Permit CITY OF TIGARD ELECTRICAL PERMIT
1 COMMUNITY DEVELOPMENT Permit #: ELC2010 -00691
T f GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/23/2010
Parcel: 1 S135CA90137
Jurisdiction: Tigard
Site address: 11048 SW GREENBURG RD 137
Project: Ash Creek Condominiums Subdivision: ASH CREEK CONDOMINIUMS Lot: 0
Project Description: Fire repair - New service and feeders to 12 units. Some rewire of units #346 & #348. NOTE: AIC 17,518 amps.
Contractor: SQUIRES ELECTRIC Owner: NESS, RUSSEL B
PO BOX 16851 11048 SW GREENBURG RD #137
PORTLAND, OR 97292 TIGARD, OR 97223
PHONE: 503 - 252 -1609 PHONE:
FAX: 503 - 253 -5831
FEES
Quantity Description Date Amount
12 ea Services or Feeders - 200 12/23/2010 $1,208.40
Specifics: amps or less
1 ea Services or Feeders - 601 to 12/23/2010 $301.04
Type of Use: ME 1000 amps
Class of Work: ALT 8 crt Branch Circuits w /Purchase 12/23/2010 $59.36
Service or Feeder
Type of Const: 1 ea Plan Review Electricial 12/23/2010 $392.20
Occupancy Grp: 1 ea 12% State Surcharge - 12/23/2010 $188.26
Electrical
Total $2,149.26
Required Items and Reports (Conditions)
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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 i ccordance h 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. A ENTION: Oregon regrir you to follow the rules adopted by the Oregon Utility Notifi . • Center. Those rules are set forth in OAR
952 -001- 010 through OAR 9 - 01 -00 . You may obtain a cop of the rules or direct questions to OUNC by 2.1987 or 1.800.33 •344.
Issue y: r i a�li 6 �t ��i1// Permittee Signa o,
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: L
LICENSE NO. / (/ 9/0 �
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.
12/15/2010 17:43 5032535831 SQUIRES ELECTRIC #6454 P.002/009
Electrical Permit Application . FOR ()FFI.C:E LSE ONLY
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City of Tigard Rec6v.i 1 •
Dale/By: /Lk PP (Z17
13125 SW 11211 Blvd., gard, OR 97223
111 11 •
: • Phone: 503.71824,39 Fax: 503.598.1960RECEIVE 111 onte/Sy. 1 L.• " L I.• • i LI Other ?emit: ik '• 4
Inspection Line: 503.639.4175 Date Ready/By: lurix: fii SCC Page 2 for
TIC AR 1 7)
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
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77-77.77.7777.97771.„- . z.,. , ,, , :;4;;;;;;:=Ipti , -:.gi. ,i) ,7e4.,...;:zir,i,,,i;i,Wif.,.,,,, :010F4.47.114fg!!...7fE446StAgilAgikiiilffil:FAP:RqiiVf) ftil:::
i rf*..jg'TgOf:;f : T ! gg4gV.:: 5 M ,: ■%. 1 AA' 24i ;kgt.P.7,1t,1 4 673:1?2Wi'. ,' 41i.445 : 4:tgjti. , ?A''N1 , 642.i . 114(04.01iiigl!liife. 4iilifilgAigiill;hiFiEiriiffitE.r.1
0 New construction P.: Addition/alteratiOrteretTritIGARD Please cheek all that apply (submit 2 sem of pnn s winern.5 checked below):
XService or feeder 400 amps or :note. 0 Huildins over three stories.
El Demolition 0 Other: 4 VILDINGDpOSION, ,, , ., .., _,_ where the available fault current 0 Marinas and boatyareli.
Al.,:"4lt *. A.'t,:vAl.rili;FM ',3117. - ...e.d..: io,000. a: 'so v a nti
olt. El pin buildinp
f1;5:'.11'. ' Y!t...7".■:.1.i.........- -.v....172=1,i, ,,,,...:2, ' ..„,,,,: :i........,...... ..... ..,....,,,,'4,AL,7,.±,,,,p.,,,,,,,,..5:,,i,,,,.....,,,k,.,,,mr les,x10 round, or exceettz low rzcoturccrcial. agricultural
0 1 - and 2-family dwelling 0 Commercial/industrial ID Accessory building an for all other installations. buildings..
(1% Multi-family 0 Master builder 0 ()ther: 1:1 Fire purrrp. C installation of75 KVA or
-,,,,, 0 Emergency system. larger separately derived system.
q.2 .................................................................................................... 0 Addition of i ; o ,,, motor loi „ 0 ••4 „
Job no.: Job sitc address: i I D4R % 60 r eta a 1001-7 or more. units occupancy.
City/State/ZIP: •=1.- b __ ID _ 0 Six or more resident Ifedth-care facilities. 0 Recreational vehicle parks.
0 Supply voltage for more than
0 Har.ardike; Inealinng. 600 volts nominal.
Suite/bldg./apt no.: Project narne 7 ervice or feeder 600 amps or more.
..
- -. EiVii tniEg:11014 jggien.MWOM:
Cross street/directions to job site: 14-H- Cietei, e.o,tios Datriation • Qty. Fee. Total
New residential single- or multi-family dwelling unit.
Includes attached garage.
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Subdivision: 1.0t no.: _1,000 sq. ft. or less . 168.54 . 4
Ea. addi 500 sq. ft. or portion . 33.92 1
Tax map/parcel no.: Limited energy, residential
75.00 2
:.. (with above Sq. ft.)
75.00 Limited energy. multi-fmu1y
i.c,___)--_(Mt.:1 4 e residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocatTIW 2
0 • .
Ye,-' ko a , CC - "*A541.4P 44K.; 200 amps or lass 0- 100 WS', // 2
'..F.!..2:P?Ii.;■l:•0111itilNgrt:l94.4*Wi-WP.r.5..E!..V!e9.',M11'3':;fiti4FOS'il.14`',Y1'c..r:rifiTEili 201 amps to 400 amps 133.56 2
401 amps to 600 amps I= 200.34 El
601 amps to 1,000 amps KM 301.04 te in 2
Address: Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and/or
City/State/ZIP: relocation
--
59.36 1
Phone: ( ) . Fax: ( ) 200 amps or lass .
. 201 amps to 400 amps 125.08 2
Owner installation: 'Ibis installation is being made on property that 1 own which is not
401 amps to 599 amps 168.54 2
intended for sale. lease, rent, or exchange, according to ORS 447, 449, 670, and . 701. —
Branch circuits- new, alteration, or extension, per panel
Owner signature: Date: A. Fcc for branch circuits with
3'.g.": - ,alZhveb,sajerviheY„furietede r fee, e 7.42 .,,,..9,, 349 2
Business name: B. Fee for branch circuits without
service or feeder to, first
56.18 2
Contact name: branch circuit .
Each add'I branch circuit 7.42. 2
Address: Miscellaneous (service or feeder not included) .
Each' manufactured or modular
City/State/LIP:
dwelling, service and/or feeder 67.84 . 2
-. -
P ___ hone: ( ) Fax: : ( ) It - econnect only 67.84 2
— Pump or irrigation circle . 67.84 2
E-truiiil:
„... ,_. S ism or outl inc lighting • 67.84 2
aRENMPOWY,-7.M01:10.40400BEZ:iggi7.4e1:4;;MiR si,,nal circuit(s) or limitod
panel, alteration, or extension. Page 2 2
Business narnecs,31 4 r i e_ x....e._ Each additional inspection over allowable in any of the ahoy •
Addres7 - 1 - 66 .x it Additional inspection (1 hr min) 66.25/ hr - -
Invetitiration
City/State/ZIP: -- p cx v . 9
b 01
Industrial plant (1 hr min) 78. I& br
Plmnel rflif),3 = ,1 . 5 ci ). -,./ 4 D5 Fax: (54_3),,1 5,_ -50,e ) inspections for which no fee is
90 00/ hi
---- specifically listed (1/2 ilf min)
CCB Lie.: 13 6bs6 Electrical I..i ,itele_ Suprv. Lic...4gg 6 vzzzzzao,ggggf..:
Suprv. 12Jectriciart signature, requi - Subtotal: :
__ . j,n . fili
Plan review (25% of permit fcc): . A. ,,12)
Print name: c .. ke %,6962) Date: ,W,)),..5 . State surcharge (12% of permit fcc):
,•■ A
TOTAL PERMIT FEE: c Al4C1
Authorized signature:
This permit Application ex piete4 if a permit ix not obtained within 18.0
--.......
days after it Ii been accepted as complete.
Print name: •
Date; * Number of inspections allowed per permit
iukiildin \ Pc:m 1 gl..(:-PcrmilAPp . d0c 07/01/10 4.104(31ST(1 1 /OS/COM/WEB •