Permit CITY OF TIGARD ELECTRICAL PERMIT
1! COMMUNITY DEVELOPMENT Permit#: ELC2013-00595
T E CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/03/2013
Parcel: 2S115AA04200
Jurisdiction: Tigard
Site address: 10531 SW KENT ST
Project: LEGGETT Subdivision: STEEL'S ADDITION TO BEAVERTON Lot: 81
Project Description: (1)branch circuit for hot tub.
Contractor: OLIVERS PRECISION ELECTRIC COMPANY Owner: LEGGETT,ADAM R&TIMOREE A
17035 SW HIGH HILL LN 10531 SW KENT ST
BEAVERTON, OR 97007 TIGARD,OR 97224
PHONE: 503-579-7747 PHONE: ,
FAX: 503-579-5907
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 10/03/2013 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 10/03/2013 $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 through OAR 952-001-0090. You may obtain a co of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: -' - ld/
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.
go - af�
Electrical Permit Applica ' t'1 9'1- Folt urFlee the ONLY
City of Tigard OCT 2 2013 Received iA 3r'
IL P atelBv: . '
1� 13125 SW Hall Blvd.,Tigard.OR 97223 Plan Review
g • Phone: 503.718.2439 Fax: 503.5613/41°0F TIGARD DatrdBv: other Permit:
T i G n 1t D Inspection Line: 503.639.4175 BUILDING p� `/ Date Ready/By: tuna: l See Page 2 for
Internet: www.tigard-or.gov BUILDING DIIVISION Nohfsed'Method: 7--- -6, Supplementallnformation
•
TYPE OF WORK PLAN REVIEW
❑New construction ®Addition/alteration/replacement Please cheek 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
/153,1-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
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor bad of ❑"A","E","t-2","t-i",
Job no.: Job site address:10531 SW Kent Street t00HPormore. occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard,OR ❑Healthcare facilities. ❑Supply voltage fur more than
❑Hazardous locations. 600 volts nominal.
Su itetbldg./apt.no.: Project name: ['Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Dare-lion 1 Qty. 1- Fee. I Total I •
eresidential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1.000 sq.ft.or less 168.54 4
Ea.add'I 500 sq.ft or portion 33.92
Tax map,parcel no.: Limited energy,residential
75.00 2
DESCRIPTION OF WORK (with above sq.R)
Limited energy,multi-family 75.00 1 2
one circuit for hot tub residential(with above sq.ft)
Renewable Energy , ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
• .0 PROPERTY OWNER • I ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name:Adam Leggett 401 amps to600 amps 200.34 2
Address: 601 amps to],000 amps 301.04 2
City/Slate/2dP: Over 1.000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Phone:( ) Fax:( ) relocation
200 amps or lees 59.3.6 1
Owner installation:This installation is being made on property that I own which is not 201 amps to400 amps 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits—new.alteration,or extension,per panel
❑ APPLICANT I ❑ CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee.
7.42 2
Business name: each branch circuit
B.Fee for branch circuits without I
Contact name: service or feeder fee,first I
56.18 56.18 2
branch circuit
Address: Each add'!branch circuit 7.42 12
City/S[ateJZTP: Miscellaneous(service or feeder not included)
Each manufactured or modular
67.84 2
Phone:( ) Fax::( ) dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail: Pump or irrieation circle 67.84 . 2 I
CONTRACTOR' Sign or outline lighting 67.84 2
Business name:Oliver's Precision Electric -Signal cirat it(s)or limitedenergy See
panel,alteration,or extension. Page 2 2
Address: 17035 SW High Hill Lane Each additional Inspection over allowable in any of the above
Additional inspection(t hr min) 66.25/hr
City/State/ZIP:Beaverton,OR 97007 investigation(I hr min) 66.25/hr
Phone:(503)579-7747 Fax:(503)579-5 7 �'Industrial plant(1 hr min) 78.18./hr
Inspections for which no fee is 90.D0t hr
CCB Lic.: 186112 Electrical Lic.: 34-52I C Suprv.Lic.: 2539S specifically listed(%hr min)
r t e, l �JL 14/ ''I T • ELECTRICAL PERMIT FEES •
Suprv.Electrician si to e, red: tjy� /i// Subtotal: 56.18
i
Print name: William Oliver Date: 10/1/13 Plan review 125%of permit fee):
State surcharge(12%of permit fee): 6.74
Authorized signature: TOTAL PERMIT FEE: 62.92 ✓
Print name: This permit application expires if a permit is not obtained within 180
Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
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