Permit CITY OF TIGARD ELECTRICAL PERMIT
= r1 COMMUNITY DEVELOPMENT Permit#: ELC2014-00539
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/2014
Parcel: 2S102CD00200
Jurisdiction: TIGARD
Site address: 9640 SW FREWING ST
Project: Aspen LO LLC Subdivision: FREWING'S ORCHARD TRACTS Lot: 25
Project Description: New service and complete rewire of residence.
Contractor: SERVICE FIRST PROPERTY MAINTENANCE & REPA Owner: ASPEN LO LLC
17413 WAKE ROBIN CIR PO BOX 25430
OREGON CITY, OR 97045 PORTLAND, OR 97298
PHONE: 503-505-5647
HONE: 503-258-7203
FAX: 503-655-6317
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 09/25/2014 $100.70
Specifics: amps or less
20 crt Branch Circuits w/Purchase 09/25/2014 $148.40
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 09/25/2014 $29.89
Electrical
Type of Const:
Occupancy Grp:
Total $278.99
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. ATTENTI Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952-001-0010 rough OAR.52-0 0 You may obtain a copy of the rules or direct questions to OUNC by calling 503 . .1987 or 1.800.332.2344.
6J i
Issued B 1 ��' `�'�" Permittee Signature( ��idr'<V�
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' a pe 27 �Ja Date:
LICENSE NO. 7 7c
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 l OR OFFICE USE ONLY
——
City of Tigard *10 Receiver I� _9•
g Date/B 9m Pemut Nu.: f� / -DG5 13125 SW Hall Blvd.,Tigard,OR Plan Review
II Phone: 503.718.2439 Fax: 503. Other Permit: e.
1°6( Date/B et 0(�!
Inspection Line: 503.639.4175
0.1°6(
t- Date Read /B Jun,ii I I U A I:t) Ready/By: '® Sec Page 2 for
Internet: www.tigard-or.gov .6( Notified/Method: Supplemental Information
TYPE OF WORKSr`` .aPY PLAN REVIEW
❑New construction Addition/alteralioll(/i• �t Please check all that apply(submit 2 sets of plans w/items checked below):
❑ Demolition 0 Other:
_, ��5"' ❑Service or feeder 400 amps or more ❑Building over three stories.
1 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
RI-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","I-3",
�,/ �! I00HP or more. occupancy.
Job no.: Job site address: /
10 I d rK.er{t st ❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: 7(914 ?�9 OR._ ❑Health-care facilities. ❑Supply voltage for more than
JJ ❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no,: Project name: ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site:
J Description I Qty. I Fee. I Total l "
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 1
Tax map/parcel no.: Limited energy,residential
75.00 2
DESCRIPTION OF WORK (with above sq.ft.)
` r�I Limited energy,multi-family
N (V S6124/1 CC. - COMV1T-6 4.tp..-f-- residential(with above sq.ft.) 75.00 2
1 Renewable Energy ❑ See Page 2
d P R e$t(?/JvC.a' Services or feeders installation,alteration,and/or relocation
❑ PROPERTY OWNER ❑ TENANT 200 amps or less . I. 100.70 /O,76' 2
' 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
City/State/ZIP: Temporary services or feeders installation,alteration,and/or
Phone:( ) Fax:( ) relocation
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 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
❑ APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits wish
above service or feeder fee, n 7 42 ` /� 41i) 2
Business name: each branch circuit �{J y
B.Fee for branch circuits without
Contact name: service or feeder fee,first
56.18 2
branch circuit
Address: Each add'I branch circuit 7.42 2
City/State/ZIP: Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
Phone:( ) I:a�: :( ) dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail: Pump or irrigation circle _ 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name `L t L 7--/ Signal circuit(s)or limited-energy See
J panel,alteration,or extension. Page 2 2
Address: /7 y/3 /� 2�Lam. c1w c a` Each additional inspection over allowable in any of the above
t !/V /� /� Q Additional inspection(I hr min) 66.25/hr
City/State/ZIP:( /d/V (`�/J cI[ C 7U&/ c Investigation(1 hr min) 66.25/hr
Phone:(1/4%-5)2S-8`v�_-7 3 Fax:(5ns) 6�s 43317 Industrial plant(I hr min) 78.18/hr
Z�x•t2 Inspections for which no fee is
CCB Lic.:/p^7 71 Electrical Lie.: (e Suprv. Lie.: y le 3 5 specifically listed('/:hr min)
90.00/hr
+ ELECTRICAL PERMIT FEES f
Suprv.Electrician signature,require f4,/1/ Subtotal: i�7" q• iv.404/
Print name: Date: Plan review(25%of permit fee): — '
I ' . "' L it • S ' at State surcharge(12%of permit fee): .1 9. V(
Authorized signat ji. j//_ ���- TOTAL PERMIT FEE: 02 76( 79
/; _
Print name: This application ez ires if a permit is not obtained within ISO
/ I :l , /� � �,� permit
days after it has been accepted as complete.
/ • Number of inspections allowed per permit.
i V3uilding\Permits\ELC_PennitApp_ELR_ERE.doc Rev 05/21/2013 440-4.15T(I 1/05/COM/WEB
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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
9640 SW FREWING ST, TIGARD, OR, 97223
Residential - Electrical
199 Electrical final
PASS - No C of O
ELC2014-00539
Jeff Grove
Violation Summary:
Inspector Contractor