Permit q CITY OF TIGARD ELECTRICAL PERMIT
"! I COMMUNITY DEVELOPMENT Permit#: ELC2014-00084
T I G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/24/2014
Parcel: 1 S 136ACO2200
Jurisdiction: Tigard
Site address: 7303 SW SPRUCE ST
Project: Toppng Subdivision: METZGER ACRE TRACTS Lot: 6
Project Description: Electrical reconnect
Contractor: Owner: TOPPING, RICHARD
KEMP, KATHERINE
19765 DERBY ST
WEST LINN,OR 97068
PHONE: PHONE: 503-750-5444
FAX:
FEES
Quantity Description Date Amount
1 ea Reconnect Only 02/24/2014 $67.84
Specifics:
1 ea 12%State Surcharge- 02/24/2014 $8.14
Electrical
Type of Use: SF
Class of Work: OTR
Type of Const:
Occupancy Grp:
Total $75.98
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 i -• •r•_ 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. • TENTION: Oreg. law -quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-0r -0010 thro gh OAR 95 .1-00' •u may obtain a copy of the rules or direct questions to OUNC by calling 503. 2.1987 or 1.800.332.2344.
Iss ed By: " /L.:■i--& i Permittee Signature: 14 /
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.
02/19/2014 23: 11 5035981960 CITY OF TIGARD PAGE 01/02
Electrical Perl---- —. 1 Application FOR 01:1•1(.11...1;SI:ON 1.1
City of Tigard
. ,-- 13125 SW Hall Blvd_,Tigard,OR 97223
11111 Received
Date/By j. ON((1-7 Pcrrnit N'•' t i---C12,O(el`Oa),S7 .
pier Review
; v Other Permit:
Phone: 503.718,2439 Fax: 503.598,1960 Datc/By
I I Inspection Line: 503,639.4175 Date Ready/By: Jutis El See Page 2 for
.:. ',Li",
Internet: www.tigard-or.gov Notified/Method: Supplemental brierrit Mims
g71:..--,-4,-Fir,..-r.;cit......:..',..L.::,. .7.-.7. 41.41 Ok&-#4.i.t.:;,,,:.t::'..r:7,:r:...'... . 1:;!:±itiic...;e:ii; --7. 1..-.: 17.7 .tria'att,V.altok- lit,idi',71-.7•11::,7.-;
-,..'?171:1::,:'f.7..'-'2;:FT!.'n,'nq.t1-.4.47,...-".---2.....-- ---• ..--• ..*.*s..'.'-' - --.-.. •.-.•' 1,•'- ---.'''''-'1'' iirw-aaital •- .•. ' -4-y"..-
PION check all that apply(submit g acts of plans vditems checked below);
0 New construction 0 Addition/alteration/replacement ['Service or feeder 400 amps or more 0 Building over three stories.
Li Demolition 0 Other: where the available fault current ID Marinas and boatyards.
IL&::kiliiViL4OF.:`'.. r.:,:;.---..-1.:1 ''Utitrz;°.... .--....• .-.. .. .... ——. "-. exceeds 10,000 amps at 150 volts or lil Floating buildings.
-•-- ' ' - .•-• lass to ground,or exceeds 11,000 0 Commercial-use agricultural
0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
1:1 Multi-family 0 Mastcr builder 0 Other: 0Firc pump. IDInstallation of 150 KVA or
0 Erne rgenc y Syntem. larger separately derived system.
47745.57. 7i7,-...;f:.:2.1?7,470.1g.WA01451.**,.. V.Ric,....,,,.,_...,.. ..._, 4.T.411* I]Addition of new motor load of In A "1-2","1-3",
Job no.: .0z!
lob site address:77,6 3 ,--zia --5772-- , 100HP or mom,
0 Six or morc residential unit& CI occupancy.
Reereational vehicle parks.
City/State/ZIP: 7--;y.„4,.-p,ri,ii,9 qv 2z3 0 Hcalth-cons facilities. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldg,./art.no.:74 I Project name: 121SerViCC OT feeder 600 amps or MOM.
7:....77 .'1141EOMIOVEV7,F,77,73:,....5.1.iti; ,.'....:.
Cross street/directions to job site: Descripti.. f cm.: I pee. I T., 1
_
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq,R.or ICS9 168.54 4
Ea.addl 500 so.It or portion 33.92 1
Tax map/parcel no.: Limited energy.residential 75.00 2
...1'i'..,,,.::.;•.,.::........:l<.:.=":`.;':=.-.2.-...'t...-•t,a.;.:.,':tIESL•jitnllT (with above so.ft.) . - .
Limited energy,multi-family
e -r- . residential(with above sq
_- ..11) 75,00 2- _
Renewable Encuz CI See rage 2
Services or feeders installation alteration,and/or relocation
`:•.",,.?..:,..I.:;I:.:.;,•.,'..I.:,... ,laitigitifiticiVjobe,,iiew,;,:?„-;....WAIT:::iti', rr.-111011--iltiv...7......=:;i .i.l.::::•.: 'r. 200 amps or less 100,70 2
201 amps to 400 amps 133.56 r 2
-
Name: gIC44.441D — ber/1.I 4 401 amps to 600 amps 200,34 2
..,
Address: I q?-6,S ST 601 amps to 1,000 amps 301.04 2
Ciry/State/ZIP: 1,.,pti- L../kft‘i q-7061 Over 1,000 amps or volts ... 552.26 2
Temporary services or feeders Installation.alteration,and/or
Phone:(Sc3 )7S 0 c44-4-1-41' ff.( ) relocation
200 amps or less 59.36 1
Owner installadon:This installation is bcin, ade on prop % that I own which is not 201 amps to 400 SMPF1 125.08 2
intended for sale,lease. • -- -eh-, '• r''Cording to:101,7,449,670,,and 7i_ii.._.
i 401 amps to 599 amps 168.54 2
Owner signature: Date: i • Breach circuits-new,alteration,or extension,reusing!
— ... ''... , 1:1'APPIlt.Arit.''... •T''.•:.'....'..,7.-.1'.' .....,"i ...7...12'...64441Art- . • . . A.Fee for branch circuits with
above service or feeder fee, 742 2
Business name: each branch circuit
— A,Fee for branch circuits wolrfau
Contact name: service or feeder fee,first
56,18 2
branch circuit .—
Address; Each add'l branch circuit 7,42 2
miscellaneous(service or feeder not included)
City/State/ZIP: Each manufactured or modular 67.84 2
Phone:( ) i Fax: : ( ) dwelling,service and/or feeder
_ Reconnect only / 67.84 6:2. ."‘ii 2
E-mail: - or irrigation circle 67,84 2
. : .,..,' . ,..' : . '''::'... .' :. "".. gigaitneACTOIri....'.1•., .::!.;..I.I.:*• .:.:: . . " .•''' 7"....Z.. sign OT outline lighting 67.84 2
BusincSS name: Signal circuit(s)or limited-energy See
-nel,alteration or extension. Pa.,e 2 2
Address: Each additional inpcction over allowable In any of the above
Additional inspection(1 hr min) 66.25/hr
Cily/State/ZIP: Investigation(1 hr min) 66.25/hr
Phone:( ) Fax: ( ) Industrial plant(1 hr mm) 78.18/hr
Ingections for which no fee is 90.00/hr
CCB Lie.: I Electrical Lie.: I Suorv. lie.: specificallylisted VA hr mm )
''ItItg(.r!Mir PaiblarrrtraV: •'.......:;....:,•:77
Suprv. Electrician signature.required: — Subtotal:
. Plan review(25%of permit fcc): L.---.
4' Print name: _JAI 5 ,Z7 L, -,:),-,/Al. I Date: 2/.2144/
State surcharge(12%of permit fee): _R.- /
' Authorized signature: "/ 47 TOTAL PERMIT FEE: 5,9 r
. This permit Application expires if a per-mak not abtaille3withi.180
-
Print name: Date: &isa after it has been accepted as complete.
• Number of inspections allowed per permit.
1:\aulidlnocrmits,.ELC_PermitApp,,ELR_EFM.rtm Rev 05/21/2011 440-4615TO I/OS/COMAUFEL