Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2015-00134
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/04/2015
Parcel: 2S102AA00600
Jurisdiction: Tigard
Site address: 11940 SW PACIFIC HWY
Project: Arm Management Subdivision: TIGARD HIGHWAY TRACTS Lot: 12
Project Description: Replace(1)damaged house panel
Contractor: ABC ELECTRIC Owner: ALPROP LLC
135 NE 9TH AVE 6149 SW SHATTUCK RD
PORTLAND, OR 97232 PORTLAND, OR 97221
PHONE: 503-233-7551 PHONE:
FAX: 503-233-7552
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 03/04/2015 $100.70
Specifics: amps or less
1 ea 12%State Surcharge- 03/04/2015 $12.08
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $112.78
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 ac rp 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. A TION: Ore••• law requires you to follow the rules adopted by the Oregon Uti' io Center. Those rules are set forth in OAR
952-001 010 through OAR 95 '• -0,:0. You may obtain a copy of the rules or direct questions to OUNC by cal'-• '3.:32.1987 or 1.800332.2344. ,
, �I
Issue y: �_' ��l _I ' Permittee Sigri• re: ,�`�JI/�
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. 5 94 S
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.
3/3/2015 11:20 AM FROM: ABC Electric ABC Electric TO: 503-598-1960 PAGE: 002 OF 003
Electrical Permit Al)pliciteCEINTEIP FOR OFFICE USE ONLY
-.1 City of Tigard
....g 13125 SW Brill Blvd.,Tigard,OR 97223
4" • Phone: 503.718.2439 Fax: 503.50h9R0 3 2015
Mil Received
' Dataltx: — g L 0. - Pen."... ELedelib--160 /3y
Plan Review
Date/By: Otha-Permit
TIC AI D Inspection Line: 503.639.4175 Date Rearlyike Juria: [ ia S'oe tinge 2 Kir ---
Internet: wwwligand-or.gov g Notified/Method- _1 Supplemental Information
t-,.-.•---1,- `./., ,'..' ' ,"--":- - 'v---,,-`-..;--,,,.:','r,-,;-'43/,-t.f 1 1,, ;,17,;7,', .:■,."..7:111;',I'ls.n,',v: ::'-':'".:.°:`:77,,,I.f.:, ,t2F7e7=2".:`1Y.L7714:7,. .49E461.-."-VRIT;1-741"427,;
'•-,' ..:,.-• : , ,- •_. ,, -;:. 4"...Z.'"14'..'"' .'''''404914"ki,.; .:,..z ..., . ,:.- es,tta.3. ,.
i Please chettle In that aPP:Y(submit 1 sets of plans wlilems checked below):
'.th'Newcoti'..-sirtiction ".. ;i31 Addl.'ticpitif Il. . ,1,1)1 :.'. l'ent
- 0 Service or feeder 400 amiss or more [3 Budding over three stories.
E.]Demolition 0 Other: where the'waists::findt outlast 0 Mangos and boatyards ,
...,:;r.::* .,''.!::-.;',' '''i,...A.'',4.4'.0,1-1:4;:in::-:-..1.7..i R'..7i'fIT-,-,:-1,:,'.:`. :it,.i''.1.:',7,44-ir.;40.'..4.,',.. ..,,,t.w.. exceeds MAO altr at ISO yells Of 0 Floating ballthrogs.
less to ground,in exceeds 1000 El Commerend-use Iv lathers!
LI 1-mid 2-family dwelling 115.CortunercialtindUstrial 1:3 Accessory building amps kw all other installations. buildings_
0 Multi family El Master builder 0 Other: 0 Fire ta
, mp. 0'mull:Mon or 150 KVA or
•:':::"::';.:T.' :. 0 Emergency system. larger separately&rived system.
'1--'''-' - '''':'"-' '' ''' '- --' -''' '' .' - '. ' ' -.`-' --E.''E': . . • ' • . .':.'S.', 0 Addition of new motor load of
10011P or more. eNCL'Icsancy.
Mb n°':A 'r':4-- '-:" jab Site address: I— 4, • .., 'Mitillf .4,- El.six or more residential units. 0 We-leade-nil veld,*parks.
--AgfiliraleMl D Supply voltage for more Ilan
City/State/ZIP: 0 Health-cans fac dams.-
a Hazardous locations. 600 yobs nominal.
Suite/bldg./opt.no.: Project:4 (J Senriee or feeder WO amps or more.
1'AA' •—-- ..trei,KITEr..rniaTIY71.
Cross street/directions to job site: , 6
..... #...tts, As,. 1w41 I *
. ..... .......
- New residential single-or rould-famity dwelling unit.
• Includes attached garage.
.,......,_
Subdivision: Lot no.: 1,000 sq.EL or less
___.___ 168.54
I I__ 4
._--- 0_4/6?-411-ctitheo , Ea.add')500 sq.It or portion [ _ 33.92 1
Tax map/pared no.:
,,,„ Limited energy,residcotial
75.00 2
Wariiiaii;:iii;:,41, ;4;',„,,,. .:-:.,:...„:„:,..:.,: :. :..,:,-,q..-.,...:?f,, (with above Sq.0.) .
tfil. i1".-`,'"..L,1, '. '-,''',.'dxs•-.4 .,''''
-- Limited energy,multi-firmly
• 1 if 1 i j 75.00
", o ti...„ _ ., igs_,2_.,,,,i AA,....... •_," 1:411PRIPIMI1111,,,, .4 ..... re'CidCrdial.s.v.Ittl.!`b°v° '.:fl _ .. ... . .. . 2
Ilb
■. .4.....441..! _0 A . _ -,-.77-x-ffmzf'istii,,ii.;,:,,,.1.a4„,.._:i',',--1-:-..,-.:1;: taez:.:4141-aaffa?
Services or feeders Installatkontalteration and/or relocation
''''' 200 amps or kss
-rOft..M.7?-7,...'ffw...;: .;,..."-:,."4;4*, :if-i.lii;14's crik.,..4.igt''' ''i ----/-------rii--7.72-.----,, 1 ;
-... - -A " '''''' In", .........}'-lr• "'''''-'* ......'.... •`' .--.. ' .' '' 201 amps to 400 amps
....-f.
Name:
• 401 arnpsto 600 am 200.34
ps 2
Address: . 601 amps to 1,000 amps 301,04 2
---- OVC11,0001talpS or vol's 552.26 2
City/State/ZIP:
Temporary services or feeders Installation,alteration,arid/or
•
Phone:( ) Fax:( ) reloofilop
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 4th)amps 125.G8 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701.
401 amps to 599 emps 168.54 2
__
' . ..
Owner signature: Date: : •....-.. ... Branch circuits-now,alteration,or extension,pp:panel ----
•' A Fee for Iran ell cticuirs with
■'''4:' '' . " (i;i:;.•i44'...:•::'''' '4' '' '. f4''ri4tir:14 7;VM41454'.;;'''. .. • . •
,, . . ..,-, ...', :ek"'..' .atiove Nellie('or feeder fee,
7.42 2
Business
name:____Aibe_____ /mg
‘ ... each blanch circuit
B Foe tor brana-cirruits ivitirour '--
- ,
Contact name: service or feeder fee.first
56.18 2
' '. basoch circuit _
Address: Each addi branch circuit 1 • 7.42 2
-Miseanneouervice or feeder not Included)
Cit)/State/ZIP:
Each manufactured or modular
7
dwelling„service and/or feeder 6 .84 2
l'hone:( ) I Fax::( ) ---- — -
Reconnect only 67.84 2
.._
r..-nan.41: • ,4 4. 4/0 ,, I •,.., 4,1 ,4 , .■ ' f --Ir . ' '4-4 Pump or irrigation circle 67.04 2
,:, , "Ti-.....,:,' ':..)-,''.-,--;,.'......• It'i•••••::::1:.,.„-. ; ;:.;;.7;'::;..,;"2--,.77: : : :::: Sign or waive lighting 67.84 --I
2
Business name-
. • , ó(' V i(tit Signal circuit(s)or limited-energy
panel,alteration or extenSion. _ See
Each additionatInspectioo over allowable in an of the above
Address. i :.- ).-_-- dit.,___it_\,_,- e. Li.).. .citIsk ,
- Additional inspection(1 hr min) T 66.251 hr IIII
City/State/ZIP: )1,,,..-1-Ad 6 t v ) c:-- R q. ,..r."..,),.
lnvestigti ion(1 hr min) 1------ ---- --
46.25;hT 11111111111111
Phone:(1):4) c‘,23- .1,5- --1 Pax:(°;1)5) .aV-2?3•7 '-7)-i-C a Industrial plant(1 lir min) 78.18i hr IIII
Inspections for v.hich no fee is
It 114 (Cl' : 90001 hr
Electrical Lic.:.....26.fc919(p(I...Sum.Lic,:50t26)....S _...,,iftetil_litt:...f.i.17;pr.„..min),... , ._ . III
Lie-/14)15.0
CI — ...,,'.:':-:•::::-...'t•:'4.:;!LO•ci.k.I.:16::uP,:ill.ti.:,1+1e1...,',A.`;,,i_i,;'ii•.'::,....,...:,'..::::..,;•,,,,-.<;!
Suprv.Electrician signature.required: 4:2 ?-,........._ " 1 ' _
Subtotal:
—
Plan review(25%of permit fee):
Print nam(: c..)1,--C\ x-A,4 .., , - ,-. i Date: ., , .
. .. L ) . . State surcharge On.of pertnit fee): A ie....".
....
. ,
Au thori-.•ted signature: Ai / ----- TOTAL PERMIT FEE: ,.
Thls permit application expires If a permit Is not oblained within 180
Print mune: (\(- •_.........)bia.41,2)1,-) b LI I i,' 9 a rs,. Date: -• • days after li firm been actertrd as complete.
.. ............—__. .
t NI/miter-of inspuniotts snowed per permit
1.•Bult.ii*XamtrAELC..PcumeApp F.1.11._FAE dn.;R1,15.2l,1■M 410.46151t I I;01,vOMAta:B
•
3/3/2015 11:20 AM FROM: ABC Electric ABC Electric TO: 503-598-1960 PAGE: 001 OF 003
Cjj 1.6 _`
y&f /.• -•a°
ABC Electric
135 NE 9th Ave
Portland, OR, 97232-2912
c o n f i d e n t i a l fax
To: City of Tigard, Permits
Fax Number: 503-598-1960
From: Anne Braden
Fax Number: (503)233-7552
Business Phone: (503)233-7551
Home Phone:
Pages: 3
Date/Time: 3/3/2015 11:20:43 AM
Subject: HELP
For the life of me I cannot pull this permit on line. Can you please process and either fax or
email me the permit number? I am hoping to call in for an inspection for Thursday. Thank you
so much for your help. Anne
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
11940 SW PACIFIC HWY, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00134
Jeff Grove
Violation Summary:
Inspector Contractor