Permit CITY OF TIGARD ELECTRICAL PERMIT
' COMMUNITY DEVELOPMENT ELECTRICAL
ELC2013 -00722
1 3125 SW H all Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/09/2013
T[ C; A J7 g Parcel: 1 S 136DD01300
Jurisdiction: Tigard
Site address: 6855 SW BAYLOR ST
Project: Tillamook County Creamery Subdivision: WEST PORTLAND HEIGHTS Lot: 19
Project Description: Electrical for TI: (2) branch circuits.
Contractor: DREAMHOUSE ELECTRIC LLC Owner: HAINES CROSSING LLC
221 SW MOONRIDGE PL MALCOM & SHARON ESLINGER LLC
PORTLAND, OR 97225 LAKE OSWEGO, OR 97035
PHONE: 503 - 519 -6711 PHONE: 503 - 997 -8478
FAX: 503 -648 -9723
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo /Purchase 12/09/2013 $63.60
Specifics: Service or Feeder
1 ea 12% State Surcharge - 12/09/2013 $7.63
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $71.23
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.
Issued By: r—� Permittee Signature: c_&
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.
•
Electrical Permit Application % % 'OR OFF l(E USE o,ll,ti
1 �
City or Tigard � Received
a 13 125 SW Hail Blvd., Tigard, OR 9722 DateB 1 / � Permit No. : _
Pt
Phone: 503.718.2439 Fax: 503.598.(960 1
Inspection Line: 503.639.4175 9 10 DatelRan Rev y: iow
Otbet Permit: e , I i 0
TIGARD) `C pate Ready/By: 9! See iett ii or
lntemet: www.tigant- or.gov '0 ; ' k Viatitied/Method:
-� Supplemental , / mentoE laformnt on
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❑ New construction clif AdditiOnialterationfre. ao.fr Please check all that apply (submit 2 sets of plans w /items checked below)
1
❑ Demolition ❑Other 0 Service or feeder 400 amps or more t Building over three stories.
\�o` "" where the available fault current ❑ Marinas and boatyards.
� 1 t 1rin�t. [t:iri. .j)El 4nt rn , �' 1 ^,a •fI 1"ptr+n- , �? exceeds 10 , 000 am at 150 volts Fl
1 ngs. as w oating bu
,. £...4 i J. i.. ;i l +I �? ti j• .:, T;avt,, 1..2 5 1, $ 7 r t : ; f, h i.; '.
� ) b � - I z i :' 1 _ ti .d.I` t ii`µ+ } iz' less to ground, or exoeeds 14 ❑ C omrneiciat.
1=1 i - and 2 - family dwelling h Commercial /industrial El Accessory building useagricuhural
amps f or all other installations. buildings.
❑ Multi family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ installation of 75 KVA or
KVA,t7" 5 ..s. }1 3 r- *tt h f,: r T . t BZ� v ,j'� �"�:' ;u ^M w 3t`ts+! y+ � ' � ta � 6 ' � .1? yp 7 ' , r " . por.1F , 1i 'k ❑Emergency system. larger separately derived system.
„,,v n�tf.,r S * V n :.•k Sfun ..y _rk V:ir LS4.1 ❑ Addition of new motor Load
Job no.: Job situ address: , �/ 5 s • y- S — l QOHP or more, occupancy.
❑ Six or More residential onus. ❑ Recreational vehicle parks.
City /State /ZiP: rI Y4_, • It. of 9--3 ❑ Health -care facilities, ❑ Supply voltage for more than
❑ Hazardous locations, 600 volts nominal.
❑ Service or feeder 600 amps or more.
Su ire/bldg./apt, no,: Project name;
F µ tr 1 , �r� h ^FINf"FNfPRY ],
,m u l �f `41'jc' , c,il• ', ` Lr 1, S ti'1 Q b +1 ,),". '
Cross street/directions to job site inert lion
New residential single- or multi- family dwelling unit.
Includes attached gars : e.
Subdivision: Lot no,; 1,000 sq. ft. or less 168.54 4
ea. add' 1 500 54,, ft. or portion 33.92
Tax map /parcel n0
q Gimrted energy, residential
i�c� '; 4 , ,,{!7.n a�SCe i t7t rr 161' rt a. .�}'y i'FRIl'7'i a n � c i
{{���� �1tt11 f 1 �w •E 7'h6r a , T' ,, Ar i ,� d T "' y,� P+ fit I r - fi er #0 75.00
111t1; � ."'« E� ,r.;3�i�.1„� vi'r r .calv�r���� ,+n n. �' ��h? la t��i ,ir'i�`N.i.� +1 a`.1�ilY3i With about s•. ft
Gtr ked energy, multi - family III
CI
residential with above s•. ft.) 75.00
Services or feeders installation, alteration, and /or relocation
4� r i 200 amps or less 100.70 2
1 ( ?'9 t' I ,• r - 1 y ., v ,>• 3I �!" i .ti {I , 1 � f tM, : r W M 2 w 1;r1a~*1 #1?'.".i ' 201 am s to 400 am s El
',, , 2 . rr..:.a._ r,. tLr',:21: . :4.r, lh,...� iirl fij Z , ,t1..,� - ,,41 1 r 1`� t '4 thatasuf�K.e' P P ] 33.56
f1i,9LL.r.I[Aat4,
Name: 401 amps to 600 amps 200.34
601 amps to 1,000 amps 301.04 it
Address: Over 1.000 amps or volts 552.26 2
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 20D amps or less 59,36 1 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125,08 2
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 'er 'and
Owner signature: Date: A. Fee for branch circuits with
� 7.7,:; Y , } §^ i I�+ Y'c " � d 1z t�3, ) w i ] ? r -`; _l+. 7 } _ ; p ;
f t31, �j r Trf� j1 " Ci J 7-711 >: sJ c„ F ¢1 '4FTIT'n,i�rt +:•,i above service or feeder fee,
t . t.cite;f .....1til.. ..:./.,....11.x. =v4 1',u « „ a.,...�t : ..�,:_I, , .r .f2.:a cu,i...s..1 � 1,l'O each branch circuit 7.42
Business name: B. Fee for branch circuits without
Contact name: service or feeder fee, first
branch circuit 55.18 5( rf tl
Each add'I branch circuit IIM 7 47 EI
Address: _ Miscellaneous service or feeder not included)
City/State/ZIP! Each manufactured or modula
dwellin;, service and /or feeder 67.84
Phone; ( ) Fax; : ( ) Reconnect only 67.84 El
E -mail: Pump or irrigation circle 1111 67.84 LI
tygy�rt E>l ' {�T,°*1' 3'un^`4e 7' langtrr v rt mG ° v lri'. , ea m cNr, � xtp T , HiG Or tlne li8htin8 67.84
Sit�tyltdt s'` 'wit / «i2 '• 11 w Pal! 6fa!,ui, �i }� c 'd', , $AE2.12ltall vti �r� a,.t)„i , 1..w1fc;.W3i�`lifi �1 iii Si circ l i n t s) or limited- energy
Business name: DreamHouse Electric, LLC •rnel, alteration or extension. Pare 2
Each additional inspection over allowable in an of the above
Address: 221 SW Moonridge Place Additional inspection(1 hr min) 66,25/ hr II
City /State/ZIP: Portland, OR 97225 investigation (1 hr min) 66.25/ hr
Phone: ( 503) 519 - 6711 Fax: ( 503) 648 - 9723 industrial plant (1 hr min) ■ 78.18/ hr
CCB Lie,: 196726 Electrical L'•.. - 84: Lic 45605
P inspections for which no fee is 90.00/ hr MIIIIIII
ecificatly listed hr mm
Suprv. Electrician signature, require. s d 9
c "l- t 4 • h , r c ,, t � I �
Q ..,.'.a ci st.h�laxlk±.,ai" ` ' a'', t+ h n� as G4 «klJ': s a` ,Jt..Ih: to ' f
Print name Chris Mahoney Date: Subtotal: , p
•
Z ' Plan review (25% of permit fee):
Authorized signature: State surcharge (12% of permit fee):
Print name: Date: TOTAL PERMIT FEE: e7/ . ``'
I: Building \Permits \ELC- PermitApp.do4 07/01/10 440- 4615T( 11/05/COM/1UB
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
6855 SW BAYLOR ST, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
2014-01-14 00:00:00
ELC2013-00722
PASS - No C of O
Violation Summary:
Inspector Contractor