Permit w CITY OF TIGARD ELECTRICAL PERMIT
1111111 *_ COMMUNITY DEVELOPMENT Permit#: ELC2014 00655
T 1 GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/18/2014
Parcel: 1 S135AA03702
Jurisdiction: Tigard
Site address: 8775 SW OAK ST
Project: Greenwing Restorations Subdivision: ASHBROOK FARM Lot: 12
Project Description: Electrical reconnect only.
Contractor: NOT REQUIRED Owner: GREENWING RESTORATIONS LLC
8775 SW OAK STREET
TIGARD, OR 97223
PHONE: PHONE: 503-473-8870
FAX:
FEES
Quantity Description Date Amount
1 ea Reconnect Only 11/18/2014 $67.84
Specifics:
1 ea 12%State Surcharge- 11/18/2014 $8.14
Electrical
Type of Use: SF
Class of Work: OTR
Type of Const:
Occupancy Grp:
Total $75.98
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATT .- Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001- 10 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by - •=32.1987 or 1.800.332.2344.
Issu By: _ /IL�ai Permittee Signat∎re: i4 �;% 4r.1�/. /
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Application ,'Uhl mil( 1. LSE OM. 1
_keee'vcd �
���� / '.nnll No:fLe l y e�/U 55—
City of Tigard
• 13125 SW Hall Blvd, fig:1rd.OK 47221
Phone: 5f13.71X.2439 I';x: 5113.5414.19f0 Date b
l'hn Review
bate KK_ - ' Mika Minn:
Gl. lion Linn: 5(1;.639.417$ Date ltrady I l��/7�y D� �.1,,,H - —
t'Ix ) ��' "/ Ti 0 Set at•e 2 for
lntemel: www.tigard-ln•.gnt *rrtdSe.l Mcih,.I supplemental Information
TYPE OF WORK --.7,0-P.QZ.a✓1— PLAN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that app!)(submit 3.cls of Islam 0+ ilcin,c heeled ham r--
Q.CGw►nu /\_�� ❑Sconce or Eccles-1tx,amps rv'nor, ❑nuitdmt;o,cr dace Mamie!.
❑ Demolition El Other e1GC�T'rCL1/4 Tk C�� %Orr.1111:1114111/1111.2 Ieul1 runinl ❑Marius,sill h.,ntyanls.
exca'ds tn,ll(K)an at 1 S0 r.tl.I,r Ft,utin•hu11d(n•s
CATEGORY OF CONSTRUCTION amp, ❑ >• :-
less to groulel.orexceeds 14.15)tl ❑('ommcrrtal-use agncuhurtt
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps li.r nu other inslallatinus. huilding,
❑Multi-family ❑ Master builder ❑Other: ❑fire pump ❑tnslatlaliun of ISO KVA or
0 Lincrucrey system. lar)!er Nepirat l}0k.i.cd.,.rcn,
JOB SITE INFORMATION AND LOCATION 0 Addition of n;N I:x,t,r load of
Job no.: I Job site address:8775 SW Oak Street ntluu'.a court:. occupancy.
❑Six or num:,csttkntial units. ❑Recr.iis.i al%elmlc park.
City/StateIL1P: Tigard,OR 97223 ❑I lewhh-cal\.r.i.iIilie.. ❑Sapp!). ■.1;1)1,•fi.r Inor;II i
- - ❑IlI tnlnus Iteatiun.
h ,I:mu,ilsl
SuiteIhldg.lapt.no.: T Project name:G W R- ❑Senicc or fecjcr fin('amp ur more.
_ a- __ — -- - FEE SCHEDULE
Cross slnchdirections to joh sire:One Block West of SW Itall Blvd _ rr;,,,, l 91r 1 1:M I total i • 1
— New residential single-or multi-family dwelling unit.
Corner of SW Oak Street and SW 87'h Avenue Includes attached garage.
Subdivision: I Lot nu.:
.1)‘10 sq.It.or less I f.5.i•1 1
_1_---- I'.a. rid I Slit sit.it.or puttioc 33.92 I
Tax m81)/parcel 11P.: _ �I.imitut energy.residential T-1?.tlU
' DESCRIPTION OF WORK With above sq.it i
I imilia! re.),multi-family ?5,n+t -
Electrical Reconnect Only residential(with aline sq. II.) I -
r-- -- -— - Renewable E gy ❑ See Page 2
Services or feeders installation,alteration uadlor relocation
® PROPERTY OWNER J --------❑ TENANT ---- '?tKl amps or I s 100.70_
201 amps to 40U amps 133.50
Name: Greenwing Restorations, LL.C' --
ot amps 1.+6oU amp. 2011.34
Address: 11850 SW 67th Avenue,Sulk 210 (4)1 amps h.1 110;1 emirs — 301.114 _
—- - - -- -- -- - (her 1.000 amps or colt, 552.:2o C ityJStatu%IP. Portland,OR 97223 Temporal" services or feeders installation.Alteration,and/or ,
i'hone:(503)473-8870 Fax:i ) relocation _ — - 1 - -
_2iKt amps or less 5•).10 I
Owner installation: This installation s twin. made on property that I own which is not --- { --- {
2111 amps to 4114 miss 1'_i.ut:
intended lint sale,liaise, nt.o/cif ge.accttr.'ng to S 447,444,1711,and 701. - 4 {
'L 4111 amps In 5•)9 amps 1 1+x.54
(tuner'si nature:_ - -� _ s•-' Date.: !!f/7"1/'T
t; Branch circuits-new,alteration,or cstrnsion,perpanel
® APPLICANT RI CONTACT PERSON A.I ce fix branch circuit:Kids 1
above service or feeder tee.
Business name: Greenwing Restorations,LLC• each branch cirt:uil - -- 7.42
• - - - li.I•u_for ht t,ch circuit..Kvtlrrar)
Contact name: Dairen Ayres scr.ice ur feeder Ice.first
7.6.I s
• - — branch circuit
Address: 11850 SW 67th Avenue,Suite 210 1"•aci,WTI hranch eiteua 7.42 j ,
('ity/Stata`'!_IP Portland,OR 97223 Miscellaneous(service or feeder not included)
Each mmutiacuu.d or modular i
07.54
Phone:(503)473-8870 Fax: .{ ) dwci.ig.kgaiie and nr lsekr Recunnocl unl. 1 "---1-67.X.1 tin -
F:-mail:daleen(a greenwingpdx.com _ Pump or irrigation circle G?.Y 1 r
CONTRACTOR -Sign or outline lighting (,7.n4
l_ fe.c.0i.n ` 4k'c tin „„,.. cud(+1 or hm ens;;n. See
Bll.tlrtss 118.{0: C f i' panel,uhcialitm...i cxlcn.iun. I'u ?
Address: Each additional inspection over allowable in any of the abuse
9 Arkininnal inap.+culnt 1I hr min) (.0.25,hr 1
' (•ityiStatcrzlP: 1 - I —
M imestigatton f t hr min) 00.25 hi
Phone:( ) I 144x ( ) Industria l plant t 1 hr min) 75.1 tS'hr
l— Insilcoi•ins 1'..r which n..Iii is 11110 hr l '
CCB Lie.: - 1 l.lectrieat (sic: [ Suprs I.ic.: sp. ilically listed(' hr mint I -
•- - - ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required:
Subtotal: ' (41,B
Print name: _ I Date: ——- Plan review 125%of permit Ice):
. -_— State surcharge t 12%of permit Iced: 'T.{4
Authorized signature: - i lorAL PhRMfI FEE' 15,gg
-I his permit application expires if a pt.' rmit it not olrtairied within tan
Print name: I Date: days alter ii has hero arcrp(rd ax cuniplrir.
1 • - -
•
Number of inspetli.n.slkr,J per Ixy,ml.
I Iiuld.,,v Permnr I.I f' Prnu.t Air 1'1 K I:KI .Let Kr.(. 2)]rill ISO,.1i11 I d((-1)51 KTII
t:lectrical Permit Application -City of Tigard
Page 2-Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE — -
Fee for all residential systems combined $75.00 otmri Y�rt —_
___:_911. I 1..,:"=___ low
Renewable electrical energy systems:
Check Type of Work Involved: 5 k.:.or Icy. 100.111 1 _
[� Audio and Stereo Systems* \' K — I _
i s.fq 102510 a �tl(L S1
_i -
_WiEd generation ss•stetns in excess of 25 kva:
❑ Burglar Alarm �$.uI i'suk.a 1111.0.47 _
❑ Garage Door Opener* 50.0110 Ilw k.;, - . 56-...1i. --
`11N1 kva Ifcc in aceardanar..ith iC�•'h
❑ Heating, Ventilation and Air 'onditioning
OAK 91$-309-U040) _
* Solar generation systems in excess of 25 kva:
System _
1:ad tethlilittnat k,a■•,cr 2' 7.12 I i
❑ Vacuum Systems* -too k‘ nontkliii.statcharpc OM
Each additional inspection over allowable in nny ol'the abuse: 1
❑ Other: _ _ Loch additional In, Xtuot is
ch ir�ud at an hourly I I hr mini • 66.25 hr 1 '
lnspccrinns Inr which no 1::e is
'nun.hr l
_i
COMMERCIAL WORK ONLY: `pxuicau}IIuELErTTRICAL PERMIT FEES
Fee for each commercial system $75.00 _ Subtotal:
(SEE OAR 91 S-309-0000) _ Phm rcvirw.ifrcyuilyd(25%ofpermit lirl: .
Stair surcharFc 1 12%or permit feet:
Check Type of Work Involved: roTAt PERMIT Flit:
--
I his permdt application expire if a permit I.nnl nhlainrd.a thin I 0
TIAudio and Stereo Systems days after it bas been accepted as piety.
• Number or inlpccilain alidded pct permit
❑ Roller Controls
n Clock Systems
n Data Telecommunication Installation
❑ Fire Alarm installation
n HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other __ _
Total number of commercial systems:
*No licenses are required. Licenses arc required
for all other installations
I Iwdd•+_I•n-n.1.1 4'YennuAl- FIR NO-dor Ka 1)1 71.•ai•