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Permit (21) CITY OF TIGARD ELECTRICAL PERMIT 1114 '.` COMMUNITY DEVELOPMENT Permit#: ELC2022-00681 T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/12/2022 Parcel: 2S108DC06100 Jurisdiction: Tigard Site address: 15554 SW PEACE AVE Project: South River Terrace Subdivision: RIVER TERRACE CROSSING Lot: Project Description: Adding circuits for sales office in garage. Contractor: GARNER ELECTRIC CO Owner: CND-RIVER TERRACE LLC 2890 SE BROOKWOOD AVE 1111 N POST OAK RD HILLSBORO, OR 97123 HOUSTON,TX 77055 PHONE: PHONE: 503-648-4552 FAX: 503-642-7925 FEES Quantity Description Date Amount 8 crt Branch Circuits wo/Purchase 10/12/2022 $108.12 Specifics: Service or Feeder 1 ea 12%State Surcharge- 10/12/2022 $12.97 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $121.09 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.,fules are set forth in OAR 952-001-0010 throuah OA 52-001-0090. Yo m v obtai a coo"of the rules or direct Questions to OUNC by callina 503.232.1987 or 1.8Q0.332.2344 Issued By: ll ' 17) ti f'vt Permittee Signature: �"'��--a--- �. �-,.—,� 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. Electrical Permit Application /1ilt01.1-ite t ,,tta\l City of Tigard Received ,,,/ ,- 13125 SW Hall Blvd.,Tigard,OR 97223. . Uatduv l�'�� .. �� Permits: ` _` c,.1 i Phone: 503.718.2439 Fax: 5035981960 Plan Review / llaterfly: Related Permit#: l 1 c;r.,,,, Inspection Line: 503.639.4175 Ready Date/By: r„rir, Internet www.tigard-or.gov Nobfiied/Metbod; RI See Pent?,Coe ,. > tt,,. (�,ts7r� Sspplesreatal Information r���A77��T Diane€ j wz.�;. .tee.�.. s s - _ �r .�1:!^M3_.*a,�,�y.�`0...s7 �.: .-:. ;:1 New construction 0 Addition/alteration/replacement - e check all that .d. D Demolitionf a..k — apply(submit eats ofplaas w/items checked*wits.Other: 0Serviceorover t_P i►ra stra, r a when the available fault current O Marinas and boatyards. . ;r :Alt z�. _ .. W, .,r-~': w" ,..., exceeds 10,000 amps sr 150 volts or O Floating bundle/A. o i-and 2-family dwelling 'I Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 O Commercial-use agricultural Cl Multi-family 0 Master builder 0 Ohm amigos for all other installations. buildings. ❑Fire pamp. O Installation of 150 KVA or , .. ..,, " "-`: a ' ',�,,, ' I?ram S ;n,, i 0 Emergency system• larger separately derived SItJ p,� � A� O Addition of new motor toad of system job#: 1 Job site address: 15554 l00HP or more. ❑"A^,"E","l 2","1-3", City/State/ZIP: `;"'tAA, - O Six or more residential units. occupancy. O Health-care facilities. O Recreational vehicle parks. Suite/bidgfapt.if: 1 Project name: i4ver. fife. O Hazardous locations. 0 Supply voltage for more than street/directions to job site: • 0 Service or feeder 600 amps600 volts no Crosstt_ yor more. nominal. Asotepot 1egA‘e ikicrptioo 1 Qtv. 1 Sad <Twsi 1 4 New residential single-or mn Subdivision: -Fe..roc�t 6 st4 Lot#: Includes attached itt"famiiy dwelling unit. Lei �� 6�- p llama Tax map/parcel# 1,000 sq.ft.or less 168.54 4 ��xx° % __ s. Ea.add'1500 sq.ft.or portion 33.92 1 'iJ� -zW Limited energy,residential 75.00 2 }r�' - (with above sq.fit,) ' i of h 't1�11�I Limited energy, imulti-family QtY parJi,C vaw► residmrial(withbaabbovveesg,ft.) 7$.00 2 -=F .. ! M, �'. . w x lteoewabie red Ca Sce Pa. .. r w. .s: � � i!.s Services or feeder Installation,alteradon,and/or reloeatiaa Name: A-AI U.@t .1{,A V100.70 2 Address: 0}f� j �S 2001 or less !V �W 1 144 Q 20l amps to 400 maps 133.56 2 City/State/ZIP: �`5„ °1 q� 401 amps to 600 amps 200.34 2 12,c0 ,k y (J700 12 601 amps**1,000 amps 301.04 2 Phone:(O3) z 1;- 0/is l Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or . 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 1 2 Owner signature �-� Date: 401 amps to 599 amps 168.54 Mili-''% ?'�__ r.�i%" ' **7 : Bran�h cercuk new,altera6arr or extension,pYr p 2 Business rlatnt: N A.Fee for branch circuits wide � �e W P2 t oM+t� above service or feeder fee„ 7.42 2 Contact name: each hrsmch circuit ri I i4�nett B.Fee for branch circuits without Address: Igo s- Ow fV/{1' sorvicet Seeder fee,fiat f 56.18 2 �j breach circuit 11, 13 City/State/zip: ' ,fL, �' . J70ob Each add'l branch circuit 1- 7.42 44.4 s t ciLf 2 Phone:( �) '�_ �Mv�/ FaDc::( ) Miscellaneous(service or feeder not included)Each manufactured or modular 67,84 2 Email +-I .V1(zr 'ty' 6p/y1�, Recdwelonnect only service and/or feeder . �.;.=`" ,s "teas -'X only 67.84 2 'igigAiikc c„ n t 3 f .V Primp or 9rrigation circle 67.84 2 Business Harr! Sign or outline lighting 67.84 2 . cui Address: I i Signal cot(s)or Baited-energy © Sec Page 2 2 panes alteration,or extension. City/State./ZIP:1 - 41 a Each additional inspection overa@owabie in any of the above phone��y ( j Additional inspection(1 fir min) 66.25/fir L•Y tQ-4 l_ I Tax:( ) Investigation(t hr min/ 90.00/lir Email:fiL j . i C r� Industrial plant(1 hr. mite) 78.18/hr CCB r Inspeehons for which no fee n Lic.:•1'"t !Ip, cal SuPrv.Li`e.. s . fisted CI,A true 90 00/br Supiv.Electrician signature,required: - -1..*. 0000- .:; Subtotal: (1 Dom. 1 ". Print rant ]Plan Review Required(2$%of permit fee): !I State surcharge(12%of permit fee): i 1r�.3- Authorized signature: TOTAL PERMIT EF r Print name: '� fli This penult a expires if m permit Is not obtain witdis I A L PB application „.._ 1 vlJ k/\ I Date:i,o 112-r 2-2— ( days after it has been accepted as Complete. • Number of inspections allowed per permit. 1:1BuildiaglYcrmir9ELC PcmritApp ELR F,REdor Ito'e6/3711f1r5 L 4404615TOite$/oMlWe$