Permit CITY OF TIGARD ELECTRICAL PERMIT•
• COMMUNITY DEVELOPMENT 1 al II Permit#: ELC2013-00532
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/10/2013
Parcel: 1 S135CD00205
Jurisdiction: Tigard
Site address: 9555 SW LEWIS LN
Project: Jones Subdivision::HERS ADDITION TO GREENBURG HE Lot: 5
Project Description: Service and(6)branch circuits for kitchen and living room. 9/18/13,reprinted to add garage service.
Contractor: WEST SIDE ELECTRIC CO INC Owner: JONES,JOSH D
1834 SE 8TH AVE 9555 SW LEWIS LN
PORTLAND, OR 97214 PORTLAND, OR 97223
PHONE: 503-231-1548 PHONE:
FAX: 503-736-0677
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 09/10/2013 $100.70
Specifics: amps or less
6 crt Branch Circuits w/Purchase 09/10/2013 $4452
Type of Use: SF Service or Feeder -
Class of Work: ALT 1 ea 12%State Surcharge- 09/10/2013 $17.43
Electrical
Type of Const: 1 ea Services or Feeders-200 09/18/2013 $100.70
Occupancy Grp: amps or less
0 ea 12%State Surcharge- 09/18/2013 $12.08
Electrical
Total $275.43
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. A t10 : egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001- 010 through OA 95 •.'-0190. You may obtain a copy of the rules or direct questions to OUNC by calling_5032.1987 or'1.800.332234.4.�
i^C
Issued � Permittee Signatu �rQ
• OWNER INSTALLATION ONLY Q
Thelinstallation 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 I Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permitcard 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.
2013-09-15 20:37 WEST SIDE ELEvri") —1'037360677 >> 5035981960 P 2/2
Electrical PermitApnlication :- ' L.- • i OR 01:11('F. l'SF.ONLY
•• . City of Tigard SEP 16 2013 Received Ariaro, .
/ Permit No.: ehd09-6/6--e-05-3
Date/13 : 7 "
-"" 13125 SW Hall Blvd Ti OR 97223 DattlancaRevi:ew
Phone: 503,718.2439 Fax: 503.598.1."'-'1'1rli
II. ' gard. '`"t/I I I OF TIGARD Other Permit:
I i,,.;,..,,,,,LI Inspection Linc: 593.639.4175
BIJII_DMIG DIVISIO 'DN11.7tfiRe`ead,Lhod.n4:. Juris iii See Page 2 for
Internet: www.tigard-or.gov Supplemental information
; ',.. •.: ;.:•:_::::.':::::-.i.'.:.; _ci.:::,i•.:':::::: :::,F7T'...F.?,ttitiV67i1001ir,!+;reE114,Fgrililit-Zilftlillig.kil/ 0),:tniCSOit,'7•107:2******t:'.. ‘::::..-l'.
0 Ncw construction Addition/alteration/replacement Please check all that appty(submit Z sets of plans wtitems checked below)'
0 Service nr feeder 400 amps or more 0 Building over three stories.
O Demolition Other: where the available fault current 0 Marinas and boatyards.
' :.' ...'••:'•'•••:.••:.'.•••':'''-i,1.011trefkitt tie•,771.791r7sgifilli::-11,•: 4 :,,ill:?P;:.7."'-,,t,•,` exceeds 10,000 amps at 150 volts or 0 Floating buildings.
1-and 2-family dwelling Ej Commercial/industrial 0 Accessory building
K
Multi-family DI Master builder 0 Other: lento ground.or exceeds 14,000 0 Commercial-use agricultural
amps!wall other installations.
0 Fire pump. buildinp.
0 Installation of 150 KVA Of
71:cr"L' A-Fr""■,,.. , .-,'".r.ar.v,■• ,71 0 Eraelt00y system. larger separately derived system.
:-'•::::'•::;:ka",..,;• '.•:.::::;:',AAIIPItte..4. :,1,:t'`'''. 1.1:i.ezti.44■ 4(1715 '-;t4'iiffp'.Vin , Wg;', 0 Addition of new motor load of 0"A","E","1-2"."I
Job no.:1-10.2)%.,ef Job site ad is2:4,rc S i it) LA an"( iji.
,res 100HP or more.
0 Six or more residential units.
E HazardHealth-cmous locatfacilits.. occupancy.
0 Recreational vehicle parks
0 Supply voltage for mom than
600 volts nominal.
City/State/Z1P: .--f. rid 0 9 7223
0 5er/ice or feeder 600 amps or more.
SUite/bldgJapt no.: Project name: _7;2/ug,s/ )SA
Cross
' X'0.1Fr.101,17'W-MtaingirJE::::::.:i:;:.i .E::,. -...,:- ••
Cross street/directions to job site: Deserlotlaa 1 Q . I Fee. I Total I "
New residential single-or multi-Inmily dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq,it or portion 33.92 1
Tax map/parcel no.; Limited energy,residential
... . • - ..--:,....... .:,;.1.4..--,...... .,.r.r7•77rn-p7K,-:..,,t,,,',vr.r',N-','I"";'"'r,rr'J.,;.,r,:-RvVr'e'A ..d,, ,.::.'.,'AtA-ti:.;:',,,,,:•;;;;z.,?.;.r..1.4;.
-•-•-:•"•:::•; ::• ":2-i-'.iEr.- . , ItiaLr'-',1-22iLii,' ,1 SLiert-2/..iVi :':2.12:1P4otr: (with abt've sci'" 75.00 2
Limited energy.multi-family
lid:d oil le EIC 2-6/3-00S-3a ke. goiwg-C_ residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
S c.7-/LI/ci2 r Services or feeders installationtalteration.aud/or relocation
.. . ..,,,
r4".'4%1•,:••-=•••...-:•:-;;•.••.,, ,...•...-.“.,-•k••••'•• :iu,,7O,-1 l g•':,:', l!‘( Il• .'zati'-).Zi:;:a'a•,'s32.1kUllijki2■0:11 200 amps Or less / 100.70 CD 2
.. im -
201 snips 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/StaterLIP:
Temportny services or feeders installation,alteration,and/or
Phone:( ) [ Fax:( ) relocation
200 snips 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 arnps 168.54 2
Owner signature: . Date: Branch circuits-new,alteration,or extension,per panel
..:•;-ji..,:r4,,,:„,iz •-:4-7,--,-- 75#1-xtwtslc,:,4,1•7,.;..F..,,,,, ,,,...,:tq. ,..,.,,,,,,,T,4,7,,,,.:7,:t•_3F:,.,,11,74,4:i,F,i.;E:‘, k Fee for branch circuits with
:;:::......:.7.',..7-".°,.:::::—. ,v4l;141.44:04,.:),,mr,.... ts::..',..e.,1!IiLl,:c:-'2:-...,.a., ;}•, .y...4,....'v.. above sennce or fe,eder fce,
7.42 2
each branch circuit
Business name: .
13.Fee fbr branch circuits without
Contact name; service or feeder tee,first
56,18 2
l__-- branch circuit
Address: Each addl branch circuit 7.42 2
Miscellaneous(service or feeder not included)
City/State/ZIP: Each manuRictuned or modular _
-
dwelling,service and/Or feeder 67.84 2
Phone:( ) Fax;:( ) '
. , Reconnect only 67.84 2
E-mail: Pump or inigation circle 67.84 2
7. „..,, .77.7•7477.im7;';27,ted,7q7:,,,m777, ,,T...,;,,,,,,.. .....—
N*'..:''''.:':'-‘5" ...44;':17:;4i5.7,1'."..."4%."''' .!..k. ■1. 52,li5t.:■V%rrt' 'J,:;;1.i■,;•.:D.:,.g. .:,'):: n Sian or outline lighting 67.84 2
—
Signal mrcuit(s)or limited-energy Sec
Business name:West Side Electric — panel,alteration,or extension. Peke 2 2
---I
Address: 1834 SE Sth Ave.
y
City/State/ZIP:Portland/Oft/97214 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min)
Investigation(I hr min) 66.25/hr
U
66.25/hr
Phone:(503)231-1548 I Fax:(503)736-0656 Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee'is 90.00/hr
CCB Lic.: 13306 1 Electrical Lic.: 26-135C Suprv.Lic.: 46548 3.. ficall listed 'A hr min)
_. } ' Clr,;:r'ia'A',.''RKEt77,7,.FElll,•27.2=7.'''1110$:.,'::::i:F.''':::''''•'":,r''."
Suprv.Electrician signature,requ254. 1 Subtotal:
plan review
Print name: Randall F Roberts Date: (067/3 — — Is--e-
- (25%of permit
slate surcharge(12%of permit fee): i 2---=„
Authorized signature: TOTAL PERMT1'FEE: //2„
' This permit application expires Ifs permit is ant obtained within 180
Print name: Date: days after it has been accepted as complete. eft/
.--aarm•-•••■---•■•■-.. ...-...-.-.----.....". e Number of inspections allowed per permit.
1.1RuilefmgWeratuRELC,..PermitApp_ELR_ER.E.60e Rev 051211301) 4404615T(11/0S/COMNAR
CITY OF TIGARD ELECTRICAL PERMIT
" ! : ' COMMUNITY DEVELOPMENT Permit#: ELC2013 00532
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/10/2013
Parcel: 1 S135CD00205
Jurisdiction: Tigard
Site address: 9555 SW LEWIS LN
Project: Jones Subdivision::HERS ADDITION TO GREENBURG HE Lot: 5
Project Description: Service and(6)branch circuits for kitchen and living room
Contractor: WEST SIDE ELECTRIC CO INC Owner: JONES,JOSH D
1834 SE 8TH AVE 9555 SW LEWIS LN
PORTLAND, OR 97214 PORTLAND, OR 97223
PHONE: 503-231-1548 PHONE:
FAX: 503-736-0677
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 09/10/2013 $100.70
Specifics: amps or less
6 crt Branch Circuits w/Purchase 09/10/2013 $44.52
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 09/10/2013 $17.43
Electrical
Type of Const:
Occupancy Grp:
Total $162.65
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 throouu� 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 403132.1987 or 1.800.332.2344.1
Issued By:(\ Ceic)(0---7/1/L/0---4—.)1 Permittee Signature: o /
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE Date:
/ CONTRACTOR INSTALLATION ONLY
CSIGNATURE OF SUPR.ELEC' , A i40-.(c p —_ Date: 9A05�
LICENSE NO. 7-/75
Call 503.639.4175 by 7:00 a.m.for the next available Inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
.... . ..............
Electrical Permit ApphcatioRECEVED F012()FFICE 12SE ONLY
City of Tigard 0 9 2013 _ated136wd., 4471Arl... 1P1-4. Pami`N°.:
III 4. 13125 SW Hall Blvd.,Tigard,OR 97223 SEP Plan Review
: . Phone: 503.718.2439 Fax: 503,598.1960 Date/A : Other Permit:
TIGA Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By, Mt: 0 See Page 2 for
R I)
Internet: www.tigaid-orgov tiNkt Notified/Method:
j31.4iatlaillt5"TNI . Supplemental Information
! , , ,::!;;.7.:F.:I ,,tiiVe)t,;: -612.1Ci!'•;V'-i:'!'.1".$:.i'lli...;`'.''' ''f.A:).: :,!'.-::.:,',!' , : : pn.'. ,, ,:i.:::',••..!:Ti.t..,:ii,;PEW.REOtEvii::.;:: .:,....!!'::,:,:.,:::
0 New construction lkAddition/alteration/replacement Please check all that pply(submit a,sais of plans w/items checked below):
0 Service or feeder 400 amps or more 0 Building over three stories,
0 Dcmohtion 0 Other: where the available fault current 13 Marinas and boatyards.
"...!!y ,:....:::! ; gS:;•;;fM....y.,: :‘..!tiiixtr;oliV:i4C;otaintiOdrietgir;,.:;J..:Nik.,::: ::, . .1: exceeds 10,000 amps at 150 volts or 0 Floating buildings.
0 Commercia
14,0
less to ground.or exceeds 09 use aviculture!
-and 2-family dwelling 0 Commercial/industrial 0 Accessory building
amps for all other installations.
I
Multi-family 0 Master builder 0 Other ' l-
13 Fire pump. buildings.
0 Installation of 75 KVA or
„„, 0 Emergency system. larger separately derived system.
"'''Y':'.::I.,":;'..:::.:.:::':i•:;.:::':'...,.:.:... M)3::Stitti:,*iiiOt)tiTtijKAIO:;:X;Oarlot.r:.ir,74::, ,,.'....'.!.:,:..-, 0 Addition°New,„,,,„load of
Job no.:_3( 411 Job site address:CI 0:-..-c-C.::,ets) l€_,4)\e' (..p.D .
'-110-415,ra ,..ic).02, 41-"Tarel 10014P or more.
0 Six or more residential units.
13 Health-care fasilities. occupancy.
0 Recreational vehicle parks.
0 City/State/ZIP:
0 Supply voltage for more than
0 HazardouS'nations. 600 vols nominal.
Suite/bldg/apt no.: Project namejOrle5 Jef:Arva) rNi3Au■
c Service or feeder 600 artit,a.c.ir mote.
...) ..7.::,..,..C'6; ;..:i'',:'54..e':6?::- 1-EE'SCHEIXII:E'';:;:',:'::-::::-..,.: . ',..i.
Cross street/directions to job site: 'merlon,. I OtY• I Frt. I Tots! I •
7.... New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: , 1,000 sq.0.or less 168.54 4
Ea.eel 500 sq.ft.or portion 33.92 I
Tax map/parcel no.:
Limited energy,residential 75.00 2
.1)F180.1#1140$50**0410:%,tgit,45.rA'igge:r;:,,,f,3:01,, Swith above sq.ft.)
Limited enerm multi•family
. • I ,...
—Nraolor \6,0-Q,1,,ein , residential(with above sq.ft.) 75.00 2
Services or feeders installation,alteration,and/or relocation
6%- a.)\v-vlyeAnn. 200 amps or less 1 100.70 int):-Ir 2
PRO,p ; 0YONERWrig,;'10AitAgOT'..31R?.4g1:1?.:VENTAL■r ,;;;Mt,W,wff::: 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 1
s to 400 amps 125.08 2
Owner installation:This installation is being made on property that I own which is not 201 amp
,
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 extension,per panel
Owner signature: — Date: ' _ A.Fee for branch circuits with
0]Avi,,Ltoorif:76;:ggri..::":....w4tg,.. .',Iwg.5140:0t00.'IcitOtACT'..'f'ktil actvlb5,1„"Ach.`42,cruficr-dt " 7A2 241.4s2, 2
Business name: B.Fee for branch circuits without
service or feeder fee.fast
Contact narnc: branch circuit , 56,18 2
Each add'i branch circuit 7.42 2
Address: -Miscellaneous(service or feeder not included)
Each rnnnufbeturecl 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
",:.:;,-..,;'.it•'''';iy.::,.' •...):.,;.?(.. :.::..9toltrilitxecoWi7,7;75P4P,Iir,ov: . :z';!P:0•,: ;i'.!1-MiP,!.'. sign rcuit(s)or Iimited-encrgy
Business name:West Side Electric Co.,Inc. cane,alteration.or extension. _ Pap 2 _.., 2
Each stdditiOl'il Inspection over allowable h__.. L)1:11m above
Address:1834 SE 8th Ave. Additional inspection(1 hr min) 66.25/hr
11
City/State/ZIP:Portland/OR/97214
Investigation(I hr min)
Industrial plant(1 hr min) 66.25/hr
, 78.18/hr
Phone:(503)231-1548 I Fax:(503)736-0677 Inspections tbr which no fee is • 90.00/hr
specifically listed(A hr min)
CCB Lie.: 13306 I Electrical Lie.: 26-135C I Suprv.Lic.: 4654-S 2'ii',:•.:':g-::07,5:F;.M.181.,telltICALTERMrre'llEES,!,..,,'...;:.,,.....,
Subtotal: r-Li
Suprv.Electrician signature,require tect.,/ ,...
Z. .--- Plan review(25%of perrnit fee):
Print name: Randall F Roberts I Date: 01.0• 1 5 State surcharge(12%e permit fee): ‘-V.tp".
5
— TOTAL PERMIT FEE: Ik.0 .
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. /IL/
._ . . . ......It. 440.4615701/051COMMEB
* /E, # L8661,CCOg'. 0961.86SE0s:01 0!Jloal3 aP!S ;saM:w0.1df t :80'.£1.-90-60