Permit CITY OF TIGARD ,��. ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2013-00432
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/24/2013
TIGARD Parcel: 1S133DCO2800
Jurisdiction: Tigard
Site address: 11925 SW MORNING HILL DR
Project: Williams Subdivision: MORNING HILL NO.1 Lot: 3
Project Description: Fire repair,(1)service and(4)branch circuits. 11/13/13: REPRINT permit to add(5)branch circuits.
Contractor: SQUIRES ELECTRIC Owner: WILLIAMS, LASHANDA EARLINE
1001 SE DIVISION STREET#1 11925 SW MORNING HILL DR
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 07/24/2013 $100.70
Specifics: amps or less
9 crt Branch Circuits w/Purchase 11/13/2013 $66.78
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 11/13/2013 $20.10
Electrical
Type of Const:
Occupancy Grp:
Total $187.58
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 2-0 090. 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: '/C , / Permittee Signature: �/� G/��'I�/\/
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.
•
Electrical Permit Application �N�� FOR OFFICE USE ONL1 ,
City of Tigard Received a0/3 -�a y3
rt � Date y: fos.�3 Permit Nu.ECC
l 13125 SW Hall Blvd.,Tigard,OR Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 q '1013 Dine/By Other Permit:
TiGARD Inspection Line: 503.639.4]75 0 1 N Date Ready/By: -kris. a See Page 2 for
Internet: tvww.tigard•or.gov \`t 10 Notified/Method; Supplemental Infarmntlon
. •E OF WO t ii. 1 - 11 PLAN REVIEW
❑New construction G Addition/alterat+•`t}/re r Please check all that apply(submit 2 sets of plans wrilems checked below):
❑Demolition ❑Other: �jV ❑Service or feeder 400 amps or mole ❑Building over three stories.
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at VSO volts or ❑floating buildings.
legs to ground,or esceeda 14.000 ❑Commercial-usc agrieultimit
amp
land 2-family dwelling ❑Commercial/industrial ❑Accessory building s for all other installations. buildings.
0 Multi-family ❑ Master builder 0 Other: ❑Fire pump. ❑Insinuation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately clerked system
❑Addition of new motor load of ❑"A" "E'',"1-2-.--1.3"
Job no.: Job site address: i S 1 I00HP or more,
0 occupancy.
1\y 1 1 Si X Or
'Core ra idcnllal onus, U Rarealion;d vrhicle parks.
City/State/Z1P: - « / Y ❑Health-cam facilities, ❑Supply voltage For Inure Ihon
❑Hazardous locations, 600 volts nominal.
Suite/bldg./apt.no.: • y Project name: ❑Service or feeder 600 amps or more, _
FEE SCHEDULE
Cross street/directions to job site: _ obrrimien I Q5.'. I tee rota)
NCH'residential single-or multi-Family dwelling unit_
includes attached garage.
Subdivision: Lot no,: 1.000 sq.R.or less 168154 4 1
La.add't 500 sq.R.or portion _ 33.92 I
Tax map/parcel no.; Limited energy,residential 75.00 2
DESCRIPTION OF WORK (with above sq.ft.)
Limited energy,multi-family 75.00 :J
46 a G `+ ^ l I i ' residential(with above sq.Ii.)
Renewable Energy I ❑ See Page 2
_0 — 0/4 _r , Services or feeders installation,alteration,and/or relocation
❑ PROPERTY OWNER ❑ TENANT 200 amps or less / I 100.70 2_
201 amps to 400 amps I 133.56
401 amps to 600 amps 200.34 2
e--;ass: 601 amps to 1,000 amps 301.04 2
-.Av./State/ZIP: Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,Alteration,and/or
Phone'( ) Fax;( ) relocation
200 amps or less 59.36 1
Owner installation:This installation is being made on property that l 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 701.
401 amps to 599 amps 158.54
Owner signature: Date: Branch circuits-new,alterntiou1,or esrel15ion,_zer panel
d APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with 1
INC. - above service or feeder fee. / 5 7.42 . 6 2
Business name:SQUIRES ELECTRIC, N each branch circuit / ! -
B.Fee for branch circuits without
Contact name;ANDREW COHEN service or feeder fee,first
branch circuit 56.18 2
Address: 1001 SE DIVISION ST.,#1
Each add'I branch circuit 7.42 2
City/State/ZIP:PORTLAND,OR 97202 Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
Phone:(503)252-1609 Fax: :(503-)253-5831 dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail:ANDREW @SQIJIRESELECTRiC.COM
Pinup or irrigation circle 67.84
CONTRACTOR Sign or outline lighting 67.84 '
Business name:SQUIRES ELECTRIC,INC. Signal circait(s)or limited energy
paned,alteration,or extension. Page 2 2
Address: 1001 SE DIVISION ST.#1 Each additional inspection over allowable in any of the above
City/State/ZIP:PORTLAND,OR 97202 Additional inspection(1 hr min) 66.25/hr
Investigation(I hr min) _ 66.25/hr
Phone:(503)252-1609 Fax:(503)253-5831 Industrial plant(1 hr nun) 78.18/hr
Inspections for which no the is
CCB Lie.: 135085 Electrica ,a 2. Suprv.Lic.: 79'35 specifically listed(Y_hr min) 90,00/hr
1
Suprv.Electrician signature,required: _ ELECTRICAL PERNIi al FEES
inii-
1
• I v Subtotal: 1 " -4 ,A o
f� name: 'MOM, Date: ,i. l, Alan review(25%of permit(ec);
State surcharge(12%of permit fee): 1-11,t4'"j
Authorized signature: _ _ TOTAL PERMIT FEE: sC
min � Date: This permit application expires if a permit is not obtained within 180
il�i days after it hits been accepted aJ complete.
' Number of inspections allowed per permit.
I:\9uilding\PCrmiu\ELC PermiiApp oaoel7,doe 44-4513111 1105/COMAVErl
IT u CITY OF TIGARD ELECTRICAL PERMIT
is COMMUNITY DEVELOPMENT Permit #: ELC2013 00432
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/24/2013
Parcel: 1 S133DCO2800
Jurisdiction: Tigard
Site address: 11925 SW MORNING HILL DR
Project: Williams Subdivision: MORNING HILL NO.1 Lot: 3
Project Description: Fire repair, (1) service and (4) branch circuits
Contractor: SQUIRES ELECTRIC Owner: WILLIAMS, LASHANDA EARLINE
1001 SE DIVISION STREET #1 11925 SW MORNING HILL DR
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 07/24/2013 $100.70
Specifics: amps or less
4 crt Branch Circuits w /Purchase 07/24/2013 $29.68
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 07/24/2013 $15.65
Electrical
Type of Const:
Occupancy Grp:
Total $146.03
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 thro 2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. .1987 or 1.800.332.2344.
Issued By: � Permittee Signatur= Jy' I
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.
Electrical Permit ,A•DPlica C3VE .. F OR OFFICE U O;N ...
City of Ti and Received l
g mitem , Permit No.: • ... _e y3
t 9 13123 SW Hall Blvd., Tigard, OR 972 {1L 2 3 2013
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Dates : r. Ot Permit:
TIGARD Inspection Line: 503.639,4175 CITY TIGARD Date Rcady/B,: Jens 0 Sec Page 2 for
Internet: www.tigafd- or.vgov Notified/Methed: Supplemental information
a I. - ti '. _
TYPE O 79 4 , PLAY REVIEW
• New construction dition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
CI Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition Other: i where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION • metes 10.000 amps at 150 volts or ❑ Floating buildings.
and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building less'( ground, or exceeds 14.000 ❑ C( nmerCj(1 + oErieultnr tl
•
amps for all other installations. buildurv. i
❑ Multi - family _ ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 kVA or
JOB SITE INFORMATION AND LOCATION ❑ emergency system. forger separately derived y Ion
` ` ❑ Addition of new motor load of ❑ "n" '.E" "I "I ;•'
il k Job no.: Job site address: R 11 t00HP or store. uccapa icy.
UUU �. Six M snore residential aping. Ci Reeraatiunal vehicle p;.rka,
City /$tate/ZIP` W t 4 ' 7 �� ❑H eald. -ore facilities. ❑ Supply voltage for store than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: 111 Project name: Q Service or feeder 600 amps or more.
FEE SCHEDULE
• Cross street/directions to job site: Desorption 1 qtv. ( Pre. I Teed i •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision; Lot no.; 1,000 sq. ii. or less 1 63,54 - 4
Tax map /parcel no.: Ea, add'I 500 sq. R. or portion 33.92 1
• Limited energy. residential 75.00
DESCRIPT ON 0 WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
emi • � 1 �r r� residential (with above sq. ft.) _
IN R enewa b l e Energy I ❑ See Page 2
Services or feeders installation, alteration, and /or relocation
❑ PROPERTY OWNER El TENANT 200 amps or less 100,70 1 ,�a
201 amps to 400 amps 133.56 ( ' 2
Name: , 1
401 amps to 600 amps _ 200.34
/dress: 601 amps to 1.000 amps 301,04 2
0.'ISiate /Z1P: Over 1,000 amps or volts 552,26
. L Temporary services or feeders installation, alteration, and /or
. , . -.,rte: ( ) Fax: ( ) relocation
' 200 amps Or less 59.36 1
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. Ot amps to 400 amps 125.os
401 amps to 599 amps 1 105.54 t 2
Owner signature: Date: _ 1 Branch circuits - new, alteration, or extension, per panel
APPLICANT 0 CONTACT PERSON A, Fee for branch circuits 'rid/ above service or feeder f ar. 7,42 7, V 2 i
•
• Business name: SQUIRES ELECTRIC, INC. i each branch circuit
V (6�1
8. Fes for branch circuits without Contact name: ANDREW COHEN service or feeder lee, first
2
branch circuit 56.18
Address: 1001 SE DIVISION ST., #1 Each add'I branch circuit 7.42
City /State /ZIP: PORTLAND, OR 97202 h'liscellaneous (service or feeder not in cluded)
—
Each manufactured or modular
57.84 2
Phone: (503) 252-1609 Fax: : (503 -) 253 -5831 i dwelling, service and /or feeder
E- mail: ANDREWta�SQUIRESELECTRIC.COM Reconnect only - 67 $4 ,
Pump or irrigation circle 07.84 ,
CONTRACTOR I Sign or outline lighting G7.34 2
Business name: SQUIRES ELECTRIC, INC. Signal circuits) orlimited energy -
panel, alteration, or extension. Page 2 2
s l)
Address: 1001 SE DIVISION ST. #1 ! Each additional Inspection over allowable in any of the above
City/State /ZIP: PORTLAND, OR 97202 Additional inspection ( I hr min) 66,25 / h
Investigation Cl hr min) 66.25/ hr
Phone: (503) 252 - 1609 & ax: (503) 253 - 5831 Industrial plant (I hr min) 78.18/ hr 1 I
Inspections for which no tee is
CCB Lit:,: 135085 Eicctrica VI 6 - 1101 C Suprv. Lic.: 4882S ' s 90.00 / hr 1
P pacifically listed (h hr min) J
Suprv. Electrician signature, required :. ELECTRICAL PERMIT FEES
Subtotal _.
.t name: IO.E SQUIRES Date: '7/�1 , Plan review (25/oofpennit fee):
~' 1 State surcharge (12% of permit tee);
.rind signature: TOTAL PERMIT FEE:
Print name: JOE SQUIRES This permit application expires if a permit is not (aniline within 1..
Dat t3 j
days after i t bas been accepted as complete. , 7/ •
blpuildi tPerml. l,(; Permha ; • Number of inspections allowed per permit. e t
n6 _ pp_oa0913.doc 449 :(,i5T(li /05 /COM,wEn,
0
•
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
11925 SW MORNING HILL DR, TIGARD, OR,
97223
Residential - Electrical
199 Electrical final
2014-04-04 (null)
ELC2013-00432
PASS - No C of O
Violation Summary:
Inspector Contractor