Permit CITY OF TIGARD ELECTRICAL PERMIT
S rr
COMMUNITY DEVELOPMENT Permit#: ELC2014-00419
Date Issued: 07/30/2014
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S102CA00219
Jurisdiction: Tigard
Site address: 13145 SW ASH DR
Project: Sundance Investments Subdivision: VIEWCREST TERRACE Lot: 17
Project Description: Add(4)branch circuits and grounding.
Contractor, DREAMHOUSE ELECTRIC LLC Owner: SUNDANCE INVESTMENTS LLC
221 SW MOONRIDGE PL 17420 SW 110TH AVE
PORTLAND, OR 97225 TUALATIN, OR 97062
PHONE: 503-519-6711 PHONE: 503-969-1233
FAX• 503-648-9723
FEES
Quantity Description Date Amount
5 crt Branch Circuits wo/Purchase 07/30/2014 $85 86
Specifics: Service or Feeder
1 ea 12%State Surcharge- 07/30/2014 $10 30
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $96.16
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 accord _with approved plans This permit will expire if work is not started within 180 days of iss . e, or if work is suspended for more the 180
days. ATTE Ni Oregon-_law requires you to follow the rules adopted by the Oregon Utility Notrficaiio Ce'ter Those rules are set forth in OAR
952-001-00 through OAR 952-b01-o990 You may obtain a copy of the rules or direct questions to OUNC by calling 503 2 _19;7 or 1 800 33 -.44
Issued c Gti—;;� C Permittee Signature: t �� _ Aff 1(-
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 J
SIGNATURE OF SUPR.ELEC' Q� Date: 7/ -; /(1
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 ApplicaliEr1C,vED FOR OFFICE USE ONLY
City of Tigard 1.3E1 Received ,,-J Permit tic.:
■ 13125 SW Hall Blvd,Tigard,OR Plan Review
i
Phone: 503.718.2439 Fax: 503.598. 3 0 2014 Date/BZ: Other Patsnit.
T t C,k ii r 1 Inspection Line: 503.639,4175 DaData Ready/87: Iuris lid See page 2 for
Internet, www,tigard-or.gov CI '
■ Notified/Method; ^ •f '^ ' ”. S\plkroeeta l 3 I
nform�at
ion•' 1., I j .1,p'.,51,,,,•„•,;',',:.,t 1, rr *r u 2: t��V •A �b:y rt+r. r_. �. .M 1N11;y..1-6 r:d } , __ �.. .i .. -11..,,,!:,..,...,-::,,
__x:... _ „;,..1:1 . s.i _ 1 .rraY vu., aa.t. ,�m
II NeW cpnsp'uCt10n PI. •dditiofllalterstion/repiaCement Please cheek all that apply(submit 2 sets of plans wfitems checked below).
II ❑Other ❑Service or feeder 400 amps or more Cl Building over three stories.
where the available fault current O Marinas and boatyards.
,y T i' ,,1 £? � :(^r' s a ,',' w ;717:7'
_ ' : ' exceeds 10,000 amps at t s0 wits or ❑Floating buildings.
_ _ ,,..6.. t ..1''ts...>1.{. -r, ..'.2•1:1?-•.`:1..;'!'..::”_L. _._,�_•• i\C
less*Found.or exceeds 14,000 ❑Commercial-use agricultural
1 and 2•family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings.
IC Multi-family ❑Master builder ❑ Other 0 Fire pump. []Installation or 75 K VA or
u,r +i r,;p;�f *• t7 pr1��� r ym-[y°*r °+ .g a, a-o �. „r.,.+,;Q ❑&nergarcy system. larger separately derived system.'
g:71;,gi i:4 /AV;S 1A; 7� p[a}I`Fs"4Ngiit .i I. �- L .4�a�+
rt t..tr�5 ±. 11..x.,. 13'� .r.1 u .ac x�rver:as r h .3.1... _-r}b`L.'.i a x. wzo; ❑Addition of new motor 1Wd of ❑ A°•"E 1-2"."1-3",
Job no.: I Job site address: 1...�5 t d7 1o0liP or more. occupancy.
[ M'' ❑Six Or r11 Om residential units. ❑Recreational vehicle parks.
City/Stg)elj,[P; �! � n �f, ❑Healthcare facilities ❑Supply voltage for more tban
to rt ./ "f 7 2- 3 ❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.n0.: V_ Project name: d 14�
°t� m L,A, ]Service cc fonder 600 amps or rner e
173i tWY YClL�: Ibt {11 71p 44
-� ::#4:41i0.:.'r;:'
Cross street/directions to job site: Description Qty, Fee. rot,i •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq.ft.or less 1611.54 4
Tax map/parcel no -- Ea add'1 500 sq.ft.or portion 33,92 i
Limited
energy,residential
2 '
` it— r._u fi y K r c.m°r �T^'fLT p J t 7 z- F- (with above sq.Q.) 75.00
;�.,s ..tA1=_;,_g _ a`f ° s:,4•;' L11:.:. w �. .« . .
Limited energy,multi-family
— 75 DD 2 VY CA 1-[A4 r �Youw� S t/ residential(with above sq.ft.)
■ ,
Services Or feeders installation.alteration"and/or relocation
200 amps or less 1 100,70 2
�{ 0 1s s t .!. rsT * „Sa r d sI F ''ri ' E l , � " r. 201 amps to 400 amps 133.56 2 i"n �4#4 .�., ,. �'. .._�., 1?..�::::... �... _. 1r S�Tr._:s�', ,,The,g-�i. 5 iC _,:,,,!
401 amps to 600 amps •200,34 2
Name: 601 amps to 1,000 amps 301,04 2
Address: 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 I
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 salt,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 1611.54 2-
Breach circoifa-new,alteration,or extension,per-panel
Owner signature; Date: A.Fee for branch circuits with
• above service or feeder fee,
rgN,T ) _ r^`r�,'�F ,�..:.. .,.,. :.. .e.__{_ �._ M a:it-, ^ r.:;-,,.;.1:1i...."__ :-...:.:-..,,,,f aa 7.42 2
each branch circuit
Business name: B.Fee for branch circuits without
service or feeder fee,first l I 56.18 5(o e)8 I 2
Contact name: branch circuit
i Each add'I branch circuit q 7.42 :A4.44, 1 2
Address: Miscellaneous(service or feeder not included)
City/SCateIZTP: Each manufactured or modular 67 84 2
dwelling.service and/or feeder
Phone:( ) Fax;:( ) Reconnect only 67.84 2
E-mail: — Pump or irrigation circle 67,84 2
r •rr 7 a r-T' ~Sign or outline lighting 67.64 2
`te�iej,—:mt Ti r1-e:11,.1." w:vp .r1.1.: :: . -. -a-t _::y.�:. H.: :L_y r.sTa-..r •.%.
Signal circuits)or limt-energy
Business name: Dream House Electric,LLC pane;,alteration or extension. Page 2 2
-- Each additional inspection over allowable in any of the above
Address: 221 SW Moonridge Place Additional inspection(1 hr min) 66.25/hr
City/Stare/ZIP: Portland,OR 97225 Investigation(1 hr min) 66.25/hr I
Phone;(503) 519-6711 Fax:(503)64&9723
industrial plant(1 hr min) 7$.1$/hr
CCB Lic_: 196726 Electrical Lic' C-848 7/1111 Suprv.Lie.: 4560S Inspections for which no fee is
$ Beall listed 'A hr min 90 001 hr
Suprv.Electrician signature,re required. �,,� , n r -" _�
P 9 '�._' . ;., ;,�;.� r :.si�M t /t�:.��'-or.. ..�:� t:
Subtotal: 49, e3fp
Print name: Chris Mahoney Date: 7/740/79/ Plan review(2$°,of permit fee): '-
Authorized signature: State surcharge(12%of permit fee): /04..30
Print name: I Date: .
TOTAL PERMIT FEE: 96 r/(p
:15v1:0irgi?rmtito1Et.c•►eneitApp doe 07/01/10 440.4615T(1I/OS/COM/WHO
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13145 SW ASH DR, TIGARD, OR, 97223
Residential - Electrical
199 Electrical final
PASS - No C of O
ELC2014-00419
Jeff Grove
Violation Summary:
Inspector Contractor