Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2012 00221
T l G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/18/2012
Parcel: 2S102CA00205
Jurisdiction: Tigard
Site address: 13285 SW ASH DR
Project: Miner Subdivision: VIEWCREST TERRACE Lot: 3
Project Description: (1) 200 amp panel and (2) branch circuits
7/31/12: REPRINTED to add (15) branch circuits to rewire residence following fire.
•
Contractor: L & K ELECTRIC Owner: MINER, EDGAR W & LUCINDA L
10122 SE SHADY LN PO BOX 264
DAMASCUS, OR 97089 LINCOLN CITY, OR 97367
PHONE: 971 - 506 -8351 PHONE:
FAX: 503 - 663 -0343
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 04/18/2012 $100.70
Specifics: amps or less
2 crt Branch Circuits w /Purchase 04 /18/2012 $14.84
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 04/18/2012 $13.86
Electrical
Type of Const: 15 crt Branch Circuits w /Purchase 07/31/2012 $111.30
Occupancy Grp: Service or Feeder
0 ea 12% State Surcharge - 07/31/2012 $13.36
Electrical
Total $254.06
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 OA 9 2 -001- 090. You may obtain a
" L4 43'� copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 1 (hie Permittee Signature: 0 k+ AP ,n LL
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 603.639.4175 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.
CITY OF TIGARD ELECTRICAL PERMIT
IN a
t; COMMUNITY DEVELOPMENT Permit #: ELC2012 -00221
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/18/2012
Parcel: 2S102CA00205
Jurisdiction: Tigard
Site address: 13285 SW ASH DR
Project: Miner Subdivision: VIEWCREST TERRACE Lot: 3
Project Description: (1) 200 amp panel and (2) branch circuits
Contractor: L & K ELECTRIC Owner. MINER, EDGAR W & LUCINDA L
10122 SE SHADY LN PO BOX 264
DAMASCUS, OR 97089 LINCOLN CITY, OR 97367
PHONE: 971 - 506 -8351 PHONE:
FAX: 503 - 663 -0343
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 04/18/2012 $100.70
Specifics: amps or less
2 crt Branch Circuits w /Purchase 04 /18/2012 $14.84
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 04/18/2012 $13.86
Electrical
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 a ith 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. ATT ION: Orego law uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -00 0 throu OAR 952 -0090. may obtain a copy of the rules or direct questions to OUNC by calling 503 2.1987 or 1.800.332.2344.
Issued I ` • /. %��c Permittee Signature: r
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 603.639.4176 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.
,APR -16 -2012 02:10 PM L&K ELECTRIC 5036630343 .' P.01
• Electrical Permit A RECEIVED I t I I
pplication . i , i t '-r - 1..ti 1 • 1 / M . \ -- -- - -
- City of B 2012 Reeeivea A
13125 SW Hall Blvd., Tigard, OR 97223 4 P R 1 7 Plo R view ����
/ £ o
.. Phone: 503.718.2439 Fax: •503.598,19�g 1 ' Date/B : Other Permit •
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By: EI Bee Page 1 for ,
Interact: www.tigard- or,gov BUILDING DIVISION Nolified/Method: Supplemental Information
TYPE OF WORK • PLAN REVIEW
❑ New construction ® Addition/alteration/replacement - Please cheek all that apply (submit 1 eels of plans w /items checked below):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑ Demolition ❑ Other: whore the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION ... exceeds 10,000 amps at volts or D Floating buildings.
- leas to ground. or aeceede 14,000 O Commercial -use agricultural
® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: O Fire pump. O lnatelletion of 75 KVA or
JOB SITE INFORMATION AND LOCATION OArgen n yem. larger -sly " system.
. CI Adddd o ition f'naw motor load of 0 "A", "8E"", . "1
-, "I.
..33"",
Job no.: 12.3472 Job site address: 13285 SW Ash Drive I00HP or more. occupancy.
0 Six or more residential unite, 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.
Suite/bldg. /apt. no.: I Project name: D Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to Job site: Deurfoion ( Ore. I ree, T Total 1 •
" New residential single- or multi- family dwelling unit.
• Includes attached garage. .
Subdivision: Lot no.: 1.000 sq. R. or less 168.54 4
Tax map/parcel Ea. sdd'I 500 sq. ft. or portion 33.92 1
no.: Limited energy, residential.
• DESCRIPTION OP WORK (with above se. ft.) ' - - • 75.00 2
Limited energy, multi - family 7500 2
Replace 200A panel on existing feeder. residential (with above sq. ft.)
Services or Ceders Installation. alteration, and/or relocation
- 200 amps or less I • 100.70 100.70 2
. D PROPERTY OWNER ' 0 TENANT 201. amps to 400 amps ' 133.56 , , 2
Name: Ed Miner 401 snipe to 600 amps • 200.34 2
601 amps to 1,000 amps 301.04 2
Address: 13285 SW Ash Over 1,000 amps or volts 552,26 2
City / State/ZIP: Tigard t e m a services or feeders installa(Ioa, alteration, and /or
Phone: ( ) I Fax: ( ) 200 amps or lees - 59.36 — 1
Owner Installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, 401 amps to 599 amps 168.54 2
Branch circuits — new, alteration, or extension, per panel _
. Owner signature: • Date: • A. Fee for branch circuits with.
... ' ❑ APPLICANT I 0 CONTACT PERSON ea b branch-circuit rr feeder fee, 2 7.42 14.84
ea 2
ch banch c
Business name: B..Fee for, branch circuits without
service or feeder fee, first 56.18 2
Contact name: branch'circuit
. Each udd' I bmnch circuit 7.42 2 _
Address: Miscellaneous (service or feeder not included)
City /State/ZIP: dwelling, service and/or feeder 67.84 2
Eah manufactured or modular '
' Phone: (• ) _I Fax: : ( ) Reconnect only ' . 67.84 2
Pump or Irrigation circle 67,84 2
— E - mail: Sign or outline lighting 67:84 2
CONTRACTOR • Signal circuit(e) or limited-energy
-
Business name: L & K Electric, Inc panel, alteration, or extension. Pape 2 2
Each additional Inspeetion over allowable In any of the above
Address: 10122 SE Shady Lane Additional inspection (1 hr min) 66.25/ hr ' '
City/State /ZIP: Damascus, OR 97089 In hr min) 66.25/ hr
Industrial plant (l hr min) 78.18/ hr _
P no: (971) 506 -8351 1 Fax: (S03) 663 - 0343 Inspections for which no fee is RI 00,00 / hr
. „/" , specifically listed (f5 hr mint
GCB Lic,: 157326 I Electrical Lie.: 26 �Suprv. Lic.: 4975$ ELECTCAL PERMIT FEES
Subtotal; 115.54
Suprv. Electrician signature, required .
_ Plan review (25% of permit fee):
' Print name:, Larry Peterson . I Date:' 4/16/2012 . State surcharge (12%.of permit fee): 13,86
_ TOTAL PERMIT FEE: 129.40 p. / •
Authorized signature: :This permit application expires If a permit Is net obtained *Min 180 „ 4
Print name:' L Pet n � Date: 4/16/201 days pfter'It has been accepted as complete. TT t '
y s Number of inspectional allowed per permit.
1:l aulldlna \PonnIId2LC- PermhApp,doc 07/01/10 ' 410.4615T(11/05,c0ww5a '
JUL -30 -2012 09:56 AM L &K ELECTRIC 5036630343 P.01
Electrical Permit Application REcEivE � P, I1, , , t , , , , . • City of Tigard Received
Date ,i/ — 00
N 13125 SW Hall Blvd., Tigard, OR 97223
H I 0 2012 Plan Review Other Permit:
' _. . ' Phone: 503.718.2439 Fax: 503.598.1960 Date/B
i h.,..\1.. Inspection Line: 503.639.4175 CITY T� G DateReady/By: ru '�
Internet: www.tigard- or.gov C L QF I ` t �I Nait�ed/Mnhod:
16 U NQDIVIS10Pd
WOmm 'PLAN REVIEW 75'
❑ New construction Addition /altoration/roplacement Please cheek all that apply (submit jseta of plans w /hems checked below):
13 Service or feeder 400 amps or more 0 Building over three stories.
❑ Demolition Other: where the available fault current 0 Marina and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 110 volts or 0 Floating buildings.
less to ground. or exceeds 14,000 0 Commercial -use agricultural
and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
g family ❑ Master builder ❑ Other: O Fie pump. O Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION • CI Emergency of system. larger E", separately
", "1 -3 " system.
Addition of new motor load of 0 " "B" "1.2 ", "1 - , 't"
Job no,: Job site address: / /� 1.' �Q IOOHP or more. occupancy.
3 Z F7 .S& 114Y1 t�' [I Six or more residential units. 0 Recreational vehicle parks.
City/State /ZIP: 0 Health-care facilities. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
' Suite/bldg. /apt. no.: I Project name: 0 Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: nne,itrloa I err. I Fes. I rout I
New residential single- or multi- ftamily dwelling unit.
Includes attached garage.
Subdivision: • 1 Lot no.: 1 ,ono sq. R. or less 168.54 4
Tax map /parcel no.: Fa. add'l 500 sq. ft. or portion 33.92 I
Limited energy, residential 75.00 2 •
Rewire, � D n ES . C OF l W J ORK (with above so. ft.)
I ttJ.Vl GQ- VIOf,+ ini Limited energy, tial (with th ab(v so. 75.00 2
( r ' residential (with a so. ft.)
/�_1 J 1 G Services or feeders installation, alteration, and/or relocation
(' clots �� e 5 ( T/bt� Q`C risi I 200 amps or leas 100.70 2
CI PROPERTY OWNER . V p TENANT 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 2
Address: Over 1,000 amps or volts 552.26 2
City /State /ZIP: ' Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) I Fax: ( ) 200 amps or lose 59.36 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange. according to ORS 447, 449, 670, and 701. 401 amps to 599 am 168 - _ 2
Branch circuits - new, alteration, or et;tenslon, per nanel
Owner signature: _ Date: A. Fee for branch Circuits with
APPLICANT D EON'r r PERSON above service or feeder fee, /5.- 7.42 ��� 2 _
each branch circuit /
Business name: B. Fee for branch circuits without
service or %oder fbe, tat 56,18 2
Contact name: branch circuit
Each add'I branch circuit 7.42 2
Address: Miscellaneous (service or feeder not included)
City/State/ZIP:
• Each manufbcalred or modular 67.84 2
tY : dwelling, service and/or Ibeder
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
— Pump or irrigation circle 67.84 2
E Sign or outline lighting 67.84 • 2
CONTRACTOR Signal circuit(s) or limited-energy '
Business name: i t !it. r e G panel, alteration, or extension. Page 2 2
�! _ f �1, Each additional Inspection over allowable in any of the above
S. Address: lof22 S S ` ltZ lr Leg Nito CC.V 5 Additional inspection (1 hr min) 66.25/ hr
City/State/ZIP: Investigation (1 hr min) 66,25/ hr
Industrial plant (1 hr min) 78.18/ hr
Phone: (q7 50 6 , e / I Fax: ( p 3) 4 3 _ 0 31/3 Inspections for which no foe is -
90.00/ lar
specifically listed (% hr min)
./CCB Lic.: /,53�j ctrical Lic.:26 -/ /8 0 r^ prv. Lic.: V f 7S S ELECIIIICA AE6tlb _ iT'FEllS /
Suprv. Electrician signature, req '
Subtotal: / //i 3D t/
-'— Plan review (25% of permit fee):
Print name: /aft } ej ; Date: 7...3 - Z(j /E State surcharge (12% of permit fee): ^ / 3 ,3 b
rr TOTAL PERMIT FEE: /Z 4l bfc
Authorized signaturf: ibis permit application aspires If a permit la cos obtaload within 180
Print name: / / Dat -y day. after It has boon accepted as complete.
t rQ (i , p� v t) ( - 3� ��Q� Number of impactions allowed per permit.
t:ta uudinaPmni .p.doc 07 no 440- 4e15T(I1roVCOM/WBB