Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2013-00568
Date Issued: 09/24/2013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S101D600704
Jurisdiction: Tigard
Site address: 7425 SW VARNS ST
Project: Webber Subdivision: ROLLING HILLS Lot: 4
Project Description: Install GFCI protection in bathrooms and kitchen. Grounded receptacles throughout home
Contractor: BRIDGETOWN ELECTRIC Owner: WEBER, GREGORY C AND
5701 N LOMBARD ST PAMELA A
PORTLAND, OR 97203-4113 7425 SW VARNES
TIGARD, OR 97223
PHONE: 503-621-7122 PHONE:
FAX: 503-621-7123
FEES
Quantity Description Date Amount
4 crt Branch Circuits wo/Purchase 09/24/2013 $78.44
Specifics: Service or Feeder
1 ea 12%State Surcharge- 09/24/2013 $9.41
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
•
Total $87.85
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 95 - 090. 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: CM/ , //'/°L./`��l7N
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 603.639.4175 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.
Sep 19 2013 1 1 : 44AM Bridgetown Electric „ 503 9-G21 - 123 -a -_e 1
Electrical Permit ApplicatioiVECEIVED 0 ; :.1... ,,ii !L i : ,., ,..1 .,
City-of Tigard Received
•
AI-
14, , 13125 SW Hall Blvd. Tigard,OR 9722EP 1 9 2013 Dawa : 9ATA43111.rMI4g-
Plan Review ftrtirlit. /4°"6"-- o'2,013-tfire)...C..
” ic: . Phone t 503.7182439 Fax: 503398.1960 Date/13y: Other Perri*:
--..
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/fty: kris: IN See Page 2 kr
! , .. 1 t
Internet: www.tigard-or.gov B uuniNG,14/ISION Notified/Method: Supplemensal Internsatlen
!',. ..;vr.,E0 ' ! '!!iir ,;■ ,-;!iiiiBlai ,:.,,,i.,;,..0'''.:.. :,...!.:-,!;,;:.,,•'-::',r .::;..!:,!;');:aVi!;t. p±.1!!::,4*-c!.•KVAAN;Lir-Fi*:; ;;;."V":11'.;*:"nPlaWN:l';'..P:Rilltlek
. ..• __• ... ,...:,i=-■.-•:i !..e..if.---?..1..'.'•r,'..,- .:1•?Fertl.,711`.!!!!!..!.: •.• ..-•:•,:•.,•:'•'-"•:, •-•:.•••• -.-. 1-;...!,',••••,..i.• 4,. -•;','''s••-0--,sl,'illillaMu..3.1,11474,,,j.,.41. ...,,,,s.L.t4.1-`-.Le.2,.,1,....nitsd./attl.u.tlei r-'
1:1 New construction %Addition/alteration/replacement Please check 1 that apply(Su)mit;sets of plans vditams checked below):
0 Service• feeder 400 amps or more 13 suikling over three stories.
0 Demolition 0 Other: where the ,dal*fault cannot 064mila/a and boatyards.
',•!..:.'.;'..:4';4:-.1":Z1..-.ti .400:00.*-0001§0§00.1hOtit,tti, . :;!:if: exceeds 1,,000 amps at 130 volts or 0 Floating buildings.
less to gro. . or exceeds 14,000 0 Commercial-use egriouhiirel
yi 1-and 2-family dwelling CI Comme,rcial/industrial 0 Accessory building amps for:I other inoallations. buildings.
1:1 Multi-family CI Master builder 0 Other: °Fire p .. 0 installation of 150 KVA or
- '','::9-!:::''!':'!-!.,:41•!,.!.'`.-',;', . -;',,..F' 'Irr=1, 1'."55rrilr''.:!!, ,,i;iiiti,i4liirsiii,;-ik:,,i:-r. ',.'.", .. ',!:',!,4r, 0 Et-i!!:" -Atm' know separately derived system.
• • .,:, ''''''•::,..'","..''::Kl■ :::,',....: '.::.,.-:.'„'4.',,,,,`,,`: ,e.:„,:.r:■; +.571+5;teTr+f:..T19nr.Fmr,,,::',.:-,'.., .• .',1..,■ .';,,,A!,;:-:. 0 Addition, new motor toad of 0 A. "E'"1-2"„"1-3".
Job no.: —'7O4— Job site address: 7/-2.5 S SA/ va_rn S 100HP or •ore. occePaticy.
0 Six or m.. residential units. 0 Rmseational vehicle pmks.
City/State/ZIP: --ri 41 a_.rCi CAZ ti 1 P-?-3 El Health facilities. 0 Supply voltage for more then
) 0 Hazardo,locations. 600 volts nominal.
Suite/bldgJapt.no.: 1 Project name: s CO g-arEe - 1:1 Service or --.-600 amps or more.
.- . i:.-,,;;'2".il,;30.,■'.:,f „:1:nri:=TataNRAIN
Cross street/directions to job site: Deserionie On. Fen . Tsui •
New reside ,.1 single-or multi-fannly dwelling unit
Includes a,, , -• garage.
Subdivision: I Lot no.: 1,000 sq.ft. .r less 168.54 4
Ea.WO I t sq.ft.or portion 33.92 1
Tax map/parcel no.: Limited ene 'A,residential
75.00 2
. . r.-.,-.'.''::-.''..`.'..::'}', ;':",i:'1,'''::::**;8101(81t-i., ti*T1083114:::. "!,,,;'::..''','..'.,%'':.'?'"':'''''.'■.::'. ;.i.'.C.;qt (with •.. SQ.ill
Limited multi-family
1-)01-v-f?alLd 1K baArvomS residenti, with above s9.ft.) 75.00 2
4-K(-tc-heiy‘ qrscrtiv‘o(r cepfac-1,64,-Thry mit-h• , BerieWiibie
t- 4 Services or eeders Installation,alteration.and/or relocation
StiStiki*i.'4000* :.::::i''''..:'":+',:'-;:,.r.,::,' .-,:.1.',,::H.: 1***1.:41 . ...••;-.1:'z'..11 "°nips or -'' 100.70 2
201 amps to 1 1 amps 13336 2
Name:
401 amps to-it amps 200.34 2
Address: 601 amps to -,000 amps 301.04 2
Over 1,000. , or volts I 552.26 2
City/State/ZIP: Temporary services or feeders installation,alteration,and/or
Phone:( ) I Fax: ( ) relocation
200 arripS or -- 59.36 1
Owner installation:This installation is being made on property that I own which is not [
201 amps to•I 1 amps 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701.
401 amps to ''amps 168.54 2
Owner signature: Date: Branch • ts-new,alteration,or extension,per panel
.'.-..:',. ,:714.--1:','3,4!1:',;"C' !:11t1W04.0.,7#0000Scr.:;..rgi,t. A.Fee for b , ch circuits with
above s ,:ce or feeder fee.
Business name: each bran. circuit 7.42 2
B.Fee for. ... .circuits without
Contact name: service or coder fee,first
branch ci . it t 56.18 56./ 2
Address: Each addi b .— cirain 3 7.42 22. 2.L.:1 2
Miscellanea .,(service or feeder not included)
City/State/ZIP:
Each manuf•, rod or modular
67.84
Phone:( ) Fax: :( ) dwelling.se ice and/or feeder 2
Reconnect o•y 67.84 2
E-mail: Pump or irri: ". circle 67.84 2
. - • ...: . :i'.,..,]-;:„,.....:".,,:-.',7;r4t0NrallAgieR ' ;. - . -.- f.' - Sign or outli,. lighting 67.84 2
Business name:Bridgetown Electric Signal cires0,•)or limited.energy See
panel,alterati,n,or extension. _ Page 2 2
Address:5701 N Lombard St. Each add'..old inspection over allowable In any of the above
Additional i ,.•-.;• (I br min) I 6625/In
City/State/Z1P:Portland,OR 97203
Investigation ll hr min) 66.25/hr
Phone:(503)621-7122 I Fax:(503)621-7123 Industrial pia (I hr min) 78.18/hr
Inspections f, which no fee is
CCB 1.1c.: 103824 Electrical Lic:: 6-887C Suprv.Lie.: 41775 -.- ince) IL•-• 'A hr m- 90.00/hr
.,.J:...‘••:,.1::;,--,:::'?ri.-:&ICI ia.'4711°InCr.712.7..a.25.3=WIPSE
Suprv.Electrician signature, ....,.... ...01,0.20_,ile...z. Subtotal.• fl l's
- •
Print name: Keith Steenslid Date: Plan review(25%of permit fee):
S .e surcharge(12%of permit fee): q a at I
Authorized signature: Tyra ram ra .-..-1 as-
4 b. ( ,o •
-
Pfilli Dint: I., ,1 , .
:• ,,
111b Rh i. Nii !III! ''. gli:i. li: 111,,',,ri
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1 I • i.,! gill
"72— 721 v/S , .
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