Permit &// Ti l o ��£ � __ L.
y CITY OF TI ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2010 -00259
o , .
71GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 05/27/2010
Parcel: 1 S136AD05300
Jurisdiction: Tigard
Site address: 6606 SW PINE ST
Subdivision: Lot: 0
Project: Wilton
Project Description: Installing (1) service and (2) branch circuits. 6/15/10, adding (11) branch circuits.
Owner: FEES
WILTON, STEVEN & ANITA Quantity Description Date Amount
6606 SW PINE ST
TIGARD, OR 97223 1 ea Services or Feeders - 200 05/27/2010 $100.70
amps or less
PHONE: 2 crt Branch Circuits w /Purchase 05/27/2010 $14.84
Service or Feeder
1 ea 12% State Surcharge - 05/27/2010 $13.86
Contractor: Electrical
SWICH LLC 11 crt Branch Circuits w /Purchase 06/15/2010 $81.62
PO BOX 10893 Service or Feeder
PORTLAND, OR 97296 0 ea 12% State Surcharge - 06/15/2010 $9.80
PHONE: 503 - 913 -3192 Electrical
FAX: 503- 926 -9200
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $220.82
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. ATTENT a •. ::.on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -00 . through OAR '5 %' 010' , You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800..32.2344.
Issued : �i f __ Permittee Signe 41111MPA
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:
COFQTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2010 -00259
T GARax. Date Issued: 05/27/2010
D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1 S136AD05300
Jurisdiction: Tigard
Site address: 6606 SW PINE ST
Subdivision: Lot: 0
Project: Wilton
Project Description: Installing (1) service and (2) branch circuits.
Owner: FEES
WILTON, STEVEN & ANITA Quantity Description Date Amount
6606 SW PINE ST
TIGARD, OR 97223 1 ea Services or Feeders - 200 05/27/2010 $100.70
amps or less
PHONE: 2 crt Branch Circuits w /Purchase 05/27/2010 $14.84
Service or Feeder
1 ea 12% State Surcharge - 05/27/2010 $13.86
Contractor: Electrical
SWICH LLC
PO BOX 10893
PORTLAND, OR 97296
PHONE: 503 - 913 -3192
FAX: 503- 926 -9200
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $129.40
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952 - 001 - 0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: % '� /� Permittee Signature: d j
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
CaII 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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Man Review
Phone; : {t3.fi39.4171 Fax: ;. . ...1" i3ait -fPt S her t'������lllllt�nii it:
t I nte r eat: Lutes. un or 1 i ; 3 ar ,..i i:`z d €f§•: ',- :m;r L✓r Set, r z < car lnlemet wtvw.G}zarti- or.gov CITY OF iIGARD iVMiiiedNethnd: I S i � { Si spplenren t alInformat io n
FP New erdas$f2 a ' 0 iiifIrefr, $ €gmQv reptI erg en i #. o -L,i apply isw5eali 2 9CAL S3 FI,s� a..jYCami, efic �2 a-ic. :
'.l. ..-3- t t. CiFk.sv e;.,.c kxs..'�a_•r aims Of mrztc f„ ttis ikiinurso thr+a;_.te;rnz.
Demolition L._l Other: ■ where the available Fault current 0 'Marinas and b.;atyards
6A.TEOOR.Y ..OF COT4STRLJC exceeds I wino amps at 150 salt or 0 Fhxrting lwitdtng
f s to ground. in- e.dceeds 14,000 0 } Commercial-use agricultural
z 1- and 2- family dwelling ❑ Commcrciallmdustrial ❑ Accessory building amps liar a!i other instatlatxms. buildings
I C lu1ti• " .Arrr h 0 ;des s B� bi.Oste 1 0 ± r 0 I ?talio_o r 4_ t KVA or
I at ii S ITE . 4ktiRAMAT!ON Ai�T1) LOCATJO1!1 1 1 0t -, - se r Li nh4s., Jeri : : -.
..... ; i:' c� v tact r o d 2
[t n ada of ^ • o : a c n ; .., ,t.. .
Job no : Job site address: 6606 SW Pine Street 100HP or atom. occupancy .
_ ❑ Six or more residential units. 0 Recreational vehicle parks.
. St J^- T r On 97223 0 u;u?Lh- care;: es ❑ S us %% silage !time than
! �.- tt�r,.ttnt2dGit - . Tigard vn9rLC.r ! 1 iliit Supply e for _
__.....__ .. _- ..- . 1 r-t 1 F {F { <Ytl4 lLtGt
fttrri- iiCt{1 vc.1ts nominal.
i. J
Suite /bldg. /apt. no: i P _ roject flaflnC: 1 Fl i } ot.,'--t." +rd cca,,::;i3s 0173 r•e-mr c •.
Cross street /directions to job site: Dexcreplfun ; Qty. 7 pee. - L Total , '
New residential single - or multi- family dwelling unit.
- Includes attached
lu garage.
Subdivision. : Ll tiv .. j _ — - - = —
-- — Ea. aid - i 500 sq. Lt. 01 piiiTiint 33.92 1
Tax map /parcel no
Limited energy, residential 67.8a
: DESCRIi?, t?E' WORK` (with above sq. tit I ; .
I Limited energy , rnullt fatmly I 6;'.84 2
stew meter b and new pallet.
l Services or feeders installation, alteration, and /or relocation I
100.70 200 amps or less 1 100.70 100f 2
g PROPERTY OWNER Q TENANT 201 amps to 400 mops 133.56 i_t_
Name: Steven and Anita Wilton 401 amps to 600 stops 200.31 2
— -- f3,., :�. _ k - .4. . :101.44 2
Address: 6606 SW P:Pine Street ?•,' z 1,, '!1!' : t _ Cr volt _ 2
Temporary services or feeders installation, alteration, andlo
City'/State /ZIP: Tigard OR 97223 relocation
j
Phone: (503 )2931518 I Fax: ( } 200 crops or less 5 9.36 i 1
__......_.. _ __
Owner installation: This installation is being made on property- that 1 own which is not j
-rut autp. to 594 amps 168.54 ! 2
intended for sale lease, rent, or exchange, according to ORS 447, 449 670. and 701. l
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date A. Fee for branch circuits with
;a APPL1CANr 13' C0 TACT .PE above service or fccdcr fix, 2 7.42 14.84 2
- _.. each_ Imm,.a; circa
_
Business name: swich. LLC r U Fee for branch circuits without
_ .__._- ..-- -__..__ - -. -_. __-- -..____.__ .._,___.._.._._----- _-.-- ---- -____--- _--- .-- ......_ -- - ._. service or feeder fcc. first
Contact name: Frank Diodone
branch circuit 56.18 2
_..__- _.___. -- -- -- - -_- ---.____. ...____.--- --- .._._____.- - - -___ Y.. —. Each add'1 branch circuit 7.42 2
Address: PO Box 10893 _ -
Miscellaneous (service ice or r feeder oat ot included)
City/State/ZIP: Portland OR 97296 1 ,��'tccd= I 67.84 � 2 1
Phone: (503) 9133192 Fax: : (503) 9269200 Reconnect only 67.8.1 2
- - — - - - Pump or irrigation circle 67.84 1 2
E mall dtodonet'ezgmail.com
..
;: - 2
... .. . . �1 .. irul ciic ig li ited -40& y
Sigh r tl c liglt � 67.84
I I I Stg - c;r shot-" -r� I I
Business name: swish, LLC
1.ancl, alts: retion, or extension. ! Page 2 i i 2
Each additional inspection over allowable in any of the abov J
Address: PO Box 10893 Additional inspection (1 hr min) hr i
Investtgnuon (1 hr nay) 66.25! ltr
City /State /ZIP Portland OR 97296
i:tL:;;�u' y;�i:`i t i ID i25::i' 't-,'. I .&. la
Phew:: (503) 9133192 Fax: (503) 9269200 Inspections thr which ao fcc is
I t spertGcaIly listed ('r hr min) I 90.00/ hr
CCB Lic.: 187598 c Electrical Lic.: C525 auprv. Lich 154815 �- ; ..ELECTRICAL , PE1ti13 T1' .; :F`E : iv
6 -� , l+ auototai: h I> >
Suprv. Electrician signature, required: �%' I0�
,4 c'i4 (2Fa t f :i`fE_ t E- 'E' I
Print name: Chriss fiaed nger ; Date: 5/26/2010 Site surcharge (124• of permit fee): 13.86
TOTAI, PERMIT FEE: 129.40
Authorized signature: g / 1 - This permit application expires if s permit is not obtabu'd wnone 18(1
days after it has heen accepted as complete.
PY1f1t name: Faca1gea• late: 5126/28110 a ivattebe, nt tnsp ttiL ms aiiowtil t et perk il.
PO-£O bd LO 101001 /9Z/90 9Z :Z (0961.869E0SO ti`dd pun b'd3 :ol 0 1/1 08 13 43!MS:wA
1 ‘■) i 'i ----' :', ',\
Fm:Swich Electric To:Fwd: ELC (15035981960) i ) :,--- : 7: ) : ! ': ' 1 - , - , 1 0:09 Pg 03-04
Li 'L ' ''' -' . .•- - 1 -VR:ttnttPFMEiSetgtalqi:
Electrical Permit Application kip* vevuFcvttmK:EoKovgtcENsE
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0 City of Tigard JUN I. 1 2.010 ..,:11,1k4 rpn., .,i6no-Agkisvate*Ivu agtgaft,
112: iust-tvi.,
Bcceixed
1 Permit No. el 0 .....
. ,
SM.' Flail Blvd.. Tigard, OR 9 -‘ ' Y ,--s ---- man iz,vicw
Phone: 503.6394171 Fax: 503.. 98. l V v ,.; J :'‘ Dawfil,,. 1 Other Permit
0 inspection Line: 5 3.6
039.4175 - 4:: , : , . ::,..
0-:. i Vit'O'''' Date Reildw:By: Jui6 1 0 See Page 2 for
Otte3YMa ..., ..i....... ,„>i e i...1.:..;.,..!
Internet: www.tigarcl-or.gov Notified/Method: I Supplemental Information
. TYPE OF WORK , PLAN REVIEW -
Please check all that apply (sribini17. jets U1 w,litems checked below):
0 New construction Ej Addition/alteration/replacement
0:Service or feeder 400 amps or more 0 Building over three storie.s.
El Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
. . CATEGORY OF CONSTRUCTION exceeds 1000 amps at 150 volts o' 0 Floating buildings.
{emir) ground, oi exceeds 14,000 0 Commercial-use agricultural
Z I- and 2-family dwelling 0 CornmereiaPindustrial D Accessory building amps thrall other installations. buildings.
ID iVillIti-ibmily 0 1\4aster builder El Other: 0 Fire pump. 0 Installation of 75 KVA or
0 Emergency system larger separately derived system.
• JOB SITE INFORMATION AND LOCATION 0 Addition of new motor load of
1 t 00112' 01 ' more. occupancy.
Job no.: ' Job site address: 6606 SW Pine Street
0 Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: Tigard OR 97223 0 Health-care facilities. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
SuitelbideJapt. no.: Project name: 0 Service or feeder 000 amps Or more
FEE SCHEDULE
Cross street/directions to job site. ' - Owl-4mm) Forl Ere. 1 Tntat ---
New residential single or multi dwelling unit.
Includes attached garage.
i .000 sct_ ft 1 4
Subdivision: Lot no.: or less 168.54
Ea_ add'l 500 sq. R. or portion 33.92 , 1
'rax map/parcel 00.: Limited energy, residential I
67.84 2
DESCRIPTION OF WORK (with above sq. P.)
Limited energy. multi-family
67.84 2
new panel 6 M 10 (47D.7- ( (1) 612.41-0c1-1 C teestaITS residential (with above sq. 0.) i
Services or feeders installation, alteration, and/or relocation
200 arnps or less 100.70 2
' lEI PROPERTY OWNER 0 TENANT 201 amps 10400 amps 133.50 2
401 amps to 600 amps 200.34 1 2
Name: Steven and Anita Wilton --
63) amps to 1,000 amps 301.04 1 2
Address: 6606 SW Pine Street 1 Over 1,000 amps or volts 552.26 1 2
---- ' Temporary services or feeders installation, alteration, and/or
City/State/ZIP: Tigard OR 97223 relocation
Phone: (503)2931518 Fax: ( ) 200 amps or less 59.36 I 1
1 201 amps to 400 amps 125.08 1 ?
Owner installation: This installation is being made on property that I own which is not
40 l amps to 599 amps 168.54 I 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449. 670, and 70 i , ....J.
B circuits - new, alteration, or ex - - . , , .. i • .
Owner signature: Date: : Fee for blanch circuits with
- above service or
kg APPLICANT Eg CON! C'1 PERSON 7.42
each branch circuit feeder fee, 1 81.02 2
-----
.ee for branch circuits wirhour
I3usiness name: swich, EEC
service or feeder ice. first
56: I 8 2
Contact name: Frank Diod blanch circui
one
Each add'I branch circuit 7.42 2
Address: PO Box 10893 Miscellaneous (service or feeder not included)
_.... .. .______
Each mantitherured or modular 1
C P _
ity/State/Zit': ortland OR 97296 dweitina, service a7 ice and/or feeder 2 1
P11000: (503) 9133192 Fax: : (503) 9269200 Reconnect only 67.84
Pump or irrigation circle 67.84
E-mail: diodone@gmail.com z
Sign or outline lighting 67 84 2 1
CONTRACTOR Signal circuit(s) or limited-energy
Business name: swich., LLC Lonel, alteration, or extension. 1 Page 2 2
Each additional inspection over allowable in any of the abov
Address: PO Box 10893 Additional inspection (3 hr min) 60251 hr
investigation ( I hr n tin) 66251 hr
City/State/ZIP: Portland OR 97296
Industrial plant (1 hr min) . 78 18/ hr
Phone: (503) 9133192 Fax: (503) 9269200 Inspections for which no fee is
i 90.00/ hr
-1- 1 specifically listed (1/2 hi min) 1
CCB Lic.: 187598 Fleetr pr
ical Lie.: C525 Suprv. Lic.: S5481 EL MIll
ELECTRICAL PER' FEES
i _________
---------- 1 , Subtotal: 81.62
<
Suprv. Electrician signature, required: / ':., ' . _
.,--, . .44( Plan review (25% of permit fee):
Print name: Chriss Llaedinger Date: ‘/I1/2010 State surcharge (12% of perm it fee): 9.79
(-
7 , i • TOTAL PERMIT FEE: 91.4' .,
Authorized signature:
----.--- xy; -6 z-- This permit appfication expires if a permit 30 001 obtained within 180
- - -- , -. days after it has been Accepted as eoin Mete.
Print name: Haedinger Date: 6/11/2010 - N um b er o f insp,c1 ions allowed pet peonii
1. C•PermitApp doe HA 1;59 440-45351:3]liosicomiwen