Permit CITY OF TIGARD ELECTRICAL PERMIT
- COMMUNITY DEVELOPMENT Permit#: ELC2013 -00373
Date Issued: 07/03/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 7/03/2 000300
Jurisdiction: Tigard
Site address: 8040 SW DURHAM RD
Project: Durham Center Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: (4) branch circuits for lighting
•
Contractor: PARKIN ELECTRIC INC Owner: TIGARD - TUALATIN SCHOOL DISTRICT
14001 FIR STREET 6960 SW SANDBURG ST
OREGON CITY, OR 97045 TIGARD, OR 97223
PHONE: 503 - 657 -4958 PHONE:
FAX: 503 -557 -1059
FEES
Quantity Description Date Amount
4 crt Branch Circuits wo /Purchase 07/03/2013 $78.44
Specifics: Service or Feeder
1 ea 12% State Surcharge - 07/03/2013 $9.41
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $87.85
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 95 1 -009 You ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
6 X 1 / ° i ° G /(1
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Call 603.639.4175 by 7:00 a.m. for the next available Inspection date.
This permit card shall be kept In a conspicuous place on the Job site until completion of the project
Approved plans are required on the job site at the time of each Inspection.
From: 07/02/2013 11:02 #055 P.002/002
Electrical Permit ApplicationREC r FOR OFFI USE _
VE ONLY
City of Tigard f UL Received 2 2013 Date/B : Permit No. �7�13 3 a.
• 13125 SW Hall Blvd., Tigard, OR 97223 �7
Plan Review �J
Phone: 503.718.2439 Fax: 503.598.1 � L Date/B : OtherPer46��/3 00
T I G A RD Inspection Line: 503.639.4175 �� 1 T D Date Ready/By: el See Page 2 for
Internet: www.tigard- or.gov BUILDING n/1/'JI:�MION 1'1 a Notified/Method: Supplemental Information
' - OF_
TYPE 'WOR$ . �+n t�
_ ` vr„7 (Jt1/ ':',."2 . ,•',' .. .‘ - ':,, : : ' : . " ::,P,I;A1V`IZE'VIEf?q, ,:. : ; ,
❑ New construction Jki Addition/alteration/replacement Please check all that apply (submit / sets of plans w/items checked below):
❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more ❑ Building over three stories.
where the available fault current ❑ Marinas and boatyards.
• CATEGQ '�'-'.`F` ,. N•> - exceeds 10,000 amps at 150 volts or Floating ,...:-2::!,..,,,', R O , ....,, O s ? -: - Ps ❑ F outing buildinga.
❑ 1 and 2-family dwelling 14 Commercial /industrial 0 Accessory building Bess to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ Multi-family ❑ Master builder amps for all other installations, Installation ono
Multi -famil
❑ Other. ❑ FuE pump. ID Insmllation of 75 KVA or
"- A � ❑ Emergency system, larger separately derived system. •
_ -, _JOS- st�;i±>i�ian7t��z� J N;' - � Lrt. -
N'�-'° *- f- : .:.,. ::,'i� 4.. ± r. `<. =. ❑Addition of newmomrloadof ❑ °E , •l_2 „ .. i 3
lob no.: a ! 5? I Job site address: S0 Sc..) ( Deerhar) n d / 100HP to more, occupancy.
L� 0 Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: - j i , , W---) ❑ Health-care facilities. 0 Supply voltage for more than
/ ll / v ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt- no.: Project name. ham CeA j u - ❑ Service or feeder 600 amps or more.
:...... a;` CHEDULE - •
Cross street/directions to job site: ,; Drserlption 1 thr. I Fee 1 Total
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less 168.54 4
Tax map /parcel no.:
Ea. Mtn 500 sq. ft. or portion 33.92 I
Limited energy, residential
, DESCRI(I!TION;OF WORK '• . :: -- (with abovesq.ft.) 75.00 2
q U Jn /I/ Limited energy, multi- family
C C 3 t I h ill residential (wih above sq. ft.) 75.00 2
,, Services or feeders installation,alteration, and/or relocation
200 amps or less 100.70 2
. :0 PROPERTY , -QWNER ` TE -:.r. 201 amps to 400 amps - _ �• .:. -�..'\ `. -.. ,�'„ - R 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
City / State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 59.36 ' 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
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
p: nPrlLtcAlvT` p' °co
above rvice or feeder fee,
. . Pl�RSON, `� "- =; = - �: � each branch se circuit 7.42 2
Business name: B. Fee for branch circuits without
service or feeder fee, first / 56.18 .6 //
Contact name: branch circuit 2
Each add'I branch circuit 7.42 _ 2
Address: Miscellaneous (service or feeder n/t included)
City /State /ZIP: Each manufactured or modular 67 84 2
dwelling, service and/or feeder
Phone: ( ) I Fax: : ( ) Reconnect only 67.84 2
E -mail:
Pump or irrigation circle 67.84 2
Sign or outline lighting 67.84 2
„CQNTRAOTOR. ';, Signal circuit(s) or limited- energy
Business name: Parkin Electric panel, alteration, or extension. Page 2 _ 2
Each additional inspection over allowable in any of the above
Address: 14001 Fir Street Additional inspection (1 hr min) 66.25/ hr
City /State/ZIP: Oregon City, OR 97045 _ Investigation (1 hr min) 66.25/ hr
Industrial plant (1 hr min) 78,18/ hr
Phone: (503) 657 -4958 I Fax: (503) 557 -1059 Inspections for which no fee is 90.00/ hr
specifically listed (!/e hr min)
CCB Lie.: 3515( Electrical Lie.: 34-4C Suprv, Lic.: 4241-S ,:;ELEC9RICAL,FERM1T.FEES: . ,. .
Suprv. Electrician signature, required: ��G `�' Subtotal: (/
Plan review (25% of permit fee):
Print name: David B Parkin Date: - State surcharge (12% of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtai ed within I
Print name: days after it has been accepted as complete.
Date:
• Number of inspections allowed per permit
I:t BuitdingWermitstEt .C- Pem,tlApp.doc 07/01/10 440 - 4615T1 i/05/COM/WEB 5 i
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