Permit CITY OF TIGARD I ELECTRICAL PERMIT
1111 a' COMMUNITY DEVELOPMENT ��e/� Permit#: ELC2013 00403
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/17/2013
Parcel: 2S110AA00200
Jurisdiction: Tigard
Site address: 14130 SW 105TH AVE 1
Project: Canterbury Terrace Apartments Subdivision: KING CITY TERRACE CONDO Lot: 3-6
Project Description: (1)200 amp service and(2)branch circuits for fire repair in units 1,2 and laundry. 9/11/2013: REPRINT permit to
add(2)200 amp service,(1)400 amp service and(20)branch circuits. 11/7/13,add(3)feeders per
inspector.11/18,add low voltage for fire alarm panel.
Contractor: SQUIRES ELECTRIC Owner: VOIEN, BETH TRUST
1001 SE DIVISION STREET#1 BY VOIEN, BETH TR
PORTLAND, OR 97202 24 VILLA POINT DR
NEWPORT BEACH, CA 92660
PHONE: 503-252-1609 PHONE:
FAX: 503-253-5831
FEES
Quantity Description Date Amount
3 ea Services or Feeders-200 09/11/2013 $302.10
Specifics: amps or less
1 ea Services or Feeders-201 to 09/11/2013 $133.56
Type of Use: SF 400 amps
Class of Work: ALT 22 crt Branch Circuits w/Purchase 09/11/2013 $163.24
Service or Feeder
Type of Const: 1 ea 12%State Surcharge- 09/11/2013 $71.87
Occupancy Grp: Electrical
0 ea 12%State Surcharge- 11/18/2013 $36.25
Electrical
0 ea 12%State Surcharge- 11/18/2013 $-36.25
Electrical
1 ea Signal circuit or Limited 11/18/2013 $75.00
Energy Panel
0 ea 12%State Surcharge- 11/18/2013 $9.00
Electrical
Total $754.77
Required Items and Reports(Conditions)
This permit i Ie. •>'-ct to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done i accordance with -•'roved 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. AT ENTION: Oregon law requir.. you to follow the rules adopted by the Oregon Utility Notification Center. Those rules arrree�1 set forth in OAR
952-001-1010 thro !h OAR 952-001-06:r. • ay obtaa'in'aa copy of the rules or direct questions to OUNC by callir�6031232.1987 or 1.800.332.2344.
Issued ,/ `�'�'"`4
•
Permittee Sign ` .`
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 Applicati lECEIVED FOR[OFFI(7."' ot\>;Y '
City of Tigard
w Plan R .. Permit No.: i L6 �'3 B1?`"tea`�
" 13125 S W Hall Blvd–Tigard,OR 97223
I Plan Review
Phone: 503.718 2439 Fax: 503.598 Other Penult:
i4/ 1 2013 Dale/B
TIGARI? Inspection Line: 503,639.4175 Date Ready,By lads. 0 sec Pngc 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
,L____- T 'E 0ATILPF T1GARD PLAN REVIEW
New construction r% Additio-i'n ;1•:131 U .:I;1!',', `-. . 1 ' Please check all that apply(submit 2 sets of plans wiitems checked below);
v Demolition ❑Service or feeder 400 amps or more ❑Building over twee stories.
Other: - where the available fault current 0 Marinas and boatyards,
CATEGORY OP CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14.000 ❑Commercial—t a at:ricultwft
1-and 2-family dwelling Q Commercial/industrial ❑Accessory building Imps for all other m<tnllmions. buildings.
uhi-family El Master builder 0 Other: ❑Fire pomp. ❑Install„tom ul'7;KVA or
- ❑Emergency system. larger separate{}'dcrly d S7 she n
JOB SITE INFORMATION AND LOCATION
❑Addition of new motor load of ❑ A "E' "I-'”"1-�'
Job no.: Job site address:) 1 7HP a'more occupancy.
❑Sir Or more residentat opits. ❑Recrcalionnl vehicle parks.
City/State/ZIP: ❑Health-care Facilities. ❑Supply voltage for more Man
—
Suite/bld /a t.n0.: ❑Hazardous locations. 600 volts nominal.
g p Project name: ,a 1 a C ❑Service or feeder 500 amps or more.
Cross street/directions to job site: FEE SCHEDULE
Dlycriplion J Qty. I Fee. J Total I •
New residential single-or multi-family dwelling unit.
• Includes attached garage.
Subdivision:
- Lot no.: 1,000 sq.R.or less 168.54
Tax map/parcel no.: Ea.add'I 500 sq.ft.or portion 33.92 1
• Limited energy.residential 75.00
DESCRIPTION OF WORK (with above s..ft.)
•
_ !�^ �s "-1 Limited energy.multi-family
Area-- • j�. .' ,i4 '- 1~;C��X�C-\ ' residential(with above sc.ft.) 75.00 2
I`- e� �,,�^' Renewable Energy ❑ See Page 2
�/1J CJI�^� g
a- - . Services or feeders installation,alteration,and/or relocation
❑ PROPERTY OWNER ❑ TENANT 200 amps or less 100,70
_ 2
•Name: 201 snips to 400 amps 133.56
401 amps to 600 amps 200.34 2 '
' -tdress: 601 amps to 1,000 amps 301.04 ME 2
-arty/State/ZIP: I Over 1,000 amps or volts 553,26 2
..----,„ Temporary services or feeders installation,alteration,rind/or
_ roe:( ) Fax:( ) relocation
Owner installation:This installation is being made on property theft I own which is not 200 snips or less I 59.36 1
intended for sale, lease,rent,or exchange,according to ORS 447,449.670.and 701. '20l amps to 400 amps I25.08
401 amps to 599 amps 165.54
Owner signature:
Date: Branch circuits-new,alteration,or extension,per panel
ID APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits will,
above service or feeder fee,
Business name:SQUIRES ELECTRIC,INC- I _ each branch circuit 7'a`' 3
—
Contact name:ANDREW COHEN 8.service for or feed r fee, rstd,vv/
service or feeder fee,first
56.1S
Address: 1001 SE DIVISION ST.,#1 — branch circuit _�^
Each add'I branch circuit 7.42 l 2
City/State/ZIP:PORTLAND,OR 97202 Miscellaneous(service or feeder not included)
Each manufactured or modular
67.84
Phone: (503)252-1609 Fa.: :(503-)253-5831 dwelling,service and/or feeder _
E-mail:ANDREVy @SQUIRFSELECTRIC-EOM - Reconnect only 67.84 2
Pump or irrigation Circle 67,84 3
CONTRACTOR _
Sign or outing lighting y 67.84
Business name:SQUIRES ELECTRIC,INC. Signal circuit(s)or limited-energy
Panel,alteration,or extension. , I Page 2 2
Address; 1001 SE DIVISION ST.141 Each additional ins•ection over allowable in an•of the above
Additional inspection(I hr min) 66.25/hr
City/State/ZIP: PORTLAND,OR 97202
Investigation(I hr min) 66.25/hr
Phone:(503)252-1609
Fax;(Si .3-5831 Industrial plant(I hr min; 78.18/hr 1
CCB Lic.: 135085 Inspections for which no ice is
11010 Suprv.LIG.; _spzditleally'listed('�hnin) 9UA0l ltr j J
Suprv.Electrician signature,required: ' ELECTRICAL PERMIT FEES
'�' II �� 11 subtotal: '7 S
t name: , t 1 � Date: , a , Plan review(25%of permit fee):
' State surcharge(12%of permit Fee):
horized signature: -
g - a,'
TOTAL PERMIT FEE:
Print name: l l This permit application expires if a permit is nor obtained within 180' I Date, days offer it has been accepted as complete.
BuueingiPermirslEl C vermnp
• Number of inspections allowed per permit.
Du 0400I3.doc 4-10-461311 11/05/COu1WEn
_ CITY OF TIGARD ELECTRICAL PERMIT
11111 = �� COMMUNITY DEVELOPMENT Permit#: ELC2013 00403
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/17/2013
!pal r
Parcel: 2S110AA00200
Jurisdiction: Tigard
Site address: 14130 SW 105TH AVE 1
Project: Subdivision: KING CITY TERRACE CONDO Lot: 3-6
Project Description: (1)200 amp service and(2)branch circuits for fire repair in units 1,2 and laundry.,9/11/2013: REPRINT permit to
add(2)200 amp service.(1)400 amp service and(20)branch circuits.
Contractor: SQUIRES ELECTRIC Owner: VOIEN, BETH TRUST
1001 SE DIVISION STREET#1 BY VOIEN, BETH TR
PORTLAND, OR 97202 24 VILLA POINT DR
NEWPORT BEACH, CA 92660
PHONE: 503-252-1609 PHONE.
FAX: 503-253-5831
FEES
Quantity Description Date Amount
3 ea Services or Feeders-200 09/11/2013 $302.10
Specifics: amps or less
1 ea Services or Feeders-201 to 09/11/2013 $133.56
Type of Use: SF 400 amps
Class of Work: ALT 22 crt Branch Circuits w/Purchase 09/11/2013 $163.24
Service or Feeder
Type of Const: 1 ea 12%State Surcharge- 09/11/2013 $71.87
Occupancy Grp: Electrical
Total $670.77
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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987or1.800.332.2344. J
Issued By: Permittee Signature: ON /9-"01.-/'�'-77d 4
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 603.639.4176 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 Applicatio r()It OFFICE(SL ON I,1.
City of Tigard Received ELCt�0/3 00VQ3
•7 g Date/73 : Q ��� Permit No.:• 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review
'! n: Phone; 503.718.2439 Fax: 503.598.1965 E P 10 2013 °d1er Permit:
T 1(.A R ll Inspection Line 503.639.4175 Date Ready/ay: Id See Page 2 for
Internet www tl d-or, ov • Notified/Method: , : Supplemeotar Information
9r' 1 s.-r+m,Y a .,.- •,u., n. -c-z-r a^,. .
"' " r �„yF. 1 5,0 7.F u..c^'q.77 T 1 i...S m•ti tF• 'j, r n.�t.�.� S .^c i I,A�Jan ., . r n r
`.7:. t ``t .w."rrt�' "rY i t d,J=fQlat..,m"i?'l ...r rZt;:;�.,_.i 16..' "r' R.4; ;, . �e.',___ �...r.+. !..L�_� 4. t. .L,,, rm F....:...ar.thl�....
❑New construction ®Addition/alteration/replacement Pleasc cheek ell that apply(submit a of plans whtame checked below):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
5 1 '�a ah, „ �`tel r1 o T o l 9 t J { fil t7TV. T 7:i Y h- , Y5' fi exceeds 10,000 amps at 150 volts or ❑Floating buildings.
,1.3.....4.770:1,4411441:-_:.�a_ +.5_Z`_ .. ._ 1,��... _. .-r,+*:�- . ,__-.'r,..• 4. ; ,-•7' Lo. 1 .
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
12 1-and 2-fatuity dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings.
®Multi-family _ []Master builder 0 Other: ['Fire pump. ❑Installation of 150 KVA or
p f ,o ❑Emergency system. larger separately derived system.
Fl �ifY';1slit'r'llt.' .q„.�i:c Ii�'f?. � 1, 14+.J'-'-''�',l5ri}*_^,.J..Lil }:r.:II.+iii..' :?«k?i1at4. .:1
Cl Addition of new motor load of ❑"A","E",'9-2""1.3"
Job no.: Job site address:141130 SW 105*Ave. 100HP or more. occupancy.
❑six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard,OR 97224 ❑Health-care facilities. ❑Supply voltage for more than
0 Hazardous locations, 600 volts nominal.
Suite/bldg./apt no.:1,2,lautt. Project name:Canterbury Terrace 0 Service or feeder600 amps or more.
Cross street/directions to job site: nerenptioa our. Fee. Mal -
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq.ft.or less 168.54 4
Ea.add'I 500 sq,ft,or portion 33.92 1
Tax map/parcel no.:25110AA00200 Limited energy,residential
5,}xr a m 1 -4 r�,t l i f l F Oc,7.'I. t . zOK: -'r. >�ol �i' '-.r (with above sq.ft) 75.00 2
T,ti'sta.: S .. J l.,kp4S` _.. _.._.._Y7CLSSYF,E-,. Y ;A:,ru
�._,.__. �1:i..�.. .....W 1-..... _.... t.'..rwi..uW_' Limited energy,multi-family -
please add to existing permit ELC2013-00403 and update description:New 400 residential(with above sq.it)
75.00 2
amp Retie hieEner'ky..;.krirf, :..,.:;I uSe6?rame:2'*., ,A„ ,
-
service rewire units 1 and 2,due to fire.New panels In unit 1,2 and Laundry. Services or feeders installation alteration,and/or relocation
?-n, '' }l;;. ,tit t' 1777,7,'-f,"t vf� rn ., 4,2l ,, 4,ta�F 1 �n�v -5i'��r,,t y_`t, L�, 200 amps or less 2 I 100.70 I 201.40 ! 2
:.,,L•n : _�L. f„,u - :..,.. ��. ._,_...,. _.. ,:. ._ <.�__.- .r._. e..1.' s 5., 201 amps to 400 amps I 133.56 133,56 2
Name: 401 amps to 600 amps 200.34 2
Address: 601 amps to 1,000 amps 301.04 2
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 I, 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
Owner signature: Date: Branch circuits-new,alteration,or extension,per panel
"`n v �,t S.:', ,i+ 'a 1 i i't's � i r" , 4,r' ,.�-t,,Fri„ ti ilw_ A.Fee for branch circuits with
:* _II k,_t......,!t_.... W. 1t,� �f• - -7. I,1..p.. r: K. -, above service or feeder fec, 20 7.42 148.40 2
Business name:Squires Electric,Inc. each branch circuit B.Fee for branch circuits without
Contact name:Andrew Cohen service or feeder fee,firs 56.18 2
branch circuit
Address:1001 SE Division St/#1 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
City/State/ZIP:Portland,OR 97202 Each manufactured or modular 67,84 2
dwelling,service and/or feeder
Phone:(503)252-1609 I Fax::(503)253-5831 _Reconnect only _, 67.84 2
V
E-mail:And rew®squiresclectric.com Pump or irrigation circle 67.84 2
7 1 , a4.fi�zN 4S -"neat- ^T- ..p.• �c,- 1. rn.-N, :7� 77.. t9.?"4 z$*'
4..;1:i1�1�7.�:: '.- ir r, ;.o.,t,., i,�x-x`701-$..,r,SJ cS4" ::::..' � t:4,f,74" :41.,,i ., :I Signor outline lighting 67.84_ 2
Business name:Squires Electric y Signal circuits)or limited-energy Sec
q panel,alteration,or extension. _ Page 2 2
Address:1001 SE Division St.#1 Each additional inspection over allowable in any of the above -
Additional inspection(I hr min) l 66.25/hr
City/State/ZIP:Portland,OR 97202 Investigation(1 hr min) 66.25/hr
Phone:(503)252-1609 ax:(503)253.5831 Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is 9000/hr
CCB Lic.: 138085 Electrical c.: 2 1101C I Suprv.Lie.: 4882S 3. /frail listed t5 hr min
i + i ii ,iil�rF 1t.9.:,J'�§.„o-ifl L1.,p tut: t '$zign.
Suprv.Electrician signature,required: Subtotal: 483.36
Print name: Joe Squires Date: 9/9/13 Plan review(25%ofpcnnit fcc):
State surcharge(12%of permit fox): 58.0$
Authorized signature: TOTAL PERMIT FEE: 541.36
This permit application expires if a permit is not obtained within 180
Print name: Joe Squires Date; 9/9/13 days after it has been accepted as complete n /
a Number of inspections allowed per permit. // -! I
1:taullditvaenmIt5'e.C_Permitnyp_E JRE.doc Rev 05/21/2013 440.4015T(11/O5ICOmN/Ee
I
CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit al: ELC2013 -00403
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/17/2013
Parcel: 2S 110AA00200
Jurisdiction: Tigard
Site address: 14130 SW 105TH AVE 1
Project: Subdivision: KING CITY TERRACE CONDO Lot: 3-6
Project Description: (1) 200 amp service and (2) branch circuits for fire repair.
Contractor: SQUIRES ELECTRIC Owner: VOIEN, BETH TRUST
1001 SE DIVISION STREET #1 BY VOIEN, BETH TR
PORTLAND, OR 97202 24 VILLA POINT DR
NEWPORT BEACH, CA 92660
PHONE: 503 - 252 -1609 PHONE:
FAX: 503 - 253 -5831
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 07/17/2013 $100.70
Specifics: amps or less
2 crt Branch Circuits w /Purchase 07/17/2013 $14.84
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 07/17/2013 $13.86
Electrical
Type of Const:
Occupancy Grp:
Total $129.40
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 52 -0 - 090. Y u may 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: 0/v // / / G 4/ /c /dN
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 603.639.4176 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 . „.. EIVED : FOR OFF! :E USE le E ONLY
City of Tiard R ecei ved ,-
g n , Unte /Oy: � { �� Permit No.���i3 —eV y4�
t ' t3125Sw Hall Blvd., Tigard. OR 97223 JUL_ 1 5 20.3 Plan Rev iew
• Phone: 503.718.2439 Fax: 503.598.1960 Dare/ay: Other Permit.
TICAR.D Inspection Line: 503.639, CITY 1 OFTIGARD Date Ready /By: luris See Page 2 for
Internet: wH v.ligard- or.gov RUILDING N °Nfed/Meth °d 776--- Suvo,..ntil mformarton
TYPE OF WORK PLAN REVIEW
0 New Constructio Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /itetms checked below):
❑ Service or Feeder 400 amps or more ❑ Building over three stories,
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
•
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ floating buildings.
Imo to ground, or exceeds 14.000 ❑ Contntereiel -uec agricultural
❑ i- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations, buildints.
Multi- family - 1=1 Master builder C:1 Other: ❑ Fire pump. ❑ Installation of 75 1' VA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately doritcd system.
_ ❑ Addition of new motor load of ❑ "A' "F.” ' 1 -2 ° 13"
Job no.: Job site address; 1 1 I 1 I • + 10011P or more. occupancy
f� 1' 4 1.1/1 j 1J 1 ❑Six more tv Supply i for r morn than
❑ H azar d ous l oca t io ns . 600 volts s nominal.
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more,
FEE SCHEDULE
Cross street/directions to job site: noe<r nro, c y. I rte. J Total
—
New residential single- or multi - fancily dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1.000 sq. rt. or less 168.54 4
Tax map /parcel no.: Ea. add'I 500 sq. It. or portion 33.92 1
• C DESCRIPTION OF WORK Ltl (wt ` above sq. reside ntial 75.00
s • , Limited energy, multi - family 75.00 2
.4 k - 0... II r .611W .. l6 ` � / residential (with above sq. ft.)
Renewable Energy ❑ Sec Page 2
_ Services or feeders installation, alteration, and /or relocation
' ❑ PROPERTY OWNER ❑ TENANT 200 amps or less 1 100.70 0); 2
Name:
201 amps to 400 amps 1 33.56 2
401 amps to 600 amps 200.34
■ ' b01 amps to 1.000 amps 301.04 2
. r[y /State/ZIP Over 1,000 amps or volts I 552.26 2
Temporary services or feeders installation, alteration, and /o
Phone: ( ) f ax: ( ) relocation -- 200 amps or less 1 59.36 I I
Owner installation; This installation is being made on property that i own which is not X01 amps to aOO amps 1 122.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449. 670. and 701.
401 amps to 599 amps J 168,54 12
Owner signature: ._ Branch circuits — new, alteration. or ex tension
, , per pa nel
• APPLICANT J ❑ CONTACT PERSON A. Fee for branch circuits with t , 1
above service or l'eeder fee. 7.42 1
Business name: SQUIRES ELECTRIC, INC. each branch circuit
�L} B. Fee for branch circuits without
t
Contact name: ANDREW COHEN service or feeder fee, first 56.18 2
branch circuit
Address: 1001 SE DIVISION ST., #1 Each add'I branch circuit 7.42
City / State/ZIP; PORTLAND, OR 97202 Miscellaneous (service or feeder not include
Each manufactured or modular
Phone: (503) 252 - 1609 Fax: : (503 - 253 -5831 dwelling, service and/or feeder 67.84 - '
Reconnect only 67.84 2
_ - mail: ANDREW a@SQUIRESELECTRIC -COM Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67,84 '
Business name: SQUIRES ELECTRIC, INC. Signal circuit(s) or limit energy
panel, alteration, or extension. j Page 2 2
Address: 1001 SE DIVISION ST. #1 Each additional inspection over allowable In any of the abov
Additional Inspection (I hr min) 66.25/ hr
City / State/ZIP: PORTLAND, OR 9720 _
Investigation (I hr mm) 66,25/ hr
Phone: (503) 252 - 1609 I Fax: (503) 253 - 5831 Ittduslrial plant t1 hr nun) 7 1 8 / 8 hr
—
_
I nspections for which no tee is
CCB Lie.; 135085 E 1ca1 L . 26 -IIOIC Suprv, Lic.: 48825 specifically listed (% hrmin) 90.00/ hr
Suprv. Electrician signature, r -.: ELECTRICAL PERMIT FEES
9 ,----, Subtotal: \15__
tname: JOE SQUIRES Date 1 Plan revieW (25% of permit fee):
Authorized signature: VIP Q
State surcharge (12% ofpermit fee): V3 , OCO
TOTAL PERMIT FEE: t DA, i-ta ir
Print name: JOE SQUIRES i Date: I l 51 a This permit application expires if a permit is not obtained within 180
days filter it hmf b een nccepted az elmptete.
' Number of inspeotions allowed per permit.
I Vaildi asa9r3AOc 440 - 16 I ST( I UOS /COM/wfln
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
14130 SW 105TH AVE 1, TIGARD, OR, 97224
Residential - Electrical
199 Electrical final
2014-01-27 00:00:00
ELC2013-00403
PASS - No C of O
Violation Summary:
Inspector Contractor