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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2021-00217 T-IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 IS I Date Issued: 5/3/2021 Parcel: 2S103BB10800 • i•' Jurisdiction: TIG Site address: 12105 SW 123RD CT Project: LIANG Subdivision: Lot: Project Description: Additional electrical work associated with MST2006-00163:(1)200 amp feeder and(12)branch circuits. 7/8//21: REPRINTED permit to add contractor and(1)sub panel with(8)branch circuits for the addition. Contractor: A&S CONSTRUCTION CORPORATION Owner: CIMIN LIANG 11401 SW GREENBURG RD JUAN LIU TIGARD, OR 97223 12105 SW 123RD CT TIGARD, OR 97223 PHONE: 503-524-6015 PHONE: 971-645-6825 FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-200 05/03/2021 $100.70 Specifics:, amps or less 12 crt Branch Circuits w/Purchase 05/03/2021 $89.04 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 05/03/2021 $22.77 Electrical Type of Const: 1 ea Services or Feeders-200 07/08/2021 $100.70 Occupancy Grp: amps or less 8 crt Branch Circuits w/Purchase 07/08/2021 $59.36 Service or Feeder 0 ea 12%State Surcharge- 07/08/2021 $19.21 Electrical Total $391.78 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 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 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344., Issued By: f?19Dy �n 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. 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A '^^ M it'Y*�MM Md s:ad�ba «"�.r .i }i'i .., ..> ....,.S..f" _L ..i i . *ar**of* tt w ' ' Electrical Permit Application^ FOR OFFICE USE ONI.Y City of Tigard Jt(ECEIVED D' a Permit#: • 13125 SW Hall Blvd.,Tigard,OR 972 ► plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#: Inspection Line: 503.639.4175 "U Ng pp V 2O21 Ready Date/By: Jaen: Fa See Page 2 for Nil iIGARD Internet: www.tigard-or.gov "•'l\ '+ Notified/Method: Supplemental Information TYPE (II% WORK^ 7.� I h..iri-- €'i.T il r r'�" Ir�,„. 1 '.VE ,: Sir ..'lei '�*� ❑New construction a Addition/alteration replacement-,IsIDI0P Please check all that apply(submit/sets of plans w/items checked): U J ❑Service or feeder 400 amps or more El Building over three stones. ❑DemollUon Other: where the available fault curent ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION:,: -. i exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural >� 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building amps for all other installations. O buildings. Multi-faintly 0 Master builder ❑Other: Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separately derived ❑Addition of new motor load of system. j Job#: I Job site address:12107 SW 123rd Ct 100HP or more. ❑"A"•"B•"1-r'•"t-3 O Six or more residential units. occupancy. City/State/ZIP:Tigard,Oregon 97223 0 Recreational vehicle pads. 0 Health-care facilities. 12107 SW 123rd Ct ADU 0 Hazardous locations. 0 Supply voltage for more than Suite/bldg./apt.#: Project name: 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: SW Katherine St.and SW 123rd Ct. FEE SCHEDULE ..: Description I Qty. I Ends I Total I +. New residential single-or multi-family dwelling unit. 1 - I Subdivision:YE-OLDE WINDMILL Lot#: 28 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#:2S1036810800 Ea.add'l 500 sq.ft.or portion 33.92 1 )!nSCRIP'LION OF WORK Limited energy,residential 68.5400 2 Adding ADU to SFH at 12105 SW 123rd Ct as the owner builder.internal ADU to (withsbovesq-ft) Limited energy,multi-family 75.00 2 have separate metering. residential(with above sq.ft.) — Renewable Energy 0 See Page 2 Pi PROPERTY OWNER 1 ❑ TENANT Services or feeders installation,alteration,and/or relocation Name:Cimin Llang&Juan Liu"Owner Builder" 200 amps or less , X 100.70 $100.70 2 C 201 amps to 400 amps 133.56 2 ,� Address:12105 SW 123rd Ct 200.34 2 401 amps to 600 amps ", City/State/ZIP:Tigard,Oregon 97223 601 amps to 1,000 snips 301.04 2 �1Phone:( 503 )928-0388 Fax:( ) Over 1,000 amps or volts 552.26 2 �} Temporary services or feeders Installation,alteration,and/or Email:auejuan20094llgmalloom or xlao5585@gmall.com relocation ner in allation:This installation is being made on that I own which is not 200 amps or less 59.36 I in nde o ale,1 or exc , ccordin RS ,449,6 ,and I. 201 amps to 400 amps 125.08 2 signature: a : 3/18/2021 '.. 401 amps to 599 amps 168.54 2 — �,._ - Branch circuits—new,alteration,or extension,per panel PI .1PPl.IC:ANT ❑ C'OtNTAC'F PERSON- A.Fee for branch circuits with 3 Business name: above service or feeder fee, 8 7.42 $59.36 2 -- each branch circuit Contact name:Cimin Liang&Juan Liu"Owner Builder" B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address:12105 SW 123rd Ct branch circuit City/State/ZIP:Tigard,Oregon 97223 Each add'1 branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 503 )928-0368 Fax::( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder [..--) Email:sueluan2009lgmail.com or xlao5565@gmall.com CONTRACTOR or irrigation circle 67.84 2 Business n: 'lie:Cimin Liang&Juan Li "Owner Builder" 5 can.1 /'__� Signor outline lighting 67.84 2 ''6�',J/. `c p Signal circuit(s)or limited-energy 0 See Page 2 2 Address:1210 SW 123rd Cl panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP: 'e-rd,Oregon 9 Additional inspection(I hr min) 66.25/hr Phone:( 503 )928 ,see l Fax:( ) Investigation(I hr min) 90.00/hr uan20096.e- :I .•m or xiao5565©gmail.com Industrial plant(1 hr min) 78.18/hr Email: i inspections for which no fee is 90 00/hr CCB Lie.: i& Electrical Lie.: Suprv. specrfica0 listed('t hr min) Lic.: ``"-.'L` d " .,E►.EC'CRICAi. PERhIiT'F Suprv.Electrician gnature, .e Lured: Subtotal: 8227.90 Print name: Cimi Liang&Juan Uu Date: 3/18/2021 ®Plan Review Required(25%of permit fee): $56.98 State surcharge(12%of permit fee): $27.35 -') 4 _-' TOTAL PERMIT FEE: $312.23 Authorized signature: 1 Sa++v This permit application expires if a permit is not obtained within 180 Print name: Clmin Liang Juan Liu Date: 3/18/2021 days after it has been accepted as complete. . Number of inspections allowed per permit I:13udding\Pemtis\ELCPennitApp_ELR_ERE.d0c Rev 06/17/2015 440.4615T(1 i/OSMOM/WEB 'Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: ` RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Qty. I Each �:.. Total I I' 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: ❑ Burglar Alarm 25.01 to 50 leva 301.04 2 50.01 to 100 lcva 552.26 2 El Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ 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 an of the above: ❑ Other: Each additional inspection is 6625/hr charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('/s hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES 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 El Clock Systems El Data Telecommunication Installation ❑ Fire Alarm Installation rf HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* El 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 1:11iuilding ermits\iI.C_PennitApp_ELR ERE.doc Rev 061172a15 CITY OF TIGARD ELECTRICAL PERMIT 1111 a, COMMUNITY DEVELOPMENT Permit#: ELC2021-00217 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 J 4 ! + Date Issued: 5/3/2021 Parcel: 2S103BB10800 4 . Jurisdiction: TIG Site address: 12105 SW 123RD CT Project: LIANG Subdivision: Lot: Project Description: Additional electrical work associated with MST2006-00163: (1)200 amp feeder and(12)branch circuits. Contractor: OWNER Owner: CIMIN LIANG JUAN LIU 12105 SW 123RD CT TIGARD, OR 97223 PHONE: 503-524-6015 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-200 05/03/2021 $100.70 Specifics: amps or less 12 crt Branch Circuits w/Purchase 05/03/2021 $89.04 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 05/03/2021 $22.77 Electrical Type of Const: Occupancy Grp: Total $212.51 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 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: i•.z*6 � / 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. il• CITY OF TIGARD ELECTRICAL PERMIT l : ' COMMUNITY DEVELOPMENT Permit#: ELC2021-00217 TIGARD 13125 SW Flail Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/3l2021 Parcel: 2S103BB10800 Jurisdiction: TIG Site address: 12105 SW 123RD CT Project: LIANG Subdivision: Lot: Project Description: Additional electrical work associated with MST2006-00163:(1)200 amp feeder and(12)branch circuits. Contractor: OWNER Owner: CIMIN LIANG TUAN LIU 12105 SW 123RD CT TIGARD, OR 97223 PHONE: 503-524-6015 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-200 05/03/2021 $100.70 Specifics: amps or less 12 crt Branch Circuits w/Purchase 05/03/2021 $89.04 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 05/03/2021 $22.77 Electrical Type of Const: Occupancy Grp: Total $212.51 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 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.22344. /— Issued By: _ Permittee Signature: �t�/��-suwee.-r.- OWNER INSTALLATION ONLY The installation is being made on properly 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. / ' i RECEIVED ,,_ Electrical Permit Application APR 1 3 2021 FOR OFFICE USE ONI,Y City of Tigard Received ,� Date/B Permit#: • 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGARD Plan Revie if '�/� r 1�_`�� °�'�Lyry7// g Phone: 503.718.2439 Fax: 503.598.19 DateB : �/ Related Permit#:�S7. )(/-Wirt+ Inspection Line: 503.639.4175 `BUILDING ReadyDIVISIONDate/By: ,wis3 TICiAl:D /�� HI Paget for Internet: www.tigard-or.gov Notified/Method: / / J i' ���j Supplemental Information 144 TYPE OF WORK � �' PLAN REVIEW ❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ©Other: Add to existing Permit where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. 21 1-and 2-familydwellingCommercial/industrial less to ground,or exceeds 14,000 0 Commercial-use agricultural 0 ['Accessory building FireInstallation for allother installations. dings. ❑Multi-family ❑Master builder 0 Other: El Fire pump. 0 of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separately derived Job#: I Job site address:12105 SW 123rd Ct ❑Addition of new motor toad of sys ern IOOHP or more ❑"A","E","1-2""1-3" 0 Six or more residential units. occupancy. City/State/ZIP:Tigard, Oregon 97223 ❑Health-cam facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: I Project name:12105 SW 123rd Ct Addition ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: SW Katherine St.and SW 123rd Ct. FEE SCHEDULE Description I Qly. I Each I Total I ' New residential single-or multi-family dwelling unit. Subdivision:YE-OLDE WINDMILL I Lot#: 28 Includes attached garage. 2S103BB10800 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.it or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft_) 75.00 2 Adding to existing permit MST2006-00163.Adjustments to Addition were made that Limited energy,multi-family residential(with above sq.ft.) 75.00 2 require additional permits not known until after inspection Renewable Energy 0 See Page 2 0 ® PROPERTY OWNER ( TENANT Services or feeders installation,alteration,and/or relocation Name:Cimin Liang&Juan Liu"Owner Builder" 200 amps or less II 100.70 $100.70 2 Address:12105 SW 123rd Ct 201 amps to 400 amps 133.56 2 City/State/ZIP:Tigard,Oregon 97223 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Phone:( 503 )928-0368 I Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:suejuan2009@gmail.com or xiao5565@gmail.com 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 exch ge,ace rdiing to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 4/3/2021 401 amps to 599 amps 168.54 2 ® APPLICANT I ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: above service or feeder fee, 12 7,42 $89.04 2 each branch circuit Contact name:Cimin Liang&Juan Liu"Owner Builder" B.Fee for branch circuits without service or feeder fee,first 12105 SW 123rd Ct Address: branch circuit 56.18 2 City/State/ZIP:Tigard,Oregon 97223 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 503 )928-0368 Fax: :( ) Each manufactured or modular 67.84 2 �.ft� t dwelling,service and/or feeder 1 Email:suejuan2009@gmail.com or xiao5565@gmail.com Reconnect only 1y�( CONTRACTOR Pump or irrigation circle 67.84 2 Y' 1411 Business name:Cimin Liang&Juan Liu"Owner Builder" Sign or outline lighting 67.84 2 1 I Address:12105 SW 123rd Ct Signal circuit(s)or limited-energy 0 See Page 2 2 A ` 1 panel,alteration,or extension. Pf City/State/ZIP:Tigard,Oregon 97223 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:( 503 )928-0368 Fax:( ) investigation(I hr min) 90.00/hr Email:suejuan2009@gmail.com or xiao5565@gmail.com Industrial plant(I hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: Electrical Lic.: Suprv.Lie.: specifically listed(Vs hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: . r irt.71 Print name: Cimin Liang&Juan Liu Date:4/3/2021 0 Plan Review Required(25%of permit fee): N/A State surcharge(12%of permit fee): _1.3979t—r- 77 �r �,�„- TOTAL PERMIT FEE: S / Authorized signature: J�,5 --- This permit application expires if a permit is not obtained within 80 Print name: Cimin Liang Juan Liu Date: 4/3/2021 days after it has been accepted as complete. • Number of inspections allowed per permit. l:'Building\Pernils\F.LC PermitApp-EIR_ERE.doc Rev 06/17/2015 440-46157(11/05/COM/WEB Electrical 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 Description i Qty. Each I Total I . y Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 x❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: x❑ 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 ❑ 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 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(A hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Ente on Page 1): (SEE OAR 918-309-0000) ' Number of inspections allowed per permit. 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 1:/9uilding/Pertnics\ELC_pmsitApp_ELR_ERE.doc Rev 06/17/2015