Permit CITY OF TIGARD ELECTRICAL PERMIT
• COMMUNITY DEVELOPMENT Permit#: ELC2014-00132
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/19/2014
Parcel: SEG1073
Jurisdiction: Tigard
Site address: SW NO ADDRESS
Project: Main Street Lighting Subdivision: Lot:
Project Description: Install(1)new service&(8)branch circuits for lighted bollards&tree well receptacles. Work location:in sidewalk
area in front of 12490 SW Main St
Job No.65535
Contractor: E C COMPANY Owner: CITY OF TIGARD
PO BOX 925 TIGARD, OR
ALBANY, OR 97321
PHONE: 541-926-4266 PHONE:
FAX: 503-295-3012
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 03/19/2014 $100.70
Specifics: amps or less
8 crt Branch Circuits w/Purchase 03/19/2014 $59.36
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 03/19/2014 $19.21
Electrical
Type of Const:
Occupancy Grp:
Total $179.27
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 acco•=ace 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. ATT ' ION: Or-,•n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0 10 through OAR 9 ••y 190. You may obtain a copy of the rules or direct questions to OUNC by callin 63'232.1987 or 1.800.332:2344.-
Issued _ : _ /�/r jA -4 Permittee Signatur
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.
From:E C Company Bids /Fax 48771 751-8339 To: Fax: +1 p503,598-1960 Page 3 of 3 03/18/2014 11:33
Electrical Permit ApnlicatiY CEIVEP FOR(IFFI( i. i tit ff.! 1
t 1J
City of Tigard �� .. 0 Permit No.: E ,/ -eV/?jv7.
• 13125 SW Hall Blvd_,Tigard,OR 97223 Plan Review
= Phone. 503.718.2439 Far: 503.591M y 8 Date/13 e 17th``Permit
tits ectiou Line: 503.639.4175 1 g 2014 Date lur:n
[Et�AKD p Ready/By: ® See 1'aae2for
!ntcmct: vv ww.tigardor.gov Notified/Melba!: Supplemental
> rTlARE
TYPE O k p� 1 JEAN RE v;'
®New construction ❑Additioj ,add niSleR Please check all that apply(submit 2.sets of plans wfitems checked below).
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault cement ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION •• exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to gmund,or x ccods 14,000 ❑Commercial-use agricultural
❑ 1-and 2-family 2—family dwellin g ❑Commercial/industrial ❑Accessory building
amps for all other irtchllationc buildings .
❑Multi-family ❑Master builder ®Other: ❑Fuc pump. ❑Installation of 150 KVA or
. ❑Emergency system larger separately derived system.
. , JOB SITE INFORMATION AND LOCAUO1" • ❑Addition of new motor load of 1:1"A""E"•'1-2""1-1•',
Job no.:65535 Job site address:12490 SW Main (5 tea /073" 100HP or more occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard,OR ❑Health-care facilities ❑Supply voltage for more thau
• ❑l Lvandous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name:Main St.Lighting 1 ❑Service or larks 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site:In side walk area in frost of 12490 Main rwr,;p,N, 1 q�. i r.,. I ra,a 1 •
New residential single-or multi-family dwelling unit.
includes attached garage.
I 1,000 sq ft or less 168.54 4
Subdivision: Lot no.: `
Fa.add'!515)sit ft or portion 33.92 1
'fax map/parcel no.: Limited energy,residential 7500 2
" •. 'JFSCRIPTION_OF,.WORK (with above sq ft)
Limited energy,multi-family
New service fro new lighted bollards and tree well receptacles residential(with above sq tl) 75.00 above 2
Renewable Energz _ ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
®,PROPERTY OWNER ❑'FEPiAAf1' 200 amps or less 1 100.70 100.70 2
Name:ODOT 201 amps to 400 amps I 133.56 2 -
1- •
401 amps to 600 amps _...__ 20034 2
Address: 601 amps to 1,000 amps 301.04 2 .
Over 1,000 amps or volts 552.26 2
City/SU/et/'P- Temporary services or feeders installation,alteration.and/or
Phone:( ) I Fax:( ) relocation --
200 amps or less 1- 59.36 1 :.-._
Owner installation.Thin installation is being made on property that I own which is not 201 amps to 400 mops 125.08 2
intended for sale,lease,rent.or exchange,according to ORS 447,449.670,and 701. 401 an to 599 amps [68.54 2
Owner signature: Date: Branch circuits-new.alteration,or extension,per panel .
.® APPLICANT r ❑ COJ rtAC'F.PELtSON A.Fee for branch circuits with w,
1- above service to fixxka fix:, 8 7A2 59.36 2
Business name:E C Company each branch circun
B.Fee for branch circuits without
Contact name:Shanna Fullbright service or thedcr roc,First 5618 2
branch circuit
Address:P O Box 925 Each add'I branch circuit 7.42 2
City/State/ZIP:Albany.OR 97321 -- -------_'- Miscellaneous(service or feeder not included)
Each manufactmixl or modular 67.84 1 2
Phone:(541)926-4266 Faot::(877)751-8339 :!welling_service and/or feeder
Reconnect only 67.84 2
E-mail:shannaL)e-c-co.com r Pump or irrigation circle 67.84 2
I �
nowt ictoR l Sign or outline lighting 1 67.84 2•
Business name:E C Company Signal circuu(s)or limitedenergv } See
panel,alteration,or extension. I Page 2 2
Address:P O Box 925 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
City/State/ZiP:Albany,OR 97321 Investigation(I hr min) 66/5/hr } 1
Phone:(541)92.6-4266 i Fax:(541)926-0165 industrial plant(1 hr min) -� 78 18/hr
ins ions for which no fee is
CCR I.ic.: 49737 l'rr5 Electrical Lie.: 22-15c Ax\ Suprv.Lie.: 3257s �\.` specifically listed(y,hr min)
` 90 00/hr
Su Electrician signature,required: ELECTRICAL, PERMIT FEES
gnre,ro9 Subtotal: 159.36
Print name: William R.Coburn / N—Date: 03.18.2014 Plan review(25%of permit fen): 7?-1
i"1 - State surcharge(12°/.of permit fee): ,J.l}i2" Y.
Authorized signature: ] fK / 1 ` TOTAL PERMIT I•iE:
This permit application expires if a permit is not obtained within 180 Q
Print name:�,,,,:r/./•I /f.. tnf3.+.1.%Jf:.r.- Date: 3 •/r /-I days aftcr it has been accepted as complete. 4 1? I r
1(5 e
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
SW NO ADDRESS, TIGARD, OR
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2014-00132
Chip Barnett
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
SW NO ADDRESS, TIGARD, OR
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2014-00132
Chip Barnett
Violation Summary:
Inspector Contractor