Permit q CITY OF TIGARD ELECTRICAL PERMIT
to . COMMUNITY DEVELOPMENT Permit #: ELC2013 00036
T [ GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/17/2013
Parcel: 1 S134BC00403
Jurisdiction: Tigard
Site address: 12505 SW NORTH DAKOTA ST
Project: Meadows Creek Apt. Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: (1) branch circuit for sump pump
Contractor: WEST SIDE ELECTRIC CO INC Owner: BEL PORTLAND HOLDINGS LLC
1834 SE 8TH AVE BY EATON VANCE MANAGEMENT
PORTLAND, OR 97214 REIG DIRECTOR OF AASSET MANAGEME
2 INTERNATIONAL PL
BOSTON, MA 02110
PHONE: 503 - 231 -1548 PHONE:
FAX: 503 - 736 -0677
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo /Purchase 01/17/2013 $56.18
Specifics:, Service or Feeder
1 ea 12% State Surcharge - 01/17/2013 $6.74
Type of Use: MF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $62.92
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 OA 52- 001 -0090. You may obtain W3.232.1987 n a copy of the rules or direct questions to OUNC by calling 33..2 or 1.800.332.2344.
'u
Issued By: Slat( Permittee Signature: a l A or ioo C417U ell
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.
N
.201301-15 08:26 WEST SIDE ERECIEIN/E1) 15037360677 » 5035981960 P 2/2
Electrical Permit Application J A N 1 5 2013 HA( (Hrici: I. ' 0\1. \
City of Tigard Received i i i ( 3 .
Permit Noi'l...e-- )0 ( 3.- a ao 3(4
13125 SW Hall Blvd., Tigard, OR ' t ;-: ii op TIGARD Plan Review
' 8 . PhOrle: 503,718.2439 Fax: 503, ' -',' Other Permit:
&I Date/B ;
Inspection Line: 503.639.4175 0 I 0 INC! DIVISION Dale Ready/By: MI el See Page 2 for
i ;•...,'f)
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
: .. ' ' . -" ' ''" :'..'''''....• .... '......- .‘r ::-.•;:.._ : .,: .. • ..••• . ' . .' '. . 7771 _ : .'l - . .. .
0 New construction XI Addition/alteration/replacement Please check all that apply (submit 1 sets of plans wiirems checked below):
0 Service or feeder 400 amps or more ['Building over three stones.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards
tilidoitit,:dii.:::thisi :;•; -. • .::.. • . .:•:•' .f "...•:r, :.:...: ,,....:•;.. exceeds 10,000 amps at 150 volts or CI Floating buildings.
,„
less to ground, or exceeds 14,000 0 Commercial-use agricultural
D I- and 2-family dwelling El Commercial/industrial 0 Accessory building amps for all other installations. buildings.
Al Multi-family 0 Master builder 0 Other. °Fire pump. 0 Installation of 75 KVA or
larger separately derived system.
• . . ' . • :4 0 Addition of new motor load of 0 A "1 "1
Job no.: .3 [Job site add ess:TSDE JO )1,15y/A Dt SIT io0iiP or more
0 Six or more residential units. El occupancy.
Recreational vehicle parks.
City/State/ZIP: M Q, ef 72.0 OH .dth... faciii64. 0 $upply voltage for more than
0 Hazardous locations. 600 volts nommal.
SuiteJbldgJapt no.: Project riame:4/6/ Cee/49 0 SUMO Or feeder 600 amps or mom
Cross street/directions to job site: 1,tion I go,. I Pee f ..._.
ToOd I •
New residential single- or multi-family dwelling unit.
Includes attached garage. _
-
Subdivision: Lot no.: . 1,000 sq. ft. or less 168,54 4
Ea. addl 500 sq. R. or portion 33,92 1
Tax map/parcel no.:
Limited energy. residential 75.00
- ::•:•.::;.• •:•:,.; ,•.';',.-•.','.;.:,'•:..;; •;.......l.;.... ;;:,,....•,,,,.;,- tillgtip000}.10*/47.. (with above sq. fL) 1 2
/) Limited energy, multi-family 75.00 12
( i Li/ to r S i„,.7 A ci/7-ii, residential (witti above att_tt.)
Services or feeders installation, alteration, and/or relocation
200 amps or leas 100.70 ' 2
. .
0001 ;;; -.,. ": -..,, .4 201 arri t° 4a° aMPS 133,56 2
...
401 amps to 600 amps 200.34 2
Name: - -
. 601 amps to t AO stops 301.04 2
Address: Over 1,000 amps cs- volts 552.26 2
- .
Temporary services or feeders Installation, alteration, and/or
City/State/ZIP: relocation
- -
Phone: ( ) J 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 arrips to 599 amps 168.54 1 2 1
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits new, alteration, or extenaion, per panel
Owner signature: Date: _ A. Fee fix branch circuits with 1
• • • • .• . - tti
rgitig".=:'`.4h::1: above service or feeder fee, 742 2j
12 AMACVIT ` , --;,'.:'f',: .. ,.,1 ,,. - • • :, 'f•• .. • • ... .:'. m !'. each branch circuit
..
B. Fee for branch circuits without 1
Business name:
service or feeder fee, first / fe I
Contact name: branch circuit 56.8 5- . 6,- 2
..
Each acid'i branch circuit J 7.42 1 . 1 2
Address: Miscellaneous (service or feeder not Included)
Each manufactured or modular 1 2
67.84
City/State/ZIP: dwelling, =vice and/or feeder _ 1
Reconnect only 67.84 2 1
Phone: ( ) Fax: : ( )
Pump or irrigation circle 67.84
E-mail; . . . sign or outline lighting 67.84 2
• ''...... • : r .". ...- _; • , • l • ''...!::::' r.?'.. '7''.i ' Signal circuit(s) or limited-energy
pan, alteratMn. or extension. Page 2 _
2
Business name: West Side Electric Co., Inc.
Each additional inspection over allowable in any of the above 1 1
I
Address: 1834 SE 8 Ave. Additional inspection (1 hr min) 66.25/ hr 1 1
Investigation (1 hr min) 66.25/ hr 1 I
City/State/ZIP: Portland/OR/97214
. _ Industrial plant ti hr min) 78.18/ hr
Phone: (503) 231-1548 I Fax: (503) 736-0677 inspections for which no fee is 90.001 hr
stecificativ liatedili he min)
CCB Lic.: 13306 Electrical Lic.: 26-135C I Suprv. Lie.: 4654-S ''';;;iii,1,...7,14qt 12.:EMIE1.titirtitghlit: VMS • -
I b''
Subtotal; c(-, —
Suprv. Electrician signature, requir ... ' i . • _ . ..-. • —
Plan review (25% of permit fee):
Print name: Randall F Roberts Date: / kr /3 State surcharge (12% of permit fee): (, 11
TOTAL PERMIT FEE: 62 ____• ,
Authorized signature; — This permit application expires Ifs permit is not obtained within 180
days after it has been accepted as complete.
Print name: rDate: • Number of inspections allowed per permit.
ImuitairtgUtermioNELC-PermliApp doe 07101/10 440461 sTo 1/051COMPNE5