Permit u
CITY OF TIGARD ELECTRICAL PERMIT
• I~ COMMUNITY DEVELOPMENT Permit#: ELC2013 00668
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/19/2014
Parcel: 1 S134BC00300
Jurisdiction: Tigard
Site address: 12220 SW SCHOLLS FERRY RD
Project: Greenway Town Center Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: Landlord/Shell work,2000 amp service.
Contractor: WHISKEY HILL ELECTRIC INC Owner: FW OR-GREENWAY TOWN CENTER LLC
PO BOX 206 PO BOX 790830
HUBBARD,OR 97032 SAN ANTONIO,TX 78279
PHONE: 503-981-4640 PHONE:
FAX: 503-981-4643
FEES
Quantity Description Date Amount
1 ea Services or Feeders-Over 11/07/2013 $552.26
Specifics: 1000 amps or volts
1 ea Plan Review Electricial 11/07/2013 $138.07
Type of Use: COM 1 ea 12%State Surcharge- 11/07/2013 $66.27
Class of Work: ALT Electrical
Type of Const:
Occupancy Grp:
Total $756.60
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 a • r; _; ,ith 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. AT ' TION: Oregon aw requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-00 r 010 through OAR 952-.0 -la:0. ou may obtain a copy of the rules or direct questions to OUNC b calli • •• . 32.1987 or 1.800.3 . 344.
i _
Iss =d By: k ..-4i: .' • is _ Permittee -'.nature: r= r,1:'V141r - f
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' ,�n(g r 02.____,-- Date: Aar/
LICENSE NO.
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 Application FOR OFFICE USE ONLY
Received /� /��
14 City of Tigard Date/By: l/ �j��3J Permit No.: i �%.-�W g
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �{„Q�`�.�a
Phone: 503.639.4171 Fax: 503.598.1960 Date/By:
rJ �� Other Permit: /x+u f o��j
TIGARD / A2
Inspection Line: 503.639.4175 Date Ready/By: Juris HI See Page 2 for
Internet: www.tigard-or.gov / Notified/Method: ``� t/3 06 Supplemental Information
TYPE OF WORK ` •i i 1,),/,W4 Ai 1 PLAN REVIEW
1:11 New construction Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below):
❑ Demolition ��� ❑Service or feeder 400 amps or more ❑Building over three stories,
❑Other:
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑ 1-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
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
/r� Q ❑Addition of new motor load of ❑"A","E","1-2","1-3",
Job no.: Job site address:/ 7? 7 s� ��S rer���� I Six or or more. R occupancy.r
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: 7 ,f_ard , o n �aa 3 ❑Health-care facilities. ❑Supply voltage for more than
I ❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: 7 fee 0toa y T cL ❑Service or feeder 600 amps or more
FEE SCHEDULE
Cross street/directions to job site: nescripiio,. I Qty. I tee. I total I •
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
DESCRIPTION OF WORK (with above sq.ft.)
Limited energy,multi-family
g ,e w dPDDD�I?'I�Svc a e residential(with above sq.ft.) 75.00 2
Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
❑ PROPERTY OWNER 0 TENANT 201 amps to 400 amps - 133.56 2
401 amps to 600 amps 200.34 2
Name: 601 amps to I,000 amps 301.04 2
Address: Over 1,000 amps or volts r 552.26 .7**2
City/State/ZIP: Temporary services or feeders installation,alteration,and/or
y relocation
Phone:( ) Fax:( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation:This installation is being made on property that I own which is not
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
El APPLICANT El CONTACT PERSON above service or feeder fee, 7.42 2
_ each branch circuit
Business name: B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Contact name: branch circuit
Each add'I branch circuit 7.42 2
Address: Miscellaneous(service or feeder not included)
Each manufactured or modular
City/State/ZIP: 67.84 2 dwelling,service and/or feeder
Phone:( ) Fax: :( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail: __ -
Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s)or limited-energy
Business name: I, ,,// r panel,alteration,or extension. Page 2 2
W h SK��/ y;11 El PaIt” a Each additional inspection over allowable in any of the above
Address: 6o✓ //�D 60 Additional inspection(1 hr min) 66.25/hr 14 h!bard` �0� w Investigation(1 hr min) 66.25/hr
City/State/ZIP: a Industrial plant(I hr mm) 78.18/hr
•Phone:(.7 v✓ 4g/_Lit,(O D S Fax:(6 0 3 1 9g f—4/40,Vii) Inspections for which no fee is 90.00/hr
specifically listed(%hr min)
CCB Lie.: /1pa9$S Electrical Lic.: d34, Suprv.Lie.:4�l s x ; -
jk. Suprv. Electrician signature,required: — Subtotal: ` a/e 1
�� — Plan review(25%of permit fee): /�, o,
Print nain f rk( I P t b 13t O S Date: /4/3/ l 13 ` State surcharge(12%of permit fee): �p�,o_f
Authorized signature:�� ! / TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complgfe.75 `4,7,D Number of inspections allowed per permit. f�
I:\Building'Permits\ELC-PermitApp.doe 07/01/10 440-4615T(11/05/COM/WEB
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
12220 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
May 20, 2014 at 7:13:26 AM
ELC2013-00668
Jeff Grove
Violation Summary:
Inspector Contractor