Permit •
•
CITY OF TIGARD ELECTRICAL PERMIT
• r . COMMUNITY, DEVELOPMENT Permit #: ELC2013 -00285
Date Issued: 05/22/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: 2S111D606300
Jurisdiction: Tigard
Site address: 15245 SW ALDERBROOK CT
Project: Schweizer Subdivision: SUMMERFIELD NO.7 Lot: 397
Project Description: (1) 200 amp service and (1) branch circuit for sewing room.
Contractor: ABC ELECTRIC Owner: SCHWEIZER, WALTER D
135 NE 9TH AVE 15245 SW ALDERBROOK CT
PORTLAND, OR 97232 TIGARD, OR 97224
PHONE: 503 - 233 -7551 PHONE: 503 - 352 -4126
FAX: 503 - 233 -7552
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 05/22/2013 $100.70
Specifics: amps or less
1 crt Branch Circuits w /Purchase 05/22/2013 $7.42
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 05/22/2013 $12.97
Electrical
Type of Const:
Occupancy Grp:
Total $121.09
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 952 -0 - 090. 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: Permittee Signature: e5/1/ �}/ L / c n
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.
5/20/2013 8:43 AM FROM: ABC Electric ABC Electric TO: 503- 598 -1960 PAGE: 002 OF 003
Electrical Permit A licatio ,- ED FOR OFFICE USE ONLY
Tigard
r City of Tig Received .5/202_ /3 'r'� R LS'
Date/By: iv �r� r Permit No.:�LC - 0
l - v 13125 SW Hall Blvd., "Tigard, OR 97223 Plan ttcte/By'icw
Phone: 503.718.2439 Fax: 503 598.191 Ay 2 0 2013 Da: Other Permit
TIGARD Inspection Line: 503.639.4175 Date Ready/By: ruyv
/I ! �/� H See Page 2 for
Internet: www•tigard or.gov l � 1 TY �(I TIGAR Notified/Method: tQ Supplemental Information
Is,{,,'!!�P': t4' r:•:: t' 1-;:'+'` 3" �7:' �5�1s ?�r•�•'•�'�v'ca�u;;J._x';�"� , - 1 �� , .,�`- �,Y�.- ncv.: c- :• c. .:�.;« , _ .. .
.�•fi -,.: `,T', ,.. aQt'e- `•`d"�etiti :,�tt' ' .. dr 3. '1,, .i `L�m c;,� r�,,.. ' ' � '(�IrdhV °. F:;`: %i'
H _v.r � %. a , '`� <r. . Y...,.,_�_:.s,.,.�..£y,, ..h�f C. }� J�..
• � 1:,Y..:'t: -. G:... -:.• :,v�'4!�'�:f:.. •,i�'i �,_ :.' : 4. 1: ��. 6;' i�S: i�,'.. � +1,`f�fi�-tl,./t.��2,� \ "; P.:: ?5
❑ New construction 'f jj Addition /alteration /replacement Please check all that apply (submit 2 sees of plans w /items checked below):
❑ Demolition tEl Other: ❑ Service or feeder 400 amps or more ❑ Building over three stories.
where the available fault current ❑ Marinas and boatyards.
y ,_ _, �,,, ,,, v , -,,, 4y . i � , -- `tii r ` y
h, . `'ig " :.�.r.,'y�':��� L" '$� ' u fi`1 `'(',` n: ?,: exceeds 10,000amrsa1150volt
u .•.,. .f _. , ._,.. . . ,; _ ' ky � R uin ,'. • a . ..W..rz" , 14 3 y tis s „g I s or ID Floating buildings. a 5:v1 a. t�,.:.., - a., �su.a .. h'r�..+.r - ::�r ;.,as..•s
less to ground, or exceeds 14,000 ❑ Commercial agricultural
Q I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations, buildings.
❑ - family ❑ Master builder El Other: ['Fire pump. ❑ Installation of 75 KVA or
y ;5.4 . _ 'l4' y ;« , <nao• 4 p rd p.- : ¢;>�•. ; ,, r ya .,., . s ti ' ❑ Emergency system.
t
i(- s �. p ;,' o;a s 6 Y Y larger separately derived s
:. '3`, 15fQ g I Y stem.
Y
... o,.�u�h�F`:Y.1: N; � �i n �Ny:�1`T�D�'�C�'f)I�Niu� "n 'i`.F r.��i"� "�" "�% � % ❑ motor load of ❑ ., ., ,, -2 „
�z- .,>a �rx ix..",.:- . ,,,na. • .. Addition of new m t "1-3",
Job •10.:7 i Job site address: • l 1 10011 more. occupancy,
(� ` ` � 1 c •� 1! 11� kX
(� �C' ❑Six or more residential units. ❑ Recreational vehicle parks.
City /State /7_IP: �/)� �� C p , �(� ) ❑ Heahh•care facilities. 0 Supply voltage for more than
J 1' / ❑Hazardous locations. 600 volts nominal.
Suite /bldg• /apt. no.: Project name: (,.. (if.) 14.) v i 2 K.h ; ❑ Service or feeder 600 amps Or mor ��. ga
Cross street /directions to job site: Description I Qty. I Fee. j Total I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 s R. or less 168.54
4
Tax map /parcel no.:
Ea. add'l 500 sq. ft. or portion 33.92 1
.,, ". a7.. war'° w:, ....`:, a .,. ., „,. Limited energy, residential
g ., ltd 6 � rs >> =, ;''"n -`.,': V. ( al
d:�. _ �� :'<^� r'` • ,• r#z � - ,;C, P�IQ�� 3���`.i..;i';�??� 'i';. �,���? t ";. with nbovo R .) 75.00
k�'�z�,.r�S: Avg <1s�. �...4�?t x F *
{ Limited energy, multi - family 75.00 2
` P! 41 , ,t '' C (t,t.L 7 6'. Pis , .I ...,4 (F:7•m
t) residential (with above sq. ft.)
or feeders installation, alteration, and/or relocation
Lr 9 1 ^ A ' • 200 amps or less j 100.70 > t)(t•70 2
A .' •one; + . . n. t s 7 615 ' 1' F " 201 amps to 400 amps _M• h.i "' .A,,.�� ` �r•t;<�i' d �r�: �5 :aa:, ��, !� z " ' 1`' ���,. „� "� . P p 133.56
1 ) _ 1� S. 401 amps to 600 amps
Name: ( a h fl i\ : C ' 3 ��1, S A ' ,t P 200.34 2
y) � 601 amps to 1,000, amps 301.04 2
Address: . ti 1 - " . . , :Over 1,000 amps or volts 552.26 2 • City /Slote/ZIP: ' ` ' ^ C ° . _ Temporary services or feeders installation; alteration, and /or • • c-. • y ( 0 } �.J\ -1 � C 1 �l / 1 c� , t-1 reloc • •
• Phone: (3U3) F es; ( ) 200 am or less 59.36 1
�` • 1 201 amps to 400 amps 125.08 • 2
Owner.installation: This installation is being made on property that I own which is not
intended for sale, lease,, rent,'_ or exchange;' according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 766.54' 2
Branch circuits - new, alteration, or extension, er panel
Owner signature: .. Date: .. . A. Fee for branch circuits with
' _ `i 7 ' t, 'fi jt' 1 : 'sy k �Et� oa
r ' k a of ry t above service or feeder fee, II 2
3i`s+ sc�eiy 7.42 "f
. eac b ranc h c
Business nalrte: , • ,:�e� � - �A 1 ' - . -. B Fee for branch circuits without ,
W . g' X l ' h . i . ( ' service or feeder fee, first ' 56.18 ' 2 • Contact n ame: , branch circuit
'. �� Q � � Each add' .I branch circuit _ 7.42 .2
Address: J /. ; L � VJ� � . Miscellaneous (service or feeder not included)
City/State/ZIP ; /, t � � �! 7 • 1 Each manufactured or modular ., -
�� d e C� 7 fC7° `� dwelling, service anilior feeder ', 67.84 2 •
Phone:'(. 3: ), A Fax:: t Reconnect only „ 67.84 . . 2
�� (�� `� ` Pump or irrigation circle , : • .. 67.84' 2 •
E mall /. tt ! � / .� ,�, r /
s ,, m � H Sign
or lighting „„ 67.89 2
,' o � � '1? ia; e. - rici r k�, ,,as„ ' .... �.� Signal ci r ca it(s) or limited - energy• . •
Bus R ., ' panel ;alteration . orextension.,' Paget , . 2 .
/ l /� A e f I Each additional inspectio over allowable in any of the above
•' Address:,. ' , Additional inspection (1
Investigation (1 hr min), .i :66.25/hr . -
•Clty /State /ZIP /� , ,, � f
l�. , • , 6625/ . hr '
' n W _ 1 ! ei / n r c e� � 4 rc.)3. ' Industrial lent' I hrmin
r • .
(lone: (T31; ! 'Fax: t ' • /� . 1 ' •:lns ctiotis forwhich no fee is •: -• '
�q - � ' ~ ��' ( ) ��` JC "t ', specifically listed ckhrminj ' . 90.00 /hr
• F(1�: CCB L (0 /. Electrical L ' ry Lie ��' • �JW,r i' 6 s ' t!: - 3 ;
• U ry C i `
, ` .:., Subtotal:
S upry Ele signatur required _� . • 1(��{ �c�k`
revie ( % of. pbt mi t fe
::: ,,.. . (1 of Da te: ; State surcha , pem u t f si natgre: -.. -• •• .' - . ...; , TOT FEE , , i
This permit appheation ezpires`If a permit Is.not obtained within 18Q
Print »at e
days after it has been acceptedas complete
�1�'( - , l . ) I. Q " Date -, 2 /l3 Number of inspections allowodperpermit,
i5 Building\Pcrmits\ELC-PcrmiiApp,d°c- 07/01 /to 440.461ST(11(05/COM WEB
5/20/2013 8:43 AM FROM: ABC Electric ABC Electric TO: 503 -598 -1960 PAGE: 001 OF 003
ABC Electric
135 NE 9th Ave
Portland, OR, 97232 -2912
c o n f i d e n t i a l fax
To: City of Tigard Permits
Fax Number: 503 - 598 -1960
From: Anne Braden
Fax Number: (503) 233 -7552
Business Phone: (503) 233 - 7551
Home Phone:
Pages: 3
Date/Time: 5/20/2013 8:43:04 AM
Subject:
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
15245 SW ALDERBROOK CT, TIGARD, OR,
97224
Residential - Electrical
199 Electrical final
05/23/2013 00:00
ELC2013-00285
PASS - No C of O
Violation Summary:
Inspector Contractor