Permit CITY OF TIGARD ELECTRICAL PERMIT
1111 n : - COMMUNITY DEVELOPMENT Permit #: ELC2013 00149
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/05/2013
Parcel: 2S110AB03200
Jurisdiction: Tigard
Site address: 14285 SW 114TH AVE
Project: Watkins Subdivision: COLE'S ACRES Lot: 15
Project Description: (1) 200 amp service
Contractor: RED'S ELECTRIC CO INC Owner: WATKINS, PETER & MAGGIE
6336 SE 107TH AVE 14285 SW 114TH AVE
PORTLAND, OR 97266 TIGARD, OR 97224
PHONE: 503 - 233 -6467
PHONE: 503 - 957 -8472
FAX: 503 - 233 -1281
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 03/05/2013 $100.70
Specifics:, amps or less
1 ea 12% State Surcharge - 03/05/2013 $12.08
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $112.78
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 c • - 95 - 001 -00 0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ( ` . ,r - Permittee Signature: ®/r /9 / (''T7D
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 603.639.4176 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.
Mar. 4. 2013 9:12AM No. 3174 P. 1
Electrical Permit Application FOR OFFICE: USE ONLY ,;
City of Tigard •
Received �' S �I! EC. C �13 Gib /yjj
Date/13 : !!•, PenttitNo.:
I N
'+ 13125 SW Hall Blvd,, Tigard, 97223 ^^ 4
t 0 " q 2Q i 3 Plan Review Other Permit 4
Phone: 503.718.2439 Fax: 503.598.196 Date>ny:
TIGARD Inspection Line: 503.639,4175 Ready/By: 1'16,-1' Sec Pape 2 for
Internet: www.tigard•or.gov CITY O NolifiedRvlelhod: fl L7 Supplemental Information
'TYPE OP �D'rpNISI0I�1 . . PLAN REVIEW •
® Addition /al►cration/replltcemenl
❑ New construction Please check all that apply (submit a sets of plans whims Checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings,
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ' I
I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps fOrall other installations. buildings.
❑ Multi- family ❑ Master builder [I Other: ❑ Fire pump. ❑ Installation of75 KVA or
LOCATION
['Emergency system. larger separately derived system.]
JOB SITE INFORMATION.. AND
. CI of now motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: 0 ( Job site address: 14285 SW 114 AVE warp or or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/ State /ZIP; TIGARD, OR 97224 0 Health -cam facilities, ❑ Supply voltage for more than •
❑ Haaardous locations. 600 volts nominal.
Suite/bldg. /apt. no.; Project name: WATKINS ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job Site: -
Derertruien I otr. I Yee. I 2' *tat 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'] 500 sq. ft or portion 33.92 1
Tax map /parcel no.:
Limited energy, residential 75.00
DESCRIPTION WOR[C: ._ . . (with above sq. ft.) 3
Limited energy, multi - family 7 5.00 'i
SERVICE CHANGE residential (with above sq. ft.)
Services or feeders installation and /or relocation '
200 amps or less I 100.70 100,70 2 •
❑ PROPERTY OWNER l 0 TENANT 201 amps to 400 amps 133.56
401 amps to 600 amps 200.34
Name;
• 601 amps to 1,000 amps 301.04 ;(
Address: Over 1,000 amps or volts 552.26 2 1
City/State/ZIP: Temporary services or feeders inslallatton, alteration, and/or
relocation
Phone: ( ) Pax: ( ) 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 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, Ater panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT I r ❑ CONTACT PERSON above service or [ceder fee. 7 42
each branch entail 1.
Business name: D . Pco for branch circu wit
service or feeder fee, first 56.18 2
Contact flame: branch circuit
Each add'I branch circuit 7.42 _'
Address: Miscellaneous (service or feeder not Included)
City/State/ZIP:
Each manufactured ormodular y
Cit
Y dwelling, service and/or feeder 67.84
Phone: ( ) pax:: ( ) Reconnec only 67.84 2
Pump or irrigation circle 67.84 2
E -mail: Sign or outline lighting 67.84 2
CONTRACTOR. Signal circuil(S} Or limited energy — I
•
Business name: REDS ELECTRIC COMPANY _panel, ahetation, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 6336 SE 107 AVE Additional inspection (I hr min) 66 _25/ hr
City /Slate /ZIP: PORTLAND, OR 97266 Investigtltion(1 hr min) 66.25/hr
Industrial plant (1 hr min) 78.18/ hr
Phone: (503) 233 -6467 Fax: (503) 233 281 ✓ Inspections for which no fee is 90.00/ hr •
n ■
CCB Lic.: 4443 .. Electrical Liec 26-152C V Suprv. Lie.: 5010-S specifically listed (IS hr min) ELECTRICAL. PERMIT FEES
Suprv. Electrician signature, required: ; 100.70 t
Plan review (25% of permit rmit Subtotal:
fee);
Print name: JIM FERRIS Date: 03/04/13 Stoic surcharge (12% of fee): c 2
TOTAL PERMIT FEE;
Authorized signature: This permit application expires if a permit Is not obtained within 150 O f
Jaya aver it has been accepted as complete.
Print name: Date; e Number of inspections allowed per permit. I I
t; lnuildiug \PpmtiOLC- PermltADm.doe 07/01/10 440- 461ST(I1/0/COhIJWED