Permit CITY OF TIGARD • ` ELECTRICAL PERMIT
'`1 • COMMUNITY DEVELOPMENT Permit#: ELC2015-00985
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/16/2015
g. Parcel: 1S134BC00403
Jurisdiction: Tigard
Site address: 12505 SW NORTH DAKOTA ST 1416
Project: Meadow creek Apts./12505 SW North Dakota#1416 Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: Service;replace panel in unit 1416 due to fire. 3/28/16:Reprinted permit to include(12)additional branch circuits.
Contractor: SQUIRES ELECTRIC Owner: BEL PORTLAND HOLDINGS LLC
657 SE YAMHILL ST BY EATON VANCE MANAGEMENT
PORTLAND, OR 97214 REIG DIRECTOR OF AASSET MANAGEME
2 INTERNATIONAL PL
BOSTON, MA 02110
PHONE: 503-252-1609 PHONE:
FAX: 503-253-5831
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 12/16/2015 $100.70
Specifics: amps or less
12 crt Branch Circuits w/Purchase 03/30/2016 $89.04
Type of Use: MF Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 03/30/2016 $22.77
Electrical
Type of Const:
Occupancy Grp:
Total $212.51
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 v obta les or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 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.
Electrical Permit A Heat' n FOR OFFICE USE ONLY
City of Tigard CEIVED Received
- •t Dmr/Bv: Permit No.. g cj,f --609 8
t 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503,718.2439 Fax; 503.598.
MAR 2 S 2016 plain Review
Oate/By: Oche('Permit
TIGARD Inspection Line: 503.639.4175 Dao Ready/By; nrq El Sec Page 2 for
Internet: www.tigard-or,gov CITY Or f IGARRD NOtitled/MeihOel: ! Supplemental information
�E ;, r I�V1 I VAI/ lf l ' IL_. PLAN REVIEW
❑New construction Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below):
LI Demolition Service or feeder 400 amps or more ❑Building over three stories.
0 Other: where the available fault current LI Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 voles or 0 Floating buildings.
❑ I d 2-family dwelling ❑Commercial/industrial less to ground,or exceeds 14.000
Commercial-use Accessory building
ld ins COnmrcial-u;e agriculturalm amps for all other instaliationx bt,ildingc.
Multi-family ❑Master builder
0 Other: ❑Rte pump. ❑lnstailaiicu of 75 KVA ur
JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separaicly de.ri.ee 3,stem 1
❑Addition of new motor toad of ❑"A'" E'" 1 2' I.3 ,
Job no.; lob Site address: 60 vV ,5 VI �: IOOHP or mevccupnncy.
� re
�"'^� , 0 SIN or more residential units. 0 Recreational.chicle park“.
City/State/ZIP: " r _ 0 Health-care facilities. 0 Supply voltage for more than
.— ❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt, no.. a Project name:��`�-) - '`� J'r• ❑service or feeder G00 amps or more.
Cross StrceUdirections tojobSite: FEE SCHEDULE
Dwcriytron _ Qtr. Ree. Tend ,.
New residential single-or multi-f$ntily dwelling unit.
Includes attached garage,
Subdivision: Lot no,: 1,000 sq.ft.or less 168.54 4
Tax map/parcel no.: Ea.add'!500 sq.ft.or portion )3.92 1
Limited energy,residential 75,00 2
DESCRIPTION OF WORK (with above so,..ft.) -
(�, Limited energy,multi-family
leis •- a 6\ e `` e. ` _residential(with above sq.ft.) 75.00
• IA �i �!� 1:� r1R-
iCe'y� I Ct1 r! I. _Renewable Enc y 0 Sec_Page 2 .
6 ��� CZ) l� • A ervices Or feeders Installation,niterationLnd/or relocation
0 PROPERTY OWNER ❑ TENANT .a • ` 200 amps or less Ib0.70 7.
Name: 201 amps to 400 amps 133.56
401 amps to 600 amps 200.54 2 1
t----?,,lreSS 601 amps to 1,000 amps w 301.04 2
,y/State/ZIP: Over 1,000 amps or volts ! 552.26 ? I
J
Temporary services or feeders installation,alteration,and/or
Phone;( ) ! Fax:( ) relocat;ort
Owner installation:This installation is being made on property that I own which is not 201 amps or less 59.36 I
intended for sale,lease,rent,or exchange,according to ORS 447,449,670.and 701, 201 amps to 400 amps 125.08 2
401 amps to 599 amps 168,54 ry
Owner signature, Date:
Branch circuits-new,alterntiort,or exteoslon,per panel
0 APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with
aaservice u feeder fee.
12 7 42 . '
Business name SQUIRES ELECTRIC,INC. eachbranch
rcircuit
B.Fee for branch circuits wftlold
Contact name:ANDREW COHEN service or feeder fee,first
branch circuit 56.18 2
Address:67 SE Each add'!branch circuit 7.42 2
City/State/ZIP:POR LAND,OR 972' y M Miscellaneous(service or feeder not included)
—
Each manufactured or mpdular r
Phone;(503)252-1609 Fax; dwelling,service and/or feeder I` 67.84 2
_ :(503-)253-5831J
E-mail;ANDREW@SQUIRESELECI'RIC.COM Reconnect only ate 67,84 2
Pump or irrigation circle 4 (;7.84 2
_ CONTRACTOR Sign or outline lighting 67.84
Business name:SQUIRES ELECTRIC,INCA. Signal circuit(s)or limited-energy '
panel,alteration.or extension. P e',.,15. 2,
I Address n,SEw.,(\_-ll V a Each additional inspection over allowable in anLpf the Above '
Additional inspection(1 hr min) 66.25/hr
City/State/ZIP:PORTLAND,OR 9 Ad"
�lj[ Indstigm on(1 hr min) 7&18/hr
Phone:(503)252-1609 ax:(503)253-5831 Indueiriml plant(I hr min) 78.1 sl nr
CCB Lie.: 135085 Inspections for which no fee is 90.00/hr
E;let Flea .-1101 Supra'.Lic.: 4882S _ specifically listed(V2 hr min)
Sl prv.Electrician signature,req ired: ELECTRICAL PERMIT FEES
- Subtotal' `(n p4-
name: JOE SQUIRES Date: V2G11lV 7G� Plan review(25%of permit foci;
State surcharge(12%of permit fee)JdwithintS 0.e.
Authorl2ed signature, TOTAL PERMIT FEE: 73
.i .
/
Print name: JOE SQUIRESb This permit application expires if a permit IS COt
Date; \ I(J days after it has been accepted es complete.
.
r Number of inspections alIowed per permit.
mai); 04091;.4•. 440-46;ql Iliestrosw 'En
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
12505 SW NORTH DAKOTA ST 1416, TIGARD,
OR, 97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00985
Jeff Grove
Violation Summary:
Inspector Contractor