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Permit
CITY OF TIGARD ELECTRICAL PERMIT• ' ' • COMMUNITY DEVELOPMENT Permit#: ELC2015 00499 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/29/2015 TIGARD Parcel: 2S112CA09600 Jurisdiction: Tigard Site address: 7458 SW ASHFORD ST Project: Turley Subdivision: RENAISSANCE WOODS Lot: 22 Project Description: (2)branch circuits for kitchen remodel. Investigative fees collected for BCC2015-00029. Contractor: COHO ELECTRIC INC Owner: TURLEY, CHRISTOPHER N&JANINE R PO BOX 40 7458 SW ASHFORD ST WILSONVILLE, OR 97070 TIGARD, OR 97224 PHONE: 503-582-9774 PHONE: FAX: 503-582-9840 FEES Quantity Description Date Amount 2 crt Branch Circuits wo/Purchase 06/29/2015 $63.60 Specifics: Service or Feeder 1 ea 12%State Surcharge- 06/29/2015 $7.63 Type of Use: SF Electrical Class of Work: ALT 1 ea Investigation Fee 06/29/2015 $90.00 Type of Const: 1 ea Investigation 12%State 06/29/2015 $10.80 Surcharge Occupancy Grp: Total $172.03 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 0:1439 ::1-0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. i D� �,e-',E�i�o� Issued By: I %�� �. Permittee Signature: 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. Jun 2915 08:46a Coho Electric Inc 503-582-9840 p.1 Electrical Permit ApplicatI i CEIVED 11:01t on ici tis1 O I,1 III City of Tigard JN 2 9 2015 �`°`"°d LQ as h Permit No.: Sao/ 5 d�'9q 13125 SW Hall Blvd.,Tigard,OR 97 Plan Review i q a Phone: 503.639,4171 Fax: 503{ p,�3y: Other Permit: l rj j'�,9 Inspection Lino: 501639.4175 ��TIGARD DateReady/By I curls: 0 See Pagel for T(G A r D Internet: www.tigardor.gc v BUILDING DIVISION Notified/Met od Supplemental information F ices.:_ pa"a. T s 4v: ye's+..v } ..sue; a. sW;,!.T7,:-a :E-.!-nesr -ai r '•'-"'' r iq z f.,a ,-..x....-::::- .,,:__-,-... } cF-4.4 : :`•.,-,....i; `:''' ' ' 'd�c�' ' h, t; ;.rxi ;:fJ'.5 .,.. -L-5.€ 26::4 41:,.^.Ss. ...... , tn.a .“:_,Lite..L._�:«.;.i.t.:.i`w' " Please check all that apply(submit j sets of plaits w/itevn checked below): 0. ❑New construction i4 Addition/alteration/replacement ❑Skid or feeder 400 amps or more ❑Building over three stories. 1 ❑Demolition ❑Other: where the available fault current ❑Maims and boatyards. ��tatz apps i,: ar•� r v. ,'v exceeds 10,000 amps at 150 molts or ©Fbating buildings. F rFl: Y'" ?■ a a ,ti,„o N.s , 4:S a .F + .' a Rural ;.• -rK z�.: �k � less to ground,or exceeds 14,000 ❑Coda/-use agricultural 1� 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building amps for all otter installations. buildings. •Multi-family ❑Master builder ❑Other ❑Fire pump. ❑Iostatlation of 75 KVA or y. 1 r�,s.,rsr „t ❑Em tie s larger derived system. ;rl'�,"�x/ry r h�,J 7.T.� •'h a r y� �s_o a+ .n .y i° s Addition of new motor load of ❑ q, 6••.•t_2 .•l_3.• ?� y> fie_:, �_ ,�_ y•�.u ._... a_l ❑ p 0. _ lOOHP or mace. '. Job no.: aO�.S Job site address: -1 45% : , ❑six or more residential units. ❑Recreational rehicleparks. Cj Ci /State/Z�' ._.. ❑Health-cats facilities. ❑Supply voltage for more than ,J tj' 1 ..c , Q °i � ❑Hazardous locations. 600 volts nominal. ,, Suite/bldg./apt.no.: Project name:-1-' ❑Stu or feeder 600 amps or more. ?w HM Cross street/directions to job site: Description Qtr. r" Tatar • New residential single-or multi-family dwelling unit. Includes attached garage. Lot no.: 1,000 sq.ft.or less 168.54 4 Subdivision: Ea add'l500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential 67.84 2 ✓ ° x n al'1•a -d wr . 0 i Tk with above sq.ft_) Limited energy,multi-family IA?.` tI t,tie= .11 r .51 67.84 2 residential(with above sq.R) �'� `f n 1 Services or feeders installation,alteration,and/or relocation } ' 100.70 ' 2 '�" � GOC�tC- -• I 200 amps or less Vi,.: 133.56 2 SW:- 2a: A" Y;°::. ....id ?:. . 1'., ri+8 201 a Ps to 400 amps �, 401 amps to 600 amps 200.34 2 Name: C,lnx-t S ■a,r-S.-.. 601 amps to 1,000 amps 301.04 2 Address: c- _ Over 1,000 amps or volts I 552.26 _ 2 Temporary services or feeders installation,alteration,and/or City/State/ZIP: relocation I Phone:( ) Fax:( ) 200 amps or less i 59.36 1 201 amps to 400 amps i 125.08 2 Owner installation:This installation is being trade cm property that I own which is not 401 to 599 amps 16854 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Branch circuits-new,alteration.or extension,per panel _ Owner signature: Date: A.Fee for branch circuits with .;:'147:4.. "1.4"" ...;Y.--...: �"" r u` Olt:a`,:k.?�` i� ' e11 .j;4'".,.� above service or feeder fee, 7.42 2 '�_ _ ar. !€.... _ each branch circuit Business name: B.Fee for branch circuits without service or feeder fee, I, ii 56.18 <'. 4,3,1.% 2 Contact name: first branch circuit Each add'/branch circuit 7.42 '�1.4..k0„ 2 . Address: Miscellaneous(service or feeder not included) City/State/ZIP: Each manufactured or modular 67.84 2 dwelling,service and/or feeder Phone:( ) Fax::( ) Reconnect only 67.84 2 E-mail: Pump or irrigation circle 67.84 2 s rf. 133�;.' .,1 ."lip.:'• Firs-s-o3.,'-,..`f''a.4- ',314r---'.717. -a Sign or outline lighting 67.84 2 '�r Signal circuit(s)or iimited- Business name: C....06..) E .. L .,-t5i„,, energy panel,alteration,or Address: c)� p>OX `t 0 extension.Describe: Page 2 2 City/State/ZIP: l l5Cynv; \L/ q1 (Z'7 Each additional inspection over allowable in an)of the above Per inspection 6625 Phone:151%._ ) Spa.,`=‘-l- 4 I Fax:( ) 5 ga.- �''?.,4 U i' Investigation per hour(l hr min) 66.25 CCB Industrial plant per hour 78.18 Lic.: �� ;tog Electrical Lic.: 3- -"l5 Suprv.Lic.: �J a�(S s:; ± ~ Ptat4r- � Fes:.` �iE1 . Suprv.Electrician signature,required: ,-/ey �� Subtotal: D •"b O I Plan review(25%of permit fee): Print name: Q Date. --O` ,`'t_i }� p� _f i L State surcharge(12%of permit fee): -I.b 3 Authorized signature: IO\ l •��.,L TOTAL PERMIT FEE: 11 _a�j This permit application expires If s permit is dot obtained within 1$0 Print name: . vi lop iS 1 Date: (� aq�1 S days after it has beta accepted as compteta e ) `1 • Number of inspections allowed per permit. ../Qk t:ldtildinee nnslE C.Percrirapp.doe 10/01/09 440-4615TO t.nslCOVJWEa /Alitisir/64 J-/()L. 4-' ,1 2 Jun 29 15 08:46a Coho Electric Inc 503-582-9840 p.2 ,i' �, Minor Label Log Enter data online. ti..�:>.� :s '''� �` Department of Consumer&Business Services Keep this form for your records. •V411 Building Codes Division �.}r P.O. Box 14470,Salem, OR 97309-0404 503-378-2804 www.minorlabels.info Contractor's name: CCB no.: ELS468256 —_ Job#: (-)b % Install date:l-- ( -1 S CI One-&two-family Work description: r"\. - t`, ". . h __ -k--- o t 5 @ flooA- his ❑ Commercial Installer name: -•. �,-41-,_..) Installer license: Job address: QkZ1 Ito SW E7 c-c..`h'' ko, City: 1-�c 4 r. , Oregon ZIP: •1 �c) Owner address: O Same as above qr City. ,Oregon ZIP: Owner name:,` Ake.rev, �4 � Contact phone: D , C °i a 4 b-53,__. _ F ELS468257 . Job#: Q,Ob. -- Insta I d te: - ..5-1<- ❑ One-&two-family Work description: I4 ` " ,t• a�l ❑ Commercial Installer name: •Ili co,- Installer license: \ �, Job address: �:: � City: -7r _ ,Oregon ZIP: 471 f Owner address: ❑ same as above or City , Oregon ZIP: Owner name: v'rtt Contact phone: ,n 4� at. o� J Job#: &,QCc,�J Install date: 6— .1:,.—:6- i -&two-family , �� a ❑ Commercial FELS468258 Work description��'-o�L e A. Installer name: t --n] Installer license: Job address:_ '.--1 ,..1.... �c s\n,n�cr. City: ©.-t•-.o,. C-A'-j ,Oregon ZIP: ::1 -I Owner address:_ U Same as above or City ,Oregon ZIP:, Owner name: (. .-..- r "\--�•i Contact phone: Cti- 11'l 7 F ELS468259 - Job#: c - Install date:,10-- k2.--i v.One-&Iwo-family y d �s�� ,rl bQ � 0 Commercial Work description: !�.�.n Installer name: I.<__. Installer license: Job address: 1 Lt151 i\‘‘,3 t?j.-Aa `' . ✓ City: 1 `l ,Oregon ZIP: Ct-le.q Owner address: U Same as above or City: ,Oregon ZIP: Owner name: GI, t).— . 14.__ Contact phone: ,5' 33 1 ,1- 4.51, 1 ELS468260 Job#: 9t, oa`k Install date:, ‘z,-3b.-dS 141,One-&two-family ❑ Commercial ' Work description: c '-.�� 4n Installer name: R4.-. _ Installer license: Job address:. ►4. `'i LE { I&. - City: Ob-., . ,Oregon ZIP: - lav Owner address: CI Same as above or City: ,_ , ,Oregon ZIP: Owner name: Cam,ti c4\ clnr- Contact phone: a31‘3, a-' 440-2748(41121COM)