Permit CITY OF TIGARD ELECTRICAL PERMIT
111 - 11
COMMUNITY DEVELOPMENT Permit #: ELC2012 -00447
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/26/2012
Parcel: 2S111CA13900
Jurisdiction: Tigard
Site address: 9765 SW SATTLER ST
Project: Beck Subdivision: DARMEL Lot: 10
Project Description: (2) branch circuits for garage
Contractor: ACCESS ELECTRIC & CONSTRUCTION LLC Owner: HORTON, ARLEN DWIGHT & VIRGINIA
2870 SE 75TH AVE, SUITE 108 9765 SW SATTLER ST
HILLSBORO, OR 97123 TIGARD, OR 97224
PHONE: 503 - 642 -4333 PHONE:
FAX: 503 - 642 -9699
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo /Purchase 07/26/2012 $63.60
Specifics: Service or Feeder
1 ea 12% State Surcharge - 07/26/2012 $7.63
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $71.23
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 0 R 9 - - 090. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: GrAr 9 / 0 G l c 9 7Z
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.
CITY OF TIGARD ELECTRICAL PERMIT
I COMMUNITY DEVELOPMENT Permit #: ELC2012 -00447
•
T t GA .o 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/26/2012
Parcel: 25111 CA13900
Jurisdiction: Tigard
Site address: 9765 SW SATTLER ST
Project: Beck Subdivision: DARMEL Lot: 10
Project Description: (2) branch circuits for garage
8!7112 Add (1) branch circuit
Contractor: ACCESS ELECTRIC & CONSTRUCTION LLC Owner: HORTON, ARLEN DWIGHT & VIRGINIA
2870 SE 75TH AVE, SUITE 108 9765 SW SATTLER ST
HILLSBORO, OR 97123 TIGARD, OR 97224
PHONE: 503 - 642 -4333 PHONE:
FAX: 503 - 642 -9699
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo /Purchase 07/26/2012 $63.60
Specifics: Service or Feeder
1 ea 12% State Surcharge - 07/26/2012 $7.63
Type of Use: SF Electrical
Class of Work: ALT 0 ea 12% State Surcharge - 08/07/2012 $ -5.85
Electrical
Type of Const: 1 crt Branch Circuits w /Purchase 08/07/2012 $7.42
Occupancy Grp: Service or Feeder
0 ea 12% State Surcharge - 08/07/2012 $6.74
Electrical
Total $79.54
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 9 001- 90. You may obtain a co y of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: \ l�-� Permittee Signature: � 'v
APO-/C AT�Oki
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.
•
1 4 11mm
08/06/2012 14:54 1 1 , ....,„. $ 11il 1..., CESS ELECTRIC PAGE @1/@2
Electrical Permit Application AUG 0 6 2012 FoR oFFK:E Iltir. ON iv
City uf Tigard ...,..1 ./.1
CFY OF PGARE R Dat 4 / 13 Y: i 6) Ig / / • Pennit No.: EIC2012.00447
a I 3125 SW Hall Blvd,. Tigard. OR 97223
III
• - Phone: 503.718.2439 Fax: 503.598.196BUILDNG DVIS
IT
, ran Re Y view
Other Permit:
TIGARD. Inspection Lille, O3.639.4I75 Date Ilencly/13y; Juris: I 0 See Page 2 for
Internet; www.tigard Notified/Method: Supplemental Information
• —
•
- . . . . • .
. '. • • • • • • - ...• • ••• :•: : . .1. ' ' r •••: •• ;i:tit OF .04 • . :. - . ' .:.: ....."... : : ;'•:' . ...'... . !:. - ::.....- ' ."--;.:4,:.:-..::' :;7...7.;;•?.; :". :: ..:.." : ;.• .: "
0 Ncw construction El Addition/alteration/replacement Please check all that apply (submit z sets of plans w/items checked below);
0 Service or feeds 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current Cl Marinas and boatyards.
. • .• : . .. • : . - . •••••.:. :.• : • :. •-:• : t kniGokit', brtotitistitijetiekl-,;.:' ••;.;:i;::,..: : •. :••••::•••::::::,:•• :, ::::::•. tueeeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground, or exceeds 14,000 0 Commercial-use agricultural
rs] 1 - and 2-family dwelling 1:3 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
0 Multi-Pamlly 0 Master builder 0 ()ther: Ei Fire pump. 0 installation of 15 KVA Or
0 Emergency system. larger separately derived system.
• - . •.:. :: •:••••..: : r . :.:.-'.• • .• Ilsiii00.MATION:F.:ANij::tiocAtioSt.7:: ;::::: . • • • ,.., :: ,... :-...::: : -: . 0 A -E".
Job no.: 8415 Job site address: 9765 SW Snider St. innwP nt mom occuoaneY.
0 Six ()rotate residential units, 0 Recreational vehicle parks.
City/State/ZIP: Tigard, OR 97224 1:3 Health-care facilities. El Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
- SD He/Bldg./apt. no.: Project name: Beck (3 Service or feeder 600 amps or more.
. '••',• . : • ',E'::•,:::•••• . •••::: :. ':
Cross street/directions to job site: Description - ( 6tY; "i -- tio;. • I
' New residential single- ur muld-famlly dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1.000 sq. ft. or less 168.54
4
'-- • E.a. WW1 a00 sq. ft. or portion 33,92 1
Tax map/parcel no.: . ,
i
Lmited energy. residential
• ••• •• • •• - •• • 75.00 2
• • ":::!.::: :::. • 1440t111110N :!:: .::::;g : :::,.i. : ;::.,...;..,: : : : .,,!.: (with above so, ft,)
- Limited energy, multi
75,00 2
Add additional Branch Circuit to exisitng permit rcsidcritialiwith above sq. ft.) - •
Services or feeders installation, alteration, and/or relocation
200 amre or less 1 Inn 'm ?.
.:.. : . .:.: : : - - ::.:::1::.!:'..!: : .:;.;:cyrobiNt:;!,:;:.; , ;......: . ..i... , .....: , .: 201 ;urns to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name:
GO I envy to 1.000 amps 501.04 2
—
Address: Over 1,000 amps or volts 552.26 2
— • — Temporary services or feeders installation, alteration, and/or
City/State/ZIP: rclocatiou
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! own which is not
401 amps to 599 amps 168.54 2
intended for sale, lease. rent, or exchange, according to ()RS 447. 449. 670, and 701.
Branch circuits- new, alteration, or extension, per panel
Owner signature: . Date: A. Fee for branch circuits with
..a.APPLICANk. • ....-.:- : .:.::-. : 1: --. . : • •..aconAzt .. ..PERSON , .'. .1. • above ocrvicc or feeder fcc.
7,42 2
each branch circuit
Business name: B. Fee for branch circuits without
service or feeder fee, first
50.1 9 2
Contact name: branch circuit
Each addl branch circuit I 7.42 7.42 2
. _
Address: Miscellaneous (service or feeder not Included) _
Each manufactured or modular
67,84 2
City/State/ZIP:
. dwelling, service andfor feeder
Phone: ( ) I Fax: : ( ) Reconnect only 67,84 2
1 Pump or irrigation circle 67.84 2
E
. . r Sign or outline lighting 67.84 2
. ... ... .. . . .. .
: ::.... :..., .:.: ' • ! -:: • : !I..: ••• 1:•:1!:!•',:••:•! -:-.•!••• ! i c0. :;!:...::•:: ,.7 Signal circuit(s) or limited-energy
panel. alteration. or extension, Page 2 F.
Business name: Access Electric and Construction. LLC
. Each additional Inspection over allowable in any of the above
Address: 2870 SE 75 Ave., Ste. 108 Additional inspection (I hr min) 66.25/ hr'
Investigation (1 hr min) 66:25/ hr
City/State/ZIP: Hillsboro, OR 97123
Industrial plant (I hr min) 78.18/ hr
Phone: ( ) 1 Fax: ( ) Inspections for which no fce is 90.00/ hr
specifically listed cA nr min) _
CCB LiC.: i @,2 04k Electrical Lic.: e_ic„ Suprv. Lic.: cf-q3/ S ; ;•:.,:•••,:..• .4; ;•. ':: - • • • .
Subtotal: 7.42
Sunry Ple.r.trirtan eigmature. require&
Plan review (25% of permit fee):
Print name: I Date: State surcharge (12% of permit fee): .R9
TOT A I . PF.RMIT FF.F.. 8.31
Authorized signature: Lir 3 ,..--
This permit application explm if a permit Is not obtained within ISO
days after it has been accepted as complete.
Print name: Kent Zimmerman Date: 08.06.12
• Number of inspections allowed per permit. -
lAllfildingTermital.C.-Permirapp.dne 07/01/10 44Q.417(1 1/05/COMMEli
@7/25/2012 1 0: 57 1 ACCESS ELECTRIC PAGE 01/02
Electrical Permit Application REC FOR OFFICE USE ONLY
Iti 1 7 -cived
. City of Tigard
Pemit No.:EZC,261/ —
0 2 Oa y 97
. 1 3 125 SW Hall Blvd., Tigard, OR 97223 JUL 2 5 231 p: r
3 :13. 8. c/B R 7 fHw .7411grA3eIrilIa
I N .
. - • Phone; 503.718.2439 Fax: 503.598.196n Other Permit:
T t (-.; A a D Inspection Linc: 503,639.4175 Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard CITYOFTIGA ' I otifie"etluld: -nc,, Supplemental Information
..- : • • : : ' ' . . . . ' . • • ' : ' . : • : : : E . ; : : : - .. .. ::.•TYPt.br•VVOlilitTILUIBUDIVISION • ..: ''.' . ' ' ." - ' ': •• " ' " •••••• •• .:: . ..: ' .... ... ! .
. .. . . . . . .
0 New construction El Addition/alteration/replacement Please check all that apply (submit A sets of plans w/items checked below):
DSc:Nice or feeder 400 amps or more 0 Building over three stories.
LI Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
' ::: - • • ::. • . .:. : ::: :
CATEGORY OF cd■risTRilertot4:- ' ..:.:. ' :.'' -.": ' i.: ' '':, -'' - •• ' : ' ' : exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground, or exceeds 14,000 0 Commercial-use agricultural
12] 1 - and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
Ej Multi-family 0 Master builder p Other: 0 rim pump. 0 tub-lunation of 73 KVA yr
, ----- . ,_ _._,,...,:,.L.,_. , , ...,,.._,, , ._ ._, ,, ,,, 0 Emergency system. larger separately derived sysWm.
-. - :" • --.• ' ::: '• : . ::: : ..!.... ::: JOlf:SITE: ; PIFORRIATItilf 4 . : • ! ANEtttICATI.ON''''': .. ::: : ' : ' ; : .'":'' .' '' '• i '"' 0 Addi6on of new motor load of 12"Kyr."1
Job no.; 8415 Jul) sits: address: 9765 SW Saltier 5t. iri0HP or more. OCCOpattcy,
0 Six or more residential units, 0 Recreational vehicle parks.
City/State/ZIP: Tigard, OR 97224 CI Heilltli-care f.lei titles. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bIdg./apt. no.: Project name: Beck 0 Service or fheder 600 amps or mom.
'':: odirniutn-ii:'..'?a::,::::;.: .:::': F.:::: •
Cross street/directions to job site: iz Leci "i;i; T;ini I •
New residential single or multHamily dwelling unit.
. Includes attached garage.
•
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
ba. ado' i 3UU sq. ft. or portion 33.92 i
Tax map/parcel no.: Limited energy, residential -
75.00
: . :.....:1•: :•.:... ..•..... ', .:::;...::•:.:;:•: •.. •bE.5007iickt ..:L.::..,:.,. .:.::'.',..... ..:,...:: ...::::::::, (with above sq. ft.)
75,00 2
Add Branch circuits and receptacles to garage residential (with above sq. ft.)
-
Services or feeders installation, alteration. and/or relocation
200 amos or less 100.70 2
P.R0 ::..:::: ...: :I: •.'•:::: • ::• ••: :1.'. TENANT 201 . ; :,:-..;:;;-..::;:: .1 .......;: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200,34 2
Name:
— 601 amps 10 1.000 amps 301,04 2
Address: Over 1,000 amps or volts 552.26 2
--r
- Temporary services or feeders installation, alteration, a nd/or
C.ity/Statr/7.113- relocation
Fax: ( 200 amps I
Phone: ( ) ) OT IMS 59.36
• 201 amps to 400 amps 125,08 2
Owner instolintion: This installation is being made on property that 1 own which is riot
401 amps to 599 amps 16O,::4 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449. 670, and 701.
Branch circuits new, alteration, or extension. zerfianel
Owner signature: Date: A. Fee for branch circuits with
above mcrric,c or fe.udcr fee. 7,42 2
.. , . : :-.!.: :-.::■;:: ., i,... •': ...,"....:'. -: .:.:'''..::,.:;:. : - : ..: ::.!: :.:• i.PPISPN: . r
::.. i - ...' each branch circuit
Business name: F3. Fee for branch circuits without
service or !coder fee. first 1 56,18 ,
6.1R
Contact name: branch circuit 5—
' Each addi branch circuit I 7.42 7.42 2
Address: Miscellaneous (service or feeder not included)
Each manufseturecl or modular - 67.84 2
City/State/7,TP: dwelling, service and/or feeder
Phone: ( ) 7 Fax: : ( ) Reconnect only 67.84 2
rump or irrigation circle 67.84 2
E-mail:
. . . • Sign or outline lighting 67.84 2
• .. ".. .• - ' : . :,.::. oNTRAtica .. •....:,.:;•; . :••;•:•:•: - - • :••• i• : • .. . . . Sriial circuit(s) or limited
Business name: Access Electric and Construction, LLC panel, alteration, or extension. _ Page 2 2
- Each additional Inspection over allowable in any of the above
Address: 2870 SE 75th Ave., Suite 108 Additional inspection (1 hr min) 66.25/ hr
- • -
• Investigation ( i hr min) 66.25/ hr
City/State/ZIP: Hillsboro, OR 97123 • Industrial plant (1 hr min) 78,18/ hr
—
9./ Phone: (503) 642-4333 ,. I Fax: (503) 642 • Inspections for which no fcc is
90.00/ hr
" spectncany iistcd (vi hr min)
CCB Lic.: 162666 I Electrical Lic.: C-I6 •/f Suprv. Lie.: 4931S I. !?,TERy CXL13
_ ..,. , . .
_ Subtotal: 63.60
Sur". electrician signature, required:
r ......... 91 -
Plan review (25% of permit fee):
Print name: Kent Zimmerman Date: 07.25.12 State surcharge (12% of permit fee): 7.63 ...„.....,„....-
- TOTAL PERMIT FEE: 71.23
Authorized signature:
This permit application expires if a permit Is not obtained within IRA
days after it has been accepted as compicto.
Print name: Date; • Number of inspections allowed per permit.
1: \ NOildifilOPonlig\ bit-porn!! App.cloc 07/0i AO 44046157(11/05/COWWEB