Permit 11111 4 CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2013 00522
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/03/2013
Parcel: 2S 109AB08700
Jurisdiction: Tigard
Site address: 14205 SW 131ST PL
Project: Reekie Properties Subdivision: RAVEN RIDGE Lot: 16
Project Description: Electrical reconnect
Contractor: Owner: REEKIE PROPERTIES LLC
9830 SW MCKENZIE ST
PORTLAND, OR 97223
PHONE: PHONE: 503-639-1600
FAX:
FEES
Quantity Description Date Amount
1 ea Reconnect Only 09/03/2013 $67.84
Specifics:
1 ea 12%State Surcharge- 09/03/2013 $8.14
Electrical
Type of Use: SF
Class of Work: OTR
Type of Const:
Occupancy Grp:
Total $75.98
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 a • -nce with -••roved 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. ATT- 'TION: Oregon la requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-••10 throw h OAR 95201-00•r. 'ou may obtain a copy of the rules or direct questions to OUNC by milli.: • '.1987• .;•r�4.•611 Issue• :y: ������� / Permittee Signature: ��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 FoR OFFICI USE ONLY
City of Tigard RECEIVED Date/B R . 4 /3 .' Permit No.: &CA 3-�5�2
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
' C Phone: 503.718.2439 Fax: 503.59849150j 3 2 013 Date/B : Other Permit:
I'l G n R D Inspection Line: 503.639.4175 Date Ready/By: kris: 65 See Page 2 for
Internet: www.tigard-or.gov CITY OFTIGARD Notified/Method: Supplemental Information
TYPE MX/ GDIVISION ._ PLAN REVIEW
❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans 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.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
IA 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","E","l-2","l-3",
Job no.: Job site address: tL.l b� Ill ❑Six or or o more. occupancy. p
vJ Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: LA 11 J `9.��� ❑Health-care facilities. ❑Supply voltage for more than
t ❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: p ❑Service or feeder 600 amps or more.
Cross street/directions to job site: FEE SCHEDULE
.l Description I Qty. I Fee., Total I
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq.ft.or less 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 1-
Tax map/parcel no.: Limited energy,residential
DESCRIPTION OF WORK (with above sq.ft.) 75.00 2
Limited energy,multi-family
75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
❑ PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name: 401 amps to 600 amps 200.34 2
Address: 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: Temporary services or feeders installation,alteration,and/or
Phone:( ) I Fax:( ) relocation
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 701. 401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits—new,alteration,or extension,per panel _
❑ APPLICANT I 1152 CONTACT PERSON A.Fee for branch circuits with
�� � a f 1�
above service or feeder fee,
Business name: jr]��J each branch circuit 7.42 2
�p*� � B.Fee for branch circuits without
Contact name: service or feeder fee,first
�nwFs-7 branch circuit 56.18 2
Address:` l ) \V•C ki�d\Ei e 9 Each add'I branch circuit 7.42 2
City/State/ZIP:)(-LAth @ I ''�_`` __aJJ � Miscellaneous(service or feeder not included)4 2
v�L` y Each manufactured or modular
(Crt�) 'n2 L1—t 1,)�") ( ) dwelling,service and/or feeder _
Phone: ✓✓ vtG7 l 1lYw Fax: : Reconnect only r 67.84 bki, a811 2
E-mail: WO —S.Y1O• T T Pump or irrigation circle 67.84 - 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name: Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 2
Address: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
City/State/ZIP: Investigation(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: I Electrical Lic.: I Suprv. Lic.: specifically listed('/hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: (ER.
Print name: Date: Plan review(25%of permit fee):
State surcharge(12%of permit fee): g. I—
Authorized signatu ���' TOTAL PERMIT FEE: q
..'-- This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
- * Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 440-4615T(tt/05/COM/WEB
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14205 SW 131ST PL, TIGARD, OR, 97224
Residential - Electrical
199 Electrical final
2013-11-08 00:00:00
ELC2013-00522
PASS - No C of O
Violation Summary:
Inspector Contractor