Permit q CITY OF TIGARD ELECTRICAL PERMIT
I: COMMUNITY DEVELOPMENT Permit #: ELC2012 -00408
T I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/12/2012
Parcel: 2S112BD90000
Jurisdiction: Tigard
Site address: 14655 SW 76TH AVE
Project: Timbercrest Subdivision: TIMBERCREST CONDO Lot: GCE
Project Description: (4) Reconnect only New ground for 1, 2, 3, 4 units
Contractor: RED'S ELECTRIC CO INC Owner: TIMBERCREST CONDO
6336 SE 107TH AVE OWNERS OF ALL UNITS
PORTLAND, OR 97266 00000
•
PHONE: 503 - 233 -6467 PHONE:
FAX: 503 - 233 -1281
FEES
Quantity Description Date Amount
4 ea Reconnect Only 07/12/2012 $271.36
Specifics:
1 ea 12% State Surcharge - 07/12/2012 $32.56
Electrical
Type of Use: MF
Class of Work: ALT
Type of Const:
Occupancy Grp:
•
Total $303.92
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 0 R 52 -00 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1 L r
Issued By: k Permittee Signature: iOt W P /fe � . ! IQ/�L
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.
•
Jul. 11. 2012 2:17PM No. 1652 P. 1/2
Electrical Permit Applicatr FoR Orkin , IISE ONLY
it
City of Tigard i.vi.. Received Pemrit a
�� gp:��
Dale/BY;
13125 SW Hall Blvd., Tigard, OR 97229 Plan Review
IN : • .. 2012
Phone: 503.718.2439 Fax: 503.598.19�L Dete/B ; Other Permit: 1
r t GA 1+ u Inspection Line: 503.639.4175 Date Ready /By: rant: 121 See Page 2 for
Internet: www.tigard -or.gov CI11YOFTIGARD Notified/Method T y Supplemenrellnformatlon
- �!N(flMSIOrt _ ,P, REVIEW
T>; o . .
I: New construction peAddllion /alteration/replacemenl Pleaso check all /teat apply (submit j sets of plans w /tems checked below);
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Merinos and boatyards.
CATEGORY OF CONSTRUCTION . - ' exceeds 10.000 amps of ISO votes or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial-use agricultural
❑ 1 - and 2 family dwelling ❑ Commercial /industrial 0 Accessory building amps for all other installations. buildings.
It Multi - family ❑ Master builder ❑ Other: ❑Fire pump. ❑ Installation of 751CVA or •
❑ Amergenoy new system. larger
E","1- separately
", de -3 system.:
JOB SITE INFORMATION AND LOCATION
❑ Addition of new motor load of ❑ "A", "C', °I i ","1.3 ",
Job
no.: 7 b Job site address: L /�j s� �� "� � Q IooHP or more. occupancy.
,6' ❑ six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: ❑ Health -care facilities. ❑ Supply voltage for more Aroma
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: J Project name: --T wL o Yt ❑ Service or feeder 600 amps or more.
FEE. SCHEDULE •
Cross street/directions to job sire: neterlpdoa 101,'. I Pee. I Total I
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq t1• or less 168.54 4
Tax map/parcel no.: Ea. add'/ 500 sq, fl. or portion 33,92 1
N P Limited energy, residential
DESCRIPTION! 01? WORK (with above sq. IL) 75 l 2
•
Limited energy, multi - family 75.00 2
' _� L.) ■ v` ate f ' dv V S Lf residential (with above sq. CL) , - . -
1 Services or feeders Installation, alteration, and/or relocation
y t
� * . 200 amps or leas 100.70
201 amps to 400 amps 133.56
401 amps to 600 amps 200.34
601 amps to 1,000 amps 301.04
Over 1,000 amps or volts 552.26
Temporary services or feeders Installation, alteration, and/o
relocation
Phone: ( ) Fax: ( ) 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 I 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, pc panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT . I ❑ CONTACT PERSON. above service or feeder fee, 7.42 2 I
each branch circuit
Business name: B. Fee for branch circuits tvfrdoui .
service or feeder fee. (list 56.18 2
Contact name: branch circuit
Each add'I branch circuit I ] 7.42
Address: Miscellaneous (service or feeder not Included) _
Each manufactured or modular 67.84
City /State/ZIP; dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 14 67.84 2 7/, 3 2
Pump or irrigation circle 67.84 2
E-mail: Sign or outline lighting 67.84 2
• CONTRACTOR Signal circuit(s) or limited -energy
Business name . = el, alteration or extension. Paget — 2
REDS ELECTRIC CO. Each additional inspection over allowable In any of the above
Address: Additional inspection (1 hr min) 66.25/ hr
6336 SE 107TH AVE Investigation (I hr min) 66.25/ hr
City /State/ZIP PORTLAND, OR 97266
P:503 2338467 F:503 - 233 - 1281 Industrial plant (1 hr min) 78.181 hr
-
.00 / hr
Phone: ( ) CCB# 4443 ELECT_LIC: 26 -152C SUP LIC: 5010-S _ ._ _ fnspoctians for which no fee is
;fcallylisted(MJ►r.min)_____ _..— -_..
CCB Lie.:
Subtotal; 2 7 / ..3 (e
su Electrician signature, required: ��
Plan review (25% of permit fee):
Print name: cI IAA r,� rri- 1 S Date: / / / /// / / .I , _ Slate surcharge (12 %ofpermit fee): .2 , 51
t :4 , TOTAL PERMIT PEE: I p '
Authorized signature: .• ^ei This permit applicalien expires If a permit Is not obtained within 180
days aver it has been accepted as complete. ,� I
Print name: Dale: • Number of inspections allowed per permit. 303 (/ �
t: lfuilding %PermiulELC'PcneitApp.dee 07/01 /10 440. 1 61570 1 /0 5/COM/WEB O