Permit CITY OF TIGARD E PERM
11 1 COMMUNITY DEVELOPMENT Per mit #: ELC2013 00064
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/29/2013
Parcel: 2S112AC01600
Jurisdiction: Tigard
Site address: 14975 SW 74TH AVE
Project: Meyer Sign Co Subdivision: FANNO CREEK ACRE TRACTS Lot: 17
Project Description: (3) branch circuits for upper office area.
Contractor: NEC ELECTRIC Owner: SKOURTES, JOHN & JACKIE
2850 SW CEDAR HILLS BLVD #315 17010 SW WEIR RD
BEAVERTON, OR 97005 BEAVERTON, OR 97007
PHONE: 503 - 758 -4291 PHONE:
FAX:
FEES
Quantity Description Date Amount
3 crt Branch Circuits wo /Purchase 01/29/2013 $71.02
Specifics: Service or Feeder
1 ea 12% State Surcharge - 01/29/2013 $8.52
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
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 actor 'th 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. ATTE ON: Oregon w requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are. set forth in OAR
952- 001 -00 through OAR 952 -0 1 -0 ou ay obtain a copy of the rules or direct questions to OUNC by callin .232.1987 or 1.800.332.234
Issued By. Permittee Signature:
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' C1 _ • = 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.
Electrical Permit Anu1jcatioln D (� (� ��
City of Tigard -- ' Received
w !3125 SW Hall Blvd., Tigard, OR 97223 Date/B ; 1 , . s • 1 Permit No.: El.,t.4Q/ ` -• r /.I, o .
' Phone: 503.7I8,Z439 Fax: 503.598.1960 J A N 2 013 Plan Review —
ffarn/9y: Other Permit: AA Pao/Oi 60,2,2y
r [ is n {, t7 Inspection Line: 503.639.4175
Internet www Tgard-or goo CITY TIGARD Data l trady By fuels 121 Soo Pate 3 for
t Natiffed/l+fethod Supplemental information
E aa.. qr a 1 .J . 'g rr ,N, 1 a N p <Sk . , xcqu i ,, rW l y � , 4u, y a �
� er... ,� f{ tt�' �l-`oy'}�i��. Pnn. ,,,, ,�1��,✓ :L� F4 � ��i dl "irL�, i ��h'^II� �' ].4 ,� ..
❑ New construction -• - �� fi ,�r � . ,Mrr 1
® Addition/alteration/replacement Please check all that apply (submit d sets of plum whims checked below):
❑ DemoL - Other: O Service or feeder 400 amps or more El Building over three stories.
f ' ' `t i :',74'.".::!:.-i,'' ' 'sa j u r y G r • x where the available fault Current ❑ Marinas an boot
lu y ,: I'll.i E). r ll {I f�.( \t l i ps q � ' . ' r ! i*l r . f,, 7' 'V - 'i ; boatyards.
. ., P d 5 „ t y * � : ; i exceeds 10,000 traps at 150 voila or ❑ Floating buildings.
[] 1- and 2- family dwelling ® Commereial/wdustrial ❑Accessory building Lees to ground, or exceeds i4,000 CI C mmerc agricultural
Y ❑ Master builder Flaps for all etlttx instauarivas, buildings,
Multi-family ❑Other
r :r _ ❑ Fire pump.
❑ Mult1
1 •, a (,: i : St `, ; }, 5 s 7 � x , ❑ separately rely KVA or
t4'% F} � 9 11, ■ �I v -S r�1Hf��l 1r�j�v b:rl �(�" r a /y. �3 Kr>;. { ;.ti 9 `+i ❑F.
�._ls` .1. :� . _!,.. , -. :. i �r; int Or; �,, .:f fr, r l �y larger E" "1.2", 2 "1-3", system.
12._. , 0 Additionofnewmotorloadof ❑ «A ", '. E" 't 3 ^,
Job no.: Job site address: 14975 SW 74 AVE IOOHP or more- occupancy.
City/State/ZIP: TIGARD, OR d Six or more residential units. 0 Recreational vehicle parks.
❑Health-care facilities. ❑ Supply voltage for more than
CI Suite/bldgiapt no.: Project name: MEYERS SIGN CO ❑ � &dor 6 600 vein nnminal,
amps ar more.
Cross street/directions to job site: BONITA - SOUTH ON 74Ta 1 ' 7 i" i ry ° ", x t 7. 1 , �" ■ �"
Tom •
New residential single- or multifamily dwelling unit.
Includes attached garage.
Subdivision: Lot no.; 1,000 sq. ft or less IIIII 168.54 4
Es. add'! 500 sq. ft. or portion IIIII 33.92
Tait map /parcel n0
p Tw e:7.-:."1/:.•:- 1
. �Q�+' r �� yi .".. jl up, .;. 1 'l � 7 ^', in ' .ai Hf . Limited energy, residential
Y: . p ; 'J U '^ . ' � r
�` s ..�.�r_. -y _T� 'a ,, L�� > °�,'�' �r��} '" ? ��� 75.00
� ��.. n, er.:?s � (with above sq. lt.) 2
WIRE UPPER OFFICE AREA Limited energy, multi -fa ii ly
residenti� with above sq. ft 1 75.06 2
vwy�� y� .}- Services or feeders installation, alteration, and/o
; r relocation
P r $ 5 ,: . { Irlt1 'Fir,, St) ''. , 7 ) .4P r�J'+r. � `�� .
1� IV i ",`r k r fi:u � ii 200 amps or less 100.70 2
h ? ! r. a! , _ .(! s; 2O1 amps to 400 amps 133.56 2
Name: 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: Over 1,000
amps orvolts 552,26 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/o
relocation _
Phone: ( ) Fax: ( ) 200 amps or less 59,36 1
Owner installation: This installation is being made on property that I own which is not X 201 amps to 400 amps 125.03 2
intended for sale, lease, rem, or exchange, according to ORS 447, 449, 670, arid 701. 401 amps to 599 amps 168,54 2
Owner signature: Branch circuits - new, alteration, or ex tension, per panel _
Date: A. Fee for branch circuits with
. , • ,F' - 1 11t :', i i' ?!:. 77 !, z12k_ , a Ei 1'w T'i` i ii° ' C� � i' . . ,, , ; } '¢I abve eve fndor fee',
I each o b s r il ea 7,42 2
Business name: NEC NORTHWEST ELECTRICAL CONTRACTORS B. Fee for branch circuits without
service or feeder fee, first 1
Contact name: CRAIG KIEFEL branch circuit 56.18 5 - 6 /e 2
Address: 2850 SW CEDAR HILLS BLVD #315
Each stir'! branch circuit 2 7.42 H. 9 2
Miscellaneous serv or f eeder sot included)
City /State/ZIP: BEAVERTON, OR 97005 Each manufactured or modular
dwelling, service and/or feeder 67.84 2
Phone: (503) 7581291 Fax: : (503) 2923297 Reconnect only 67 2
E -mail: NECELECTRIC®COMCAST.NET
Pump or ir rigation circle 67.84 2 —
f,H +A�'C '� :� {,•-, >r. y 4�lC)� tl '/ Y� i/ t'_ bu'' .�' '{ ��'f Sn 7 �f Sign or outline lighting 67.84 2
�_ al , -.0 ,s l �: , ,i.. :, .., Signal circuit(s) or limited -mergy
Business name: NEC NORTHWEST ELECTRICAL CONTRACTORS anal ah or extension, Pa e 2 2
Each additional i nspection over allowable in any of the above
Address: 2850 SW CEDAR HILLS BLVD tt315 Additional inspection (I hr min) 6625/ hr
City /State/ZIP: B);A VERTON, OR 97405 Investig on (1 hr min) 66,25 / hr
Industrial plant (I hr min) 78.18 / hr
Phone: (503) 7584294 Fax: ( ) Inspections for which no fee is
s tlectf cal, listed IA hr min
CCB Lie.: 164747 Electrical Lic.: C132 90 00/ hr IiiiierMIEMM r,
! ,� �lyfi'���z''`'�I1 {L���h J "r m�M1_i'�"ti J triyl`Ils;� i!V�� :-
Suprv. Electrician signature, required; �_ Subtotal 7 . 01
/..r Plan review (25% of permit fee); �—'
zer /, Date: 1/25/13 Stain surcharge (12% of permit fee): C . 5P■
Authorized signature: t...! sr TOTAL PERMIT FEE: -6:41
This permit application expires if a permit Ia not obtained within 180
Print name: CRAIG KIEFEL Date: 1/25/13 days after It has been accepted as Complete 77.5-
S
• Number of inspections allowed per permit, /
I :Iealldingwenalu at•C.pem,itApp.due 07/eu10 440a615T(11Ios /COM/WEB ll��✓�
Z0 /Z0 39tid 03N L6ZEZ6ZE05 ZE ZZ EZOZ /5Z /Z0
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14975 SW 74TH AVE, TIGARD, OR, 97224
Commercial - Electrical
199 Electrical final
02/27/2013 00:00
ELC2013-00064
PASS - No C of O
Violation Summary:
Inspector Contractor