Permit CITY OF TIGARD ELECTRICAL PERMIT
I COMMUNITY DEVELOPMENT Permit #: ELC2011 -00683
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/06/2011
Parcel: 2S104DD04400
Jurisdiction: Tigard
Site address: 13531 SW AERIE DR
Project: BERG Subdivision: EAGLE POINTE Lot: 35
Project Description: (3) branch circuits.
Contractor: O'NEILL ELECTRIC INC Owner: BERG, APRIL D & BRUCE M
4444 SE 27TH AVE 13531 SW AERIE DR
PORTLAND, OR 97202 TIGARD, OR 97223
PHONE: 503 - 493 -6045 PHONE:
FAX: 503 - 460 -0956
FEES
Quantity Description Date Amount
3 crt Branch Circuits wo /Purchase 12/06/2011 $71.02
Specifics: Service or Feeder
1 ea 12% State Surcharge - 12/06/2011 $8.52
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $79.54
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 through OAR 952- 001 -0090. You may obtain a copy of the les or direc • estions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /..% _ — Permittee Signature: _ " //f
!/ 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.
2011-12-02 14:02 O'Neill Electric Inc 503 460 0956 » 5035981960 P 2/2
Electrical Peri___ Application ,i0 FOR OFFICE USE ONLY
. ,
City of Tigard
6 88- 41 \\ Received
Dale/13 : / AMPIIII P -- crmit No . •
Walla " 'C- ■'41 / '''(-0 ;
1111 t! 1 3 1 25 SW Hall Blvd., Tigard, ?. Plan Review
Phone: 503,718.2439 Fax: St .' :h 960 rl% ‘ - Date/0 : Other Pont
TICARD
Inspection Line: 503. - '‘
639.4175 - 1+ I- Dote Reedy/By; Jutil; HI See Page 2 for
- Internet: www,ligard-or.gov ll'•.°) Notilied/Method: Z7-ifp Supplemental Information
: . ' • :':.... .. . .: • . ' •'; PLAN REVIEW ,,.. • ' .
0 New construction (3 Addition/altecta/501Wment Meuse dect apply (soma; iiets °roans v"' eho;rted below):
0 Demolition 0 Other; * D Service or feeder 400 amps or more 01 Building over throe stories,
where the available fault current CI Marinas and boatyards.
_
.. exceeds 10,000 amps at 150 volts or 0 Flouting buildings,
10let to ground, or meads 14,000 0 Cominciaiukusc rigrieuluiral
El I - and 2-family dwelling 0 Commercial/industrial U Accessory building amps for all other installations, buildings,
E:1 Multi-family 0 Master builder 0 Other: 0 Fire pump, C installation of 75 KVA or
. • . . .. . . .. ....... ,... ..• • . .,„„ .. ... ,..• ..„.• .. ,,..„ .•. „ . 0 Additio Emergency syste motor load o m, larger separately deriVett system.
• jOB ..SITE • INF•04111,,ATIONfANDAP.CATIONE1. :'..;,:!:. ' '". '%''',.: . 0 n of new
100HP or mom, occupancy,
Job no.: Job site address: 13531 SW Aerie Drive
l:1Six or more residential units. 0 Rectentional vehicle parks,
City/State/Z1P: Tigard Oregon 97223 0 Nealth•eare facilities, 0 Supply voltage for more than
._. 0 Hazardous locations. 600 volts nominal,
Suitc/bIdglapt. no.: Project name: 0 Service or feeder 600 amps or mom ••
•e;:•: :.!:.l,'„::.; ' .. - FEE:SCHEDULE 1:; • • .. : . •:, . • : ‘• .
Cross street/directions to job sitc: 2i,, 71,,T
• Ncw residential single- or multi-family dwelling unit.
Includes attached garage,
Subdivision: Lot no.: 1,000 se, R. or less I 68.54 4
—
.-. Ea, add 500 sq. ft, or portion 33.92 I
Tax map/parcel no,:
Limited energy. residential
75,00 2
• ..:':' : • . ': ..• 1., "r.' ...... ' ' ..?DESOUPTION:OF:"WORX.... ,,, (with above sq. ft.)
—
Limited energy, mulikbinily
75.00 2
3. 20 amp circuits for outdoor plugs residential (with above sq
Services or feeders Installation. alteration. and/or relocation
200 amps or less 100.70 2
12 PROPERTY OW N E 12 : '77 77 75. 1 7 : i * :2„"',X:V^J;. : .:".1:1'ift,AOT•i'...;:;:;•; 201 amps to 400 amps 133.56 2
— 401 amps to 600 amps 200.34 2
Name:
601 amps to 1,000 amps 301.04 2
Address:
Over 1,000 amps or volts 552.26 2
Temporary services or feeders Installation, alteration, and/or
City/State/LI
relocation
Phone: ( ) Pax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125,08 2
Owner installation: This installation is being made on property that 1 own which is not
intended for sale, le 401 ams lo 599 amps 168.54 2
rent, or exchange, according to ORS 447, 449. 670, and 701. -
Branch circuits - new. alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
• ,, . : CI APPLICANT1.'';:iV,'4': :',zYjlef u e fec,
7,42 2
,...
Business name; O'Neill Electric Inc.
a Pee for branch circuits without
service or feeder fee, first 1 56,18 56,18 2
Contact name: Greg Nelson brunch circuit
— Each add'I brunch circuit 2 7.42 14,84 2
Address: 4444 SE 27' Ave
Miscellaneous (service or feeder not included)
Each manullictureci or modular
City/State/LIP: Portland Oregon 97202
dwelling, service and/or feeder 67.84
Phone: (503) 9144322 Pox:: (503) 460.0956 Reconnect only 67,84 2
— -- Pump or irrigation circle 67,84 2
E greg@oneillelectricinc.com
,,. ..., . ‘ Sign or outline lighting 67,84 ^
CONTRACITM ..' ':'';' .1''•:"F`.L Signal circuit(s) or limited -
Business name: O'Neill Electric Inc. J1u Lel. alteration, or extension. Page 2 2
.._._, Each additional ingeerlon over allowable In any of the above
Address: 4444 SE 27 Ave Additional inspection (I hr min) 66,25/ hr
Investigation (I hr min) 66.25/ hr
City/State/LIP: Portland Oregon 97202
Industrial plant (1 hr tom) 78,18/ hr
Phone: (503) 9144322 1 (503) 460 Inspections for which no fee is
90.00/ hr
, . — ... J4ilizajiy listed (/2 hr min)
Cal Lie.: 129027 I, i 13 0,Electrical Lie.; 26-1003C 7 IA uprv. Lie.; 5554S A , ;...--.::-..:.' . "'':.•,•:1 PERIvirr:FEES - • '
. subtoturi
_
Suprv, Electrician signature, requirec - -- - --+Nw.: gik..
—roil% Plan review (25% of permit fee): 71,02
Print name: Greg Nelson Date: 12/02/2011 state surcharge (12% of permit fee): 8.52
...
—
TOTAL PERMIT FEE: 79,54
Authorized signature:
This permit application expires If a permit Is not obtained within 180
.--- —
days after It has been accepted as comply%
Print name: Date;
■ ' Number of insPections allowed per permit,
Imulleininacrmilm.,e-rormiinp mom 0 440.4615T( 1 i/05/COMMtill