Permit CITY OF TIGARD ELECTRICAL PERMIT
1111 a ; COMMUNITY DEVELOPMENT Permit #: ELC2013-00186
T [GARO 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/25/2013
Parcel: 1 S 135CA01400
Jurisdiction: Tigard
Site address: 11410 SW GREENBURG RD 4
Project: Greenburg Apartments Subdivision: GREENBERG HEIGHTS Lot: 7
Project Description: (11) branch circuits for new panel; upgrade aluminum wiring to copper
Contractor: TAURUS POWER & CONTROLS INC Owner: WONG, NORMAN K F REVOCABLE LIVIN
9999 SW AVERY WONG, ANN MAH REVOCABLE LIVING
TUALATIN, OR 97062 TRUS
BY WONG, NORMAN K F & ANN MAH TR
2433 NE 11TH AVE
PORTLAND, OR 97212
PHONE: 503 - 519 -6707 PHONE:
FAX: 503 - 692 -9273
FEES
Quantity Description Date Amount
11 crt Branch Circuits wo /Purchase 03/25/2013 $130.38
Specifics:, Service or Feeder
1 ea 12% State Surcharge - 03/25/2013 $15.65
Type of Use: MF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $146.03
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 2 -001- 090. You ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800. 44.
Issued By: ,,,,t
Permittee Signature: .S5 __'tCk.
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 FOR OFFICE USE ONLY
City of Tigard ' � ����� Received 3 P ermit No.'
�t II r 3 pvr j �6 4j
11 13125 SW Hall Blvd., Tigard, OR 972 3 Date /B : Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit:
TIGARD Inspection Line: 503.639.4175 MAR 2 5 2013 Date Ready /By: fu ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: ( (}� Supplemental Information
TYPE OF WOl + , OF TIGARD PLAN REVIEW
❑ New construction Addition /alter rtt' '"' Please check all that apply (submit 2 sets of plans w /items checked below):
i
❑ Service feeder 400 amps more 0 Building over three stories.
El Demolition El Other: fed" MoD -L —
where the a available fault current 0 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- and 2- family dwelling El 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 -2 ", "I -3 ",
100HP or more. occupancy.
Job no.: Job site address:
U j D 5 W (, 24 / 2 o , ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: 7
/.52D — 0 e q 7 3 ❑ Health -care facilities.
0 Supply voltage for more than
G ❑Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Lf Project name: Pe=�N Ze:/,e 1 ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: a ,P�E� a: /0Q. �F- , .s,TS Lot no.: 7 1,000 sq. ft. or less 168.54 / 4
Ea. add'I 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
_ I , J Limited energy, multi - family 75.00 2
0 U, .. .� ' 4 7b '4/i t rvt 1 Ai u, //(/ /IZ /n1C TO residential (with above sq. ft.)
////���� 6.0/e,,,.2. �(i Iw � /� / P Services or feeders installation, alteration, and/or relocation
— / `#"icL — 1/ /3 e4/UCH 200 amps or less 100.70 2
❑ PROPEliTY OWNER ❑ TENANT Cj 4 , 201 amps to 400 amps 133.56 2
Name:
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
Temporary services or feeders installation, alteration, and /or
City /State /ZIP: 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
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee
each branch circuit 7.42 2
Business name: B. Fee for branch circuits without
service or feeder fee, first f 56.18 2
Contact name: branch circuit
Each add'l branch circuit ilf, 7.42 2
Address: Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modula 67.84 2
dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
E -mail:
Pump or irrigation circle 67.84 2
Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s) or limited- energy
Business name: 7/4i pus t OwEI� C_ON % &:, _S / N C , panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 9Y7 S&L) /90'6;2 y ST Additional inspection (I hr min) 66.25/ hr
City /State /ZIP: G� �f Investigation (I hr min) 66.25/ hr
�� ,9 / 7 /� ! 6. 6 2 Industrial plant (I hr min) 78.18/ hr
Phone: (5:03 ) 5/ 9 - ,,o 2 Fax: (S 7 ) 692-'9'273 Inspections for which no fee is
specifically listed (/2 hr min) 90.00 / hr
CCB Lic.: 76 78 / Electrical Lic.: //_32s c_ Suprv. Lic.: ?�Oc1 3 S ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: 1j. // S ubtotal: b Sy
Plan review (25% of perm fee):
Print name: 6 i / 1 l3 A.) l _4 F I E -c Date: 3 -- 25 2 /3 State surcharge (12% of permit fee): Zd Z -
Authorized signature: TOTAL PERMIT FEE: /6.8, 74
This permit application expires if a permit is not obtained within 180
Print name: days after it has been accepted as complete.
Date: • Number of inspections allowed per permit.
/ L/-4 )
I:\ Building \Permits\ELC•PermitApp.doc 07/01/10 440- 46t5T(it /05 /COM/WEB 'P3