Permit CITY OF TIGARD ELECTRICAL PERMIT
a , • COMMUNITY DEVELOPMENT Permit #: ELC2013 00433
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/24/2013
Parcel: 1 S 136CA00600
Jurisdiction: Tigard
Site address: 11070 SW 78TH AVE
Project: Preston Subdivision: FAIRVALE Lot: 6
Project Description: Sub panel change and (10) branch circuits
Contractor: JIMCO ELECTRICAL CONTRACTING INC Owner: PRESTON, LARRY A
1100 AIRWAY ROAD FREY- PRESTON, KRISTIN
LEBANON, OR 97355 11070 SW 78TH AVE
TIGARD, OR 97223
PHONE: 541 - 258 -6111 PHONE:
FAX: 541 -258 -6292
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 07/24/2013 $100.70
Specifics: amps or less
10 crt Branch Circuits w /Purchase 07/24/2013 $74.20
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 07/24/2013 $20.99
Electrical
Type of Const:
Occupancy Grp:
Total $195.89
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. ATTENTIO • on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 thr ugh OAR 2 -0 009 You may obtain a copy of the rules or direct questions to OUNC by callin• 5' . • ..1987 or 1.800.332.2344.
Issued By: ` Permittee Signatur - • _ 4,5,,
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.
07- 23 -'13 13:22 FROM -Jimco 5412586292 T -669 P0001/0002 F -895
-- = - - City of Tigard need 7 ®��� permit No.: 613 d� 33
13125 S W Hall Blvd Tigard, OR 97 . , ' CEIV ,, ■ , plan tdvint y Other Permit:
"` 777 Phone: 503.718.2439 Fax: 503.598. 9,�t patdgv; _
T I c n I: n Inspection Line: 503.639.4175 JUL 2 3 2013 Date M kris: el See Page 2 for
Internet: www.tigard - or.gov Noti6ed/Method: Supplemental Informadoo
,';a :. ii; • ,1 !.',. , 1r 't * REVIEW
❑ New construction ® Addition/alteritka FI�FYIUt�/r-
1 Please check all that apply (submit 2 sets of plans w /items °Reeked below):
❑ Service or feeder 400 amps or more ❑Building over three Stories.
❑ Demolition ❑ Other: where the 'available fault current
❑ Marinas and boatyards.
? , 5r� 7 � � , ?�fY !2•l; :�:1 �:��� ��•,Mt.. "> , "».4s :..i .,,:n .r. ,.�r 7 .�_! ;d • r 5 10,000 amps 150 volts or buildings.
r' 5' ` . ".•:cU1,� i rt :; ::lz:; _. -k 1� �{� 1 U g;' , 8 :,,: , exceed P ❑ Floating build
i r a>:�. 5��?, : ;S' ?i!.r, c,:. " {t ,..,.i'z �;xa': "? F� leas to ound, or exceeds 14,000
(? ❑ Commercial -use agricultural
® 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑Ftrepump. ❑ Installation of 150 KVA or
,
�e'" rrr. -r =� �r , ? : 7 5 ; ❑ EmorgenuY sYstertl, larger separately derived system.
4./ °r r .7 +.::. , j, 7 . ...5 ., • „ • .4 . ••.: .v`a' ', ' a r. ? , ; `ei ❑ Addition of new motor load of ❑ "A" "E ", "1 -2" "1-3
Al Job no.: Job site address: 11070 SW 78th 100HP or more. occupancy.
! I " ❑ Six or more residential units.- ❑ Recreational vehicle parks.
City/State/ZIP: Tigard, OR 97223 ❑ Health -Dare facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt, no.: I Project name: �� (2\F�rb a Service or feeder 600 amps or more.
Cross street/directions to job site: ngcription I Qty. I Pew I Total I
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 I
Tax map /parcel no.: Limited energy, residential
. m, ,.: ; : t -. u,: : t:.. ; iC: a� ■ , � r
r,�w,w -e ■w { r�`,W+•,o '� ; 75.00 2
. ,r . ,7( .4 ['rint .L.. 'J" \ -.�sr , 'r ii.T., rcifT.•1 0j1�1\"H.4l f. : .: t5 ., )„ ;•d r.. ' i�a, ( with above sq . ft.)
Limited energy, multi- family 75.00
Sub panel change - 10 circuits total residential with above s.. R.)
7 i) al l?IS , .(• d7 m
Services or feeders installation,_altcration, and /or relocation
',;yiP;'...t:: .14-iue., .y,,..r., o � . T . :,7 .._`', ,,, e.,. : t: " 200 mils or less I 100.70 100.70 2
201 amps W 400 amps 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
Phone: ( ) I Fa ( ) relocation
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
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
with
), ;,'∎ t - .:4 , , . 1 , f,1 :y,.1 x,� .' • _ %:;'. ' ,: +,, . [F ;.. i. p ins }., • " d A. FCe for branch circuits
e ,yl ' ,l4 , . , • , ;- , a.
�.' �, lt.. ;� , t�� :' , 1 .;'K ,:' :" 4Qt•),,Abt A 11 "� ,
above service or feeder fee,
7.42 2
Business name: Jimco Electrical Contracting, Inc each branch circuit
B. Fee for branch circuits without
Contact name: Dale Martin service or feeder fee, first
56.18
branch circuit _
Address: 1100 Airway Rd Each add'l branch circuit 10 7.42 74,20 2
•
City/State/ZIP: Lebanon, OR 97355 Miscellaneous (service or feeder not included)
Each manufactured or modular 67.84 2
Phone: (541) 401 I Fax: : (541) 258 - 6292 dwelling, service and/or feeder
Reconnect only 67.84 2
E -mail: jimco@jimcoelectrical.biz Pump or irrigation circle 67.84 2 -
.; . „, . r:o,... . R...:•,„,..,,,...,..:,-.:..,-.,.•..., •7• , S or outline lighting 67.84 2
Business name: Jimco Electrical Contracting, Inc. Signal circuit(s) or limited - energy See
pan alteration or e Page 2 2
Address: 1100 Airway Road Each additional inspection over allowable in any of the above
Additional inspection (I hr min) 66,25/ hr
City/State/ZIP: Lebanon, OR 97355 Investigation (t hr min) 66.25/ hr
Phone: (541) 258 -6111 I Fax: (541) 258.4292 Industrial plant (I hr min) 78.18 / hr
. Insections for which no fee
CCB Lic.: 1466 6( 1 14 AL Electrical Lie.: 22 -I0C � \� ' I Suprv. Lic.: 3068S 1•1111$ speci callylsted('i hrmn) 90.00 /hr
Suprv. Electrician signature, required /n/ r ` !w Subt PEBlHb FEES
otal: 174.90
Print name: Allen Whitmire Date: 7/23/13 _ Plan review (25% of permit fee):
State surcharge (12% of permit fcc): 20.99
Authorized signature: *AIM �_ TOTAL PERMIT FEE: 195.89
Print name: Allen Whitmire Date: 7/23/13
'This permit ap days asrrter it has been accepted permit t is complete.
within 18 Q
days s an accepted ampet. 7V �,► U- ^�/
• Number of inspections allowed per permit.
L\Butieter Permitt\ELC3ermimAp _ru_t.dQe sew 0512t/2011 440- a6t5T(1 lro5 /COM/WBB