Permit CITY OF TIGARD ELECTRICAL PERMIT
1111 COMMUNITY DEVELOPMENT Permit #: ELC2013 00736
TIc AR.D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/11/2013
Parcel: 2S 101 AC90000
Jurisdiction: TIGARD
Site address: 7125 SW HAMPTON ST
Project: Special District Association of Oregon Subdivision:-IAMPTON STREET BUILDING CONDC Lot:
Project Description: Emergency power system installation: (2) 200 amp service /feeders and (5) branch circuits
Contractor: MCCOY ELECTRIC CO INC Owner: HAMPTON STREET BUILDING CONDO
2014 SE 9TH AVE OWNERS OF ALL UNITS
PORTLAND, OR 97214 00000
PHONE: 503 - 234 -7521 PHONE
FAX: 503 - 234 -9473
FEES
Quantity Description Date Amount
2 ea Services or Feeders - 200 12/11/2013 $201.40
Specifics: amps or less
5 crt Branch Circuits w /Purchase 12/11/2013 $37.10
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 12/11/2013 $28.62
Electrical
Type of Const:
Occupancy Grp:
Total $267.12
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 ..proved 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. ATTENTIO • •regon la requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 th'.ugh OAR 952 -00 • • • 0. o ay obtain a copy of the rules or direct questions to OUNC by calling • .' - .1987 or 1.800.332.2 -
Issued By: 1.) ■ Permittee Signature: ■/ a' .1 ..11.
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' dGd A� la Date:
LICENSE NO. 7 �T /
Call 503.839.4175 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.
Dec. 10. 2013 8:23AM McCoy Electric No, 2611 P. 1
Electrical Permit Application FOR OFFICE 11S1''. ONLY
rr � Received Permit 14° L-e ale/ 5-60 7
14 City of Tig F+ V E1 Date/ By /R ie ��:�7
ci 13125 SW HaII IIlvd., Tigard, OR 97 Plan P.c vicw
Phone: 503.718,2439 Fax Date/B Other Permit
Ins ection Line: 503.639 4175 DEC C 10 2013
Internet: www.hgard•or.gov Date Ready /By: luri:: El See Page 2 for
I It; A11D p Notified/Method: od. Supplemvntallnfarmanon
El New construCtit)n Addihon/alteraC t Please check all that apply (submit 2 sets of plans w/itcros checked below).
: �1VlSl�N El m I=1 Service or feeder 400 amps or ore Building over three stories.
1=1 Demolition III Other; D L nhere the available fault current ❑ Marinas and boatyards
.CATEGORY. OF..GONSTRUCI'ION exceeds 10.000 amps at 150 volts or ❑ Floating buildings.
less to gonad, or exceeds 14.000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling []C Commercial /industrial ❑ Accessory building snips for all other initallatioas. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ID Fire pump. ❑ Installation of 150 KVA or
` � 1 � ; ❑ Emer s larger separately derived system.
,,;< J )B SITE IN1f+Q2ti11ATION ,v LOCATION ❑Addition of new motor toad of ❑ "A" ' E ", "l -2'' "I -3"
Job • D9275 r address: 100HP orsnore. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parts.
1 OREGON ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 s ohs nominal
Suite/bldg./apt. no.: Project name: SDAO ❑ service or feeder 600 amps or more.
;: FEE SCHEDULE
Cross street/directions to job sitc: Desertpfion I Q. I Fee, I Torat I
New resldential single - or multifamily dwelling unit.
Includes attached garage.
1,000 sq. R. or less 168.54 4
Ea. add'I 500 sq ft or portion 33.92 1
Tax map /parcel • Limited energy, residential
(wit above sq. R.) 75 2
.. DESCRIPTION OF WORK r —
Limited energy, smeltt family 75.00 2
EMERGENCY POWER SYSTEM INSTALLATION residential (with above sq. R.)
Renewable Energy ❑ Ste Page 2
2 X 20Damp SERVICE/FEEDER AND S BRANCH CIRCUITS Services or feeders installation, alteration, and /or relocation
, - • • • 200 amps or less 2 100.70 201,40 2
ED PROPERTY 01Y1R 'IEIVAPrT
T 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
Temporary services or feeders installation, alteration, and /or
relocation
Phone: 200 amps Or less 59.36 1
1 being made on ' 201 amps to 400 amps 125.08 2
intended for or eXchange, according , ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 _ 2
Owner signature: Date: BrAtrch clreults new, alteration, or evttnsion, per panel
■ CONTACT A a b o ve service or feeder fee, I 7.42 7 42 2
Business name: each branch circuit
B. Fee for branch circuits without
Contact name. service or feeder fee first
56.18 2
branch circuit
Each add'l branch circuit 4 7.42 29,68 2
Miscellaneous (service or feeder not Included)
Each manufactured or modular 67.84 2
dwelling, service and/or feeder
Phone: Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
CONTRACTOR Sign or oulline lighting 67.84 2
Signal nrcuil(S) or limited•energy Sec
BusincSS name: MCCOY ELECTRIC CO INC panel, alteration, or extension. , Page 2 2
Address: 2014 SE 9 AVENUE. Each additional inspection over allowable in any of the above
Additional inspection (l hr min) 66251 hr
PORTLAND OREGON 97214 Investigation (1 hr mM) 66 25/ hr
(503) 234-7521 Fax: l Industrial plant (1 hr min) 78.1 / hr
Inspections for which no tee is 90.001 hr
CCB Lic . 8277 Electrical Lie.; 26 Supn.. Lie.: 5208S specifically listed (V, hr min)
Suprv. Electrician Signature, ELECTRICAL PERMIT FEES
• . �� Subtotal: 238.50
Print name: ZACK ARMSTRONG P r -. 2 -10 -13 _ Plan review (25% of permit fee)!
State surcharge (12% of permit fee)! 28.62
J
Authori signature: TOTAL PERMIT FEE: 267.12
Thi* permit applleai on expires if a permit is not obtaltted w - 11131n 180
Print name: Date: days after it has been accepted as complete.
' Number ofinspections allowed per perfllO
L\Buitding\PerelitaLC PermitApp ELR_Eftfi.doc Rev 05/21/201.1 450-4615T(11105 /COMi\s'eB
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
7125 SW HAMPTON ST, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
2013-12-20 00:00:00
ELC2013-00736
PASS - No C of O
Violation Summary:
Inspector Contractor