Permit n CITY OF TIGARD ELECTRICAL PERMIT
114 2. COMMUNITY DEVELOPMENT Permit#: ELC2013-00513
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/28/2013
Parcel: 2S112ACO2000
Jurisdiction: Tigard
Site address: 14915 SW 72ND AVE
Project: Portland Construction Solutions Subdivision: FANNO CREEK ACRE TRACTS Lot: 47
Project Description: (15)branch circuits for TI
Contractor: CLASSIC ELECTRIC LLC Owner: GLASS HOUSE INVESTMENTS
PO BOX 1335 1662 WORTHINGTON ST
SHERWOOD, OR 97140 LAKE OSWEGO, OR 97034
PHONE: 503-259-0459 PHONE: 503-329-2141
FAX: 503-345-0912
( FEES
Quantity Description Date Amount
15 crt Branch Circuits wo/Purchase 08/28/2013 $160.06
Specifics: Service or Feeder
1 ea 12%State Surcharge- 08/28/2013 $19.21
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $179.27
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 • •ugh O• ' 952-001-r••0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued B i • Permittee Signature: < «�
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE • Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' l - - of i�� Date:
%_
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available Inspection date.
This permit card shall be kept In a conspicuous place on the Job site until completion of the project.
Approved plans are required on the job site at the time of each Inspection.
TO: Page 3 of 3 2013-06-27 16:09:30(GMT) 15033450912 From:Tnomaa"dame
Electrical Permit.Applica i •1l CEIVED Folt OFFICE use ONLY
1 G 2 7 2013 r:e+::.i,cd �� n„it 24p.:
City' of Tigard „at ,jw,. v El-C46/..41-005Z
u 13125$W flail fllvd.,Tigard,OR 9'.z2, 'Plan Review Other Permit: F�PaQ�3-�18�-
1 a Phone: 503.718.2439 Fax 503.6 D,^.1PiB
°OFTIGARD c
Inspection Line: 503b39.4175 pale R'ca(lyll)y� Mir El See Page Z for
TLGARU mental Information Internet: ,rvw.ugard-nr;gov Me,.to : pt
BUILDING JUIS
.ar�� lay
Q
•
❑ New construction Z Addition/alteration/replat:ement 'Please check all that apply(submit.$sets ofptsns whims'checked b(ab,i?)
❑Service or feeder 400 amps or more ❑Building over three:aeries.
❑ Demolition ❑Oilier: • where the available fault current ❑Marinas and boatyards.•
...CATEGORY'Of CON57 R1!CTdON meads 10,000 amps at 150 volts or ❑Floating buildings.
_ less to ground.or excccri-q 14,000 ❑Commercial-use agioultucal
❑ I-and 2-family dwelling 0 Commercial/industrial [J Accessory building amps for atI other installations. buildings.
❑Multi-fancily ❑Master builder ❑Other: ❑F1 re pump. Instal b,1 n of 150 KVA
or
,, T ., -
0 r:mergency system, Larger sepatntely derived system.
TE INFORMATION �ND 1 iQ,CATIUN:: ' Addition of new motor load of ❑"A","E","1-2" "1-3", 'or more.
►+' ,_ sore residential unim. Recreational vehicle packs,
JOh no,: � _.fob Site address:.14915 SW•72nd Avenue locetP
Q Six or t Q t
C I /State/ZIP:Ti ard,OR 97224
0 Health-rag facilities. ❑Supply voltage for mom than
ty g , 600 volts nominal,
Hazardous
Project name:�eQ-n�tJ�-Co(pST 71or� ❑Servicem_.fecder600:�npsorrwro-
- . :;` . 4a :0,j%s`.SCij)DI)LE _ 1-._ .
Cross street/directions to Oh site: aaa@ttan ' �" a.... Qty. 1 sea 1 reset l
_T ...._.. .. --. ... ..__.
New residential single-or multi-family dwelling unit.
Includes attached garage: •
__ - --—-,_ ....-
Subdivision:- I Lot no,: 1,000 sq.P.orless 168.54 4
1 Ea.ndd'I 500 sq.ft,or portion .. : 33 92 :1
x� _
Tax map/parcel no.. Limited energy,residential 75.00 2 '
•
-::;:.....,.:>:;,:.:- .;_: ••.-...• ,:.DESCRIPTION OF N',ORK...•...,.:..`:::..,.::,: `::..`:. t:..:;: :�; (with above sq.ft)
Limited energy,multi-family 75.00 ''
011ice remodel :esidential(withaboveso.ft.) •
-- - .. Reaewable:Eiserg--: i : a<? 0"See`Piige-2'•:::''::_:,-;:::::>..�..-s
Servicxs or feeders..in+tallation;.alteratiwci.and/or reInca11oit'
X00 amps or less 100,70
'...0 PROPERTY OWNER ❑ TENANT; .;. ',•:.:ii.-::`, .
-.._ 201 amps to 400 amps 133.56 :22
2
Name: : 401 amps to 600 amps 200.34
Address:
601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 55226 2
City/State/ZIP:: Temporary services or feeders installation,alteration,and/or •
•
Phone:( ) ( relocation _ •
h'cv::
_ 200 amps or l�s 59.36 l
Owner installation:This installation is being made on property that I own which is not :-`y01 amps to 400 amps . 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 smti3 to 599 amps 165,54 2
Owner signature. Date:` Iroaclscircuits-nowv,alteration.or.cxtension,, crpnnet '
.,- .'. .. -bran circuits with
. .:•:- .. C
O TAC- PL'RSQN::.:''' " 1r• above ice or seeder tea
®;AP.PL 1C4NT' 1v[ 42•
Business name:Classic Electric, LLC
each branch circu 7 2
_. 13.Fee for branch circuits wi/hour
Contact name:'Thomas Adams - service or feeler fee,tiro I 5fi.1 g : 56,18 2
branch circuit
Address:PO Box 1335 Each add'I branch circuit 14 7,42 103.88 2
City/State/ZIP:'IState/ZlP:Sherwood,OR 97140 �Niscanncoos(service or feeder not included)
., ^Each manufactured or modular
_ 67.84 '. 2
Phone:(503)259-0459 Fax::(503)345-0912 •dwellin service and/or feeder '
t •
( ( Reconnect only 67.84
E-mail:thomas@classicelcctricnw.co in . Pump cr irrigation circle 67.84 - 2
:...• CONTRACTOR:= .':- - .-• ..a. •::' •: . .Sign or outlinelighting • 67,84 : 2
Business name:Classic Electric,LLC •-•Signal circuit(s)ariimited-energy See •
., panel,alteration,or extension. ) Page 2 • 2
.Address:PO Box 1335 Each additional iaspeetlon over allowable Many of the above
„-_ -- • Additional inspection(1 hr min) : 66.25/hr
•City/State/ZIP:Sherwood,OR 97140 - Investigation(1 hr min) 66.251 hr
Phone:(503)259-0419 _- Fox:(503)345-0912 lndustinl plant(t hr min) • 78.181 hr
Inspections for which no fee b 90,170/h:
�CCBLic.:. 181851 Electrical Lie.: C4 14 Suprv.Lie.: 5339S specifically listed(V.hrmin) _
tEC _ - -•:;.: ': . :,,:)ERTCAL E1CRl`fGl'.Fisk:$.
Snprv:Electrician signature,require(!: 4 Subtotal: 160.06
•
Print name: Thomas Adams T bDate. 8/27113 Plan review(25%ofperntitfee):
_ State surcliiube,(12%of perinit.fee): 19.21
Authorized signature: ?C G^A_ ` — • TOTAL PE[LMIT FEE: 179.27
This pennfrapttlication expires if a permit is not obtained within 180
Print name: Thomas Adains 1 Date: 8i27/13 days after it has been accepted as complete. rl/ti//
- — • Number of inspections allowed pea permit,
I,a InV'cmuts'.ELC PennitA,v_51.5_MCA,.itcc oast 1f9)13 410-1615T(I 1105!COMWit11
To: # 9 9 of 3 2093-06-27 96:09:30(43MT) 95033450992 From:Tnomeo Aoemm
FAX COVER SHEET
TO
COMPANY
FAX NUMBER 15035981960
FROM Thomas Adams
DATE 2013-08-27 15:55:56 GMT
RE City of Tigard
COVER MESSAGE
Please see attached the payment authorization and electrical permit application for
14915 SW 72nd Avenue in Tigard.
Thank you.
Thomas Adams
WWW.MYFAX.COM
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
14915 SW 72ND AVE, TIGARD, OR, 97224 2013 - 12 - 02 (null)
Record Type: Record ID:
Commercial - Electrical ELC2013 - 00513
Inspection Type: Result:
199 Electrical final PASS - No C of 0
Comments:
Violation Summary:
Inspector Contractor