Permit , CITY OF TIGARD ELECTRICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: ELC2013 -00296
1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/29/2013
TIGARD Parcel: 1 S136AD04000
Jurisdiction: Tigard
Site address: 11527 SW PACIFIC HWY
Project: Labor Works Subdivision: VILLA RIDGE Lot: 7
Project Description: (5) branch circuits for TI
Contractor: STEELE ELECTRIC LLC Owner: PACIFIC TERRACE COMMERCIAL LLC
716 ROXE DR BY SMITH, EDITA M
FOREST GROVE, OR 97116 833 NW 170TH DR
BEAVERTON, OR 97006
PHONE 503 - 332 -1280 PHONE.
FAX: 503 - 372 -6448
FEES
Quantity Description Date Amount
5 at Branch Circuits wo /Purchase 05/29/2013 $85.86
Specifics: Service or Feeder
1 ea 12% State Surcharge - 05/29/2013 $10.30
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $96.16
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 OAR 95 001• You ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /( ✓ / LV o Permittee Signature: / //v /979
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.
05/28/2013 15:55 5033726448 Steele Electric #0942 P. 001/002
Electrical Perm Application RECEIVE .
it FOR OFFICE USE ONLY
City of Tigard MAY 2 8 201 • ,, -CAF i�• Permit p tp
13125 SW Hall Blvd., Tigard, OR 97223 ���� F�i3 — QQ p?9
Phone: 503.639.4171 Fax: 503.598.1960 Plan Review
TI GARD
Internet Inspection Line: 503.639.4175 CITY OF TIGAR - Ready 13r � ot b er per u,o e Peg 40ir(v
Internet www ngard -or gov BUILDING DING DIVISI 1lvroatiedMettrod l f Su See Page I Inf
r.� ��".tG St7y��s rr 7Y,:� ' '�t�[�� r�.+Y ��1 i � ,'� � � Supplemental Orafa n
a:a ,p a, " .. ,,,, :.000ltwtitn �, ?.....� A+ e47 i,.x: , 4 tiigit Nl i Sapp :
❑ New construction Addition/alte - ation/replacement y Please aback all that apply (submit sets of plans wfitems chedced ):
a s=vice or feeder 400 amps or more ❑ Building over three ion
❑ Demolition ❑Other
n"s r ,y . \s P„ . o , .54:..0....-; where the a�zilabie fault current 0 Marinas and boatyards.
.vrr• h e i t: r4,.. t P . e s % :Z'a exec.,. 10,000
.t 35 v Ds at ISO Homing �
its or ❑ �o� btaldtn i
ID I- and 2- family dwelling is Commercial/industrial ❑ Accessory building less to grom><+, cxcoedT I 4,OO G ❑ Co rmrscial•usc aPkvnr<d
Q Multi family El Master builder 0 amps for all orb cr nstatlah _ beildrnaj.
0 Other ■ 1] Fire pump_ Cl ; of 75 KVA Or
t. Zr '� " p �A a v .,,', rt `� p* ' p +.r Y Is 4� , (r ` °" ;+ ❑ ncY = Yszec+
larger rnpaarely derived s} uem.
aw _ s "34e ❑ Addition of new motor load of ❑ A .. _ _ 1 -2 ,. 1 3 ".
Job no • Job site address: \ ‘ S 2 loom or mote. o�t,pa,e
City/State/ZIP: ~ 1=/ nn Six or more reside i units. o RtarJtiomvl . parks,
c, ; t L Q Ficalth c facilities. ❑ Supply voltage for more than }
Suite/bldg./apt ao.: ❑ sous loons. 600 volts nominal_
Project name: Cr L ,, / in Service or feeder 600 amps or more.
Cross street/directions to job site: p ' " " :' s-"•' � "; ....:,;..",,"- . •: 3:1 ::. a b - ,�,aa
�, . Dec " riptipn . , • rv. F , � 1 Total ma
New residential single or multi- family dwelling unit.
Includes attached garage.
Subdivision:
Lot no -_ 1,000 sq. fL or less 16854 ; 4
Tax map /parcel no.: Ea- add' 1 500 sq. It or portion 33.92 1
_ .'`...:61,,, r .. - 6 a , e . w Limited enemy, residential
.-,.- $ .� � r . 4 75.00 2
q
a a°` d t At, . .- ti _ (W345 above g9. ft)
-I---41.-'9\e" Limited energy, multi- f•Pmily
-+� h
Y�'2, 11 residential (with above so. ft) I 75.00 i 2
Services or feeders installation, altcratiou, and/or relocation
F � 1 r„`� ''`—° x" e 200 amps to less 133.76 2
• , a:a. ��..:.ul :s?.� -�-. � ... * r��, 201 am(� [0 400 °..taps I 133 36 T 2
Name: 401 amps to 600 amps 20034 2
Address: 601 amps to 1.000 amps 1 l 301,04 2
_Over 1,000 amps or volts 55226 ,
City /StatelZll' Temporary services or feeders ins r
latrou, alteration, and/or :
—
_ relocation
Phone: ( ) Fax: ( ) 1 200 raps or less �l
�--� - 59.36 I I I
ro 21 01 up s to 400 amps
property that I own which is not t zs.c8
Owner installation: This installation is being made on 22
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to >99 amps 158 54 2
Owner signature Branch circuits - new, alteration. f u r r ;� f �, A. Fee for branch circuits with
n' 9r CYter�ioII.. r panel
r.. `k t` : : :t t `' ' ` " t'2 .. �' *" ''" m t ; ,,,` gkz r .4 above service or feeder fee, . �$
each b ranch c i rc uit ' Z � f 2
Business name:
B Fee for branch circuits wirhoa -
service or feeder f, first I tiff 6 ; 2
Contact name:
^ branch circuit 1 56.18 l
Address: - — y Each add'1 branch circuit 7.42
I Miscellancouqservice or feeder not included)
City /State/ZIP' Each manufactured or modular
dwelting service and/or feeder - I 67.84 2 1
Phone: ( ) Fax:: ( ) Reconnect only 67.84 J
! 2 I
E-mail Pump of irnphon circle 67.84 + : 2
5 u^ +, ;�QC.tiR - C?7Ti', 3 � ^ Sign or outline lighting ! 67.84 2
Business name: Signal cireLit(s) ar litlLlodtncrgy
S ` fit, 2 �
( �' c .) 1 e) alter, or exteASron Pane 2
Address: 1 b - Each additional inspection over allowable in any of the above j
p, (.-. O C,.v-, Additiona inspection (1 hr min) I 6625/ hr j
_ CityIStaIc/ZI.P: � U`Z C � l (� investigation (1 In rain) ! 66.25/ hr 1
• t ' ( _ S _ / ^ Industrial pla (I hr min) 78.181 hr
- 12 • Fax: (52, ,) S 7 , ` 6 c1 Li I Fnspecixons for which no fee 13
CC$ L1C.: Electrical s . iftcall listed 4 hr loin 90.00/ hr
t ( _ cal Lic_: Sup /
p . El s / L t-1 rv. Lie.: �3 9 $ ✓ ' rte: a
Su ry - lee 777:-.'7_7_77'-77." k"»ar'"y
e required: r '� -
Subtotal: ` s y { {
Plan review Q ptxmit fee) 5 % of 1
:: e ized signature: _ TOTAL PERMIT FEE: 9 6 1';
Print name: Th. permit appl tioa e:pir an if a permit is not obtained within 180
Date days atter inspections t has b acceptett as complete.
r j • Number of inspections allowed pm panzit .
r oilditg∎Ptima1FI.GPenn;tApp.cloc 07101 /10
44046 i ST(1 I/05/COivOWtat