Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2014-00410
T i.GA.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/28/2014
Parcel: 2S104AB03200
Jurisdiction: Tigard
Site address: 13301 SW SCOTTS BRIDGE DR
Project: Morrow Subdivision: MORNING HILL NO.3 Lot: 65
Project Description: (2)branch circuits for remodel of 2 bathrooms.
Contractor: RED'S ELECTRIC CO INC Owner: MORROW,MARYANN LIVING TRUST
6336 SE 107TH AVE 13301 SW SCOTTS BRIDGE DR
PORTLAND,OR 97266 TIGARD, OR 97223
PHONE: 503-233-6467 PHONE:
FAX: 503-233-1281
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo/Purchase 07/28/2014 $63.60
Specifics:, Service or Feeder
1 ea 12%State Surcharge- 07/28/2014 $7.63
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $71.23
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 acco•=1 - 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. • TION: Orego law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-I.1-0010 through OAR 952- 0 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 or . 00. .2344.
I sued By: / � `'"'� Permittee Signature: /< < -----
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' ( —` lc•` Date: 7/R-0 5L
LICENSE NO. I:C'r/0 `J
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 ApplicatR CEIVEJ FOR OFFICE USE ONLY
City of Tigard DanReceived 7 ay . , Permit No.: EkC, s/ —� /D
1111
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.59111ok0 2 8 2014 Date/By: Other Permit: a ,e/V-0(>` i
I I C i;\K l Inspection Line: 503.639.4175 Date ReadyBy: luris VI See Page 2 for
Internet: www.tigard-or.gov
CITY OFTI(.v AR[l Notified/Method: Supplemental Information
,_
TYPOS,.,. ,:,
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below):
❑Service or feeder 400 amps or more ❑Building over three stones.
❑ Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
., $ exceeds 10,000 amps at 150 volts or ❑Floating buildings.
) ' 'P Qil E1�1R1J4TIfU1�l
less to ground,or exceeds 14,000 0 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 150 KVA or
❑Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑"A","E","1-2","1-3",
I00HP or more. occupancy.
Job no.: 72827 Job site address: 13301 SW Scottsbridge ` )2._ ❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard,OR ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name:Wz-Resavations il Q LC ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qty.1 Fee. 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'l 500 sq.ft.or portion 33.92 I
Tax map/parcel no.: Limited energy,residential
DESCRIPTION OF WORK St�r" -P (with above sq.ft.) 75.00 2'
Limited energy,multi-family 75.00 2
6 c 0-6--,—._ / residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
`E(PROPERTY OWNER ❑ TENANT' 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name: o k.4)a...) 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
Phone:( ) ( ) relocation
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 168.54 2
Owner signature: Date: Branch circuits—new,alteration,or extension,per panel
AGT PERSON A.Fee for branch circuits with
' ,, '. -- -" �� _- above service or feeder fee,
Business name: each branch circuit 7.42 2
B.Fee for branch circuits without
Contact name: `/
service or feeder fee,first / 56.18 7 CP-i g
branch circuit 2
Address: Each add'I branch circuit ' 7.42 7.117 2
City/State/ZIP: Miscellaneous(service or feeder not included)
Y Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Phone:( ) Fax: ( ) Reconnect only 67.84 2
E-mail: Pump or irrigation circle 67.84 2
CONTRACT;I ' :;: ,- ,. a, .> ': _a . Sign or outline lighting 67.84 2
Business name:Red's Electric Company Inc Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 2
Address:6336 SE 107th Ave Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
City/State/ZIP:Portland,OR 972366 Investigation(1 hr min) 66.25/hr
Phone:(503)233-6467 Fax:(503)233-1281 Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 4443 Electrical Lie.: 26-152C Suprv.Lie.: '7SID S specifically hsted(%:hr mint yet
Suprv.Electrician signature,require • (�/ Subtotal: 12736'
Print name: Jim Ferris } Date: 7/23/14 Plan review(25%of permit fee):
State surcharge(12%of permit fee): ...4-3748
Authorized signature: TOTAL PERMIT FEE: 12S'133
This permit application expires if a permit is not obtained within 180
Print name: Jim Ferris Date: 7/23/14 days after it has been accepted as complete.
• Number of inspections al 1 vedd per permit.
l\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 440-46I5T(I1/05/COM/WEB .,pe / , (
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
13301 SW SCOTTS BRIDGE DR, TIGARD, OR,
97223
Residential - Electrical
199 Electrical final
PASS - No C of O
August 26, 2014 at 12:51:59
PM
ELC2014-00410
Jeff Grove
Violation Summary:
Inspector Contractor