Permit CITY OF TIGARD ELECTRICAL PERMIT
I
• COMMUNITY DEVELOPMENT
Permit #: ELC2012-00714
Tigard OR 97223 503.718.2439
13125 SW Hall Blvd., Ti Date Issued: 12/17/2012
TiC�AIt.L� g
Parcel: 2S 110A603200
Jurisdiction: Tigard
Site address: 14285 SW 114TH AVE
Project: Watkins Subdivision: COLE'S ACRES Lot: 15
Project Description: Modification of (6) branch circutis and all encompassing low voltage wiring.
Contractor: OWNER Owner: WATKINS, PETER & MAGGIE
14285 SW 114TH AVE
TIGARD, OR 97224
PHONE:
PHONE: 503 - 957 -8472
FAX:
FEES
Quantity Description Date Amount
6 crt Branch Circuits wo /Purchase 12/17/2012 $93.28
Specifics: Service or Feeder
1 ea Signal circuit or Limited 12/17/2012 $75.00
Type of Use: SF Energy Panel
Class of Work: ALT 1 ea 12% State Surcharge - 12/17/2012 $20.19
Electrical
Type of Const:
Occupancy Grp:
Total $188.47
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 a • - = •r- • 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. ATTE ON: Oregon - re•uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-001* through OAR 952 -01 %49 Y• may obtain a copy of the rules or direct questions to OUNC by calling 5503.232.19877 or 1.800.332.2344.
Issued By: ! ` / 4a / /_A / Permittee Signature: K PO '°� /141. _
OWNER INSTALLATION ONLY
The installation is being made on prope I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date: 12/7/ Z
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.
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CITY O -
RECEIVED check all that apply (submit 2 sets of plans w /items checked below):
_ Service or feeder 400 amps or more Building over three stories.
New construction Addition /alteration /replacement ' 2 where the available fault current Marinas and boatyards.
exceeds 10,000 amps at 150 volts or Floating buildings.
Demolition Other: I b + if s ! 1 less to ground, or exceeds 14,000 Commercial -use agricultural
i x `` `4,-,,,,:.., ^ „" a e '� ` rat 7 ; t [ _ � `"1 ON amps for all other installations. buildings.
of and 2 family dwelling Commercial /industrial Accessory building Eire pump. la KVA or
Emergency system. larggeer r s se epaa Installation elly y derived system.
Multi - family Master builder Other: Addition of new motor load of ••A ","E ","1 -2 ", "1 -3", occupancy.
4 '14' {�j 100HP or more. Recreational vehicle parks.
' , 'x Six or more residential units. Supply voltage for more than
ob no.: 1.1ob site address: 14285 SW 114th Ave Health - care facilities. 600 volts nominal.
Hazardous locations.
ity /State /ZIP: Tigard, OR 97224 Service or feeder 600 am .s or more.
» . ` 487,': a „' t'.9'49 a
uite/bldg. /apt. no.: Project name: ( }II �� ' ' " »'
! lit M j Description Qty. Fee. Total •
ross street/directions to job site: 114th Ave and Gaarde. New residential single- or multi-family dwelling unit.
Includes attached garage.
House is on a flag lot. At base of driveway is a mailbox with "WATKINS" lettering. 1,000 sq. ft. or less 168.54 4
Subdivision: Cole's Acres 'Lot no.: 15 Ea. add'' 500 sq ft. or portion 33.92 1
Limited energy, residential
ax map /parcel no.: 3101 (with above sq. ft.) 75.00 2
y £ ;*1 �4V . 1 s, 1 i * * r,4*-4 �, * Limited energy, multi - family 75.00 2
residential (with above sq. ft.)
• ewire basement. Rewire low voltage throughout house. Add a circuit for each Services or feeders installation, alteration, and/or relocation
upstairs bathroom. 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
ty
401 amps to 600 amps 200.34 2
I ame: Peter Watkins 601 amps to 1,000 amps 301.04 2
• ddress: 14285 SW 114th Ave Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and /or
ity/State /ZIP: Tigard, OR 97224 relocation
200 amps or less 59.36 1
Phone: (503) 957 - 8472 JF ( ) 201 amps to 400 amps 125.08 2
• wner installation: This 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
• wner si r�tj tur A. Fee for branch circuits with
r above service or feeder fee,
7.42 2
Is a e: 2. r each branch circuit
te _ ,� rt�� B. Fee for branch circuits without
$ a iahle „ °.° ° service or feeder fee, first 1 56.18 56.18 2
I: usiness name: branch circuit
Each add'/ branch circuit 5 7.42 37.10 2
ontact name: Peter Watkins -
Miscellaneous (service or feeder not included)
• ddress: 14285 SW 114th Ave Each manufactured or modular
dwelling, service and/or feeder 67.84 2
ity/State /ZIP: Tigard, OR 97224 Reconnect only 67.84 2
''hone: (503) 957 -8472 IFax: : ( ) Pump or irrigation circle 67.84 2
I - mail: walk/ ell ` mail corn Sign or outline lighting 67.84 2
p /� Signal circuit(s) or limited - energy Au. fodoi- 04,9/.++x
F 1 75.00
5 s ,'� _v; ._ panel, alteration, or extension. Page 2 2
I: usiness name: 0 ( 1 / Each additional inspection over allowable in any of the above
ddress: Additional inspection (1 hr min) 66.25/ hr
• Investigation (1 hr min) 66.25/ hr
ity /State /ZIP: Industrial plant (1 hr min) 78.18 / hr
Inspections for which no fee is
('hone: ( ) I'ax: ( ) s ecificall listed '/: hr mm 90.00/ hr
CB Lie.: 'Electrical Lic.: Suprv. Lic.: .
Subtotal: 168.28
Suprv. Electrician signature, required: Plan review (25% of permit fee): 0.00
Print name: ate:
State surcharge (12% of permit fee): 20.19
p7. TOTAL PERMIT FEE:
• uthorized signature: ( t : ' ' This permit application expires if a permit is not obtain
days after it has been accepted as complete.
Print name: Date: 12117/Sail. * Number of inspections allowed per permit. s.4t/
^b iv ,i.
1:\ Building \Permits\ELC- PermiiApp.doc 07/01/10
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14285 SW 114TH AVE, TIGARD, OR, 97224
Residential - Electrical
120 Electrical rough-in
05/30/2013 00:00
ELC2012-00714
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14285 SW 114TH AVE, TIGARD, OR, 97224
Residential - Electrical
120 Electrical rough-in
05/30/2013 00:00
ELC2012-00714
PASS
Violation Summary:
Inspector Contractor