Permit •
CITY OF TIGARD ELECTRICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: ELC2013 00323
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/11/2013
Parcel: 25101 BD00300
Jurisdiction: Tigard
Site address: 8015 SW HUNZIKER RD
Project: Performance Contracting Subdivision: 1994 -025 PARTITION PLAT Lot: 2
Project Description: TI.
Contractor: E C COMPANY Owner: PERFORMANCE CONTRACTING GROUP IN
PO BOX 10286 16400 COLLEGE BLVD
PORTLAND, OR 97296 LENEXA, KS 66219
PHONE: 503 - 224 -3511 PHONE:
FAX: 503 - 295 -3012
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 06/11/2013 $100.70
Specifics: amps or less
15 crt Branch Circuits w /Purchase 06/11/2013 $111.30
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 06/11/2013 $25.44
Electrical
Type of Const:
Occupancy Grp:
Total $237.44
Required Items and Reports (Conditions)
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 throug • • - -'52- 001 -0090. You may obtain a copy • les or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
gift / t
Issued By �� /`�L Permittee Signature: Alt
'•' /
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available Inspection date.
This permit card shall be kept Ina conspicuous place on the Job site until completion of the project
Approved plans are required on the Job site at the time of each Inspection.
Jun. 10. 2013 12:08PM No. 2783 P. 2
Electrical Permit A licat' T FOR tI1 1 I(:E IltiL MIN
City of Tigard D FOR
Him 2
q Darer$ : (O Permit No.: Fr.. f'�s- -� l _
13125 SW Hall Blvd., Tigard, OR 972p, i „ , Plan Review
Phone: 503.639.4171 Fax 503.598J UN 10 2013 p ale: Other Permit:
GAR
7 I i; n It D te D Inspection Line: 503.639.4175 Date R . pple Page for
Internet: ww,ligard•or.gov CITY OFT NoliBedAleth d/Slerhod: Su telmeotat tnformalfOn
TYPE BUM I. 1 1 I 1 PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 553 of plans whims checked below):
❑ Service or feeder 400 amps or mote 0 Building over three stories.
❑ Demolition ❑Other: _ where the eve liable thuir current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ posting buildings.
- 12 1 - and 2 - fNnii dtvellit ® less to ground, or exceeds 14.000 0 Commercial -use agricultural
y tg ❑ Accessory building
amps for all other installations. buildings.
❑Multi- family ❑ Mosier builder ❑Other: ❑ Fro pump. ❑ Installation of75KVAor
JOB SITE INFORMATION AND LOCATION Emergency system. larger separately derived system.
❑Addition of new motor load of 1=1"A", 'E". "1 -2 ", "1.3•',
Job no_: 74 946 Job site address: g 01 S Hunz iker Rd ❑ L00HP «more. occupancy.
Six or more residential [nits. Cl Recreational vehicle parks.
City /Stme/ZIP: Tigard, OR 97223 ❑1leahh•care facilities. ❑ Supply voltage Air more than
O Hazard locations. 600 volts nominal.
Suite/bldg. /apt. no.: I Project name; Performance Contracting ❑Strvia feed er 600 Mils ormost
FEE SCHEDULE
Cross street/directions to job site:
Demotion I otT. I Pm I Tad
New residential single or multi - family dwelling uni
Includes attRCLed garage, _
Subdivision: I Lot no.: 1,000 sq. fl. or less 168.54 4
La. add'I 500 sq. ft. or portion 33.92 1
Tax map/parcel no.: Limited energy, residential
DESCRIPTION OP WORK (with above sq. tl J 75 2
Limited energy, multi - family
Install new panel and plug circuits _ residential (with above sq. ft.) 75.00 2
Services or feeders InstallationoltcgrsuIon, and/or relocation
200 amps or less 1 I 100.70 ,0070 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 _ 2
Name: 401 amps l0 600 snips 200.34 2
601 amps to 1,000 amps 301.04 2
Address: Over 1.000 amps or volts 552.26 2
City/State/ZIP: Temporary services or feeders i ostallallon, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.0g 2
Owner installation: This installation is being made on properly that I own which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps t o 599 amps 168.54 2
Drench circuits new, alteration, or extension, Qer panel
Owner signature: Date: A Fee for branch circuits with
® APPLICANT I ❑ CONTACT PERSON above service or feeder fee.
each branch circuit 15 7.42 111.30 2
Business name: EC Company 13, Fee for branch circuits w/rhoru
service or feeder fee, firs) 56.18 2
Contact name: Kathy Kelley branchcireuit
Each edd'l branch circuit 7.42 2
Address: PO Box 10286 _ Miscellaneous (service or feeder not included)
/Slate/ZIP: Each manufactured or modular
Ci
h' Portland, OR 9 7 2 9 6 dwelling, service and/or (coder 67.84 2
Phone: ( 5 0 3) 224-3511 I Fax:: (5 0 3) 295-3012 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail: kathyk@e -c - co. con
CONTRACTOR •,;17 Sign or outline lighting 67.84 2,
deb � •,;17 I, Signal circuit(s) or limited-energy
Business name: EC Company ((1,1 1 k s ►1 ,711
panel, altrraliosl,orextension. Page 2 2
�
pq Each additional insLsection over allowa In ariy of the above
Address: PO Box 10286 t Addi tional inspection (1 hr min) 66.25/ hr
City /Slate/ZIP: Portland, OR 97296 lnvesligation(1 heroin) 6625th[
Industrial plant (1 hr min) 78.18/ hr +—
Phone: (5 0 3) 224-35 1 ( Fax: (5 0 3) 29 - 3 012 Inspections for which no fee is
specifically listed (if hr mint 90.00/ hr
CCB Lie.: 49737 Electrical Lie.: 26- • .r Suprv. Lie.: XVI ELECTRICAL PERMIT PEES
Suprv. Electrician signature, required: /KV� �~ Subtotal: �) ,
! �
i _ Plan review (25% of permit fee):
Print mune: Ron Cof fman Dale: 6/10/2013 Slate surcharge (12% of permir fee): 2_ 44
Authorized signature i' I " TOTAL PERMIT FEE: - / •;[7.44
This perms' eppllratton expires Ira permit is not obtained Whin 180
Print name: Let . fa • • / r Dale: 6/10/2013 days after It has been accepted as complete.
.efi+. �� • Number of Inspections allowed per permit.
Lr npildiM U'eemits\ELC- Pemioupp.doa 07/01/10 440(615T(10OS /COMwEB