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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2021-00073 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/18/2021 Parcel: 1S133DA02700 Jurisdiction: Tigard Site address: 12825 SW GLACIER LILY CIR Project: Meredith Subdivision: AMART SUMMER LAKE Lot: 49 Project Description: Alter(1)branch circuit for floor warmer, heated towel rack,extra outlet,new ceiling light and replace exhaust fan in master bathroom. Contractor: OWNER Owner: MEREDITH, MICHAEL D& KATHLEEN M 12825 SW GLACIER LILY CIR TIGARD, OR 97223 PHONE: PHONE: FAX: FEES Quantity Description Date Amount 1 crt Branch Circuits wo/Purchase 02/18/2021 $56.18 Specifics: Service or Feeder 1 ea 12%State Surcharge- 02/18/2021 $6.74 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $62.92 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 R 952- 01-0:!0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987/ or 1.800.332.2344. Issued By: � =�— ` Permittee Signature: r h/ 417c1/36./e 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 D FOR()HA(I( l,: I.s :(,y, Cit O Tiand JAN 2 0 2021 Received �13 Y gDateie 7`/�/22/ .4S permit# z ZZ —00O'73 ,IN • 13125 SW Hall Blvd.,Tigard,OR 9722 • iiOF TIGARD Plan Review Related Permit#Phone: 503.718.2439 Fax: 503.598tl� DateBy: Inspection Line: 503.639.4175 - LDING DIVISION Ready Date/By: Juris: I 0 See Page 2 for I I G A RD Internet: www.tigard-or.gov y `�; Notified/Method: 5(a %,12,/ Supplemental Information rri ", '� ,", , tr""i .MM`:w.." .Z'Ir OS'C1 1...,, `r 'j FBI. it i ;= r t yx ,i' €i'�. P,. a., ' r ,.i.Y.; 4. e? - �. ,.:4,„„,.,,,!, `'r s, ,�.+ : .� �'.:-'�� d'°'i:-. n.,Jiy ❑New construction In Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three stories. y�, where the available fault current 0 Marinas and boatyards. " ":[:''. p(:IN.a A';'*1` `.14 4'«trQ,V: * �i;( r a s. �,� ���� ,p t� b,x'a,`�ri� :Gs.. exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family 0 Master builder 0 Other: 0 Fire pump. ❑Installation of 150 KVA or %r't r ;`' ::a Q01 * # ,,:7-1 ,* Z' i m i tt o um „ a ❑Emergency system. larger separately derived Job#: 1 Job site address: 12825 SW Glacier Lily Circle ❑Addition of new motor load of system. 100HP or more. ❑"A","E","1-2","l-3", City/State/ZIP: Tigard, OR 97223 ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: I Project name: Master Bath Remodel ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more 600 volts nominal Cross street/directions to job site: 5 i -, F Description Qtv. I Each I Total New residential single-or multi-family dwelling unit. Subdivision: I Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel# Ea.add'I 500 sq.ft.or portion 33.92 1 i. 0,(91 ` . 0 r „,uL ., p Limited energy,residential 75.00 2 Floor warmer 4 Amp,heated towel'rac 1 Amp,extra out et,new ceiling light,replace (with above sq.ft.) vvnti/ntipn nn in mnctvr hnih Limited energy,multi-family 75.00 2 f residential(with above sq.ft.) m:� R'V O' R. 1, � u Renewable Energy ❑ See Page 2 ��°°r`' �rh " ��� ���� ��"--� �j��9! -"'� Services or feeders installation,alteration,and/or relocation Name: Michael&Kathleen Meredith 200 amps or less 100.70 2 Address: 12825 SW Glacier Lily Circle 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Tigard,OR 97223 601 amps to 1,000 amps 301.04 2 Phone:( 503 )936-3989 I Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:mdmeredith@gmail.coin 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,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: A4.-,Le_.f b . /1, j.•�'^- Date: Jan.20'21 401 amps to 599 amps 168.54 2 �y fir" Branch circuits—new alteration,or extension per panel ®n J1I'PL ICA11 r '' 1.I CQI9�111 PERSoI -- A.Fee for branch circuits with Business name: above service or feeder fee, 7.42 2 each branch circuit Contact name: owner B.Fee for branch circuits without Address: 12825 SW Glacier Lily Circle , service or feeder fee,first / 56.18 5-./P 2 branch circuit / J City/State/ZIP: Tigard,OR 97223 Each add'I branch circuit /0a.z'+tf7I..i g7,42 2 Miscellaneous(service or feeder not included) Phone:( 503 )936-3989 Fax: :( ) Each manufactured or modular 67.84 2 Email: mdmeredith@gmail.com dwelling,service and/or feeder Reconnect only 67.84 2 %r , 'M W - iiiZ'Z" *:4t** � tiZ . r n7. 044 1 r ``! Pump or irrigation circle 67.84 2 Business name: Sign or outline lighting 67.84 2 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(1 hr min) 66.25/hr Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Ic.: Electrical Lic.: Suprv.Lie.: specifically listed %2 hr min) t Suprv.Electrician signature,required: Subtotal: / Print name: l Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): G,r 7 y Authorized signature: TOTAL PERMIT FEE: r This permit application expires if a permit is not obtained within 180 Pnnt name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL W IYI o4y Description [ Qty. I Each I Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: n Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 y Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed 9:hr mm) �V Q .IBC © i-Y,,ti ,.;.�tl k : ` I�;r a i'':'t T lr 1*' 9i7t lim T�1E t r"^'"'.:, Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 c c Zo 2e-f -O0 a 7 3 Dianna Ornelas From: #Building Permit Technicians Sent: Tuesday, February 16, 2021 3:15 PM To: Michael Meredith Subject: RE: 12825 SW Glacier Lily Circle - ELC2021-00073 - Meredith Attachments: ELC2021-00073.pdf Hello, Thank you for the information. I have entered on the permit application that you are altering(1) branch circuit for the items you described. This permit is ready to issue and the balance due is$62.92 (see attached invoice). The fees can be paid online at https://aca-prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number ELC2021-00073 under the Building tab. Please email the permit technicians at TigardBuildingPermits@tigard-or.gov once the fees are paid so that we can issue the permit and email a copy. Thank you. Dianna L. Ornelas Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits From: Michael Meredith<mdmeredith@gmail.com> Sent: Friday, February 5, 2021 4:52 PM To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: Re: 12825 SW Glacier Lily Circle Importance: High Caution!This message was sent from outside your organization. Thanks for getting back to me. I am not expecting to add another branch circuit from the box. The existing 15 amp lighting circuit to the master bedroom only serves the vanity lights,three ceiling lights, the bathroom fan and the floor plugs in the bedroom itself. We will be replacing the lights with LED and the bathroom fan which will reduce load. We will be adding the following loads: Localized underfloor heating 4 amps Towel warmer 1 amp Additional ceiling light <0.1 amps Mike Meredith owner On Feb 5, 2021, at 2:41 PM,#Building Permit Technicians<tigardbuildingpermits@tigard-or.gov>wrote: 1 Hello Michael & Kathleen, We are processing your electrical permit application and noticed that the scope of work regarding electrical items is blank. Please let us know how many branch circuits you will be adding or altering for the proposed work and we can add it to the application. Thank you. Dianna L. Ornelas Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits 3 0 DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." 0 1 1 A 0 f A j g 1 i i i 1. 2 0 1