Permit CITY OF TIGARD ELECTRICAL PERMIT
• ,t COMMUNITY DEVELOPMENT Permit#: ELC2013-00601
Date Issued: 10/09/2013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S112CB03900
Jurisdiction: Tigard
Site address: 8469 SW ASHFORD ST
Project: Woodard Subdivision: ASHFORD OAKS NO.2 Lot: 53
Project Description: (1)200 amp service for ground and bond electrical service
Contractor: BEAR ELECTRIC Owner: WOODARD, DANA C&BEVERLY A
PO BOX 389 8469 SW ASHFORD ST
DONALD, OR 97020 TIGARD, OR 97224
PHONE: 503-678-1355 PHONE:
FAX: 503-678-1108
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 10/09/2013 $100.70
Specifics: amps or less
1 ea 12%State Surcharge- 10/09/2013 $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 OA: •52-%u I •'. Y+u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /
Issued By: 4��tLl lAC Permittee Signature: �� "G/` —77DIN/
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.
OCT-07-2013(MON) 13: 17 B (FRX)5036781108 P. 001/002
e •
City of Tigard ,� , lleerl.,•rl ��
i �l:ll lt% la/9 1','11,1 � 0�3—006O/
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Mali Ill,d I I_•,url 11It '1 : � 7 _._
l'i'me `II 718 2419 I;I\ 4n1 "ISQInIT ( 2013 I
Min ltn r.r,
I Ltl:Ill I h lk Ithpa'ctl UIIPa• 511.Ef)4)1a 0Srr 7. .I(_
TIGAP,D 1,1.11'a.a.i1 1a'. _ '�h4r, _. .— ._
Intnnel 1,1,"ttp:ud-in po% 4n111u'1\1e114e1 Supplemental lnformonort
�... F TIGARD ..___—_.—w ��__. .
Z YPE a t G DIVISIOP� ? 1 PLAN REVIEW •
1 0 N o% construction 11rll11ll11f;1li..ral llllt/rcpl:k'C111e111 --- — II'lcase cl,iL all deal apply Isuhim'2.cu.of plate v nrnra.hed.01IWIa,.)
Lr ti„s1,"r n,ICrde1,mn amps re moo: ❑lhukllnp ner dime•inns.Q )d11111111 Other:
.---�__ alq',c ills'mailable hull curlew ❑Magma,an.l lul:m.ua.
CATEGORY OF CONSTRUCTION acccd•111.111111 murk,,11 1511'.ults m 0 Flitter huddnlp
h?\II11;poised.PI eACCr1II,14.01111 ❑colmurlelaLu.e nFrw'nhural
MU!:— .-. 111' 111'01111V D Commercial/industrial 0 Aecessors Intuiting+
• amp.In,;ill n11u'In.I:dlal ulu. 14111,1nIp?
❑Muhl-lankly' ❑Master builder ❑Other: El i lie pump ❑lnslah:nrnur1115 k VA n1
JOB SITE INFORMATION AND LOCATION ❑Lntetpenry+.*tent 1:11ps,s p:aata}denscd•ka'e,l
"�" ❑AJdu,.,ll at nevi mnlnr InMI nl ❑"A- "f "1 ` "I•:"
,luh nn,: lob site address:' 100111'iv mare (xcupsIu,
��/��-. (� v Sn or male residential units ❑Item:monal'chicle park.
("Its'/S1ali/ZI l': 1 _{ M1) Li• 1]I lcalth•cue facilities 0 Sulttlt�ndlalr IM nulrr than
�..I 1 ❑I laa idn o,hrcatrunr non knit.nnntntal
Suite/bldg-/apt,no.: Project name: PO C settiicc,tl reedn 600 amps at mote
Cross;tri:ct/dirccinns lo jnh tide: FEE SCHEDULE
Deveyuion Q.?. Fee. -told •
New residential single-or multi-family dwelling unit.
!Deludes attached garage.
Subdiviion: I.nl no.: i..!°°sq.ft.or less 108.54 4
Ea,add'1500 sq 0.ur portion 33.92 1
Tax map/parcel no.: _
^^— — Limited energy.'es/dential 75 00 1
DESCRIPTION OF WORK (with above sq.fl.)• '� w _' �Limilyd energy.muhi.l;lmrly 75 00 2
��f.�.'i(- ��+[sl ft1!/.J��ll residential'with above Sq.11.)
-e�/�(��. Services or feeders Ibstallatinn,alteration,aodlor relocation=
LL`.--►1 200 amps or less 100 70 ! 2
❑ PROPERTY OWNER I. D TENANT 201 amps to 400 amps 133.56 2
Name: /00 Bi6'5/24 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address; Over 1,000 amps or volts 551.26 2
CitylStatc/ZIP: Temporary services or feeders installation,antral-Ion.aad/ur
-- - relocation
I Phone:( ) ( Fax:( ) 200 amps or less 59.36 I
Owner installation:This installation is being made on properly that I own which is not 201 amps I0400 amps 175.08 2
intended for sale. lease,rem,or exchange.according to OR$447.449,fi70,and 701. 401 amps to 599 amps I69•54 2
Branch circuits—new,alteration,or extension,per panel
Owner signature: Dane: A.Fee for branch cirtuils with
0 APPLICANT 0 CONTACT PERSON above service Of feeder fee, 7.47 2
r each branch circuit
13n5iness ntlmc: 1 B.Fee for branch circuits without
Contact name J — service or feeder fee,first 56.18 2
�p� L branch circuit
FIFAA F-45G-I Each add'l branch circuit 7.42 2
Address: PO BOX 399
20985 fUETEV1uxan Miscellaneous(service or feeder_Dot included)
City/State/"LIP: DONALD,OR 07020 Each manufactured or modular
67.84 2
CB 0 20010 dwelling,Service and/or feeder
Phone:( ) Fax: :( ) Reconneel only 67.84 2
maL ►CQ Pump or irrigstion Circle 67.84 — 2—
Sign or outline lighting _ 67.84 2
CONTRACTOR Signal circuit(s)or limited-energy
Business name' panel,alteration,or extension. Page 2 2
.. Each additional inspection over allowable in any w of the above
Address: K 3c [] Additional inspeclion(1 hr min) 66.25/hr
Ciry/State/ZIP: L I &. °,�C) -jam Investigation(I hr min) 78,18/be
op,. :` tJ�"}� Industrialplant(1 hr min) 78,18/be
Phone: .f� I n"'1 \ • I Fax:�`j, �� I 1 (f' Inspections for which no fee is �'
��/4 t�L� 1 �•v V specifc:illy listed('/,hr min) 90.001 hr
CC13 Lic_ Electrical Lie Suprv.Lie.:l —�1 to p - 1 5 _ ELECTRICAL PERIV�i I
Suprv. Electrician signature,required: � Subtotal: �(��--/td•
—
Plan review(25%of permit i'ec),
Print name: ` I Date: 1r0/-7 Slate surchalgc(12en ofpermir fee): `'
YV TOTAL PLRIIAIT FEE: �� "�
Aulhoriccd signnlurc:
�, '. This permit vpplieati0a Endres if a permit Is not obtained,.ithlo 1 An
Print name:"t/ I . ,Date: 101-'� days after it bas been accepted as complete.
Nc • Number of iuspeetions allowed per permit.
I'WuildinpWel,.atALLC-Y,-„nitApa doe a7/att10 410.40171(1 IrnvCOM/Whil --
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
8469 SW ASHFORD ST, TIGARD, OR, 97224
Residential - Electrical
199 Electrical final
2014-04-08 (null)
ELC2013-00601
PASS - No C of O
Violation Summary:
Inspector Contractor