Permit n CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2010 -00526
Date Issued: 09/23/2010
TIGARD. 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S109AB06400
Jurisdiction: Tigard
Site address: 13060 SW STARVIEW DR
Subdivision: FORAN Lot: 6
Project: Remley
Project Description: (2) branch circuits for floor heat, can light above island and exterior outlet.
Owner: FEES
r.
REMLEY, JOHN Quantity Description Date Amount
13060 SW STARVIEW DR 2 crt Branch Circuits 09/23/2010 $63.60
TIGARD, OR 97224 wo /Purchase Service or
PHONE: 503 - 708 -7599 Feeder
1 ea 12% State Surcharge - 09/23/2010 • $7.63
Electrical
Contractor:
PORTLAND ELECTRIC CO
7975 SW 165TH AVE.
BEAVERTON, OR 97007
PHONE: 503 - 267 -7081
FAX: 503 - 747 -2306
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $71.23
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. TIose rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 • • 00.332 •
Issued By: 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 603.639.4176 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.
09/23/2010 12:53 13606656264 OCEAN PARK PHARMACY PAGE 01/01
RECEIVED
Electrical Permit Application FOR 0111(:1: 1iSE ONLY
City of Tigard S E P 2 3 2 010 ex: ' 3 to _, 2, Permit No.EZe,20 /0 / D 5-
13125 SW Hall Blvd., Tigard, OR. 972.23 Plan Review
Phone: 503.639.4171 Fax x03.59 OF TIGARD - Other Fermat
T l c ; :�x Iaspet ion I ills: 503.639 Date Ready-/By: ]arts
Internet: cvww.tigard.or.gov BUILDING DIVISION Notified/Method:
—T
._ . . .._.. • , , , • . _ ....5 : .. : �, : ,,..,.�, : :. : : • - •;:,, -::,,.
.,..,_.,_ :... :� :,,- .555 , : : : .,...•., :,,
,. . r _ . .. , .., 1 ... :
pi ,a ut , = . a , , ,I,.. , e aback 1,, .. .. •4 :5: 1 /
) . • a! { � • � , •t .: �� . � � � , :,,{ .5555 ... . f : ,.,.. _ . f uA:•na , � .,,
❑ New construction Addition /alteration /replacement please b (fit iseta or w/ w5 ° wow).
❑ Service or Rieder 400 amps or more ❑ B,ufdiag over three stories.
❑ Demolition ❑ Other: where the available 9nit current 0 Marinas and boatyards.
,....--1"';'-' ,_...::: :,.. .. ..,� ''',n 'TI bait
...: . ., . � :��!, ., _ti exceeds 10 000 1 ❑ tis• : : : : :r : :. r- : :_ : : _ s:- ,:.,::.. ;•t;' :t 50wltaor Floatin din
: + :�,�1 :, - i ,
! . : : :, : :• ; : : ;-- • :s :v....,. . :: ,. ;r : :.f 1 . .. ....:,.„ ,; .., deeag
.,••• ! :` . f , - less to woun co QCommercisl-
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all °that installations. buildings,
Orin, pump. 0 lastaation of 75 KVA or
❑ Multi family ❑ Master builder ID
«.r,,, ',:,',F:''';'. : , , , .:. :: c ;- -,- „ "qn ? ; , ereency $ys ram. lar aepaxa system.
. . _5 ::.:
r :poi ; : P.m Y derived 9 stern
,•,,:', ,.. .. ,, r, ,, ' . . : a .,.• r ._. . .1' ,• r- ,,- :. k : ; -' a : ; ,: 7r ,- - •- mt: , iiiuii; :., „ 1 . _3n
, :” a�T :. :�,i ! :r :' : :'_ ,-,:•,:-...„; .:: .. - ---.,:!,',:;,•;;! . f �,r . �,.,., : !, .. l'. .: .. ❑ Addruon of new motor Iona of 0 u l_�,,. ° t ,
_:..,- •5.55..5 -_
logy or more. occupancy.
Job no.: ZQ/ Q /SO Job site address: 00 6, d S w s Son v; C r r n!4 • 0 six or more residential =its. ❑ Recreation] vehicle parka.
❑
City/State/ZIP: -r7 an , O e L (� t 1722'1 ❑ Health-cats locations. as. o El Supply voltage for more Mae ,
Hazardous locations. too voice nominal.
Suito/bldg. /apt no,: Project name: CI service or feeder 600 amps or mote. ter,, ,;; .1.. ., ,:! ;t _
. [:,..,: :• . .�,...,..._......,, : : : ; :p.l- ::_.:;..:r.... .',1, ;!c: : add
..:';: ! ;er : .
..... ......... :t. ,, .... ,,....,.,......,, 3.,.,., . : :. :, : :._............., ;., ;ems : ; ;
Cross street/directions to job site: Q )1 M Ate _.. _ . t ,� . •:,:
c. a...1wa: �" -
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft . or less 168.54 ' 4
tial ° .
33 9 1
Tax map /parcel no.:
_.. ...;.,.;,.,:: , , : ,. ,..�.';';:;;;'.::::-.:..$:‘9 .. ............ = :_,� :� :•� - ,a :era :' - 75.00
,... r....., ._,:::::_:.: .::.....................r .. ,
...., :. .,.. :,,:- :� : : :,• •: ° ; arl - i,- fi!!,r ;a= :`'.�r ;'Fez Limited energy. residential Li r � 0 2
: ..,ii� Limited energy, rauhi fatmily 75.00 2
F lose K e A-r a L C / SS lr /) r,a AAA iac �/7 , 4'V 7.. Zee r o residential (with above so. ft.)
Services or feeders installation and/or relocation
200 amps or less 100.70 2
............. :'�•. •: 1 :1 .5...5,. . „,.,,5, , • :: :•. n: v, m:: r:::,-- r, • ,. , ,., ;y ....,_y,,. ;.- - , : : •. :....: a r,�...,,,.,,_.,.,r'f,l., r{ +: --
It t ;. . i . ,; , : r n .. y l , , d' v><. ! t c; ! u n ,An , � r ` 4„ .; 7: . 201 amps to 4 00 amps 1 33 .56
,,tar,.... ,.. _ :. r,. ' f IL.,, ». a .. 1 , L..... ..: :„....t.1: ri ... -. .. F,.
Name: 401 amps to 600 amps 200.34 2
J 'a t k_ ( . 5 55,1 cy 601 amps to 1,000 amps 301:04 2
AddrCSS:
Over 1,000 ampa or volts 552.26 2
/�06t� sU _�i e ' e -r —
City/State/ZIP: Q,t 1 Temporary services or feeders installation, alteration, and/or
TG .e. o / / relocation
Phony ( 5 7o $- 7'5°1 _ Fax.: ( ) 200 amps or less 5936 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
Branch circuits - new, alteration, nr extension, per panel
Owner signatur : Date: A. Fee for branch circuits with
Z, ..1,1"4:(, a service rc or fee
1 i : +,, . -- - _.:., ., ' ., 'I' ..:..r ,!� , • I { .; i, . . , : :. • rt ! _ , r ;, ,,.r. , • ' .. s! , i each branch circuit 7.42 2
B. Fee for branch ci without Business name
— PO t2-a .w,r E /e c7.€: e_ C 0 ft p4,. 5 7.4"iv/7• ✓-a/ top„ service or feeder lee, first i
branch circuit 1 56.IS SL, Y 2
Contact name: m . c'. S fjc,. ,1. _. _
V Each add'I branch circuit 1 7.42 7 VL 2
Address: 77 � �� se "I lvfiscellaneoua (service or feeder not incladed)
Ci /StateJZIP: n Each manufactured or modular I j 67.84 2
tY .c]ta-„e 7s,v Q2 97007 dwelling. service and/or feeder j� -
Reconnect only 67,84 2
Phone: ( 563) 2C 7 7c g 1 Fax :: ( 15/7 - J36 L
r. Pump or irrigation circle 67.84 z
E -mail: ,'''.1".;‘,"-`''!":' 67.84 2
..... u .5: ,
. ..55.55• .... C ris: ):Y.9.. ? y ,•; t Sign or ondine lighting
,' ..55 _ '.. � . �. r, , . ... ... . er ,, . ,..!. , :::::. ... .,,. , :I,; • u u: ; :i :i9 ; ;i :.
r..., , ! 5.,...,.r ,. ., ,. . ,, :... !: :_;,;r,<,;: , :: , a!: ' i, . . ... • . ......... '1 ,..,5, , , „ i't 7s , Sigma] circuit(s) or limited�0aigy
:
5 5 5 .5...
nalrie: panel, alteration or exrension. Page 2 2
Business
g l..e p i G.at� /,.. e . , (.' c4.. 4 E /ecra• ` 6 ._ Eacb additional inspection over allowable in any of the above
i Additional inspection (1 hr ruin) 66.251 In
Address:
X57.5 ,t' / S Av
91�G Investigation (1 br min) 66.25/ N
City/State/ZIP: �eo..fR7s.- t�'' 7 Industrial plant (I hrmin) 78.18/br
Phone: 5oi) j e7 Z Fax: ( 0 3 )� YJl3 C- / In apea in na for w 90.00/ hr
e: s • if l listed
Tn:.,
.� t ai : , , vamp o ;r: :,. ; ; ;c�atd,'il ;p :a � i - r,: � : %i ; ii : %lit` 5?' '1 ;kii ; :: : ai r;
. . . . . . .. ... . . . . .... _ . ...5555,, ...,.... <r .. .
� Ele cal Ltc.. C. / Z S • �
CCB Lit.. / S rv. Lie... �Z� :, 1 . 5,._,..,• .. .........•.,:r.,.:: : ,- �- r: : : ;rc : , ' a : _
Subtotal: 7 �.. •.
Suprv. 'Electrician signa re. wired: % , , f f„(y Plan review (25% of permit fee):
Print name: {�,� , � Late: ' k'' j State surcharge (12% of permit fee): 7. 63
V ► 1 L `' ' TOTAL. PERMIT FEE: 7/ .2_3
Authorized signature: This permit applia expires f a perm is ined witbio 180
- / � d ■ya de it has been a it as mot corrlpi
Print name: if/.i, /1 f e
1h',-'v y l Date Q9- Z 3— /U • Number of inspections allowed per permit.
1:\5 diegwermitsuBLC Perm; 4pp,d0e 07/01 /10 440-4613T(11/c51GOM/WEB