Permit U,,
1y �t CITY OF TIGARD � ia ELECTRICAL PERMIT
111 COMMUNITY DEVELOPMENT Permit#: ELC2013-00503
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/22/2013
Parcel: 2S111AD21400
Jurisdiction: TIGARD
Site address: 8615 SW PINEBROOK ST
Project: Brittany Home Inc Subdivision: 2015-021 PARTITION PLAT Lot: 1
Project Description: Replacing existing panel and adding(4)branch circuits to shop. 2/18/2015 REPRINT permit to change address
from 8605 to 8615 created by minor land partition.6/25/15,reprinted to correct parcel#to 2S111AD21400.
Contractor: CANBY ELECTRIC INC Owner: BARE LLC
790 S IVY ST 22275 SW SCHOLLS-SHERWOOD RD
CANBY, OR 97013 SHERWOOD, OR 97140
PHONE: 503-266-7878 PHONE: 503-628-3518
FAX: 503-266-5543
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 08/22/2013 $100.70
Specifics:, amps or less
4 crt Branch Circuits w/Purchase 08/22/2013 $29.68
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 08/22/2013 $15.65
Electrical
Type of Const:
Occupancy Grp:
Total $146.03
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 • •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 .ugh OA' 952 •• -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.231987 or 1.800.332.2344.
Issued By A. ' 'i��.,'_J. Permittee Signature: ` Gr-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 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.
CITY OF TIGARD ELECTRICAL PERMIT
s • COMMUNITY DEVELOPMENT Permit#: ELC2013 00503
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/22/2013
Parcel: 2S 111 AD00401
Vic/111771 Jurisdiction: Tigard
Site address: 8615 SW PINEBROOK ST
Project: Brittany Home Inc Subdivision: PINEBROOK TERRACE Lot: 1
Project Description: Replacing existing panel and adding(4)branch circuits to shop. 2/18/2015 REPRINT permit to change address
from 8605 to 8615 created by minor land partition.
Contractor: CANBY ELECTRIC INC Owner: BARE LLC
790 S IVY ST 22275 SW SCHOLLS-SHERWOOD RD
CANBY, OR 97013 SHERWOOD, OR 97140
PHONE: 503-266-7878 PHONE: 503-628-3518
FAX: 503-266-5543
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 08/22/2013 $100.70
Specifics: amps or less
4 crt Branch Circuits w/Purchase 08/22/2013 $29.68
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 08/22/2013 $15.65
Electrical
Type of Const:
Occupancy Grp:
Total $146.03
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 0'- 9 00.90. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: loP/1�►o/_ - Permittee Signature: ��fC ��
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.
CITY OF TIGARD ELECTRICAL PERMIT
• COMMUNITY DEVELOPMENT Permit#: ELC2013-00503
T E G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/22/2013
Parcel: 2S 111 AD00401
Jurisdiction: Tigard
Site address: 8605 SW PINEBROOK ST
Project: Brittany Home Inc Subdivision: PINEBROOK TERRACE Lot: 1
Project Description: Replacing existing panel and adding(4)branch circuits to shop.
Contractor: CANBY ELECTRIC INC Owner: BARE LLC
790 S IVY ST 22275 SW SCHOLLS-SHERWOOD RD
CANBY,OR 97013 SHERWOOD,OR 97140
PHONE: 503-628-3518
HONE: 503-266-7878
FAX: 503-266-5543
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 08/22/2013 $100.70
Specifics: amps or less
4 crt Branch Circuits w/Purchase 08/22/2013 $29.68
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 08/22/2013 $15.65
Electrical
Type of Const:
Occupancy Grp:
Total $146.03
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 503.232.1987 or 1.800.332.2344..
f
Issued = _ Permittee Signature: lada
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.
'':Ele
`ctrical Permit Application FOR OFFICE USE ONL
City of Ti drd lteeeiyed _ poll„it.1e.,
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,•:.. 33125 5W Hall Blvd.,Tigard,OR 9 lan, eview other Prom, / _ J 1
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• ..:F?hunr: 503.718.2439 Fax; SU:i.S9S.19G0 `\f c�® �.0 Dat-= : _.. ...... �-S� �J
AK E, _Inspection lane. 50:1.639.4175 Av Bate Readyiny:' Jurie. 65 See Page 2 for . .
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Q New oistruction 1,1 Addition/ahcruiD 4 AV` not Please check all that apply(submit 2 seu,of plans wi
lms checked b
elow)::
❑wh o S u c ❑Cuily„s over three aeries-
Q Demolition ❑Other: . c the available current ❑Marinasund toayaras.
x t, o s :x y' P .r. ''tl exceeds 10,000 a sat 150 volts or ❑Floating buildings. •
p F e:•L,`r:a.., e.r11 L o 5 •'� f �r• � , mP
'.1'yy �iIrY1Gi °116'.!c ,,rk:.•Ei�t'S'.Ct'l�: � ; .,L1� fl} ' ,' �
' $ 'il'`re. � '1;;;;,n. _ ��[ uh t 3L�i.1 .'•�.IQiI. 1 N[8t. .
.J,t� �i�,.z4i� `•:'`•". less to grUmtd,or exceeds In,O(M ❑Ca mmncial-use agripal
.•.1''1 1=and 2-family dwelling 0 Comrnercial/industrial 0 Accessory btnlding • amps for all ot1,c,installanons buildings.
. ❑Molts-ramrily
❑Master builder
❑Other: . ❑Fire Pt>mP ❑Installation of t 50 KVA or '
r,, 7.'7,-:;,.1-• ,�„ _-be.„ v�, ,. ❑E,ncrgcney systcn larger separately derived system:• � . mol a load�f
.�'"'r`%t,.;u;:y�r;;y�i•'A�•<;.:...'.i' -•�}I"$�-: R7!LC�7.r��1_ .. - , ,,. >
1�Q�-.r•2•.a Ai:,. i"�i�{,iA t `�yw�.,•:. f ❑� ,.A,,,,E.. -3",'.
. .:.... :1;a,�.,;. ,..� ,.,.4. �'�, :. -` !�'' ...,. ,� Addition '
'. IOOHP or more. occupancy.
Job,no.. Joh site address:
[1 Six or more residential units. ❑Rcereational vehicle parks.
❑Heahh-Care facilities. ❑Supply voltage for more khan
. City/StBtP,�7•ll�: ` l•'G�d oO0 vets nominal: ' • .. ..
"1,,e1, ❑Hazardous locations. •
'Suitelbldg./apt.no.: Project ( I ❑SerOCC or feeder 6UC:cups or more
name. Jf
t � , i N „{ e.4 r'G • +RE'E`SC•ttF;t)UfS'E' r,�•�s,'ir,>. t,,
C i .,,.
Cross street/directions to job sale..: ` Ilaeriutien 1 r, Pt.. .
- New residential single-or multi-family dwelling unit:
. includes attached garage._ .
Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 I 4
Ea.addl 500 sq.it u,port iOn 33.4:2
1
Tax aap/parcel no.: t invied energy,residential
-.r. n ',p i Ii. b . a a' 1 .6PI Ik Pr j itel2 with above s•. l.) 75.00
.
I F e. :. S n I . atU 1 a � R lila S74_'
/
Limited energy.multi-family 75.00 2•
•'•i f / residential with above st.11.)
r L:,. ' Rensivai+lc Euei' D .See P+t�e 2 °;is .:
1 i/' `-1tu1) d[e4, 2 ; k ervices or feeders Installation,alteration,and/or relocatition
i t i --: }Nv I�t3 . ►• , ,lieu M �,v b l if amps or less - j 100.70 Ji)O C)::2 4 s i1 .I .,o- J
d�.lc. fir iurlPT�tlr> 4... 201 amps to 400 LIMOS 133.56 2
Name:'' 401 amps to 600 amp" _200.34 . 2
Address:`'' . 601 amps ro 1,000 amps 301.04 • 2 ..
Over 1.000 amps or volts j 552.26 ;' 2
City/StateJZiP: Temporary services nr ft ederr inarallatino,alteration,and/or
relocation•
Phone:'(.. ) _. ,} Fax:( ) 200 amps or'Icss 59.36 1..
• 'Owner installation:This installation is heing made on property that 1 own which is not . I -
201 amps to 400 amp. 125 08 2'
intended for:sale,lease,rent,or exchange,according to ORS 447,449,670;.and 701. --'�-
401 amps to 599 amps 1 168.54 . ' 2 •
..::••••';.'0wner:Signature: _ -_-. Date: Branch circuits-new attcratioln,or extension,per panel'' ,.
i r ;, vo dim o• q A.Fee for branch circuits with
k • Iy1.�{ ,R i, ,I(:..lrll:4 T-_...
� E '•4" 'Tx ;.4' "!d � r• �i4` if, i17,77,,.,.,,,.'( above service or feeder fcc, ` 7 42 2 . 2 .
Business name:Onion's Canby Electric each branch ciit:uu I _
_ . B.Fee for branch ci nits wirhrnrr
Contact naive:Doug service or feeder fee,tart I 56.18 2,.
brooch circuit •
`' Address:790 5.Ivy St. . Each •
add•1 branch circuit 7.42 .
branch 2
Mlseellaaeous(service or feeder not included) _
City./State/ZiP:Canby OR 97013 Each manufactured tit modular I
_ 67,84 2
•
dwelling,service and/ut feeder
Phone:(503)2(16 7878 Fax::(503)266-5543 Reconnect only 67.84 '.2
'E=mail:onionpatch d(,c byco pump or urtgat t _ -
1ti an m Inv ion curly. �_ 67.84 2
,
. v. ,.,r;N - 1• ry E° 1 i7j VL•• o.G; l,�1 lighting 67.84
,. .' r.- _. ... �,.u4 .,.. -,.1• d � .,4 ;�,. •Jh1rr5''r. . a„" ^wi ', Sign or outline
• ��':'-1 lfe: .,••.�...•...:..':'-..�. '.�.:.",.. ....'�f><'+1T. ,..._ 4.: 1,,:-l:i �',i�w�,iit�+� ��� '1•ql O"
. Business name.:Onion's Canby Electric Signal circuits)or lunitorl-cne.rgy Sec
1,, el,alteration.o'extension I Page 7 J 2
Address:790 S.Ivy St. Each additional inspection over allowable in any of the above •
.., -_.. --. Additional ulspectivn(I hr min, 1,. 6625/hr
'City/Statc/ZlP:Canby OR 971)13 Investigation(1 hr mill) I 66.25/hr
1 78.18/hr
Irax:(503)266 5543 Industrial plant(I hl nun) I
Phone:(503)26(-7878 ( ) __..__..
_ �peetlons for which nil 1-cc is - y0 UUI hr
CCII Lic.: 26071 1'.lectricul 1.ii:..: 3-1 12c Suprv.Lic.: 2123S specifically listtxi('ri hr min) i„ ^x w• m I
�_;.:: : . . ELEC,TRICA1. PERMIT FEF.q��,"sr1a} 4. 'i",,,o.
Suprv.Electrician SiEnatun;,,cgtlircti: -Sub waL,
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flat:tern, ,.:.'"•• 1 pamtil rcc)'
Date; 8/5/13 -- - --
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Print name: 1)in,tel l).,Jnnn' Stateso,,:itnr;!c+' .' .o pcmlit reel:
Authorized•ignuturc: tt' ri loin'I'l.li pN ,
- 711is parnnl upplic11 ti till csprl';'.11 a Ix rmit is un1 oblaisted within ISO
Print na1ne. Date: ,tars aft,,it lu,4crti'.,iceplyd as complete.
-... _-,-: ' Numthcr orm<I.':;;v1:a..,.:,. . .,nand.
ortuildiaglPerntito.;t' I'etnluApp N R I•Ri :!", !ii'• "'1::011
440-46151(11/05/COMP/I':U
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