Permit CITY OF TIGARD ELECTRICAL PERMIT
III COMMUNITY DEVELOPMENT Permit#: ELC2013-00518
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/29/2013
Parcel: 1S134ACO2634
Jurisdiction: Tigard
Site address: 11075 SW COTTONWOOD LN
Project: TRUNE Subdivision: ENGLEWOOD NO.3 Lot: 191
Project Description: Panel replacement.
Contractor: ABC ELECTRIC Owner: TRUNE, DENNIS R AND TARA L
135 NE 9TH AVE 11075 SW COTTONWOOD LN
PORTLAND,OR 97232 TIGARD,OR 97223
PHONE: 503-233-7551 PHONE:
FAX: 503-233-7552
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 08/29/2013 $100.70
Specifics: amps or less
1 ea 12%State Surcharge- 08/29/2013 $12.08
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $112.78
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 ma obtain a co. of the direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
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.
8/29/2013 11:56 AM FROM ABC Electric ABC Electric TO: 503-598-1960 PAGE: 002 OF 003
C Electrical AcI•mit Applicati CE VE ' ,
FOR UFFiCE USE:UN Ll'
Cily of Tigard. Received .'. . .
I a ' ./. 1'emlitNo: �uav 1 _.c. Si 0
" 13125 SW Hall:Blvd.,Tigard;Olt 97221AUG 2 9 2013 Datel(3�_
I. Plan Tteview -_
P a Phone 503.7l8243c) .Fax: 503.598.4 //'���� e Plan Re Other Fermi!:
TIGAR.D : inspection.Line. 503.639,4175 V 1,lr TIGARD . .1)atg Readyll3y: I tan El-See-Page 2 fur'
.lntelttti.'www tigard•or:gov. • R Notified/Mcthod. en Into
.. .. ,(,..Wizen
UILD �DfF
Su rmali
'.a,: .t .�..�Nl.�F��, > �.�':QlFy.. :l5 lC x.:lg ..ax:'S�"` - - °ter ,t.,'W
0' c' eonsh:nctio❑ ' .Addi tionialte.ralion/rGpIacenlenl Please check all,that apply(submit 2 sets of plans wiilenrs checked below):
0 Demolition -
'Q:Scrvice.or feeder 400 amps nr more 0 iluilding over duce stories.
A.. ,.. w the fault pMar
:,'n::.a.=-.::,w'.-;y:a�;r< ':.nsa;.v_ � �r �^c;,�. ._ 'h•rcdl°a5nilr[ fa _ nasandbnsly:uds
th ,
:■.:., .,...,,; - r:f;'.."#.'''"'..'...?;.!€4�.FP,'r: ?Yf ; R.? JO :473_ ' . 'k^:::,,--.';;.,, ' ' lesst ground, amps at 150 volts or 0Fl Commerc Id ial-use-"'`"'�=''"" less to ground,or excceds 14,000 []Conlmerciat-use agriauhund
1-and 2-family dwelling ❑Cprnmcrci-!.-...'-',W°-.
l/industrial ❑Accessory building amps other installations buildings.
❑.Multi-family ❑Master builder 0 Other: 0Filepump. 0 Installation of75 KVAor
: 0.; �• � ° y •1, is `�� �:�:,_ _- Q Emergency a stem. larger separately
derive
dsysren.: •:; - ii ' :',A?" G 0 '�. 4 10 ;0,V� ,ti.0 *!
..�: ;N":02::s: 1.:4i'A,: ❑Additien of new motor load of 0"A"°G""1-2", 1=3"
: e`Job _I t1 ,� Job site.address: S 4 1001IP-or1111/1e. tnev,
Q Six to more residcntiat'tmitr 0 Recreational
vehicle parks.
City/State/ZIP: C\ i) c 1 �* QHealth-care facilities. Q Supply voltage for mtm than
—_-- . ..) —.__ Q l3arnrdons Incarions. 600 volts nominal.
' Suiteibldg./aptno,: _ Project name:- -NA- :0:0Serviecorf ecder,000arapsormorc. . .
Cross street direction job Site,: ' ;'ft"= .4. tT1 ' , .� ; ::
5 t0 ` �S:Y,: v;`
-- _ llesertetbn - ....:;..•_ Fee. I Tclal Tr'
New.residential single-or multi-family dwelling unit.
�•_._,., --- — Includes attached garage.
Subdivision: Lot no.: ',GOON.ft.or less 168 54 q
Tax map/parcel no.: lia.add'I 500 sq.ft,or prntion' �33 92 j
,r, i; y. r. R s; : l.imite4lenergy,residential
—
.';{'s' 4*.t ESC•',Ii ')i 0\$a(3.� r `:2a,:� . ,;$:', _iz ,i;),6 ".,f i Hridi shove's.:ft. - .., 75.00 2:
�' a Limited every,multi-family
1? / t': 1 • s 75.
� r J, •.. !.11a'Ff� ;� t � 6?' i' res cfentias(widi above sq.ft.) 2
1 _ Services or feeders installation alteration,and/or rclocatinn•
' 200'hops or'less. 100.70
w •# IVIiIZ x �¢'} x �r x'13 '_. .., -,. _ ' -.../1,---17117(�
r,: -. .. � :. _.,r ?.• - zF`':'': -�"<( VOt t1: :<<_ ,Ry, 201 amps to 40D mops - 1 33,56' , 2
mime: ;� ti 401'utnlisto'600amps- 200.34 2
^l�? �lY 1 C. \�? i' l l Y\ 601'amps to 1,(IOU amps 301;04 2
'(t♦�"( gk... i•-(.„ik. `.:s- l 6( F�, ,t�i :Over 1,1100 amps ar VOlts• :' 552.26 ?
C'itY/State/I,11': /�'�`^ (� `r 1 A 'Iemporaty_ services or feeders installation,alteration,and/or•W.. b 1 r•) j relocation
Phone:( ) I - I ax:.( ' ) - :2i10?nips or less' ® 59.3fi' ' fl
:201 ainps"to 400 amps 125.08
Owner installation This installation is being made oil property.that i own vtihich.is not
intended for sole,(ease;root'or eXChango,occordirig to ORS 44 7;449;b70,.7rid.70l: 401 amps io599 amps 168.54 -
t)wner signature: Date:: circuits=aew,alto a ten io ter pan-
-T�rnncii� i lion,or ex s' n;I el
t�� Fee for branch':c rcuits with•"
.s;' t'r- ..
--''wt..?il. <^ - ° ,4 it y' � �'° � -p `IlInY21iCMC'F:art feeder rfee - �
�1r,,-ELI: /1.,
f::l •. ..,"S h'Jt+a-' JK?:41) . 1?'" u fkin ;;WP1li y..S �f ' - -
r each branch circuit 7.42 2
Business nutltc: ;p,:T_ee for branch circuits mithour
. - r feeder fee,first
b-, service 9
Contact.name: C. l 1 ,r1 , ' Ltd I :- -.. 56.18 2
branch circuit
�.�• �/ -Each add'I branchcircui[ 7.42 ,
Address: -7 J L.. 1 0 '�- >(: Mi4cellaneoua(scrvicter feeder not included _ -
�� "y t Each menu eeturcd or modular "•City/State/ZIP: IL j dwe 111::service arii/or.feoder.,<; 67.84
2
. Phone:(qA.) '" ,.. '• J ]"aX (y)?, ) x,,. h Reconhect Only
E mall .. �J� Pump 01 tinigntunl Circle 67 8d 1111111111
1/i /�
a err ,..:•a; N °- ys� "s :�, ' Slgn of Olrtline ltgtrtltig d C 67.8M1
y s, ��..��a" 5tbnal c'cuit(s)or limitc en tg}
13us1«cs5 naive /„ r 1an,l''alteiauon,or�cxtenslon ... '
.- -.,"
_ _ /� ) ,! 'raeh'uddlhonaltns "edoa over sillowabte in an 'of thrahove
- Address: 2)5 4J'1... �V-,�4.-. ono spin (I as 6625/hr ■
Addlh i m tton hr min}
Ctly/Slatal lP: 1��'.. .fir .lmrsii&ttion(I hr min) ' 6625/,hr
--' ( - �P r Industrial giant(1 hr min} . 78,18/hr
_ ('art ;_
Phoner(5)•). z :z w-` Fax:( )' r77 coons for which no fee is
1. I erficall "listed �hrmm 9000/hr
G(B Lic.: f let trieal l.,ie�� �y P I, "' b -
5uprv.Glcctrician signature,reyaired: c-'" Subtotal: Y Ip
�� - Flan review(25%of pcnnit-fee};
Print rl:fmc: Dtij patc State surchprge(12°lo_ofpermit fee};
.pi
TOTALERMlT FEE: `
Authorized signature; •
Tlris inarnlit apphtanou esplres'ita perrnlf 1s not obtained"within 180
Print Rn / }38te: days after 1!has be6d accepted as completes .
;ion 41 • .j:, ,N1 11 . , , : . . ,w Number of taspections'alluw.ed perperrnit. -
:1BuirdingiPermlulil.0-P orllApp:duc 07101/10- - • •-' - . . ..440'.4615(11/OS/COMlWEB - . - '- . . ,- -- .