Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2012 -00212
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/13/2012
Parcel: 2S 111 AA03500
Jurisdiction: Tigard
Site address: 8615 SW GREENSWARD LN
Project: WOLTERING Subdivision: GREENSWARD PARK Lot: 3
Project Description: (4) branch circuits to connect 2 furnaces, 1 a/c & service outlet.
Contractor: ERIC OLSON ELECTRIC COMPANY Owner: WOLTERING, SCOTT C & MARIANNE H
10013 NE HAZEL DELL AVE PMB 432 8615 SW GREENSWARD LN
VANCOUVER, WA 98685 TIGARD, OR 97224
PHONE: 360 - 609 -4901 PHONE:
FAX: 360 - 693 -2980 •
FEES
Quantity Description Date Amount
4 crt Branch Circuits wo /Purchase 04 /13/2012 $78.44
Specifics: Service or Feeder
1 ea 12% State Surcharge - 04/13/2012 $9.41
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $87.85
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. ATTENT • • • • regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -001 • rough OA 9 10 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 232.1987 or 1.800. 32.2344.
Issued By. ■ _ Permittee Signature: C,29._ c e tJ��
OWNER INSTALLATION ONLY 7
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' � 1 !�� Date:
LICENSE NO.
Call 603.639.4175 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 Application 1 01 :C)hFICE I iSE ON L V
city Tigard Received
�► g DEC EIVED y h7 I Peradt No.: �,ee ai
Det
d ,a 13125 $W Bali 131vd., Tigard OR 97 �+
Plus Review
Phone: 503.639.4171 Fax: 503.598.1960 D_ Yt albaPmwfr:
. 1 - c c ; r, It t,, inspection Line: 503.639.4175 APR 1 1 2012 Dew neudylt3y; " Jury: to bee Page 2 rut•
Internet: www.tlgard•ui.gov Netiaviamadlud: la
n onnanuu
� ' � �1W .7 'ry� . f t, td .. ` Y.'4", 7 �r{,, ce," r p .. t A e , r �, „"�. '.'r ' 7�q ¢ (,�{,p; 4,44E5
f " ..ti ' ..6 . , 1�r�i ur • .. e . f a 7: y3, ti. _ ;.1. 1 d $S T ,a. . �- ' T�bTN � n rtxf£ I Alalw9 __
� Ai �i' ���
tddi SlC��I9SIN Plato check al that apply
❑ New construction 17011/ O pp y (subtni! � sets of plume alltota, cltcckc'rl below):
Q Demolition 0 Other; 0 Service or feeder 400 romp or more 0 8ulldlug over three aeries,
wttere the available font cumin 0 bluing and boatyards. • .. ;: '✓' ", why': t • x l e,o d " " . a '4' ° rxoeadi 10AUU amps at t ru volts or Q Mooting Wading/I, « . "'' I � "��� less to ground, or exeeodv 14,UOu Q Conuls,xcial•uce ulyiovaurul
I% _. - and 2- family dwelling Q Commercial/industrial ❑Accessory Wilding anew for all outer itwrelluaotw buildings.
0 Multifamily 0 Muster builder 0 Other: 0 Fire pump 0 L,etanalion u175 KVA or
r • 3 ov ''...,,M4-' r mina aI eriv t
, . a4"1.' :. : "? r ' °w ,,: b i' r . dF .R' .` ... A Ad U nt of sy et urge uryur 2", "1• d od aye Wl
ms y a ' � , 'L A: > Q A n new nwlur load of CI "A" "E" "t •2" 'S"
Job no.: Job site address: el / . 1.0011P ' of more occupancy,
.
' J 4.
__.`.... -. ..,....,,,._ {� — � . I, /.
0 Six or more residential retie Q RaraYtioaol vcWclu parka.
City /Sled/ZIP: / ❑ Health-care Minna 0 Supply voboge for more than
' . l L .._- Q t3u'tmdeua locotlznn. Out eons amubtel
Suite/bldg. /apt. no.: Project name: Q service or feeder 600 uwpe or more, '
. r _r•, n
ddircvCons to job site: ..... -.. _ ..� : ,. en - °f2, 1 i r k , „ ` r' .
Dtwripsuu orl• Fen, � ., Tow% Y
Cruse alrae •
— New residential single- or nnWtl- family dwelling unit.
__ _ __ _ includes atoned garage.
Subdivision: r..�. -_ - ] Lot no `� 1, 11 0 eq. ft. or less 168.54 4
Tax map/perotl no.: liar add•I 300 sq. ft. or portion 31,92 '
k Limned enagyreiidenllal
: . : ri z,q.. ,i.I' +'r . : i x . I . , . withebovoa fl. 67.84 2
F 9,i F . l' �`r
.+: • d'4f J c ( i .,, -
a.t .:u. . „ !G • , ' N . . ,„�s .y'v : 1 q• )
v ti , �5.vr ^ a „aM Lirruted Wally, multifamily _
1 _ residential (with above a •. fl. 67,84 - 2
fzJiA '
` lei e e ve •off ' . Services or feederstilullation, alteration and/or relocuUuu
rlf5/ e - 200 wraps or less 100 2
, x a M ' . a . I t; 7 "1 ` �i" -. . 201 amps to 400 amps la 133.56 2
M 9 te ct a: ° i .. :t e:
401 snips to 600 tarwa 200.34 MN 2 •
Nance. ter'. ri / i ", i - 601 amps to 1,000 tulips 301.04 2
Address: ,, , . 4 � ' ovet'1,000antps II. 352.26 2
City/State/ZIP: / Temporary services ur feeders Instaluuon, ulceration, ant /or
Phone: (a i Fay: ( ) 200 daps or less 59.36 1
i e. ,„ - • 201 apps to 400 amps 125.08 2
Owner installation; This installation ib being made on property that l own which is not 401 amps to 599 amps 168.54 2
intended for salt, lease, rent, or exchange, according to ORS 447, 449, (i70, and 701. - - -- --
$ranclr circuits - new, alteration, or extension, •r • linel
Owner signature: _ _ Date: __ A. Few for branch vireuita w
!z , e" i•v - .1 1 !1 4 . rz ,x"Cr.,. s 7 y .. t, • r ubove service m• feeder•fix. 7,42 2
`tx l &-• y r` - . R -' .;. *: r.' L �J '4...a.4. '9.,''_ • .. ,.. .q.... a . ... .'i .!'_ .4 ,: ... r % each branch circuit _.
Business name: Eric Olson Electric, Inc. E. Nee for brawl, draft; without 1
T r r
sravico of feeder fee, Fula l
ih'artch circuit S ti,lB 2
Contact nettle: Erie - --
� - -- Each add'i brunch circuit - 3 7.42 _ .. , 2
Address: 10013 NE Hazel Dell Ave P1113 432 lVllsceituneoas service or testier not In cluded) _.
W A 98685 Each manufactured or modular 67.84 2
City/State/ZIP: Vancouver, dwell' : service ancVorteedes' ,-
Plume: (340) 609 Phut: (360 - 693 - 2980
Revs; elect only _6 2
- Pump or irrigalloa circle 67.84 2
E -mail: erlcolsoneleeiric®guraiLcum sight or outline lighting 67.84 2
�t . .> ` 7 .. ' 4. t Tipp
°'K`. � t a ti x+ � ° say. "" � ^<.�,�',�.�#�'�i Si cir'cut )or limited- energy •
• anal, alteration, or extension. Page 2 2
Each additional Ins. 1 at over allowable in an or the above
Business name: Eric Olson Electric
Address: 10013 NE PiAzel Dell Ave FMB 432 Additional inspection (1 hr min) 11111 66,251 hr --
- "-- Investigation (1 hr ruin) — 6625/ hr -
City/Stato/ZIP: Vancouver, WA 98685 _• Industrial plant (1 hr min) 78113/ hr - _ — _
Phone: (360)609-4901 LFax: (360) 693 -2980 Inspections for w -
which no ilx is 90.00/ t
medical! listed ('�lir min) � ,4 r t s
CCB Lie.: 179408 Electrical Lic.: 37-1053C TSUprv.Lic.: 49105 ' , :.. ": • b� � ' ° •' �'-' 2
"" subtend. � ' �
Suprv. Electrician signature, required: Plan review (25% or • errnit fee):
Print name: Eric Olson Date: ` ff tz, State surcharge (12% of penult fee): do
U
/ TOTAL PERMIT FEE; ,�
Authorized signature: 6 �'_ pawn
tohtu'+ tlin160
i ce — ^ ^ days alter it bas heels *mined as complete.
Print name: Eric Olson Date: t f // . Mambo' of inspections aUuwed per p intail
I :11loamoa Pafine.•1ELC•PemaNpp.4ve 10/01M9 440 .4615'rtl v051t:nMIWEU
ZO /I0 39Cd 0I810313 NOS 086ZE6909Et LE :8I ZIOZ /0Z /121-41