Permit CITY OF TIGARD ELECTRICAL PERMIT
_. COMMUNITY DEVELOPMENT Permit#: ELC2014-00181
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/22/2014
T 1 1,.1 R L7 9 Parcel: SEG3436
Jurisdiction: TIGARD
Site address: SW NO ADDRESS
Project: Main Street Park Subdivision: Lot:
Project Description: (1)service and(1)branch circuit for irrigatin control. Work is in Main Street Park,on the SE corner of Pac Hwy and
Main St.near Main Street Village Apts.
Contractor: OREGON ELECTRIC GROUP Owner:
1709 SE 3RD AVE
PORTLAND,OR 97124
PHONE: 503-234-9900 PHONE:
FAX: 503-234-1001
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 04/22/2014 $100.70
Specifics: amps or less
1 crt Branch Circuits w/Purchase 04/22/2014 $7.42
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 04/22/2014 $12.97
Electrical
Type of Const:
Occupancy Grp:
Total $121.09
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. ATTENT• •. • •on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-001e hrough OAR••2-0r -00.0. You may obtain a copy of the rules or direct questions to OUNC by calling f583 232.1987 or 1.800.332.2344.
Issued B • ' 'I 4 Permittee Signature: L�-- ;
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' i f Date: 417/
LICENSE NO. `/Dg C�
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 Applicati 'CEj IVEj f (1„„ t)t( rt 1 t i.()NI �
Rexui,•ed �l ill 5_4,m -oo l u/
City of Tigard �, Permit HG.:
a 1.3125 S W Hall Blvd.,Tigard,OR 97221... Ptan Revie w
Phone: 503.718.2439 Fax 503.598 Dx.eive:
Other Permit:
Inspection Labe: 503.639,4775 A 2 pate Read/B : Juris:
p y y !�See Page 2 for
itrtttttef. www tt>)ard or go Noufiecl/Medmod. Supplemental Information
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❑Ncmv construction
El Additio� M k7I O`, Please check all that apply(submit 2 sets of plans w citems checked below):'
0 Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATEGORY'O1 CONSTRUCI'ION exceeds 10,000 amps at 150 volts or ❑Finalist,buildings.
tees to ground.or exceeds 14,000 ❑Commeminl-use agricultural
❑ I-and 2-family dwelling ®Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑ Multi-family ❑Master builder ❑Other: ❑fire pump. ❑Installation of 75 KVA or
Emergency system. anger separately derived system.
; 4.0.:B' ITE;:1!iP.**1TION ALAI LOCATION ❑Addition of new motor toad of ❑I'A "E 1-2" "1-3"
Job no.:700773 I Job site address: 100HP or more. occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard,OR 97223 SE(pa t%34; ❑Health-care facilities. ❑Supply voltage for Inure than
❑Hazardous lucaliotts. 600 volts nominal.
Suite/bldg./apt.no.: Project name:Fauna-Greek&.- space ❑Service or feeder 600 amps or more.
HA I a , tE-T HI X-K FEE SCHEDULE -
Cross streetidirections to job site: Description 1 Qty. 1 Fee. I Tutei I "
New residential single-or multi-family dwelling unit.
SE Corner of HWY 99 and Main Street Includes attached garage.
Subdivision: Lot no.: 1,0008(1.II,or less 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 1
Tax map/parcel no Limited energy,residential
75.00
'i DESCRiP110N`0,VW.OtltK '-: (with above sq.ft.)
abo
r fr.f t�t�I Z� ) limited energy,multi-family 2
(/��Atl)C fl a/1�CtetT�C�R- residential(with above sy.11.) 75.00
/IQg,a 4-T/O,l) a‘...., Services or feeders installation,alteration,and/or relocation
200 amps ui less 1 100.70 100.70 2
[]"PROPERTY OWNER 1',`: :t i'ENAIVT, 201 amps to 400 amps 133.56
•
Name:City of Tigard 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address:13125 SW Hall Blvd Over 1.000 amps of volts 552.26 _
Temporary services or feeders installation,alteration,and/or
City/State/ZIP:Tigard,OR 97223 relocation
Phone:(503)718-2466 Fax:( ) 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 1.68.54 2
Branch circuits—new,alteration,or extension,per panel
Owner signature: Date: ._ A.Fee for branch circuits with
erf I 4
abo ee:cen-icec or keed fee, 7.
❑.APPLICAIV f :: ;; ,:d;COIV'fACT P.ER.SoN 7-42 2
each branch circuit
Business name: B.Fee for branch circuits without
service or feeder fee,first 5618
Contact name:Joel Frank branch circuit
Each add'I branch circuit 7.42 2
Address: Miscellaneous(service or feeder not included)
Each manal'actured or modular
City/State/ZIP: y
ty dwelling,service and/or feeder 67.84
Phone:(503)793-5706 Fax::( ) Reconnect only 67.84
Pump or irrigation circle 67.84 2
E-mail:joel.frank.ore on-eiectric.com S...... outline g Sign or outline lighting 67.84 2
C.dN CRACTOR Signal ritcuit(s)or limited-energy
Business name:Oregon Electric Construction,Inc. panel,alteration,or extension. Page 2
Each additional inspection over allowable in any of the above
Address: 1709 SE 3rd Ave Additional inspection(1 hr min) 66.25/hr
City/State/LIP:Portland,OR 97214
Investigation(1 hr mm) 66.25/hr
Industrial plant(1 ht'min) 78.18;hr
Phone:(503)234-9900 I Fax: )503 234-1001 inspections for which no fee Is
( 90.00/hr
specifically listed(Y hr thin)
CCB Lie.: 203 Elect . 26-95c r S Li u.: 4818s .ELECTRICAL,PERMIT:TEES:; •
Subtotal: 108.12
Suprv.Electrician Signature,reglnr4.. r' Plan review(25%of permit fee):
Print name: Mark Wei t,.t,e er,, ., _ ,Date: 04 Ili ' State surcharge(12"/o of permit fee): 12ii8 it 3. it7
— t),n /1' 1 PERMIT FEE: ,12.„tetcr/al 09
Authorized signature: ' "' f I".\ This permit application expires if a permit is not obtained within lab
days after it has been accepted as complete.
Print name: Mark W einbender Date: 04/21/14 * Number of inspections allowed per permit. '"1
4
y ruiu,ldtngVktutst.C.Permit App.doc 07101/t0 440-16]5111)/05!CO,nIF..D
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
SW NO ADDRESS, TIGARD, OR
Commercial - Electrical
199 Electrical final
PASS - No C of O
May 9, 2014 at 12:57:53 PM
ELC2014-00181
Jeff Grove
Violation Summary:
Inspector Contractor