Permit q CITY OF TIGARD ELECTRICAL PERMIT
: COMMUNITY DEVELOPMENT Permit#: ELC2013 00529
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/05/2013
Parcel: 25101 BB01300
Jurisdiction: Tigard
Site address: 11950 SW GARDEN PL 100
Project: Vesta Subdivision: CROW PARK 217 Lot: 1
Project Description: Electrical for TI.
Contractor: PARKIN ELECTRIC INC Owner: WALTON CWOR PARK BC 8 LLC
14001 FIR STREET BY CTMT-WALTON RE TAX
OREGON CITY,OR 97045 4678 WORLD PARKWAY CIR
ST LOUIS, MO 63134
PHONE: 503-657-4958 PHONE:
FAX: 503-557-1059
FEES
Quantity Description Date Amount
15 crt Branch Circuits wo/Purchase 09/05/2013 $160.06
Specifics: Service or Feeder
1 ea 12%State Surcharge- 09/05/2013 $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 through OAR 952-001-0090. You may obtain a cop rules or direct questions to OUNC by calling 503232.1987 or 1.800.332.2344.
Issued By: iii __, - 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' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept Ina 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.
From: 09/03/2013 15:26 #162 P.002/002
Electrical Permit Application SEP 3 2013 oK )FFICE S ONLY . ..
.. . . . ... ...
. ... 1-• ':...„. .','.:•:,
City of Tigard Received _. igliefillil ,
Permit No,: 4E,..z.c.,..ar2i
1111 le 13125 SW Hall Blvd.,Tigard,OR 97GITY OF TIGARD Date/B : 1 EJ/E2ArbleAllig
Plan Review
' 2, - Phone: 503.7182439 Fax: 503.5RIRDING DIVISION Date/B : Other Permit: //ea f /.■11
TIGARD
Inspection Line: 503.639.4175 Date Ready/By:
11011 SI See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
7.0.:*...4.-TillY,9134'.,‘,1!'., ‘,...4.'3,,,'].:q:,1,'-:::,.-:::,.:_:‘;',1.:;-..-i,,',..;,'.::-,'-,,,:, ;:-..";:-...,....:.:7,-1:i:-, -'.::1:;---;: pi.0,-,Ailt.*E-*":-.,.
0 New construction 21 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans whtems checked below):
['Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other:
where the available fault current 0 Marinas and boatyards.
: ;::-:.-- _,A'.1::: 1,000:114.*:;;,,;10:;!,i,00,$#11t,V,011:91$1-,:;V:Z.,,,,7':::42fl;!t;..'.:;:i:-:,...:,:.5, exceeds 10,000 amps at 150 volts or 0 Floating buildings,
less to ground,or exceeds 14,000 0 Commercial-use agricultural
El
1-and 2-faintly dwelling Zj Commercial/industrial 1:1 Accessory building amps for all other installations. buildings.
12 Multi-family 0 Master builder 0 Other: °Fire pump. 0 Installation of 75 KVA or
-"--1 '..•.:-.r.:-:;-Z.."..;-,.'',." 0,f7.*k4,740.6bitiOi,t/i0-Ixidritirktigi;. ,t.,,,•,,,,,,.:;,,,., ,,,, ,,,._.;,,,zi.,„::::!;. 0 EmeltncY sYslem- larger separately derived system.Addition of new motor lorid of
Job no.:02C3c2,060 1 JOb site address: //6/50 SiV 6744.--der) pi 100HP crr more.
0 Six or more residential units. mcupancy.
0 Recreational vehicle parks.
City/State/ZIP: -"Tiq a,r-t oe_, ,9,7_,,z 3 0 Health-care facilities. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: J/00 Project name: c--zta., 0 Service or feeder 600 amps or more.
..nES.CHLIAX,t.
Cross street/directions to job site:
Di:1=10km 1 QtY• I Fee. I Total l • -
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 I
Tax map/parcel no.:
Limited energy,residential
75.00 2
1,.ii„.:::.,.',",:,-.-,'•'.1. I,..,„ .'s , :,;S EiScp.11410$'2-..1*-70W.: '1:.<'''.1>='';:::‘::-',',.';''',',‘;',,•''''.''.'1 -;;f,','J,,,..:-,..,',:i: (with above sq.ft)
Limited energy,multi-family
15 Trk.s, residential(with above sq.ft.) 75.00 2
' Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
C.]:PROPERTY'OWNER ,r-,;,:;-:-,::::]',',:', fl TENANT ,::: : 201 amps to 400 amps 133.56 2
Name: - 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 I.
to 400 amps 125.08 2
Owner installation:This installation is being made on property that I own which is not 201 amps
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2
Branch circuits-new,alteration,or extensiontper panel
Owner signature: Date: A.Fee for branch circuits with
,cliorttcoit,..:3. ,,:o..., „,,...,y,,;„;,4,,::,,,,..,;.1;,,,.,,,,:,.,,.;.-a?!..oisigt 0000K.,:,,r,!;,., .._:,,. abovebranservchiceciorcruifeeclt er fee,
742 2
Business name: B.Fee for branch circuits without
service or feeder fee,first / 56.18 g/f 2
Contact name: branch circuit
Each add'I branch circuit A/ 7.42 /63,K 2
Address:
Miscellaneous(service or feeder not included)
Each manufactured or modular
City/State/ZIP:
dwelling,service and/or feeder 67.84 2
Phone:( ) Fax::( ) Reconnect only 67.84 2
: Pump or irrigation circle 67.84 2
E-mail:
. Sign or outline lighting 67.84 2
1 ',.:1;::::', .2:'!::;;;•:::,..'-1:i ::::::::.:.;;':::,:::,-' Signal circuit(s)or limited-energy
Business name:Parkin Electric panel,alteration,or extension. Page 2 2
,_Each additional inspection over allowable in any of the above
Address:14001 Fir Street Additional inspection(1 hr min) 66.25/hr
City/State/ZIP:Oregon City,OR 97045 Investigation(1 hr min) 66.25/hr
Industrial plant(1 hr min) 78.18/hr
Phone:(503)657-4958 Fax:(503)557-1 j59 spections for which no fee is
specifically_listed(hlu min) 90.00/hr
CCB Lic.: 3515j /<1:ctrical Lic.: 34-4C - Suprv.Lic.: 4241-S i;,-'.1'.'!'=:t7,-:"... ..:',:-41;SCPRICAVIERliir PEES' :,".:.:
Suprv.Electrician signature,required: "1
Plan (25%of permit fee): /' ),O,
_ an
:: A 669
Print name: David B Parkin Date: '' .31-$ . State surcharge(12%of permit fee):
TOTAL PERMIT FEE: /79 c27 Z
Authorized signature:
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Date:
* Number of inspections allowed per permit.
f AB uildingTermiiNIELC-PemlitApp.doc 07/01/10 440.4615T(11/05/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
11950 SW GARDEN PL 100, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
2013-12-24 (null)
ELC2013-00529
PASS - No C of O
Violation Summary:
Inspector Contractor