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Permit Support Document CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT � ' • Permit#: ELC2021-00094 Date Issued: 2/26/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S134CB01300 Jurisdiction: Tigard Site address: 12280 SW SUMMER ST Project: Abunnadi Subdivision: SUMMER HILLS PARK Lot: 12 Project Description: House Remodel. 6/17/2021: REPRINT permit to add low voltage. Contractor: BEAR ELECTRIC Owner: ABUNNADI, KAZEM M PO BOX 389 12280 SW SUMMER ST DONALD, OR 97020 TIGARD, OR 97223 PHONE: PHONE: 503-678-1355 FAX: 503-678-1108 FEES Quantity Description Date Amount 1 ea Services or Feeders-200 02/26/2021 $100.70 Specifics: amps or less 20 crt Branch Circuits w/Purchase 02/26/2021 $148.40 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 02/26/2021 $29.89 Type of Const: Electrical Occupancy Grp: 1 ea Limited Energy 06/18/2021 $75.00 0 ea 12%State Surcharge- 06/18/2021 $9.00 Electrical Total $362.99 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 throuah OAR 952-001-0090. You may obtain a coov of the rules or direct auestions to OUNC by callina 503.232.1987 or 1.800.332.2344. Issued By: 14n-11y Vra,vt,i)vzLtlohv Permittee Signature: 0wAppLizaturn 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'N 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. Dianna Ornelas From: #Building Permit Technicians Sent: Thursday, June 17, 2021 3:23 PM To: permits@bearelectric.com Subject: ELC2021-00094 -Abunnadi - 12280 SW Summer St Attachments: ELC2021-00094.pdf Hello, This permit has been revised and the balance due is$84.00(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 ELC2021-00094 under the Building tab. Please email the permit technicians at TigardBuildingPermits@tigard-or.gov as soon as the fees are paid so that we can reprint 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 1 Electrical Permit Application RECE1V • • FOR OFFICE USE ONLY City of Tigard JUN 14 2021 I)atetiy':Received 4'II`7/y/ .fad i'rrmitat-Lc.IVZ1- 4009y 13125 SW Hall Blvd,Tigard,OR 97223 a 'Ian R<yiew IIcry' Phone: 503.718.2439 Fax: 503.598.1960 rat y oF Ti Welly: Related Permit#. inspection tie: 503.639.4175 •Darc Br. - ►a., -®See Page 2 for i ''I.' Internet: w•ww.tigard-or.goe BU'1 DING c • ,'fiedAleth(.d. Supplemental Information y ❑New constriction 0 Additiontaltcration/replacement Please cheek all that apply(submit/sets of plans whims checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition ❑Other: where the AviI t le fault current 0 Marinas and boatyards. ..., fir:yP „ y`z aYF' f i i: `r t exceeds 10.000 amps at 150 volts or 0 floating buildings 0 1-and 2-family dwelling ❑Commercial/industrial 0 Accessoy building less to ground.or exceeds 140111 0 Commercial-use agricultural amps for all other installations buildings ❑Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of t50 KVA or _ . . ..1'.7 ,(7 t .t , ° i. , 7'17.. 'I r c,s 7! a'a r `r O I mergency s}stcm largo separately derived ❑AddiiM.n of new rotor load of system. Joh#: Job site address: j ?r8 c.�,t) 5,,t(l1m's r»» 2 C!� IfA)HPomm�rr. City/State/ZIP: r' g P r L3 ❑Six or a residential unite. occupancy. 0 ❑Health-cam-cam lr facilities. Reereatimud vehicle parks. Suite/bldg./apt.9: Project name: A /u N r.JA-D 1 0 Ilaaarduas lticatiOrlS 0 Ssgrpiy vohagr 6n more than 0 Service or feeder 600 amps or more, 600 volts nominal. (cogs street/directions to job sae: r'r,. rlr 'yG1t 'i Description• Qty. Each Total • New residential single-or multi-family dwelling unit. Subdivision: l Lot#: includes attached garage. 1.000 sq.0.or less 1611.54 4 Tax map/parcel#, Ea.add•I 500 ft.or portion 33.92 1 -. ' Limited energy..residential t. .._ 75.00 2 � �} j- / 1/ ` -� �{ ^'j''0X l..., (with above sq.0.) "" �" ��`J �v ` !t ` t/ , �,�`I` Limited energy,multidan ily "nR rj-1 11 C .z..( - ©f>q res(dcntial(with above sq.lt.) 75.00 2 Renewable Energy• O Sec Page 2 "• .I - . - . - -:' ..'• •• - . --- '; Services or feeders installation,alteration,and/or relocation Name: A-2. M A-A� Nr MALT- 200 amps or less 100.70 2 Address: rtfl" 201 amps to 400 amps 133.56 2 I Zg( , 7('i1 �" ��' 401 amps to 600 amps 200.34 2 City/State/ZIP: •. `6 r/Ot ( -7 2—5 601:unpc to 1.0110 amps 301.04 2 Phone:(5(}3) 3 01-5(IL/q Fax:( i Over 1.000 amps or volts 552.26 2 J�� r _ Temporary services or feeders installation,alteration,and/or Email: /l 1- j..NN/3DL O. 6/11/I I L -Ll pyvt relocation _ Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I +intended for sale,lease,rent,or exchange,according to ORS 447,449,670.and 701. 201 amps to 4II0 amps 125.08 2 Owner signature: Date: 401 snips to 599 amps 168.54 2 .r`J x T f r� 7 1; to!¢i"'� r -r r Branch circuits-new,alteration,or extension,per panel .. _ . I. . .v.c l:t ,z:. ,....' sf_..,.._ ,,.z .»...v a.' € A.Fcc fir branch circuits with Business name: e EAR El- R lc_ above sea-ice or feeder fee, 7.42 2 /�,,, each branch circuit Contact name:4 Vc' i�F 1 Niiiipi 4I/r li.Fee for brunch circuits trillions � Y service or feeder fee,first t6.1 A 2 Address: r, 0Y. 3 branch circuit City/State/ZIP: L)Oli4-L/)1C,X7"7V,.2l) Each add•l branch circuit 7.42 2 Miscellaneous(service or feeder nut included) Phone:(25-0j ) 6-7?-i 3 5-j 1 Fax::( I Each manufactured or modular 67,s l 2 i dwelling,service and/or feeder Email: Ato Al))-s *./ ,,r'• .•ter , ,eliii , Reconnect only 67,84 2 fGi4,�1r r,,,,,,i `%S„;3 r ' . i fi �) 6 tsC;a, s 2 t r.,r ,r,�:..,:_.,..2,,, , .44, �.s.,: .. .. . . . , Pump or irrigation circle 67.84 Business name: e Sign or outline lighting 67.fi-f '_ 9 Signal circuitts)or linsita4energy im see Page 2 ! -a t Address: / f s,2< e panel.alteration,or extension. 7-)• NV - Each additional inspection over allowable in any of the above City/StateiZIP: 69///11,fJ rL'�77 2.'2-� Additional inspection(1 In min) 66.25 hr Phone:(1/3)61$' —/35 Fax:( I Ins cstigatisan I I hr min) 90.00'hr 4 industrial plant(I hr inn)) 78.1R In Email: j l!2�'nfid" -e f ' ' le f e, .,.... Inspections lot which no fee is 90.00 hn ✓ �+ s •eifieall listed e,':lit min) CCI3 Lic.:L 111 Electrical 1_ie.:1,l.�- Supr•.Lie.: Suprv.Eleetrici, signature. quire Stephen R Shepherd Subtotal. Print nam•: Date: 6, 1/..2 , 0 Plan Review Required(25%or permit rcc): _ ! // State surcharge(12%ofpemut fee):TOTAL PERMIT FEE: 1 Authorized siwmatur . This prnnit application expires if a permit Is not obtained within t$O Print name: .•-'"1 ./' _ ( Date: 1-// Zl ] days after It has been accepted as complete. C ` \umsxr of inspections allowed per permit 1.'Buldngr.t'crmiss Elf_1' App—ta.R t:RL. 0e Rc,00'17,201! 440-1015T111 45,t'OM w'1-11 Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Fee for all residential nestrtprlorr Q . Each legal • systems combined: $75.00 Renewable electrical energy systems: 5 kva or Ims 100.70 Check Type of Work involved: 2 5.0)to1Skva 133.56 2 ❑ Audio and Stereo Systems* 15.01 in 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 14 Garage Door Opener* 50.01 to 100 kva 552.26 2 -I00 kva(nee in acconlaiec 552.26 2 with OAR 918-309-00401 ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional Ins over 23 7 42 I 3 ❑ Vacuum Systems* >1IX1 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: Other: DA TA t C t.L Each additional inspection is 66.25.hr charged at an hourly(1 hr min) Inspections for which no fee is 90.00-hr s cifcall listed(4i hr min Fee for each commercial system: $75.00 • tVrttnlx.ir of inspections Subtotalowed per ian Page I). (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls O Clock Systems 0 Data Telecommunication installation O Fire Alarm installation ❑ HVAC 0 Instrumentation n intercom and Paging Systems ❑ Landscape irrigation Control* 0 Medical ❑ Nurse Calls 0 Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I'.9uildmgPanui El.('Pamn,yrp_I1.k_ritl-Jo. R.116 17':Ilts