Permit •
•
CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2013 00144
'TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/05/2013
Parcel: 2S112AC01600
Jurisdiction: Tigard
Site address: 14975 SW 74TH AVE
Project: Meyer Sign Co Subdivision: FANNO CREEK ACRE TRACTS Lot: 17
Project Description: (6) branch circuits
Contractor: NEC ELECTRIC Owner: SKOURTES, JOHN & JACKIE
2850 SW CEDAR HILLS BLVD #315 17010 SW WEIR RD
BEAVERTON, OR 97005 BEAVERTON, OR 97007
PHONE: 503 - 758 -4291 PHONE:
FAX:
FEES
Quantity Description Date Amount
6 crt Branch Circuits wo /Purchase 03/05/2013 $93.28
Specifics: Service or Feeder
1 ea 12% State Surcharge - 03/05/2013 $11.19
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $104.47
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 acco nce 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. ATTEN ON: Oregon la requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -001 throu e h OAR 954801 r 8 %+. You may obtain a copy of the rules or direct questions to OUNC by call'. • ' I .232.1987 or 1.800.332.2 •4.
/
Issued By: Permittee Signal - = G7�
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' , i� / 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.
1
Electrical Permit Application n C ^ � I O1c (11 litit: (.1NL.V
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/ Parnell NO.:
1 3125 S 50 ! t 439 Tigar 03 97 ple Review
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I . Phone: 503.718 2439 Fax: 503 AR 4 2013 na(eIB : Other i t 4 u naa a Do; -y
T i 6 A It l) Inspection Line: 503.639.4175 Pate Ready /By. Judi': El See Page 2 tor
lnternnt: www,tigard•or.gov g , e Notified/Methed: Supplemental Information
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❑ New construction ®Ad d1lion/Etlterltt . on/replacement Please c all thin apply (submit a sets of plans w /items checked below);
❑ Demolition ❑ Other: Q Service or feeder 400 amps or 100111 17 Building over three stories.
where the available fault current ❑ Marinas and boatyards.
.., c ac rd -' s ii t C:x 1 r
��r` Y, �r,r� r,r`;!�-,,I L fir?, >,�'�" a1 ♦d.wT't�k� „y^r exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
leas to grouud, or exceeds 14,000 ❑ Commercial -use aviculture]
❑ 1- and 2- family dwelling IS Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi family ❑ Master builder ❑ Other O Piro pump. ❑ Installation of 75 KVA or
r "' p ! i L r r r l�eK 7 / ,:-• , t 4r rt s ra ci.7 ; , ' ° Eme i C7' s9 layer sepmutely derived system.
1 *}i i e uli�jj47 1(��17�1: ' L -5 " ,� 'i1 .3� t ` N
-:_. sFJ.:, .. ......_ . ...... . _ 1 ,� 5 ; s ,�e ...,na' l •� na';+4 .t ,.,�,,, �, , ❑ Addition Of xteW mow load of ❑ "A ", "E", "1.2 ", u1.3",
- Job no.: Job site address: 14975 SW 74 AVE 10U19P or more. occupancy.
0 Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: TIGARD, OR ❑ Health -can facilities, 0 Supply wllirge for mote than
0 HBardous loaitions 600 volts nominal.
• Suite/bldg, /apt, no,: I Project name; MEYER'S SIGN CO. CI Service or feeder 600 amps or more. p. a yT
_ e ut ' , ` ;�� ' AP ti 9 'aF r 5 r pl! J"'' �I r CIy a'1' ..r, a iti5tF �I
Cross street/directions to job site: 74`" & BONITA Description I, Q J sir. I rut.! I •
New residential single. or multi- family dwelling unit.
Includes attached garage.
bdivision: I Lot nu.: 1 sq. ft. or less 168.54 4
ll map/parcel na Fa. add'! 500 sq• i or portion 33.92 1
id, r 7,,,,..: Limited energy, residential
? .r;' .. • w { � � `ti`.: .,,, ; f�, i57 . u � j ri� 1 F I '?*t T',Yti`�; 4 „'a' "'' .r`pgY,�fx t : (with above sq. It.) 75.00 2
/' WIRE 3 PHASE MOTOR FOR COMPRESSOR - DRYER - CONTROL FOR Limited energy. multifamily
75.00 2
FIRE SUPPRESSION - residential (with above sq. it)
Services or feeders installation, alteration, and/or relocation
PAINT BOOTH MIXING ROOM - 2 4 CKTS FOR LAZER CUTTER � M 200 amps or less 100.70 z
vl ,: t e'' CaJ ri 7) , IJ! r , -.;..; :i:±T 3 +1) i q � 7l 4 1 V L''; J tl J' �`i7�`� 4, /4, 201 amps to 400 amps 133.56 2
t"� ” `"'""" 4Ul amps to 6U0 totes 200.34 2
Name: DENNY MEYER 601 amps to 1.000 amps 301.04 2
Address: 14975 SW 74' AVE Over 1,000 amps or volts 552.26 1 2
Temporary services or feeders i alteration, and/or
c i City/State/ZIP: TIGARD, OR relocation
200 amps or has 59.36 1
Phone: ( ) I Pax: ( ) 201 amps to 400 amps 125.08 2
I
Owner installation: This installation is being [uses on property that I 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 r net
Owner signature: Date: A. Nee for brunch circuits with
t ,r r z e > : , a`rv, >? ._”
r r� : o �y N�1 1 h „t 7i above service or feeder fee,
n� r y r + j ; c�I r,j 7i each branch circuit 7.42 2
siness name: NEC NORTHWEST ELECTRICAL CONTRACTORS f3 s e for breed circuits rstwithout s or feeder lee, first 56.18
1 2
Contact name: CRAIG KIEFEL branch circuit
Each add'I branch circuit 7.42 5 2
Address; 2850 SW CEDAR HILLS BLVD #315 Miscellaneous (service ur feeder not included) _
Each manufactured or modular 67,64 2
, City /State /ZIP: BEAVERTON, OR 97005 dwelling, service and/or feeder
Phone: (503) 7584291 E-mail: ECEl I Fax: ; (503) 2923297 Reconnect only 67.84 2
h.. 1r7ti
Pump or irrigation circle .. 67.84 2
N y ectrte a@comcast net Sign or outline lighting 67.84 2
" `."'a' xT • � ,T:GI I1 3`' 7 �. '�
' "-sr ,.. "'d ti' S'i'', `Mr .t,. '.r� _ Signal cirt:uit(s) or limited-energy
panel, alteration, or extension. Pane 2 2
Business name: NEC NORTHWEST ELECTRICAL CONTRACTORS Each additional inspection over allowable in an o the above
Address: 2850 SW CEDAR HILLS BLVD #315 Additional inspection (1 hr min) 66.251 hr
investigation (l hr min) 66.25 / br
City /State/Z1P: BEAVERTON, OR 97005 Industrial plant (1 hr min) 78.18/ hr
Phone; (503) 7584291 I Fax; (503) 2923297 Inspections for which no fee is 90.00/ hr
s • cificall listed h hr min
CCB Lie.: 164747 Electrical Lie.: C132 I Su . 'c.: 5128S .n~'t":.•i #ue'nG fr,'t`;.'' a "rj °I't °,,;_„v'': e
K■ Subtotal: 93.28
Suprv. Electrician signature, required: v Plan review (25% of permit fee)_
� Print name: CRAIG' KiEFEL haze: 3.1.]3
State surcharge (12% of permit fee): /l •
Ceb
TOTAL PERMIT FEE: L 1 04.47 4 r
Authorized signature: This permit application expires it a permit is not obtained within 180
days after it has been accepted as complete.
Print name: CRAIG KIEFEL I Date: 3.1.13 • 'Number of inspections allowed per penult.
I:1nuilding 1PermitstELC- PurndkApp,doc 01 /al /1e 40.46I5T(11/e5/COM/WES
Z13/Z13 39 d D3N L6ZEZ6ZE09 170 :91 EZOZ /Z0 /E0