Permit (81) CITY OF TIGARD ELECTRICAL PERMIT
11 COMMUNITY DEVELOPMENT ig101°''
Permit#: ELC2015 00986
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439Date Issued: 12/16/2015
Parcel: 1 S134BC00403
Jurisdiction: Tigard
Site address: 12505 SW NORTH DAKOTA ST 1408
Project: Meadow Creek Apts./12505 SW North Dakota#1408 Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: Unit 1408,reconnect service and 2 circuits after water from fire in upstairs unit 1416. 3/28/16:Reprinted permit to
include(7)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 Temp Services or Feeders- 12/16/2015 $59.36
Specifics: 200 amps or less
9 crt Branch Circuits w/Purchase 03/30/2016 $66.78
Type of Use: MF Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 03/30/2016 $15.14
Electrical
Type of Const: . 45 Misc Administration Fee 03/30/2016 $45.00
Occupancy Grp:
Total $186.28
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 m- ....in ac•��, .— or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: LrC�S •• ' -• ignature: C J
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 App1icatio ECE(VED FOR OH 1CL: ISE ml.V
City of Tigard Date/B ; Permit s: �/ �D/c-�f> q gt
N 13125 SW Hall Blvd.,Tigard,OR. 97223 MMR.2q1 2016 Plan Review
INPhone: 503.718.2439 Pax: 503.59 , may, Related Permit#: ; i
Inspection Line: 503.639.4175 )I Y O F I Received
I UA f ) Ready Date/5y: JLUu; ' "-- see Page 2 for"'"`
-" ('-'"-13('-'"-13 Internet: www.tigard-or.gov BUILDING DIVISION Notifed/Method: I El Supplemental information
�y yq� 1,� `' ..�,,5..,if^•.'.��i Il� v:.utr �.. ' .• � apply(submit
"��:`E ,off ,
ti
' Ali 1duJl<! Y...✓.p,.i..«�
❑New construction III Addition/alteration/replacement Please check all that p pl 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories;;;
❑Demolition Q Other: where the available fault current
. ,� [j Marinas and boatyards
' k�Ai ii:745 C.7i'�+:0 1 a i,1 n: ;1,, Y.•+ ,{= exceeds 10,000 amps l50 volts or ❑Floating buildings., JSr 1.:x c:: . p g g
❑ I-• d 2-family dwelling 0 Commercial/industrial El Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultnrat
amps fbr all other installations. buildings. •',
C ulti-family ❑Is/raster builder ❑Other: ❑Fire pump, ❑lnstanationoft50lCvAot:''
y . .6f4 ❑Emergency system. larger separately derived •-
il �� 8 = ❑Addition of'new ttwtor.load of system.
Job#: Job site address: ., (MS' Sios3 I , . ` •
r 100I9P or mom. ❑"A","E","1-2""l 3
City/Slate/ZIP: (0 A p El Six or more residential units. occupancy.
❑Health-care fhcilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#:I 0• I ❑Hazardous locations. 0 Supply Voltage roe more than
k Project name: t�� ,a ^ �� ❑Service or feeder 600 amps or more. 604 volts nominal.
Cross Strcel/dircctions to job site: °* t. w ,+ ,I 7 ' °i
N:I�h.i �'��N tn�.� '1-t '� :Y� Y1,...,...."1�1 r� J t.'.�7
Description • l Qtr. Each I Total - •
New residential single-or multi-family dwelling unit.
Subdivision; Lot#: Includes attached garage. . .
Tax map/parcel# 1.000 sq.ft.or less 168.54 4
, c, r n,' Ea.add'I 500 set.ft,or portion 33.92 1`
' t , ,�ty..gy�,;,?1_..1,'11.1 a r 1,01: its-\ 4r. h a ,-t;: ,,. Limited energy,residential
75.00 2
(A�,,�p (with above sq.ft.)
Lst+ A k t • g - -sv`'kLLimited energy,multifamily 75.00 2
�� rr �� �' ' : �� �7_� residential(with above sq.ft.)
J to ;, .P. n t ... n "K 1 r ;� � �°,., .^�: Renewable Energy 1 See Pse 2
'l.,�a+ ��. �,:..-- tCafraa,._I :V; l 7"171.t./7."_dlc,-_,;11,.•,-. 7•:::� Services or feeders installation,alteration,and/or relocation.
Name; 200 amps or less 100.70 2
Address: 201 ainps to 400 amps —'133,56 2•
401 amps to 600 amps _ 200.34 2
--'4-y/State/ZIP: 601 amps to 1,000 amps 301.04 2
•.lono:t ) Fax:( ) • Over 1,000 amps or volts 552.26 2
- Temporary services or feeders installation,alteration,and/or
Emai I: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 3
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date; 401 amps to 599 amps 168.54 2
^^- Branch circuits—new,alteration,or extension,per panel
wA. i, .'.t' 1 J0;:!' I ,�1,,' a M Y �-tot:, . O4i,tIG:'r i..jl'!IYC.'.. '. ,. '
' � A.Fee for branch circuits with C
Business name:Squires Electric,Inc. 4 above service or feeder fee, --1.. 7,42 J'qi
/ 2.
each branch circuit
Contact name; 5.Fee for branch circuits without
service or feeder fee,first
Address:657 SE Ynmhill St. branch circuit 56.18 2
City/State/ZIP:Portland,OR 97214 Each add'I branch circuit 7.42 2
-
Miscellaneous(service or feeder not included)
Phone:(503)252-1609 Fax::(503)253-5831 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:And rew®SquiresEieetrie com Reconnect only 67.84 2
rrh .i: r ,�':, - n. � r Pump irrigation 67.84 2.
.?rW?Pls, Y"��"��t��,,�• s;�•<�.�,:;�; .�:tom s.::',ii" - 7±2,7;.•,:'.:' .:".r..,,� or irri tion circle
Business name;Squires Electric,I Sign or outline lighting 67.84 2
Address:657 SE Yamhill St. Signal circuit(s)or limited-energy ❑ See rage• ,z
2
__ panel• ,alteration•or extension. _
City/State/ZIP!Portland,OR 97'14 Each additional inspection over allowable in any of the.above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)252-1609 F..:(503)253-5831 Investigation(1 hr min) 90,00/
Industrial plant(I hr mm)
Email:And rew®SquiresElect ic.co Inspections for which no fee is
•
CCB Lie.: 135085 E ec r cal Lic.'/ 6-1101C Suprv.Lie.: 4882S s Ricanlisted Yahrmin "t
prv.Electrician signature,req i d: � o t/ � A i,�!s „!'ay5' ?,
Subtotal: 5
L_____.
.int name: Joe Squires Date; 3 0 Plan Review Required(25%of permit fee): •
State surcharge(12%of permit fee): (p •a.3
Authorized signature: 2. --- -- TOTAL PERMIT FEE: 523 e 13.
This permit applicadon expires if a permit isnot obtained within I80
Print name: Joe Squires Date; /1,C`/1 6 days after it has been accepted as com-'-•^
t!u ` e Number of inspections allowed per permit.
1:1Building\I'trmits\ELC_PcrmitApp ELlt eRE..• Rev 06/17/2015 440-4615T(11/05/COM/WEB Li If`.y �
1 tivice74 Yfee=
a w fez - 16/03• i$
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 1408, TIGARD,
OR, 97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00986
Jeff Grove
Violation Summary:
Inspector Contractor