Permit (2) CITY OF TIGARD ELECTRICAL PERMIT
2:ea' COMMUNITY DEVELOPMENT Permit#: ELC2023-00117
T t GAR.T7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2l22/2023
Parcel: 2S102CA00241
Jurisdiction: Tigard
Site address: 13270 SW ASH DR
Project: Dougal Subdivision: VIEWCREST TERRACE Lot: 4
Project Description: Installing a generator transfer swithch(200 amp service)and(1)branch circuit.
Contractor: KANSAS CITY ELECTRIC Owner: DOUGAL, MATTHEW E&GENEVA M
8711 NW KANSAS CITY RD 13270 SW ASH DR
FOREST GROVE, OR 97116-7726 TIGARD, OR 97223
PHONE: 503-357-2474 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 02/22/2023 $100.70
Specifics:
amps or less
1 crt Branch Circuits w/Purchase 02/22/2023 $7.42
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 02/22/2023 $12.97
Type of Const: Electrical
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 ou to folio he rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 throuah OAR 9 01-009 You o ain a v of the les or direct Questions to OUNC by calling 503 .1987 or 1.800.332.2344.
Issued By: 6 / /L Permittee Signature: r (5 tea
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—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
combined: $75.00 Description I Qty. I Each Total
Fee for all residential systems
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* 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(%hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page I):
3' • Number of inspections allowed per permit
(SEE OAR 918-309-0000)
Cheek 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
n Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\nuilding'Permits'ELC_PermitApp_ELR ERE.doc Rev 10r'26/2017