Permit :., r� _ ,
a CITY OF TIGARD ELECTRICAL PERMIT•
1114 3,- ' COMMUNITY DEVELOPMENT Permit#: ELC201300053
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2013
Parcel: 2S112AA00500
Jurisdiction: Tigard
Site address: 14344 SW 72ND AVE
Project: Ceiling Heat Subdivision: MILLMONT PARK Lot: 49
Project Description: (2)branch circuits for ceiling infrared gas heaters
Contractor: MOUNTAIN F ENTERPRISES INC Owner: WALTON CWOR NELSON 13 LLC
25973 S MOEHNKE LN BY CTMT-WALTON RE TAX
BEAVERCREEK,OR 97004 4678 WORLD PARKWAY CIR
ST LOUIS, MO 63134
PHONE 503-313-0761 PHONE:
FAX' 503-632-5521
FEES
Quantity Description Date Amount •
2 crt Branch Circuits wo/Purchase 01/23/2013 $63.60 '
Specifics: Service or Feeder
1 ea 12%State Surcharge- 01/23/2013 $7.63
Type of Use: COM Electrical '
Class of Work: ALT '
Type of Const:
Occupancy Grp:
Total $71 23
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 5 01-009 You may obtain a cop of the rules or direct questions to OUNC by calling 503 232 1987 or 1.800.332 2344�/J�/ ' f
Issued By: � ,f Permittee Signature: D L' f`1 P'G,eg 7��=
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.
i
01/21/2013 08:54 503-632-5521 ALAN FITCH ELECTRIC PAGE 02/03
Electrical Permit Application, IRECE11 : Rec.i ., 1OFFICE.011 OF CSE ONI.1
City of Tigard Oate/B : 1 c%/3 If 3 s-i Permit 14O &t 4013 -0450<3
13125 sw Han Blvd.,Tigard,OR 97223 JAN 2 2 2 orier.i— Other Pennit:
Phone: 503.639.4171 Fax: 503.598.1960
Inspection Lino: 503.639.4175 Date Ready/By: El See Page for
Internet www.tigard-or.gov CITY OFTIG' LS'. 444'14 1'116) Supplemental Inforatation
j.',.'..:..;:....Y.," . .i...'?;'iJ.7. ."'...::: ''...:.%!' . . ..::‘i.::',.***F.S0.043.rall.RWM.W.7-7, '''.4;;:i.'.:&,4.0,;ift'W.:4144.*A!g*Wa.tkigiOst:gitVa'
D
Meese check all that apply(submit a sets of plans venoms checked below):
New construction 0 AdditiOrdalteration/replacemerd
0 Service or feeder 400 amps or more 0 Building over three strain.
0 Demolition El Other: where the available fault current 0 Marinas and boatyards.
,.:.:.:::,i:.:11 ;.!:;.::.•7': .r,:'%;•;.:'. 0*160001:...,';;00#10760. ....''•;.*::.:.'''. :::•:kl::;:.''...?4'......''' exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground,or exceeds 14,000 D Commercial-use agricultural
0 1-and 2-family dwelling CI Commercial/industrial CI Accessory building amps for all other installations. buildings.
1:1 Multi-family El Master builder 0 Other: 0 Fire pump. 0 installation of 75 KVA or
larger separately derived syetetn.
3.::,4,1"......j,::?.`:::".i,4011:.41*:0.01004.1,014/!:414/kOP#TIPN:::1; ":: ..i..i...■!'..'.1.''..'...' ' 0 Additic'n°f new n't'hn.toad c'f 0"A","E"-1-2",
occupancy.
Job no.: Job site address: k4'544k e-,\ 1.21,-.. pm, ns7.11:c1 In7sidential units. CI Recreational vehicle parka.
1:IHealtb-oare facilities. 0 Supply voltage fbr more than
City/State/ZIP: 1--ir Cltkii0 OIL.
_ CI Hall211:10118 locations. 600 volts nominal.
,.
Suite/bldgiapt.no.: Project name: CrLI pj 60.e.A..1- 0 Service or feeder 600 amps or more.
''7 . .1titg:''Stit$'S.ION7: .A.1:,,, Y;61.7....)...: ;?..
Cross street/directions to job site: 'boil trio,. 4 Derail:des 1 Onr. I -Yes; I - Total 1 •
New residential single-or muld-family dwelling unit.
— • Includes attached garage.
Subdivision: Lot no.: L000 sq.ft.or less 168.54 4
Ea.arld'I 500 sq.ft.or portion 33.92 1
Tax map/parcel no.:
., Limited energy,residential 75.00 2
_,,,.._, —,..., •• •-..,•<--v• •co.J.7.-'‘?::,71:'.47:i (with above sq.ft.)
i:::..,. ;t7ii,..........ii.i ...:......,,,A;:::„,:-.7......:-:;.:,:.•1::::'.i..: tigklitrnt/111,it PP. WORIC;1.:':;;;:',::::;:.:;.:.',:A":4.:,:`:'..-::4;4:?igi....'.'. Limited energy,multi-family
75.00 2
-7V..1S7\tkit,‘-CV't_iA 1+) 6:/4— C411-1 0 CI J-s...44,6i-Le0 residential(with above sq.ft) _
Services or feeders installation,alteration,and/or relocation
C-1)\-5 1,414/..469-et14 200 amps or less _ 100.70 2
: !-;:.: "4:.''.i'-i•;:,CI PROPERn OWNER 7 .'; ,.:...':;:;.:*::::`::.:,7 .LI TENANT.:;; 7::::::".;:',,..;...•., 201 amps to 400 amps 133.56 2
..... . ...:.-...'.
.----
Name: 401 amps to 600 snipe 200,34 2
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
C ity/StetteEP: relocation
Phone:( ) Fax:( ) 200 amps or less 59.36 • I
Owner installation:This installation is being made on property that 1 own which is not 201 amps to 400 amps 125.08 2--
54 1
intended for sale,lease,rent,or awchange,according to ORS 447,449,670,and 701. 401 amps to 99 amps 168.5 2
Branch circuits-new,alteration,or eitenbi0111,per panel
Owner signature: Date: A.Fee for branch circuits with
'' above service crr feeder fee,
.'7:',..::..:.''',....''.. ':-. 7.,7.,•':rt'Ariisit.Afit:•1,.P.:;'''.1'..14,t,::-.. :---:.:t."!tt-t00110,-400.0*:'::::-:.' ....:-.'; each hi-1inch circuit 742 2
Business name: 8.Fee for branch circuits without '
— service or feeder fee,first i 56.18 56 I s 2
Contact name:
branch circuit
,
Each arld-I branch circuit j., •• 7.42 '1',.4-'Z- 2
• Address: Miscellaneous(service or feeder not included)
Each manufactured or modular
61.84 2
City/State/ZIP: dwelling,service and/or feeder 61. _
Phone:( ) I Fax::( ) Reconnect only 67,84 2
Pump or irrigation circle 67.84 2
E-mail: sign or outline lighting 67.84 2
-, ',•,i.r:!';.q117:..S, .. ..1.,.;:...7".:,..::.:-:: , 01411:4Set0i0;,....;!:.:.. .!....7:.:..,!,''..;•?..7.7. :'..;;.';'..'.'.77:'? :*".:-..:••• Signal oircuit(s)or limited-energy
Business name!tAD,A01-A,„,) .tit Tije. IRA 1\--LA.)FT2-0 Etter...et c _panel,alteration,or extemsion.
— Page 2 2
Each additional inspection over allowable in any of the above
Address: 2..S ci 1-3 5- VNAotis.-)t-it Ca-. Additional inspection(1 hr mm) 66.25/hr
- Invenigation(i hr min) 66.25/hr
City/State/ZIP: -15 .sei-t)e-e-c44,4-4- 0 a_ et-A-I)o 4 . _
Industrial plant(1 hr min) 78.18/hr
Phone:(5'4 5 3") 'S‘S a ...(., N Fax: O3) L,S2- S.5-2-I Ism:talons for which no fee is
90.00/hr
,- 'Beal 1 listed(Si hr min)
CCB Lk.:vsi /51 Electrical Lie.: 7)-5 e Suprv.Lic.:2) z_.1 :::':.':41;4:44 :; l1ELE.-1=474:0113.1.711:j.,:•:;-: :is‘:.'-::.
i rev 1
Suprv.Electrician signature ,required: 4 ,
-,.,..4. • ... i Subtotal: /1.4-o
- Plan review(25%ofpermit fee):
Print name: ,.LAQ F,_.,___- +A. Date: k_7_1— ‘3 State surcharge(12%of permit fee): l's ti 5
, TOTAL PERMIT FEE:
Authorized signature:
This permit implication expires if a permit is not obtained within 080
diva*Orr it has been accepted as complete.
Print name: Pr, -i, F■ Date:
• Number(Airmen:tie=alluned pm permit.
1:AluildineerntiteELC-PsrmitAponoc 07/01/10 440-4615tklIMICOMiwen
01/21/2013 08:54 503-632-5521 ALAN FITCH ELECTRIC PAGE 01/03
ALAN F1TCUU ELECTRIC
A Division of Mountain F Enterprises,inc.
25973 S Moehnke Ln.
Beavercreek,OR 97004
PHONE: p s - 1 441_1 FAX: Sb 3 — 5S 8 - le o
ATTN: citt, i)eito■ VO"\
FROM: Alas
DATE: k--• kw)
PAGE 1 OF 3
COMMENTS:
ri-44413.- i•J -L ?4,?4,\ c" t■GoA-i—t 1).- -fix ,(LL , Putm
call with any questions: 503 313 0761 cell
503 632 4784 office
503 632 5521 fax
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
14344 SW 72ND AVE, TIGARD, OR, 97224
Commercial - Electrical
199 Electrical final
02/15/2013 00:00
ELC2013-00053
PASS - No C of O
Violation Summary:
Inspector Contractor