Permit (71) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2017-00681
111: �
Date Issued: 09/18/2017
TIAID 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S102CA01000
Jurisdiction: Tigard
Site address: 9799 SW FREWING ST
Project: Black Diamond Homes Subdivision: 1998-081 PARTITION PLAT Lot: 2
Project Description: Temporary power.
Contractor: HOTWIRE ELECTRIC INC. Owner: BLACK DIAMOND HOMES INC
7435 SW 240TH PL. 15685 SW 116TH AVE STE 290
BEAVERTON, OR 97007 TIGARD, OR 97224
PHONE: 503-572-1317 PHONE: 503-201-6304
FAX: 503-848-6823
FEES
Quantity Description Date Amount
1 ea Temp Services or Feeders- 09/18/2017 $59.36
Specifics: 200 amps or less
1 ea 12%State Surcharge- 09/18/2017 $7.12
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $66.48
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, ori work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification - . T e/ s ar- set forth in OAR
952-001-0010 through OAR 952-001-009' ..- -• •in a copy of the les or direct questions to OUNC by calling 503. • 7 or j}*�
Issued By: 'ilr- _ 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' 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.
9/17/2017 img001.jpg
Electrical Permit Application . ) FOR OFFICE USE ONLY
Cite o Tigard ' Received Q /
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Internet: istttt ti;ard-tr,gm 5 N i,` tt iSkittle: I ' I Supplemental Information
I — POE PE OF WORK i•►4^ '� - t,% "T j ---------P1 �\ REVIEW
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7Cj\etc construction ❑Addition c`, is in 1 t£ ;
t `1 c ❑scat to i h +aI_ or sic 01 ,1w,'os three st_r:
L❑Demolition �','Other: 4,,,;)� - --� 1 %acre the akatiable fault current ❑Mat uenand boatyards_
__ _ (A :t`OR1 012—(or,:st ie e, r+t00 ,t tl- t b c. ❑li is ! ilttn
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0 1-and 2-family dwelling .� t r r r r,i l a)-1' t-'r 1 .r t ,. veru c rit,'rat
❑Commercial todustttal ❑Accessory building
i i alnps tot iii(Mier installations anti line
1❑Multi-family 11 Master builder_ ❑Other: I ' ❑nit ,(pmt
Qinstallation of 1 ( 3tiA.A or
i013 Sol. tti101{`1:11i0\ AND L(3C\ft()\ •
f-1,',nu < t-.ice„. !:11,,,r,sea a,a_c r. k,i,ed
I Job t/ ( Job site address:9799 sw frewing st i I Dail'or more ❑ A + i i r
Tigard 97223 , I sl, r n-� r I h t iLl milts. cc upancr
I Cit:'State:ZIP:Tig rd Oregon
- _- 1 1 ❑lkn al - t h_i.c. ❑126:iv: ten I vehicle parks_
Suite bldgJapl Si: Project name: I I 0 halt 1 ocatn i 0 Supply voltage for more than
.- ---'_.__ ---+ i 0 See.rc t teed::•r i,00 amp. ,,,t e 6%1 whs.I 1 ma.t!--�
Cross streetrdirectiatis to lob site: I-El SCHEt)t t L
H------ _________
i1 I Description I Qtv. I each-j" Total I "' I
- i \ens residential single-or multi-fatuity dwelling unit. i
ubdtt r-ie)n --I foot : i I Includes attached garage. I
- - - - -----1 i i(d)r sq It or less t I 1 4 1
t 68'1
txmttipttrCt �n n) } s I1_
- I t' _d , C i t <rtcnuu+ I I 7 1 rl
DESCRIPTION t Oh 11011k i Limited energy.tesidttniai I
1 Temp Power (viii Jt ut so.u) , O0 ___— I -
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h 1 I uniic i ett .uxltt i I sten, ---
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abic I nc r i ❑ bee page j
PROPF.RT\ OWNER 0 'CE\A f ' services or feeders installation.alteration,and/or relocation
Name:ove. 20Q amps or less If i WO
Address: - - h 2(11 amps to 400 amps 133.56 2
_- i 401 amps to 6110 amps 200.34 i 2
Cit)/State/ZIP: I
601 amps to 1,001!amps I 301.04 l 2
IPhone:( ) I Fax:( I Cher 1,000 amps or volts 55226 -
, Temporary services or feeders installation,alteration,and/or
Email: - I j relocation
Owner installation: This installation is being made on property that i own which is not L200 amps or less I 1 59.36 5936 I
I intended for sale.lease.rent,or exchange.according to ORS 447.449.670.and 701. 1201 amps to 400 amps 125.08 j 2
j - I
Owner signature: Date: i 1401 amps to 599 amps1 2 f 68„54
APPLICANT - - `--1 i Branch circuits-new,alteration.or extension et nand❑ CO\I,ICT PF;RSOti En
: '_-.
A.Fee for branch circuits with i
I3usincss name: Hntwire Electric inc. ! above service or feeder fee. 7.42 , i
each branch ctrcut
C ont•ict name:Derek Na h � B.Fee.for branch circuits without � j
it 1 I sell is of t ed r lI
I Address:7435 S!V 240 pi fee,lirst 1 56-l 8
briorh,•irr ilii
City;StatIP:Beaverton Oregon 97078 1
e ZEach add'l branch circuit 7-42 2
Miscellaneous(service or feeder not included)
Plvv,..:l (1 t 477 I A17 I F,,v. •( I ' i r:aet,,.,,,.n:c:,...,,,,,:t,,.;:ad::!::; 1 I I I
Email:hotvire.electrioa;frontier.com
1 dwelling service and/or feeder 1 67 84 2
Reconnect Dole I 67.84 2
r O\TR.\CTOR -
I I I rtr,p c I rr iii circ 1't
i Business lame:Elotwire Electric Inc I tit ,to .tion I eh n Li
i 674I 2
-----
! I __.__.� i Signal unclad:)or limit d -n r y I
Address:7435 sw 240th pl i ❑ Sec Page , i 2
r pan t_alt ration_or extension i l
I t ich additional inspection user alto vablc in am of the shove
i C Is St to/11 : tkarerton Oregon 97078 1
I- - —- - -__-__ Additional inspection I I hr nun) ( i 66_25i hr i I
1 Phone:(503)''.2 1317 Fax:t ) In c tt a (t?. lire) I hs
_ ---
I i in ti!: hotwn e electric inc. -adexal rl p u t i t i r mon; 78.18i hr
n t.,ct c for tai 1 no 7_e is I - . 1 i 1
i _ .- I )i 1)t} hi' I 1
I C Cli Lie.: 146276 1 tectnc tl Lie. .,4 549e ! Sup rt lie.: 4487S -�eit'ic min listed t .,lir mini 1 -- .z_ 1_
-- - -- -`---_-' . I ELECTRICAL PER\lit FEES
I Supra-,1!ecnnci)n s,_nature.required. /
- _ i Subtotal: 59.36
' _ n t 1 i 0 Plan I? v.ew f quired!2, of permit fee}: i I
Print ti ?t 1) Nab nate: 3,1 12(117
Lsurcharge .?-t37 7-J
Authorized siQuature IC7i At Pt h'Mil ITT: I
Ai 0
------i Chis pernui application expires if a permit is not obtained siithin 1311
Print name. Dere.Nab i Date: 9/14/2017 dais after it has been accepted as complete
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https://mail.google.com/mail/u/0/#search/derek/15e837f4185cfeb5?projector=1 1/1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9799 SW FREWING ST, TIGARD, OR, 97223 April 26, 2018 at 2:26:59 PM
Record Type: Record ID:
Residential - Electrical ELC2017-00681
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS - NoCofO
Comments:
Temp service removed.
Violation Summary:
Inspector Contractor