Permit .
CITY' OF TIGARD
ELECTRICAL PERMIT
i jii
COMMUNITY DEVELOPMENT Permit #: ELC2013 00070
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/29/2013
Parcel: 2S104BCO3700
Jurisdiction: Tigard
Site address: 14363 SW WINDSONG CT
Project: Barrera Subdivision: HILLSHIRE WOODS Lot: 48
Project Description: (2) branch circuits to cover replacement of devices and fixtures
Contractor: WEBER ELECTRIC INC Owner: BARRERA, ADELINA T
7007 SW ROBBINS RD 14363 SW WINDSONG CT
TUALATIN, OR 97062 TIGARD, OR 97223
PHONE: 503 - 819 -7380 PHONE: 503 - 713 -7957
FAX:
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo /Purchase 01/29/2013 $63.60
Specifics: Service or Feeder
1 ea 12% State Surcharge - 01/29/2013 $7.63
Type of Use: SF 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 O 522 -0001- 90. You � ma obtain / a co y of the rules or direct questions to OUNC by calling 503.232 or 1.800.332.2344.
Issued By: AA - n O� t�C U Permittee Signature:
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.
Electrical Permit Application RECEIVE F R OFFici: lst: ONLY
" eceiv ed
City of Tigard JAN 2 9 2013 Datr/By: (10-61
I t .� s,— Permit No.: ('L&) p /3 70
a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
1 Phone: 503.718.2439 Fax: 503.598.1960 CI TY n� T Date/By: Other Permit:
l' I G A R D Inspection Line: 503 C ' r OF 1 IG Date Ready/By: Jam+ // H See Page 2 for
Internet: www.tigard - or.gov BUILDING oI V I�� Notifed/Method: f {O S
I S upplemental Information
lYl7 LJN
TYPE OF WORK PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stones.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "1 - ",
Job no.: Job site address: 14363 SW Windsong Ct 100HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description
Qty. I Fee. I Total 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. add'l 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi- family
75.00 2
2 circuits to cover replacement of devices and fixtures. residential (with above sq. ft)
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2
Name: Barrera 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
City /State /ZIP: Temporary services or feeders installation, alteration, and/or
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
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Owner signature: Date: A . Fee for branch circuits wity rehon, or extension, per panel
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee,
7.42 2
each branch circuit
Business name: B. Fee for branch circuits without
service or feeder fee, first 1 56.18 56.18 2
Contact name: branch circuit
Each add'l branch circuit 1 7.42 7.42 2
Address: Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 67.84 2
dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 67.84 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: Weber Electric, Inc. panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 7007 SW Robbins Rd Additional inspection (1 hr min) 66.25/ hr
City/State /ZIP: Tualatin, OR 97062 Investigation (1 hr min) 66.25/ hr
Industrial plant (1 hr min) 78.18/ br
Phone: (503) 819 - 7380 Fax: ( ) na Inspections for which no fee is 90.00 / hr
specifically listed (Y: hr min)
CCB Lic.: 44087 Electrical Lic.: 34 -442C Su rv. Lic.: 4028S ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required:
Subtotal: 63.60
.0 � Plan review (25% of permit fee)) :
Print name: Matt Weber Date: 1 - - State surcharge (12% of permit fee): 7.63
TOTAL PERMIT FEE: 71.23
Authorized signature: This permit application expires if a permit is not obtained within 180
Print name: Date: • days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\ Building \Pcnnits\ELC- PennitApp.do° 07/01 /10 440- 4615T(I1/05 /COM/WEB
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
14363 SW WINDSONG CT, TIGARD, OR, 97223
Residential - Electrical
199 Electrical final
04/16/2013 00:00
ELC2013-00070
PASS - No C of O
Violation Summary:
Inspector Contractor