Permit 71 CITY OF TIGARD ELECTRICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: ELC2011 00406
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/20/2011
Parcel: 1 S 125 DB07900
Jurisdiction: Tigard
Site address: 7090 SW SHADY CT
Project: Twitty Subdivision: Lot:
Project Description: (3) branch circuits due to water damage.
Contractor: SQUIRES ELECTRIC Owner: TWITTY, CHRIS
1001 SE DIVISION STREET #1 AUNG, SANDRA
PORTLAND, OR 97202 1334 SE ASH ST
PORTLAND, OR 97214
PHONE: 503 - 252 -1609 PHONE:
FAX: 503 - 253 -5831
FEES
Quantity Description Date Amount
3 crt Branch Circuits wo /Purchase 07/20/2011 $71.02
Specifics: Service or Feeder
1 ea 12% State Surcharge - 07/20/2011 $8.52
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $79.54
Required Items and Reports (Conditions)
This permit i e suject4o regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done accordance with app •ved 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. TENTION: Oregon I- • -.mire you to follow the rules adopted by the Oregon i y 4 oi" • nter. Those rules are set forth in OAR
952 -0 -0010 thr.. gh OAR 95 - 001 -s1 ' •u may obtain a copy of the rules or direct questions to • NC by calli • 03.23 , • •87 or 1.800.332.2344.
Issu By: • Permittee Signa w ' :1 t
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' o'• - tir �. 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.
07/19/2011 16:45 5032535831 SQUIRES ELECTRIC #7890 P. 002/002
_ Electrical Permit A licatio ErNE 11 F r r
� 3 � N r•OROrr•IC:1t'c>rq \l,Y
City of Tigard I RE:: iv
I _ 44 13125 SW Phone: 503.718.2439 Fax: Hall BIvd., Tigard, OR 97223 �` Perrot No., / t —et) d
1 UL 2 0 201
503.598.19 DateJB :
D Other Permit:
T 1(3AI D Inspection Line: 503.639.4175 CITY Dam Ready/33y: tut : H see Par 2 for
Internet : . www.tigard- )r_gov CIT1 i OFT!GAP6 Notified/Method; SupPlcmentatInformation
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❑ Ncw coasu tletion ® Addition /alteration/rrrplacemerrt Picric check all that apply (submit l sets of plans w/iiem checked below):
❑ ervce or feeder•400 am or more
[7] Demolition 0 Other Si c ❑. n ,g over three stories.
l t i �� r ml^ 1 tiO jj, � �. � I^" where the available fault current ' ❑ Marinas arld
bQarya,
+ I i . , n u I I I, ry " 3 C ; '� / "u•+ \ - • Y , ✓a' � a'p e n I '•�"^m-i Ir r a
. . . . li �, l,� u., l 3� u .0 � i r 1 P u. J : � 1 ...,.� i � I r .r 111 I { d w I l cxC 10, 00 snlpaffi 150 VO1t5or ❑ F103>iII gbuildip •
I. and 2- farrlil dwelling less to r all of or exceeds oo . ❑ Commerc -use agricultural
y g � ] Commerclal /lrlduatrial ❑ Accessory building
amps for all other installations. buildings.
❑ Multi-family ❑ Master builder ❑ Othcr: ❑ Fire pump. ❑ Installation of 75 KVA or
li Ii II.'s rte✓ u - r '^ f ,.ilQ�® i�T ^� I 7". ± ,.-
' K 4 7 " : 1 x .r f') F ,- 22 �� oj',1I L - / `�,� b �I ' „i,ViQ r ill{ F u I p% ', I' ❑ EmCrgenC)'5}'bL m " S .0 tt
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larger separately derived :rystCm.
❑ Addition of new motor toad of ❑ °A . "E , 7.2 , "1 -3 ,
Job no.: Job site address: 7090 SW Shady Ct 1.001 or more. occupancy.
❑Sax or more resdcntial µnits. ❑ Recreational vehicle parka.
City /Slate/Z1P: Tigard, OR ❑health-care facilities. 9 Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt no.: Project name: Synergy I ❑ Service or feeder 600 amps or more.
d 7, c 'I `il : " i 3 : as-i ' �rr^ a
Crossstrect /directionstojobsite: V w lll;r I t ; r I� , �- e �.�. y�� I i } .r
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Description Qty. Pee. Toth! •
- New residential single- or multi- family dwelling unit.
Includes attached game.
Subdivision Lot no : 1,000 sq. ft. or less 168.54 4
Tax map/parcel no.: Ea. add•l 500 sq. ft. or portion 33.92 1
rp. � ]'? l o.IGT 'T a I roe ¢'rt"i r!iZ:,Pr F. _ Iti , , , Limited energy, residential
w ....+ gti V ;', :' � I 'w M', . ft'+ , q\ 1:' � • �I Ilk r z. i. S J -4, f a4 f , ""� I�� 75.00 2
u .. s,.,.� . 1n � •., _. . , „, 14L_na_.n.I, i„.. a 1,.,4 r,a i (tl a sq. ft
Repair after water loss L im i ted energy, mult - fam - 75 00 2
residential (with above sq_ fl.)
Services or feeders Installation, alteration, and/or relocation
• 200 amps or less 100.70 2
4r r I' Yit Irk P m II IV v ,.. - I'B.'L *^„"r
r: " b�k.Iti. ,�� P; I r�,� t ° y l a li'C'. �. , 1 �' It_tr' 14 �I I 1 fW i 201 amps 400
u-: w Sr ,4.. GII e:. :1 • ! "' a .4 d! li'^ r c ..' f.. •1 ''.- .T ""-- i..r, "' amps amps
1 133.56 2
Name: 401 amps m 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: Over I ,000 amps or volts 552,26 2
City/State/ZIP: Temporary services or feeders iusranation, alteration, and/or
_ relocation
Phone: ( ) I Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I :own which is not 401 ,unpo to 599 slaps 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449,i 670, and 701.
Owner signature: Dater. Branch circuits- nt-w, alteration, or estension panel
A. Fee for branch circuits with
f �. „I !�I`iIk r ' : •, 1 I i ''a rt 1 .iS ti 7 1P� I�" sIA�11 II'IIIl 4i S„T 1 i Fli c ><vi - t e y vL `y:sz f A:;. 7' T 'I 8 4 , u .,.,«: 1 above service or feeder fee,
742 2
. r"••;�� P� �1., d,w „J;!.I each branch circuit
Business name: B. Fc8 for branch Circuits.
service or feeder foe, first 1 56.18 56 2
Contact name:
branch circuit
Each add'! branch cii It 2 7,42 14.84 2
Address: Miscellaneous (service or feeder not included)
—
City /StatC/ZIP: Each manufactured or modular T 67,84 2
dwelling• service and/or feeder _
Phone: ( ) Fax; : ( ) Reconnect only 67.84 2
E-mail: pump or irrigation circle 67.84 2
+ . 'n ° r �i��•'� r '+ I1 �; d ti " � ' r "" "'"" '°" nIT"?'. 7 i Sign mC h 67.84 2
, _. i I w,,,.w«',,,i, 4.7.3 a�.� • v DSO, .r u i .;. . _i b,r uk ;i i
- = Wwu emu" SI$tlal Or clrCUi or limt0ed eru[
Business name: Squires Electric Inc _ panel. alteration or extension. _ Page 2 _ 2
Each additional inspection over allowable In any of the abov
Address; 1001 SE Division St., #1 Additional inspection (1 hr min) 66251 hr
City /StBtcJZiP: Portland, C1it 97202
�r Investigation (1 hr min) 6625 / hr
Industrial plant (1 fir min) 7$.18/ hr
Phone: (503) 252 -1609 Fax: (501)253-5831 Inspections for which no fee is
s
S. cificall listed %a hr min • 90.00 / hr
CCB Lie.: 135085 Electrical L' .. 26 -1101C Suprv. Lic.: 4882S ; s^`. i t ' d am ge e c'�� kro7, '6 '�1a r 1. , . „ LL , ,
Subtotal; 7I.02
Suprv. Electrician Signature, regt : Plan review (25% of permit fee):
Print name: Joe Squires Date: 7/19/2011 State surcharge (12 %ofpermit fee); 8.52
Authorized signs TOTAL PPRMfT FEE: 79.54
This permit application explres;Fa permit is not obtained within 180
Print name: Joe Squires Date 7/19!2011 days after it has been atcepted as complete.
• Number of inspections allowed per permit.
r:lsuiidin8\PmmitsELC- r� 07/01 /19
440-0G7;T(11/05/COM/W5H