Permit CITY OF TIGARD ELECTRICAL PERMIT
3 ` • COMMUNITY DEVELOPMENT Permit #: ELC2010 00690
T [ GAR.D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/23/2010
Parcel: 1 S135CA90125
Jurisdiction: Tigard
Site address: 11046 SW GREENBURG RD 125
Project: Ash Creek Condominiums Subdivision: ASH CREEK CONDOMINIUMS Lot: 0
Project Description: Fire repair - New 800 amp service and feeders to 12 units and house panel. Rewire all 12 units. NOTE: AIC
35,088 amps.
Contractor: SQUIRES ELECTRIC Owner: PHIL- ALEXANDER, LORRAINE
PO BOX 16851 11046 SW GREENBURG RD #125
PORTLAND, OR 97292 TIGARD, OR 97223
PHONE: 503 - 252 -1609 PHONE:
FAX: 503 - 253 -5831
FEES
Quantity Description Date Amount
12 ea Limited Energy 12/23/2010 $900.00
Specifics: 13 ea Services or Feeders - 200 12/23/2010 $1,309.10
amps or less
Type of Use: MF 1 ea Services or Feeders - 601 to 12/23/2010 $301.04
Class of Work: ALT 1000 amps
4 crt Branch Circuits w /Purchase 12/23/2010 $29.68
Type of Const: Service or Feeder
Occupancy Grp: 2022 Electrical Permit 12/23/2010 $2,022.48
1141 Plan Review- Electrical 12/23/2010 $1,140.58
547 12% State Surcharge - 12/23/2010 $547.48
Electrical
Total $6,250.36
Required Items and Reports (Conditions)
This permit is iss • • - to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in - • •rdance with - :•roved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. A ' NTION: Oregon la r- • es you to follow the rules adopted by the Oregon Utility Notificati• • Center. Those rules are set forth in OAR
952 -001 -• • 10 thro gh OAR 952 -0 0090. Y may obtain a copy of the rules or direct questions to OUNC by calli • .1987 or 1.800. 2.234
Issue • By:
g4//4 Permittee Signatu- 7 s �! /c."
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' = .. Vii/ — l�—�_ Date: /0
LICENSE NO. 98?-
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
12/15/2010 17:41 5032535831 SQUIRES ELECTRIC #6453 P.002/009
Electrical Permit Applicati
FOR OFFICE 154:. ONLY
City of Tigard .
DEC 1 5 nl g Received
Date/Br /A nay 0 Pmnit No.: e -co Gp90
III . 13125 SW Hall Blvd., Tigard, OR 97/2_1
Plan Review
. • • Phone: 503.718,2439 Fax: 503.598e9_60. OF TIGARD 1
ITY D-_-.-LeT 1212. Nt) Gr °ther Pm kw 9.20/ 6 - 0 o
Tfc:A„„ ; InSpection Linc: 501.639.4i 75 Date Ready/BY: kris' ' El Sot Page 2 few
Internet: www.tigard-OrgOv BUILDING DIVISION Noted/Method:
, Supplemental Informajoa
-
M Agl
J . .:;T,!;.qE::,;giliiN7ltl 411*IF N T, aig."'"" t:'""'"' - ii:P.. .-- 1 a 777, -7 , ■:.••• '''" ...kli ' , -- ,-- W--Jil' o -- I.- M`
(1 i 2.,';')Z,i6iAt., 4 Og : &$t0:a*WitiO RNEd PAEhnt5kggig114WOWAROOgRAPON:g30
0 New construction t _ Chedc all that apply (uhmit 2 sees of plans w/items chocked below):
Sell/ICC or feeder 400 amps or more 11:) Blinding over three stories.
0 Demolition 0 Other:
where the available fault current 1:1 Marinas and }mai vards.
'A;E:iig, 400 exceeds 10.000 amps at 150 yoke or OH „etiee buildi
". ---" '',.•,-.."." .. less to mind, or exceeds 14 000 0 C • •
mily dwelling 0 commercial/industrial 0 Accessory building nre fo an oilier mst allations . bu 4 .'7 49 'ml - use agecultural
0 1- and 2-faildIngs.
ki multi-family 0 Master builder 0 Other: 0 Fire pump, 0 Installation a .75 KVA or
t agES:2141**10-0*rn'i":;TX:T..L.Z177q400:04A40:165tiSlar S m cMi r trot il l c Z' s n Y e ste w m or load „f a lar `A r - E - ';e1w4ratc "1 - 2 a sY5tem.
Job no.: Job site address: a ,,.. it 100tIP or more. cempancy.
' CX. CD g r N-.C.*...1 Six or more fesidetitial unit,. 0 Recreational vehicle perks
,. .
__.
City/State/ZIP: S 0 cut 0 f • p
.1Hcalth-., 4 ft El Supply voltage for more than
._., Harenfous locations. 600 volts nominal.
SuitC/Ioldglapt no.: Project name: - , 4 • _.;., . EScrvicc or feeder (ion amps or more
- ''''•" TAI'P' Nr '*111,fa!"1*VAiSir':'"ki;'
Cross strcet/direcfions to job site: 11 62.e k do/07,05 D '..- -....-... ...---‘ ..'. _.• ...1,;:'
New residential single- or multi-family dwelling unit.
. --
Includes attached garage. •
' ---.
Subdivision:
Lot no.: • 1,000 sq. ft. or less . 168.54 ,. . - _
-
_______________
La. addi 500 sq. ft. or portion 33.92 1
'Fax map/parcel no.:
Limited energy. residential •
i "r: 7" i ,. - ,.. !\..;1+,; 75.00
r2'''''''' '''''' '.- '''' --I L'j,ii (VAI! above Sq. ft.)
gObal-4-90 (a.6eiro i tt.._ ' V -. 1,), .1 ' um a j d o „M," 7 , 1 1 ,t 0 4 ,7, 11 Y,
Scrvices or feeders insmIlation. alteration, and/or relocation
7% C/44.1 • - ‘ ' i ri-. CI_ I 1, :7 1 .- U- 200 amps or less
LA_ 100.70 14, r, -
QL.,.,,,..„...:,,:,....,,,, gmcrolgi.:1:440a.4izvatil,,TipEds-.0 201 amps to 400 amps 133.56 2 ,
401 amps to 600 amps 200.34 • 2
Name:
601 amps to 1,000 amps ( 301.04 ,4E)1 ,c4. 2
Address:
Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and/or
City/State/ZIP:
relocation
Phone: ( ) Fax: ( ) 200 amps or less 59,36 _ 1
201 amps to 400 amps • . 125.08 2
Owner installation: This is being made On property that I own which is not
401 amps to 599 amps 168.54 2
intended for sale, lease, rent, or exchanae, according to ORS 447, 449, 670, and 701. _
Branch circuits - new, alteration. or extension. per panel
Owner signature:: Date: A. Fee for branch eirei.4s with
. „
. , ...... •
':".' , DA above service or feeder fee,
.;rrt ■ .!'.11.Al.5.3,::.,..,,,;,,,t,„,,,F„,,L;,..,.._,,,7,.:.:Muc-fiinR11 eac branch circuit 742 ,q. 2
Business name: 13. Fee tar branch circuits without
service or feeder fee, rust
56.18 • 2
Contact name: branch circuit
- - 7.42 2 Each add'I branch circuit
. -
Address;
-
Miscellaneous (service or feeder not included)
- .
Each manufactured or modular 7.84
City/State/ZIP:
6 2
dwelling service and/or feeder
Phone: ( ) Fax: : ( - ) Reconnect only 67.84 2
Pump or irrigation circle 67 84 2
E-mail:
Sign OT outline lightine, 67.84 2
W - .7 . , .2 7, 14nifINNE,4_40; si c i,,,, n ( s ) nr u rn - i te d_n ergy
Business name: (\,...‘-') iu . re.... „ „ 4 pia_ v _. , _..1.0..._ pancl, alreratiOn. or extension._ Fake 2 2
_ Each additional inspection over allowable in any of the abov
Address: b 1 :1?,5 1 Additional inspection (1 hr min) - 1 6625/ hr ..
. . .
Investigation (1 hr min) 66.25/ hr
City/Statc./ZIP:--F ,,, b k
,. ___ 9 irc:4'1,:31--
__j_ Industrial plant (1 hr min) 78.18/ hr
Phone: (6e„.3 , i ( 6 ti Fax: (b..& .1 ge:3 -45z3.IT Inspections for vvhicil no fee is
specifically listed (Y hr min) _ 90.00/ hr
CCE3 Lie.: 1c56° ..--1 Electrical Lic--: 'f/ le- Su Lic • :-. 44 2 g._6 4TYARRivatuarigcotititaiwbaccowPR44gpl:
• Subtotal: 45 t„,„ . „gb
Suprv. Electrician signature , re:Emir .
Plan review (25% of permit fce): I \ AD, 6 5$
State surehargc (12% of permit fee):
Print name (1; 1 Date: 1,
_______
-
TOTAL PPAMIT FEE: .t.pa 6 30
Authorized signature: .
This permit application expires if a permitis not obtained within 180
.,
days after it has been aceepien as complete.
Print name: 1)ate:
• Number of in: cons allowed per permit.
1.■BeimiesePenattsuqc-n (ammo
445 - 4515 T(11/05/COMMEIS ,
. .-.