Permit CITY OF TIGARD ELECTRICAL PERMIT
21 COMMUNITY DEVELOPMENT Permit#: ELC2013-00687
Date Issued: 11/14/2013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S110BA02200
Jurisdiction: Tigard
Site address: 14170 SW 119TH PL
Project: Briley Subdivision: CANTERBURY WOODS CONDO Lot: 76
Project Description: Replace(1)200 amp sub-panel and(12)branch circuits to clean up wiring,fix 2-wire receptacles per code and
install additional grounding.
Contractor: IES COMMERCIAL INC Owner: SANDERS, MARTIN R& KATHLEEN M
16135 SW 74TH AVE 5501 RACHEL LN
TIGARD, OR 97224 LAKE OSWEGO, OR 97035
PHONE: 503-648-1900 PHONE.
FAX: 503-670-9572
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 11/14/2013 $100.70
Specifics: amps or less
12 crt Branch Circuits w/Purchase 11/14/2013 $89.04
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 11/14/2013 $22.77
Electrical
Type of Const:
Occupancy Grp:
Total $212.51
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•52-r s -; 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.1.800.332.2344.
Issued By: `k Permittee Signature: 61/1/. ��/G•/4. /.17
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 503.639.4176 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.
11/14/2013 13:45 5036709572 IES COMMERCIAL INC PAGE 01/02
Electrical Permit Application RECEIVED FOR OIFICE USE ONI.."
City of Tigard Received i!/iy /3 dd!L .em,itNoELCo2O/3-�06F7.
lig Re eive
13125 SW Nall Blvd„Tigard,OR 97223 NOV 14 2013 Platt Review Other Permit;
li Phone: 503.718.2439 Pax: 503.598.1960 atatvBy: — -.-
Ins
Inspection Line: 503.639.4175 Date Ready/By: Jeri,: RI See Page 2 for
T'IGAkL p CITY OFTIGARD Notified/Mcthnd: A � Supplemental Information
Internet: www,tigard-or.gov
, ;!_:: : ::,,,,•_,.,:....: PLAN.:.) '.t .;,. .:-•1:: "::.:
.
Please cheek all that apply(submit],sets of plats w/items checked below);
❑New construction rA dition/alteration/replacement ❑Service M fordo 400 amps ar mart: ❑r3nilding over three stories.
❑Demolition • Other: where the available fhult current ❑Mminm and boatyards.
exceeds 10,000 amps at 150 voles or ❑shorting buildings,
CnTLsOliX O,P' CONS1Itt3C I ION ' leas to ground,or exceeds 14.000 ❑Commercial-ma agricultural
►.1-and 2-family dwelling D Commercial/industrial L1 Accessory building imps for all other installations, buildings.0 Fire pantry. El of 150 KVA or
I•1 Multi-family ❑Master builder ID Other: stem larger separately derived system,
(]Emcrg cy sY
Jbt1,SITE INFORMATION Ar41),LOCATION — .. ❑Addition of now motor load of ❑"A"."F","1-2","1-3",
. 100141'or more. occupancy.
Job no.:76971 Job site address:14170 SW 119t1i Place (]si,t or more residential units. ❑Recreational vehicle parks,
1:1 Health-Caro facilities. ❑Supply voltage for more than
City/State/ZIP:Tigard,OR 97224 ❑Hazardous loenlforn. Sup volts nominal.
Suite/bldg./apt.no.: Project name:Briley Residence ❑service or feeder 600 amps or more.
Cross street/directions to,job site: DaarAMi°n_ _ T w, I pre. I Total_(.
New residential single-or multi-family dwelling unit.
includes attached garage.
Subdivision:
Lot no.: 1,000 sq.ft.or less 168.54 4
Ca.adt:l'I 500 sq.ft.or portion 33,92 1
Tax map/parcel no.: Limited energy,residential 75,00 2
....RRIPTti Ql f U Kfo receptacles (with above sq.m multi-family'' �, , "'�— Limited energy,multi-family 75.00 2
replace sub panel,install additional grounding, eptacles per code residential(with above sq.ft.) _
Rencwahle Enemy ❑ See Page 2
clean up miscelaneous wiring services or feeders Installation,alteration,and/or relocation
..,. ._..__ .., ...--- 7,7...,.,, ,< 200 amps or less I 100.70 100,70 2
—
• ,.;. (].PROP r. . ....1.!NER", .,,'. r,... . ,•••, .,,,::. .C)``1FI NANT .. .
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
• relocation
Phone:( ) Fax:( 200 amps or less 59.36 1 I
Owner installation:This installation is being made on property that 1 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,Qerpnncl
. ..,..., ,_.. .. ,:.... 89.04
^;A)(')PJf.1CANT::. D,CONTACT PI,Ii90N
A.Fee f0[branch circuits 1v!!h
about service or feeder fee, 12 7,42 2
Business name: each branch circuit
13,Fcc for branch circuits without
Contact name: service or fbedcr fcc,first 56.18 2
_ branch circuit
Address: Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not Included)
City/State/ZIP: Each manufactured or modular
dwellin service and/or feeder 67.84• 2
Phone:( ) I' ( ) Reconnect only 67.84 2
E-mail: Pump or irrigation circle 67.84 2
..... .., ..'.'-.: .�..;. .:'.i• .. 2
.CONTRAC;I'O�t ,` •: Sight or outline lighting 67,84
Business name:1«S Commercial,Inc Signal circuit(s)or limited-energy Sec
_ panel,alteration,or extension. Pty 2 2
Address:16135 SW 74th Ave Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66,25/hr
City/State/ZIP:Tigard,OR 97224 investigation(1 hr min) 66.25/hr
Phone:(503)648-1900 Fax:(503)670-9572 industrial plant(1 hr min) 78,18/hr—
inspections for which no fcc is gO.OD/hr
listed(V:11r min)
VCCB Lie.: 182452 .g Electrical Lie.: C448 � wry.Lie,: 49115 specifically list ELECT�ICAt�.,pBIZMI'I;''FCI'S•. ,,:`?
Suprv.Electrician signature,required: ���{�C Subtotal: 189.74
Print name: Corey Baysinger / ate: 11-14-2013 Plan review(25%of permit fee):
State surcharge(12%of permit fee): 22.77
Authorized signature: TOTAL PERMIT FEE: 212.51
This permtt application rlrpirea if a permit is not obtained within 180
Print name' Date: day.after it has been accepted ns complete.
--- • Number of inspections allowed per permit.
r;tauilding\Pcrmit+\ELC PermitAno_51.1`RRE,dee Rev 05/21/2013 44o-4ti3T(1I/OS/COMA'VG13