Permit •
11 y n CITY OF TIGARD ELECTRICAL PERMIT
c • • COM MUNITY DEVELOPMENT Pe r mit #: ELC2013 00366
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/02/2013
Parcel: 2S102DC00202
Jurisdiction: Tigard
Site address: 9320 SW OMARA ST
Project: Brandt Subdivision: EDGEWOOD Lot: 13
Project Description: New electrical panel and (14) branch circuits.
Contractor: OWNER Owner: SCHROEDER, ROBIN
BRANDT /SCHROEDER BRANDT, SETH
9320 SW OMARA ST 9320 SW OMARA ST
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503 - 639 -8936 PHONE: 503 - 693 -8936
FAX:
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 07/02/2013 $100.70
Specifics: amps or less
14 crt Branch Circuits w /Purchase 07/02/2013 $103.88
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 07/02/2013 $24.55
Electrical
Type of Const:
•
Occupancy Grp:
Total $229.13
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 . lcable law. All work will
be done ' ca with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is pended for more the 180
days. TENTION: Oreg•n la -quires you to follow the rules adopted by the Oregon Utility Notification Center. , •s= des are set forth in OAR
952 -0 1 -0010 through OAR 9 •01 -0.9•. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 • <00 j �. •4.
Issu By: ' ! / l .�' .. / Permittee Signature: .. // • 1 /
■
• WNER INSTALLATION ONLY
The installation is being made on property I own w ' I of inte d, •r 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.
Electrical Permit Application 2 FOR OFFICE USE,ONLY
City of Tigard Date/By: 7 'R / 3 IS. ' Permit No.: fi e,?6,/ 3 t 5t �, ,
III ° 13125 SW Hall Blvd., Tigard,OR 97223 Plan Review ✓'
' Phone: 503.718.2439 Fax: 503.598.1960 Date/BV: Other Permit:
TIC; K a Inspection Line: 503.639.4175 Date Ready/By: Ions: 10 See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
' TYPE OF WORK , . • . , . . ' 'PLAN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY 'OF CONSTRUCTION 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 ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 150 KVA or
❑ Emergency system. larger separately derived system.
. , .. . '.JOB SITE INFORMATION AND LOCATION ['Addition of new motor load of
❑ .. „ .. 2 „ ..
Job no.: Job site address: a • (- I D ` 100HP or more. occupancy.
❑
v " ❑ Six or more residential units. Recreational vehicle parks.
City/State /ZIP: 1/I q7 /1/� ❑ Health -care facilities. ❑ Supply voltage for more than
J j D J ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. ,
FEE :SCHEDULE
Cross street/directions to job site: Description I Qty. 1 Fee. 1 Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'l 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
sq. 75.00 2
DESCRIPTION OF WORK • ( with above 9� ft.
)
d f / 0 Limited energy, mufti-family 75.00 2
ieW P'Iecir1CaI Cervi'ee Panel residential (with above sq. ft.)
. Renewable Energy ❑ See Page 2
� Services or feeders installation, alteration, and/or relocation
. ' _ !� •PROPERT OWNER , / ' El TENANT 200 amps or less 100.70 /00.70 2
201 amps to 400 amps 133.56 2
Name:
i ��, ��, vvv///��, �/� I 4 c, A y- 401 amps to 600 amps 200.34 • 2
�/�jt'
Address: V1 e 0 Q ��I rO ` l/ v 9518 ��) o cl- 601 amps to 1,000 amps 301.04 2
City/State /ZIP: j I y Over 1,000 amps or volts 552.26 2
'/) 0 � �7�� 3 Temporary services or feeders installation, alteration, and /or
Phone: ( So3) 63q- 93d I Fax: ( ) relocation
200 amps or less 59.36 1
Owner installation: This install.. 'on 't' >'• ing made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, ren . _e, according to ORS 447, 449, 670, 7 1 • 401 amps to 599 amps 168.54 2
Owner signature: /ai Date: " / f Branch circuits — new, alteration, or extension, per panel
l7 APPLICANT ' I . ' MI ■CONTACT PERSON A. Fee for branch circuits with , /
above service or feeder fee, 1 /J 7.42 1 D3 gg 2
Business name: each branch circuit I / /
// B. Fee for branch circuits without
VV�r
Contact name: 5 4 /y4j9 s ervice or feeder fee, first
branch circuit 56.18 2
Address: 5PP aleovi Each add'l branch circuit 7.42 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular 67.84 2
Phone: ( ) Fax: : ( ) dwelling, service and/or feeder
1 Reconnect only 67.84 2
E mail:, SGk raeddill rat'4/' i i f //VI keAr r CZYck Pump or irrigation circle 67.84 2
CO TRACTOR . Sign or outline lighting 67.84 2
Business name: ' Signal circuit(s) or limited- energy See
panel, alteration, or extension. Page 2 2
Address: Each additional inspection over allowable in any of the above
Additional inspection (1 hr min) 66.25/ hr
City/State/ZIP: Investigation (1 hr min) 66.25/ hr
Phone: ( ) Fax: ( ) Industrial plant (1 hr min) 78.18/ hr
Inspections for which no fee is 90.00 / hr
CCB Lic.: Electrical Lic.: Suprv. Lic.: specifically listed (/z hr min)
- :ELECTRICAL PERMIT .FEES
Suprv. Electrician signature, required:
Subtotal: 4) ll-.
Print name: Date: Plan review (25% of permit fee): 1.1 %
State surcharge (12% of permit fee):
Authorized signature: TOTAL PERMIT FEE: � , /3
•
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
• Number of inspections allowed per permit.
1:\ Building\ Permits \ELC_PennitApp_ELR_ERE.doc Rev 05/21/2013 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 ... $75.00 Description I Qtv. I Fee I Total I •
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
❑ Burglar Alarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva (fee in accordance with
OAR 918- 309 -0040) 552.26 2
❑ Heating, Ventilation and Air Conditioning
System* Solar generation systems in excess of 25 kva:
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
charged at an hourly (1 hr min) 66.25/ hr I
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:
(SEE OAR 918- 309 -0000) Plan review, if required (25% of permit fee):
State surcharge (12% of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires it a permit is not obtained within 180
❑ Audio and Stereo Systems days after it has been accepted as complete.
• Number of inspections allowed per permit.
❑ 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
I:\ Building\ Permits \ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9320 SW OMARA ST, TIGARD, OR, 97223
Residential - Electrical
199 Electrical final
FAIL
ELC2013-00366
Herb Stabenow
Additional work to be done. New panel ok
Violation Summary:
Inspector Contractor