Permit CITY OF TIGARD ELECTRICAL PERMIT
111
COMMUNITY DEVELOPMENT Permit#: ELC2021-00214
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/17/2021
T I(;A R D g Parcel: 2S111BA03200
Jurisdiction: Tigard
Site address: 14125 SW 98TH CT
Project: Reynolds Subdivision: MCDONALD ACRES Lot: 7
Project Description: Electrical to shed
Contractor: OWNER Owner: REYNOLDS REVOCABLE LIVING TRUST
BY REYNOLDS, ROBERT&LUCIA
14125 SW 98TH CT
TIGARD, OR 97224
PHONE:
PHONE:
FAX:
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 05/17/2021 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 05/17/2021 $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 thro gh OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 rrSJ or 11.`\800.332.2344.
Issued By: Permittee Signature: O� aY t 1 C—
•
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.
RECEIVED er 2 v
Electrical Permit Application Ail,. %fib
,. 2 6 6Oi 1 Received
City of Tigard Date/By: H 121\2-1 \1 Permit P:F,t,(-Z,C2.1-00e2-N4
• 13125 SW Hall Blvd.,Tigard,OR 97223Q11Y OF TIGARD Plan Review
Phone: 503.718.2439 Fax: 503.598.1 Date By Related Permit#:
Inspection Line: 503.639.4175 9tJILDING DIVISION Ready DateBy: lads` ® See Page 2 for
TIGARI7 y�2'1�Z1
Internet: www'.tigard-or.gov Notified/Method: �,� Supplemental Information
TYPE OF WORK , _ -., W
❑New construction ❑Addition/alteration/replacement Please check all that apply(submit a sets of plans w/items checked):
D Demolition ❑Other: where
or feeder 400 amps or more El Building over three stories.
where the available fault current ❑Marinas and boatyards.
OAT.GOR LOF CONSTRFICTLON '1)il exceeds 10,000 amps at 150 volts or El Floating buildings.
❑ 1-and 2-family dwelling 0 Commercial/industrial XAccessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
�y,,� `!- �Ie I amps for all other installations. buildings.
El Multi-family ❑Master builder Ill�lJther Ci ❑Fire pump. 0 Installation of 150 KVA or
''., f^� - ri i l:r. a t` Emergency system. larger separately derived
. - t/-iy CREE t1L A Ls Mtt'r, nn> 0 g Y 1e g P Y
0 Addition of new motor load of system.
Job#: Job site address: I00HP or more. ❑"A"."E"."1 2"."1 3",
Cl /State/ZIP: ..,¢. -D ❑Six or more residential units. occupancy.
n' 1 ��J(17 t^' Y ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: / Project name: r — 0 Hazardous locations. ❑Supply voltage for more than
/f�. f�
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:
A/, �,` '-{— s nescrlption Qty. Each Total
Yf'P� �(,� q'� /j[ V'F h 15�t-� New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'1500 sq.ft.or portion 33.92 1
_ 1"•. ` Limited energy,residential r 75.00 2
s r I ) a ( (with above sq.ft.)
11PC.-4(!._4' :U ) L1.eCt + t /e&i tC-t C9,J't(et- Limited energy,multi-family
[,��� residential(with above sq.E.) 75.00 2
- ,.(. /7 5�!r' 1h °- `5�fLri op _ Renewable Energy ❑ See Page 2 ,
\'. = _ YTENA �._ Services or feeders installation alteration,and/or relocation
Name: or less 100.70 2
a C'eCF RP tfr(df C'� 200 amps- __-
Address: /�/ As----.J C v� q gi `-A. C-�i 201 amps to 400 amps 133.56 2
( 401 amps to 600 amps 200.34 2
City/State/ZIP: TF S-J/ g)g.aCI 601 amps to 1,000 amps 301.04 2
Phone:(503) g Fax:( ) Over 1,000 amps or volts 552.26 2
® Temporary services or feeders installation,alteration,and/or
Email: a f.n V. t 3 6d,J , .Lt/ 0 C relocation
Owner installation Chis installation is bvfng made on property that I own which is not 200 amps or less 59.36 I
intended for sale,lease,rent,or than ,actor in togORS 447,449,670,an`d�701. 201 amps to 400 amps 125.08 2
Owner signature: �� ,,,-4f' .,/ / Date:���y��/ 401 amps to 599 amps 168.54 2
Er APPLICA 91 e El CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
c - A.Fee for branch circuits with
Business name: above service or feeder fee,
each branch circuit 7.42 2
Contact name: B.Fee for branch circuits without
Address: service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) I Fax: :( ) _ Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: Reconnect only 67.84 2
CONTRACTOR '
__. .__ 1 Pump or irrigation circle 6?.84 2
Business name: Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: panel,alteration,or extension.
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(l hr min) 90.00/hr
Email: Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: Electrical Lie.: Suprv.Lie.: s.ecifrcall listed 'A hr min
Suprv.Electrician signature,required: Subtotal: , /F'
Print name: Date: IDPlan Review Required(25%of permit fee): (f',t OC(
State surcharge(12%of permit fee): is e'Zy
Authorized signature:
TOTAL PERMIT FEE: i
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
Ideuilding\Bermes\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 WORK ONLY: FEE SCHEDULE
�
Fee for all residential systems combined: S75.00 " a Each "�
� 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 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* 1
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 I
charged at an hourly(l hr min)
Inspections for which no fee is 90.00/hr
s cificall listed(1,4 hr min)
MERd f AL WORK ON 3 3rkl�H as i1ill1ll11,1,; 11
Fee for each commercial system: $75.00 Subtotal(Enter 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
n D• ata Telecommunication Installation
n F• ire 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
7:1Building\Permits'ELC_PermitApp_ELR_ERE.doo Rev 06/17/2015
RECEIVED
AK 2 6 HD
CITY OF TIGARD
April 24, 2021 3UILDING DIVISION
Electrical permit department
To whom it may concern:
Find enclosed the electrical permit for a shed. There is an existing deck next to where the new shed will
be installed;there is an existing 20 amp outlets with a 7 x 10 metal cover that connects the garden lights
and possible electrical lawn mower,the outlet is less than two`feet from where the new shed will be
installed.The shed includes electrical outlet wiring,the conduit will run under the shed in the concrete
foundation to connect with the existing 20 amp electrical outlet. No electrical wiring will be exposed, all
will be under the shed or under the existing deck
Here is the example of the location:
Azi
Sincerely, - -,. ��
'4_, i
Q1
D
i`� e t and Luc Reynolds U �CN J
Chiyita13@gmail.com
7
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