Permit • i
v CITY OF TIGARD 3- jam- J3 ELECTRICAL PERMIT
• • COMMUNITY DEVELOPMENT Permit #: ELC2013 -00118
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/20/2013
Parcel: 1 S135CA03000
Jurisdiction: Tigard
Site address: 9568 SW NORTH DAKOTA ST
Project: Howland Subdivision: GEARHART ACRES Lot: 2
Project Description: (1) 200 amps or less, (2) branch circuits w /serv. 3/12/13 REPRINT adding (1) branch circuit with service
Contractor: SQUIRES ELECTRIC Owner: HOWLAND, JOHN P
1001 SE DIVISION STREET #1 9568 SW NORTH DAKOTA ST
PORTLAND, OR 97202 TIGARD, OR 97223
PHONE: 503 - 252 -1609 PHONE: •
FAX: 503 - 253 -5831
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 02/20/2013 $100.70
Specifics:, amps or less
2 crt Branch Circuits w /Purchase 02/20/2013 $14.84
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 02/20/2013 $13.86
Electrical
Type of Const: 1 crt Branch Circuits w /Purchase 03/12/2013 $7.42
Occupancy Grp: Service or Feeder
0 ea 12% State Surcharge - 03/12/2013 $0.90
Electrical
Total $137.72
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 5 001 -00 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /a � Permittee Signature: - !T -164170
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.
Ili A CITY OF TIGARD ELECTRICAL PERMIT .;.e
COMMUNITY DEVELOPMENT Permit #: ELC2013 00118
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/20/2013
Parcel: 1 S 135CA03000
Jurisdiction: Tigard ti
Site address: 9568 SW NORTH DAKOTA ST
Project: Howland Subdivision: GEARHART ACRES Lot: 2
.Project Description: (1) 200 amps or less, (2) branch circuits w /serv.
Contractor: SQUIRES ELECTRIC Owner: HOWLAND, JOHN P
1001 SE DIVISION STREET #1 9568 SW NORTH DAKOTA ST
PORTLAND, OR 97202 TIGARD, OR 97223
PHONE: 503 - 252 -1609 PHONE:
FAX: 503 - 253 -5831
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 02/20/2013 $100.70
Specifics: amps or less
• 2 crt Branch Circuits w /Purchase 02/20/2013 $14.84
Type of Use: SF Service or Feeder •
Class of Work: ALT • 1 ea 12% State Surcharge - 02/20/2013 $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 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 -0 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
01.1 �
Issued By: W / Permittee Signature: .(• ' 1 PPL i'C�f tom! r✓D "�'
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.
03/12/2013 12:42 5032535831 SQUIRES ELECTRIC #2887 P. 001/002
Electrical Permit Application RECEIVE
D FOR OFFICE I..'Sr. ONLY
City of Tigard
MAR 1 2 2 013 Datem , 3 (- (3 • Permit No.: L - ---a d ' • (3 -- wo
4 13125 SW Hall Blvd., Tigard, OR 97223
: Yian Review
0 Phone: 503.718.2439 Fax: 503.598.1960 ir , Ann Date/B . Other Permit:
Inspection Line: 503.639.4175 CM( OF i Date Reacty/By.
M El See Page 2 for
R D
1 " ' Internet; www.tigard-or.gov
l'ill1LDINGDIVISIO Nolified/Method: OF Supplementa I Informalion
:. ;..:r,.. viv.,...::,,. ,.,.... . rgw...,.,..„:„.:,...,...,,,.
O Isle* construction Egl Additionlalteration/replacement Please check all that apply (submit 2 sets of plans w/iteros checked below):
[' Service or feeder 400 amps or MOIC 0 Building over three stories.
0 Dettiolition 0 Other: where the available fault current 0 Marinas and boatyards.
::::1::••;•::::•''Hr::,; e exceeds 10 000 smps et I SO volts or 0 Floating buildings.
E 1 - and 2-family dwelling n Commercial/industrial El Accessory building amps for all other installations. buildings.
0 Muliti-family 0 Master builder 1:1 Other 0 lire pump. 1:11 loStallotion of 75 KVA or
': - . , • - • , •:P . :,:d!!ili''':Pt.':' , ':';•: - •';':: :4n...i -.:: 'isiititigikriO4i:vdiiritizioitrokr :-',: .-:::..-:.!.:.'!•::-..!:'.';:::- 0 Ein'ill'Y "3'". larger separately derived srgern,
jj 6
,1;41:1:::::i1], .; ii.!:..ef,: I: .. .. • ..., ... : ,i.4,.., ': '''.,,, „;. ; . ...'• .:., • ... : ',..:■;.::: 0 Addition of now motor iood of
WOE> or raore. occupancy.
Job no.: 2013-00118 Job site address: 9568 SW North Dakota St.
. _ ci SiX (IT ITICITe 1=cidtTaini =lir& 0 Recreational vehicle parks. i
City/State/ZIP: Tigard, OR 97223 OHealth-care facilities. 0 Supply voltage fee more than
0 Hazardous locutions. 600 volts nominal. i
Suite/bIdgJapt. no.: Project name: Howland ciServito Or Feeder 600 amps or more.
giagiP.q.r,.f .„ ,*.tilfaitP.
ik 1
Cross sireet/directions to job site: SW 95th t4M
Ave. Description LQty. i Fee 1 Total 1 •
New residential single- or multi-family dwelling unit.
. . Includes attached garage.
•
•
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4 •
Ea. add'l 500 sq. ft. or portion 33.92 1
Tax mat/parcel no.: 1S135CA03000 Limited energy, residential
. .. .. .. . ...... . .... . .... ........................... 75.00 2
'-::::Migi.li.j0300P:.0 #01g0;:= (with abmc scl- ft)
' . Limited energy, multi-family 75.00 2
To add to existing permit ELC2013-00118: 1 ckt. residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
updatejd description: 3 ckts., rewire bedroom, add smoke detectors due to fire. 200 amps or less 100.70 2
'1 201 am it) 4°° aMPS 133.56 2
• 401 amps to 600 amps 200.34 2
Name: Howland, John P. .. . -
. . 601 amps to 1,000 amps 301.04 2
Address; 9568 SE North Dakota St. Over 1.000 amps or volts 552.26 _ 2
Temporary services or feeders installation, alteration, and/or
City/State/ZIP: Tigard, OR 97223 relocation
Phone:( ) I 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 — 54
168.
401 to 599 amps 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. - --,----
Branch circuits - new, alteration, or extension, pr panel _
Owncrlsignature: Datc: A. Foc for branch circuits with
':'''ir''':i'' rala•WidiSilf'.:1;:::' ::: LH' ir.fli:f:fr!•••' ::•..- ab' setvtoe le edet fee. 1 742 742
2
Business name: SQUIRES ELECTRIC, INC. B. Fee fix branch circuits without
service or feeder fee. first
56.18 2
Contadt name: ANDREW COHEN branch circuit _
Each add branch circuit 7.42 2
Address: 1001 SE DIVISION ST. #1 Miscellaneous (service or feeder not included)
. Each manufactured or modular
City/Slate/ZIP: PORTLAND, OR 97202 dwell service and/or feeder 67.84 2 1
' ,
Phone (503-) 252-1609 I Fax: : (503-) 253-5831 ' Reconnect only 67.84 2 — .
Pump or irrigation circle 67.84 2
E-mail!: JOE@SQUIRESELECIRIC.00114
Sign or outline lighting 67,84 2 i
ag.F.404:N Igi . kii• . J! ' A' ; : ; 3.•. - ;;' li:::4•: ..::;: 777 , Signal circuit(s) or limited-energy
Busin4s name: SQUIRES ELECTRIC. INC panel. alteration, or extension. Pate 2 - 2
Each additional inspection over allowable in nay of the above
Addre4s: 1001 SE DIVISION ST. #1 Additional inspection (1 hr min) 66.25/ hr
Investigation (1 hr min) 6625/ hr 1
City/State/ZIP: PORTLAND, OR ' .
Industrial plant (1 hr min) 78.18/hr ■
I
Phone: ;(503) 252-1609 Fax: (503) 253-5831 Inspoetions for which no fee LS
90.00/ hr i 1
specificaly listed CA lir rain)
-
CCB ':ic.: 135085 I= c.: 26-1101C .. .1 Lic.: 48825 !L:1'..!
i:00M.A0411401
i13
I. '1Ftr,51::: .
Subtotal: 7.42 I
Supry.lEleetrician signature, req ;rod: 100
Plan review (25% of permit fcc): ■
Print name: JOE SQUIRES I atc: /13 State surcharge (12% of permit fee); .89 !
1r TOTAL PERMIT FEE: 8.31
Authorized signature:
, This permit application expires if a permit is not obtained within 180
days after it bits been accepted as complete
Print name; JOE SQUIRES Date: 3/12/13 • Number of inspections allowed per permit
iNgeadminvieilegi.C...Premilrupdoe V • • 440
1
02/19/2013 12:20 5032535831 DD ��tt SQUIRES ELECTRIC #2554 P.002/002
Electrical Permit ApplicatiatECEIVED i-OR OFFICE LSE OSLY
Receiv td (/
1 , 11 111 6, l' City of Tigard p ZO13 Date/B 1 3 s� permit l 1 O
13125 SW Hall Blvd., Tigard, OR 972_ B e7 PlanReview
Other Permit:
Phone: 503.7182439 l;ax 503.598.1960 Date/134:
9 't G A RD Inspection Line: 503.639.4175 CITY OF TIGARD Date R:ady /By: l,a.• g See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method; '' 10 Suppiemental Information
i r , p t 1=', yy ^]NYv 1 . � ±,b. , : f t 'l"3' 7 40"1, � rA 'Z.4 -, 1� + y, , .51r':I -''L , -t; ru �c...� ..- -- r, 4 a 1 _
1....,,. n �; �'LW
r,... z � <r -r: .,c, r - rat ..... rJs � "� �`.. - ,..,.
0 New construction ® Addition /alteration/replacement Please check all that apply (submit 2 sets of piars 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.
,*'.77 , a a - r . n j 'v -L,� 17" 7 ?-7 - , 1" r . r �,. ` V d . - 1 l.'; t exceeds 10,000 amps at ISO volts or ❑ Floating b uildin,s.
k 4 :, c , r '-'. -" `r rY 1 � less to ground, or exceeds 14,000 In
Commercial -use agricultural
® u 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other instillations. buildings.
❑ Multi- family ❑ Master builder 0 Other: ❑ Fire pump. ❑ Installation of 7 5 KVA or
,` r eea.� . -- ,^ r --r. ❑Emergency system. larger separately derived system,
.y ' c is iti - • • „1W � .- ` " 7' Addition of new motor load of ❑ "A", "E". - 1 -2". "1-3 ",
looHP or more. occupancy.
Job no.: Job site address: 9568 SW North Dakota St.
❑ Six or more residential units. ❑ Retteatioaal ve uiele par.
City /State /ZiP: Tigard, OR 97223 ❑ health-care facilities. ❑ Supply voltage for more than
❑ Hazardous location 600 volts nominal
_.._.
Suite/bldg./apt. no.: I Project name: ['Service or feeder 600 amps or more
Cross street/directions to job site: SW 95 Ave. pe8a'tptnm Oily. _ sea Toter -
-• ■ New residential single or multi - family dwelling unit.
_ Includes attached garage.
Subdivision: -.- Lot no.: 1,000 sq. ft. or less 168.54 4 •
Ea. add'I 500 sq. ft or portion 33.92 _ I
Tax map /parcel no.: Limier energy, residential
'��q i *, i *��/;;;, r .r H ' y `. tm .M r ,-. a ," r ` mw v s , F s 7 5 _ 75.00 2
i . �, + ". ,� �. . ft, r, k 1, n ∎4 GrL t " , ` ' i " a .. t "x (with above sq. ft. )._ r:,,, r w i t . r 3:K._r au, ^r, ¢ a M1 3 , 5 i; M . �. ,,, .. T y . ` 3a i Limited energy. multi - family
Service and 2 ckts., due to fire. residential (with above sq. RI
75.00 2
- Services or feeders installation, alteration, and/or relocation
200 amps or less 1 100,70 _ 100.7 2
� a r � ii ' n T it .;' ` =ti 4 'i ` Y t s?:, f ,; t `, *� '4r? x . 1 .; 201 amps to 400 amps 133.56 2
Name: Howland 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and/or
City/State/ZIP: 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 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 7 )1. 401 amps to 599 amps 168.54 _ 2
Branch circuits - new, alteration, or extension, p7.
t r panel
Owner signature Date:, A. Fee for branch circuits with
s i x above service or feeder fee, 2 14.84
•:"..5 a �,. R� l ) ';, ITI; w.Y , r 1 � � ti r . 7.42 2
:w .- .'?+ I,sWJI'.P w i t - � I .41 ` .�, 'F"I... C each branch circuit
Business name: SQUIRES ELECTRIC, INC. B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: ANDREW COHEN branch circuit
Each add'l branch circuit 7.42 2
Address: 1001 SE DIVISION ST. #1 Miscellaneous (service or feeder not included)
City/State/ZIP: P, Each manufactured service a dr modular 67.84 2
ry / PORTLAND, OR 97202 dwelling, service aad/ar feeder
Phone: (503) 252 -1609 Fax: : (503) 253 - 5831 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail: -mail: JO
E@SQUIRESELECTRIC COM
�, Sign or outline lighting 67.84 I 2
= , Y»,: V �1F i•�n -1:4 ...,1 3I - -M�.,,V ,LL r a: { ac.:. ''.Mar' I
. � *��� ,,,,,,� :vim. -� . _ Signal circltit(s) or limite d - e nergy �
Business name: SQUIRES ELECTRIC, INC. panel, alteration, or extension. - Page 2 1 2
�_
Each additional inspection over allowable in any , f the above
Address: 1001 SE DIVISION ST., #1 Additional inspection (I hr min) 6625/ hr 1
City /State/ZIP: PORTLAND, OR 97202 investigation (t hr min) 66251 hr
industrial plant (1 hr min) 78.18/ hr
Phone: (503) 252 - 1609 Fax: (503) 253 - 5831 Inspections for which no fee is 90.00 / hr
s, ifical listed /s hr min
CCB Lie._ 135085 7 Electrical 1101( c.. 48825 j +t7 "', " =. hr {,;+..(4 ri :J.•` r l t 7 17 _:e { „
Super. Electrician signature, requ"
/
Pi
- _. _ Subtotal: 115.54
Plan review (25% of permit fee);
Print name: JOSEPH SQUIRES Date: 2/18/13 State surcharge (12% of permit fee): 13.86
,- - .. TOTAL PERMIT PEE: 129A0
Authorized signature: Ad! This permit application expires if a permit is not ob , a within 180
Print name: JOSEPH SQUIRES v Date: 2/18/13 days after it has been pe eel as comp! e.
Number of inspections allowed per permit.
f: dingasmimlm.C- PermitApp.dx 07/01/10 410.4615T(11 /)5 /COM/WES
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
9568 SW NORTH DAKOTA ST, TIGARD, OR,
97223
Residential - Electrical
115 Electrical service
02/21/2013 00:00
ELC2013-00118
PASS
Violation Summary:
Inspector Contractor