Permit CITY OF TIGARD ELECTRICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit #: ELC2013 -00418
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/24/2013
Parcel: 1 S135BC00900
Jurisdiction: Tigard
Site address: 10855 SW CASCADE AVE
Project: The Design Studio Subdivision: HILLSBORO Lot: PTS 1 -2
Project Description: (1) 200 amp service and (3) branch circuits for generator.
Contractor: PARKIN ELECTRIC INC Owner: PAULSON LIMITED LIABILITY CO
14001 FIR STREET BY RICHARD G PAULSON SR
OREGON CITY, OR 97045 10855 SW CASCADE BLVD
TIGARD, OR 97223
PHONE: 503 - 657 -4958 PHONE:
FAX: 503 - 557 -1059
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 07/24/2013 $100.70
Specifics: amps or less
3 crt Branch Circuits w /Purchase 07/24/2013 $22.26
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 07/24/2013 $14.76
Electrical
Type of Const:
Occupancy Grp:
Total $137.72
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 OA 952 - 001 -0090 You 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: dAT 70/ €. / e��D' .
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 protect
Approved plans are required on the Job site at the time of each Inspection.
From: 07/22/2013 16:08 #082 P.002/002
. .
• •
Electrical Permit ApplicaREC fl/
: : . FOR OFFICE USE ONLY
City of Tigard Li w D Rece . ived i star
i Permit No.62420/3 --it
1114 • es 13125 SW Hall Blvd., Tigard, OR 97323.
2 2013 Plan Revie • '0
a Phone: 503.7182439 Fax: 503.598) w 0 L Date/B : Other Permit:
T I G RD Inspection Line: 503.639.4175 Date Ready/By: El See Page 2 for
A
Internet: www.tigard CITY OF TIGARD NotifiecVMethod: Ilina Supplemental information
%**.eitOIf4GTAVISinf1/4( .' ‘' I '.. :: :;"::' ;:':;:...: -,..- ::: :: :,,...., . • , '..: '
0 New construction Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w/items checked below):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition &other:
where the available fault current 0 Marinas and boatyards.
0 exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground, or exceeds 14,000 0 commercial-use agricultural
1 - and 2-family dwelling ZCommereial/industrial 0 Accessory building amps for all other installations. buildings.
El Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or
tek-Sri - 10760115 , 14 - .: - .;r7;...) , ...0:::: , :t , ,I ,,,i,,,..„:: 8 Emer " stem ' larger separately derived system. teed
Job no.: Job site address: / ,0853 - __( (7, ,,i,„. 0 ,1
W iz O I units. occupancy.
0 Recreational vehicle parks.
City/State/ZIP: 7 o Y' v)3 0 Health-care facilities. 0 Supply voltage for more than
. 0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: Project name: 76 2.s....6:376 _S , pservice feeder 600 amps or more. ,
:.Zi.:R;'....'M.. 7.V.E. ...:':.; :. ..
Cross street/directions to job site:
Description I Qty. I Fee. I Total I
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: 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.:
_ Limited energy, residential
75. 2
. ' • • ,' i • " , , ' , ' 'pg. se.itfrriart,pgi*ifais;',-.' ':•-;:' ' ::::.:,- (with above sq, ft.) 00
Limited energy, multi-family '
6',/ Ld0c..4- 3 ,e7Ls. 6 r 40,eA-euitor residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less I 100.70 100, 70 2
la O\ TER -,.._:‘,..1:..:,,,, ,..,::,.,:c_,:: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200,34 2
Name: //o / i s F-40 r Co fr-e-rt 1'7 R-, 601 amps to 1,000 amps 301.04 2
Address: / 0053 . 5 - fp „ , (, „ Afve . 6 ' Over 1,000 amps or volts 552.26 2
City/State/ZIP: r Temporary services or feeders installation, alteration, and/or
o 6 f ---,P 0 g 7 _,),3
V / relocation
Phone: ( ) Fax: ( ) 200 amps or less 59.36 I
201 amps to 400 amps 125.08 1 2
Owner installation: This installation is being made on property that I own which is not
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, Ever panel
Owner signature: Date: A. Fee for branch circuits with
,:100:404.1 ,.,::. ..;. ,..:....,-. e a a b eh ove bran serv eh ice ci o rc r u f i ee t der fee, .3
7.42 X. A & 2
Business name: B. Fee for branch circuits without
service or feeder fee, first
Contact name: branch circuit 56.18 2
Each add'I branch circuit 7.42 2
Address:
Miscellaneous (service or feeder not induded)
Each manufactured or modular
City/State/ZIP:
dwelling, service and/or feeder 67.84 2
Phone: ( - ) Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E
.„ Sign or outline lighting 67.84 2
".• : 1.• : ' ' ...CONTUCrOW" ,', ;:'- 2, ', ', ''''-'',.-',.::.',:', -':.. '. '...',-; .'" — r,,' ' : , ''',,:- -2,' 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 (I hr min) 66.25/ hr
City/State/ZIP: Oregon City, OR 97045 Investigation (1 hr min) 66.25/ hr
Industrial plans (1 hernias) 78.18/ hr
V
hone: (503) 657-4958
CCB Lic.: 3515
Fax: (503) 557-1059
-
Electrical Lic.: 34-4C Suprv. Lie.: 4241-S Inspections for which no fee is 9o.aw hr
specifically listed (1/2 hr min)
c, ; ,::: . 1.-,0' . ': T. : ; :; . 1- : ',- !.:: ;: ' , NittECTIZICALPEItOirrIFEE . S':•• ?::::.v::::'..--J: :''.":''''-
Suprv. Electrician signature, required:
,L._
Plan review (25% of permit fee).
Print name: David B Parkin Date: State surcharge (12% of permit fee): / i i, 7 6 ..,,
TOTAL PERMIT FEE: /37, 7),
Authorized signature:
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Date:
* Number of inspections allowed per pennit.
1:\BuildineTemnits1ELC-PermitApp.doc 07/01/10 440-4615T( 1 I/05/COMAVEB