs` .: '''''', a tiorrAer. i*Rsolie.--;:rk•io., above service or feeder fee, 742 2
each brandi circuit
Business name: MS Construction & Remodeling, LLC B. Fee for branch circuits without 1
service or feeder fee, first 56.18 54, .( II 2
Contact name: Nick Marcu branch circuit
Each Will branch circuit 7.42 2
Address: 9570 SW 80 Ave Miscellaneous (service or feeder not included)
Each manufactured n or or modular
City/State/ZIP: Tigard, OR 97223 dwelling, 67.84 2
savice ad/ feeder
Phone: (503) 939 Fax: : (503) 245 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E nroarcu®botmaitcom Sign or outline lighting 67.84 2
• ' .:-.- - ,'1"4:4'..4',.,P,-:: .. •i': ,.:...sivzwof.;::::: ,,:,-7:;-:,' Signal circuit(s) or lirnited-encrgy •
Business name: Sunlight Electric Inc. panel, alteration, or extension. _ Page 2 2
Each additional inspection over allowable in any of the above
Address: 2800 NE 65 Ave.# 11 Additional inspection (1 hr min) 66.25/ hr
Investigation (1 hr min) 66.25/ hr
City/State/ZIP: Portland, OR Industrial plant (1 In min) 78.18/ hr
Phone: (360) 518 I Fax: (360) 326 Inspections for which no fee is 9o.ocv hr
specifically listed (14 hr min) _ _
CCB Lic.: 1'72549 Electrical Lic.: C230 Suprv. Lic.: 17935 !•:_: !::,.r.„ • ' • ' •;: ' :.
Subtotal: 51p . I 6
Suprv. Electrician signature, required: 0 g Plan review (25% of permit fee): —e---
Print name: Chester Garrett _ j Date: 09.13.2010 State surcharge (12% of permit fee): 10.7
__ -- TOTAL PERMIT FEE: t q
Authorized sign: • ' _ ------ .
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: s r Date: 091 i3kt- • Number of inspections allowed per permit.
IABuildingTermits 1 ELC-PermitApp.doc 07/01/10 440-4615T(11/05/COMAVEB