Permit k'- -r CITY OF TIGAR® ELECTRICAL PERMIT
�j ' COMMUNITY DEVELOPMENT Permit#: ELC2012 00613
" '"`fi' 13125 SW Hall Blvd.,Tigard OR 97223 503 718.2439 Date Issued: 10/25/2012 •
T1GA+FLD.` g Parcel: 2S112AC00600
Jurisdiction: Tigard
Site address: 7440 SW BONITA RD
Project: Associated Business Systems Subdivision: GARDEN TRACT ADDITION Lot: PT 24-21
Project Description: (4)branch circuits to move equipment for reroof project.
Contractor: GLOBAL ELECTRIC, INC Owner: BEALES,ALAN K& SUSAN R TRUST
PO BOX 162 BY BEALES,ALAN K&SUSAN R TRS
NORTH PLAINS, OR 97133 2126 MAGELLAN DR
OAKLAND, CA 94611
PHONE 503-647-5650 PHONE
FAX: 503-647-5649
FEES
Quantity Description Date Amount
4 crt Branch Circuits wo/Purchase 10/25/2012 $78 44
Specifics: Service or Feeder
1 ea 12%State Surcharge- 10/25/2012 $9.41
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $87.85
•
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 2-001- Yo may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344 �//
Issued By: �v 4�. Permittee Signature: d� ` �,G/e��O" _
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. .
From:Global Electric, Inc. 503647549 10/25/2012 14:25 #248 P.001/002
1
Electrical Permit AppGc i lEtIVED FOR OFFICE USE ONLY
City of Tigard Received, fel,/' :M ..rm t No.. -C_Ce.1,4„).--a4,06• 13125 SW Hall Blvd.,Tigard,OR 72 2j 5 2012 Plan Review 6 �� ��
'' C Phone: 503.718.2439 Fax: 503.598'1960 Date/13 : Other Per...1 -aoi 0 I
TI G\R I:> inspection Line: 503.639.4175 D� Date Ready/By: S5 See Page 2 for
Internet: www.tigard-or.gov CITY QFTIGARD Notified/Method: Supplemental Information
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.•.�":.:',..'.;:'"t• .,n ,....r.!-.,". ,R: • exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑1-and 2-family dwelling ®Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 75 KVA or
�`! e :+. _,1c�' ;,n ( `laic:i ❑Emergency system, larger separately derived system.
' .. ❑Addition of new motor load of ❑"A'"B'"1-2' "1 3^.
Job no.: Job site address:7440 SW Bonita Rd. 100HP or more. occupancy.
['Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tualtin OR ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: I Project ❑Service or feeder 600 amps or more.
Cross street/directions to job site:Associated Business System Description Qty. Fee. Total •
New residential single-or multi-family dwelling unit.
Includes attached garage.
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 I
-
-- Limited energy,residential 75.00 2
rty•'•r t,.7.l.l f .11' it J~' (with above sq.ft.)
—- -1-----.2__ Limited energy,multi-family
i+r Je (VAC t�1'•b �� '�� residential(with above sq.R) 75.00 2
� / Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
_ — _ t ";f _ — - 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
h relocation
Phone:( ) Fax:( ) 200 amps or less 59.36 I
201 amps to 400 amps 125.08 2
Owner installation:This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2
intended for salt,lease,rent,or exchange,according to ORS 447,449,670,and 701.
Branch circuits-new,alteration,or extension, r panel
Owner signature: Date: A.Fee for branch circuits with
- - F - above service or feeder fee,
- L ,, r l i':.,..!`i • 1 r 1,-4,12-1,1_1 _i,,Zr ,s each branch circuit 7.42 2
Business name: B.Fee for branch circuits without i
service or feeder fee,first / 56.18 S6 -t g 2
Contact name: branch circuit
Each add'I branch circuit 3 7.42 ,2_6 2
Address: Miscellaneous(service or feeder not included)
Ci /State/ZlP: Each manufactured or modular
ty dwelling,service and/or feeder 67.84 2
Phone:( ) Fax::( ) Reconnect only 67.84 2
Pwnp or irrigation circle 67.84 2
E-mail:
_.--- or outline lighting 67.84
Sign I
Signal circuit(s)or limited-energy
Business name:Justin Spiering �j- panel,alteration,or extension. Page 2 2
Lp 3.9-0-- ELF CT2( e...,Each additional inspection over allowable in any of the above .
Address:PO Box 162 Additional inspection(1 hr min) 66.25/hr
City/State/ZIP:North Plains OR 97133 Investigation(1 hr min) 6625/hr
Industrial plant(1 hr min) 78.18/hr
P•r ne:(503)647-5650 Fax:(503.)647.5650 inspections for which no fee is 90.00/hr
tficall listed(A hr mm
CCB Lic.: 156838 lectrical Lic.: 34-655C Suprv.Lic.:5 10. ,rs it _-'_117;�(l.,: s :7.1,7.77.
-/ ' ' _ /!� Subtotal p 411-k ..
Suprv.Electrician slgna re,required: � ((' /0 / /3 0
�t'� Plan review(25%of permit fee):
Print name: Justin Spiering Date: 10/25/2012 State surcharge(12%of permit fee): 9.Li
TOTAL PERMIT FEE: fpe gS ✓--
Authorized signature: This permit application expires if a permit Is not obtained within 180
days Print name: Justin Spiering Date: 10.25.2012 • Number of inspections a It has d been permit e as complete.
potions allowed per
I:Bailding1Permus\ELC-PamitApp.doc 07/01/10 440-4615T(11/05/COM/WER