Permit CITY OF TIGARD ELECTRICAL PERMIT
- COMMUNITY DEVELOPMENT Permit #: ELC2013 -00203
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/03/2013
Parcel: 2S112AC01600
Jurisdiction: Tigard
Site address: 14975 SW 74TH AVE
Project: Meyer Sign Co Subdivision: FANNO CREEK ACRE TRACTS Lot: 17
Project Description: Upgrade service to 400 amps
Contractor: NEC ELECTRIC Owner: NATIONAL SAFETY CO INC
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
1 ea Services or Feeders - 201 to 04/03/2013 $133 56
Specifics: 400 amps
1 ea 12% State Surcharge - 04/03/2013 $16 03
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $149 59
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. ATTENT gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -001 through OA 95 -00 -0 You may obtain a copy of the rules or direct questions to OUNC by call r . or 1.804 332.2344
Issued B Permittee Signa re: �' •• �� '�s�
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' e P i� t� 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 Apnlication RCEIVED 1 U l c ill l 1 R I I, L f l\ L 1
City of Tigard Received
Dacca 0�
M l w l2_t)3
11 , 13125 SW Hall Blvd -, Tigard, OR 97223 APR PR 0 2 2013
Review
N`�ir Na. E n � ^ J
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
I ; ,, 't, Inspection Line: 503.639.4175 Deue Read B
Internet: www.tigard-or.gov CITY OF TIGARD Y Y earls: E8 See Pa 2 for
Noufi
r S ry 4 x I h g I a Sup information
..I. r. –w... •sy y
O New construction ® Addition/alteration/replacement Please clisck all thin APPLY (submit 2 seta of plans Whams eneeked below);
in Demolition ❑ Other ❑ S orvwe or feeder 400 am or more
us m• Demolition current ❑ Ma n i as over three stories.
mo t * j,,.t - � t 1 \ � where the evadable ihult current
❑ Martina and bwtyuds.
" 'i �', 1 t " . up at volts or
.., , . r 't : •„ M,•wh!i�: . i ' exceeds 10000 Amps � 150 0 Floating buildings.
El I - and 2 - family dwelling� Commercial/industrial ❑ Accessory building less to ground, or exceeds 14.000 ❑ Commercial•use agricultural
QMulti fhnuiy ID F ire for all otherinataiWious• Installation
+� �; _ t ❑ Other: ❑ Fiat pump.
r'?.t. r _ 1 z -i 3 -- . 'i r :i.1 7 g"":.w , .. v{v r tlf4.;,� , 1Wr� ❑ Etnx en s ❑ Installation of ly 75 KVw or
tL.. . '. r d i •�• . ,. r' , ., • e , k a"�'t , r 8 nY Ystem larger separately derived system. .
❑ Addition of new motor load of ❑ "A•' "E ", 1-2 ", " l-3"
Job no.; Job site address: 14975 SW 74 AVE 100HP or more. occupancy.
0 Six or more nssidentiat units. 0 Recreational vehicle pubs.
City/State/ZIP; TIGARD, OR
—
❑ Health-care facilities, ❑ Supply voltage for more than
./a t. no.: El Hazardous Iocerionns, 600 volts nominal.
Suite/bld
8 P — �rojec t name: MEYER'S SIGN CO. ❑ Service or teeter 600 empe or more.
Cross street/directions to job site: 74 & BONITA °7 `` ° .�" 2'� i � r w+ `» ° " "' ' r
` < ..ti r,?tl -46 ' 3'
Description ...r.. fee. row 1
New residential single- or muld- family dwelling unit.
— Includes attached garage.
Subdivision:
Lot no.: 1,000 sq. tl or less 168.54 4
Tax map /parcel no 6a. add 1 500 R. or portion
� „> �; (.F- a Limited energy, Po 33.92 1
z, - � ,; :.. i - Z,� - :"" -' r '`'nVIZ i:'1rit,i . 7X? ?- . , orgy. residonusl • :. r. , Y , u .,a < try ..r.N -....1 , - •a , : ;n. T y ' . • , ( with above $q. ft.) 75 •� 2
� 9 / /'� Limited energy, multi - family
__`4...T �` �� 5c,c t Cx, 4.00 residential iwith above se. ft) 7S 2
__ Services or feeders installation alteration. and/or relocation
�, '' r 200 amps or loss
100 70 2
'. ` '' '. r * I ..V 7. r ., 4 ' . r 201 amps to 400 am
isfI Jed. %-'4,:.41:,:16,R„^ , : x i ). ,MI • p us 133.56 2
Name: DENNY MEYER 401 amps to 600 amps 20U 2
601 amps to 1,000 amps 301,04 2
Address: 14975 SW
—
74 AVE Over 1,000 amps or volts 1 552.26 2 `
City/State/ZIP: TIGARD, OR Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 59,36 I
400 Owner installation: This installation is being made inn property that I own which is not 201 amps to 599 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. _ Branch amps
ancb circuits– sr � amps 168,5 2
8r new, alteration, ar extension, . rpanel
Owner signature: Date: A. For for branch circuits with
_'t - off ai �LJ. ,. .5.� . i •• : ti1tOl'�.al"�'�'9Yf i ;i..v r� } "•ilte:r:. feeder lee,
. • l' a s' each branch circus 742
Business name: NEC NORTHWEST ELECTRICAL CONTRACTORS B. Fee for branch circuits without
service or feeder fee, first
Contact name: CRAIG KIEFEL branch clrt nit 56.18 l 2
Each WWI brunch circuit 7.42 S 2
Address: 2850 SW CEDAR HILLS BLVD #315 Miscellaneous novic or feeder not included)
City /State/ZIP: BEAVERTON, OR 97005 Each tnaoufacturod or modular
— dwelling, service and/or feeder 67.84 2
Phone: (503) 7584291 Fax : (503) 2923297 Reconnect only 67,64 2
Pump or i rrigation circle 67.84 2
E -mail NECEleetric®comcaut.net
i6 r � -, i Sign or outline lighting
= s. , g W po, I:y a , lr"z + .w " ,( ^ „ ;n 67,84 2
�' A�:'i t, t y" l' lu a. i'• ,�a,. ,7� l . Signal Circuit(s) or limited•energy
Business name; NEC NORTHWEST ELECTRICAL CONTRACTORS panel, alteration, or extension. Paget 2
Each additional ins �ction oven Allowable in any of the above
Address: 2850 SW CEDAR HILLS BLVD #315 Additional inspection (1 hr min) I 66.25/ hr
City/State/ZIP: BEAVERTON, OR 97005 Investigation (I he min) 66.25/ hr
Industrial plant (1 he min) 78.18/ hr
Phone; (503) 7584291 I Fax: (503) 2923297 Inspections for which no fee is
CCB I.ie,. s • ificall listed Y. hr min 90.00/ hr
164747 Electrical Lic.: C132 Su• ' i . C.: 51285 ' !.'.:;-wo`�'%` ': :risi_'; *u ,siw,_ Vi n:' *wt.
Suprv. Electrician signature, required: . Subtotal: i2
q-�
Plait review (25% of permit fcc):
Print name: CRAIG K1EFEL � f Date: 3.1.13 n
All/ Spate surcharge (12% of pcmrit fee); / .05
Authorized signature; TOTAL PERMIT FEE; •,
___...4 Thle permit appihtiaion expires if a por,nit is not obtai within ISO
Print name: CRAIG K1F.F1_I. days after it has been accepted as complete. 51
Date: 3.1.13 Nanaber of inspections allowed Par �ai
—
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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
14975 SW 74TH AVE, TIGARD, OR, 97224
Commercial - Electrical
199 Electrical final
05/09/2013 00:00
ELC2013-00203
PASS - No C of O
Violation Summary:
Inspector Contractor