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Permit
CITY OF TIGARD ELECTRICAL PERMIT 1.' .' COMMUNITY DEVELOPMENT Permit#: ELC202000622 T[GAP D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1/4/2021 Parcel: 2S110BA05200 Jurisdiction: Tigard Site address: 11755 SW WILDWOOD ST Project: JAEGER Subdivision: SHADOW HILLS Lot: 13 Project Description: (2)branch circuits for master bathroom. Contractor: OWNER Owner: JAEGER,JULIE&STEVEN 11755 SW WILDWOOD ST TIGARD, OR 97224 PHONE: PHONE: FAX: FEES Quantity Description Date Amount 2 crt Branch Circuits wo/Purchase 01/04/2021 $63.60 Specifics: Service or Feeder 1 ea 12%State Surcharge- 01/04/2021 $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 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. ATTENTION: 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 through OAR 952-001-0090. You ma obtain a y'If e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.234.4. Issued By: c%; 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. - /2J3r20 Electrical Permit ApplicatiiiEC E1 VE D FOR OFFICE USE ONLY City of Tigard Received 2 DatdB : /at%/ . • iii . 11111 ■ 13125 SW Hall Blvd.,Tigard,OR 9722JE C 3 020 PlanHeview Perna 3 Phone: 503.718.2439 Fax: 503.598.1960 Date/B . Related Inspection Line: 5°3-639-4'75 CITY OF TIGARD 1 may= iiiiiimi 0 See Page 2far TIGARD Internet: www.tigard-or.gov ,,11....v ._ . ;. Nobliied/Method Supplemental Information _ TYPE OF- .. er tz ❑New construction gAdditio /alterahm/replactment Planec6 t apply sets of Buildingnswhisch`ec`�): 0 Service or feeder amps ❑ ov '.. or three stories. O Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or cacecds 14,000 ❑commercial-use agricultural amps for all ether installations. buildings. ❑Multi-family 0 Master builder 0 Other. ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION Emergency system. larger separately derived 9q ❑Addroonof new rooter load of Job#: Job site addr : iris S� W,A01.„a000` S-r 10011P or more. ❑"A^,se^,"1-2". to", / ❑Sea or more faclitisresidential units. occupancy. City/State/ZIP: "��q t p�/ O 9 J a a t� ❑Health-care facilities ❑Recreational vehicle pads. Suite/bldg./apt#: v 1 Project name: ❑Hazardous locations. 0 Supply voltage for more than 0 Service or focdcr 600 amps or mate. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each l fatal New residential single-or multi-family dwelling unit, Subdivision: Lot it: Includes attached garage. 1,000 sq.It.or less 168.54 4 Tax map/parcel#: ..... -..._ Ea_add'l 500 sq.f.or portion 33.92 1 DESCRIPTION OF WORK timid eneigy,residential (with above sq.IL) 75.00 2 (7/2) -4t2l4 Gnlre 4/Tj -{f / rJJ1 &4773 P screws limited energy,multi-family 75.00 2 residential(with above sq.IL) r, Renewable Energy ❑ See Page 2 ,, PROPE,RT'3t' et ,';" II TENANT`.. t-', " ' ".` �. - 'secs,`( ^- Services or feeders installation,alteration,and/or relocation Name: 5-t,len 3 e,/ 200 amps or less 100.70 2 Address: t f--i s s c Jl ..l W e u W 0c7,21, -[. 201 amps to 400 amps 133.56 2 401 amps to 600 amps 20034 2 City/State/ZIP: `i`i r Jok (-3e -7 `. ..i 601 amps to 1,000 amps 301.04 2 Phone:(t-4 2 0 ) 3.3 0i 5 i s i Fax:( ) Over 1,000 amps or volts 55226 2 CO) Temporary services or feeders installation,alteration,and/or F.rnail: & i e/( )E-Rill.el30Le, 2l'., (D m relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,ren or exc ge,according to ORS 447,449,670,and 70j. 201 amps to 400 amps 125.08 2 Owner signature: __ Date: t i J Q(7 a 0 401 amps to 599 amps 168.54 2 ❑ APPLICANT d CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: above service or feeder fee, 7.42 2 each branch circuit Contact name: B.Fee for branch circuits without service or feeder fee,first I 56.18 2 Address: branch circuit City/State/ZIP: Each add'l branch circuit ( 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax::( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: Reca®rct only 67.84 2 CONTRACTOR - s` .-II: Pomp or irrigation circle 67.84 2 Business name: ©W n r�� Sign or outline lighting 67.84 2 } v Signal circuit(s)or limited-energy Address: panel,alteration,or extension. 0 See page 2 2 City/State/ZIP: Each additional inspection over allowable in any of the above Additional inspection(l hr min) 6625/In Phone:( ) Fax:( ) Investigation(I hrmin) 90.00/br Email: Industrial plant(1 hrmin) 78.18/hr - Inspections for which no fee is 90.00/hr CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed(Iv ra in) e _ ELECTRICAL PERMIT FEELS Suprv.Electrician signature,required: Subtotal: (D'l.a,(6© Print name: Date: ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): 7. ((•1 Authorized signature: TOTAL PERMIT FEE: 71, 2.3 This permit application expires if a permit is.not obtained within 180 Print name: + Date' days after it has been accepted as complete. Nv • Branden Taggart From: #Building Permit Technicians Sent: Friday, December 11, 2020 7:08 PM To: 'outlook_325A094610CA42E1@outlook.com'; steven@stevenjaeger.com Subject: RE:Jaeger bathroom electrical permit: ELC2020-00622 - 11755 SW Wildwood St. Attachments: Invoice.pdf Steven and Julie, The Electrical permit for your master bathroom is ready to issue now. The balance due is $71.23,and I have attached an invoice above for you to reference. The permit fees can be paid online through our website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number (ELC2020-00622) in the Record Number field, and click Search. Once paid, please notify us at TigardBuildingPermits@tigard-or.gov, and we will email the permit paperwork to you. Thank you, Branden Taggart Oh • City of Tigard a Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard,OR 97223 (593)718-2449 bran dent©tig and-ot;gov From:#Building Permit Technicians Sent:Thursday, December 3, 2020 11:57 AM To: outlook_325A094610CA42E1@outlook.com <juliejaeger86@gmail.com> Subject: RE:Jaeger bathroom electrical permit Hi Steven &Julie, Thank you for your recent permit submittal. This submittal has met the requirements needed to begin review. We will contact you for payment,if applicable, or when the permit is ready to issue. Please allow 1-3 weeks for processing. Tina Escalera Permit Tech Assistant City of Tigard I Community Development 13125 SW Hall Blvd.Tigard, OR 97223 From:outlook 325A094610CA42E1@outlook.com <iuliejaeger86@gmail.com> Sent: Wednesday, December 2, 2020 10:26 AM 1 I To: #Building Permit Technicians<TigardBuildingPermitsPtigard-or.gov> Subject:Jaeger bathroom electrical permit Caution!This message was sent from outside your organization. Hello, This is Steven and Julie Jaeger submitting our electrical permit application for the work we plan to do on our master bathroom. 2