Permit CITY OF TIGARD ELECTRICAL PERMIT
11 a . COMMUNITY DEVELOPMENT Permit #: ELC2013 00732
13125 SW Hall B lvd., Tigard OR 97223 503.718.2439 Date Issued: 12/11/2013
[ �' J_ g Parcel: 2S102CA00919
Jurisdiction: Tigard
Site address: 13285 SW VILLAGE GLENN DR
Project: SWANDA Subdivision: VILLAGE GLENN Lot: 19
Project Description: Electrical for house grounding.
Contractor: MICHAEL SWANDA Owner: SWANDA, MICHAEL EDWIN
13285 SW VILLAGE GLENN DR CHERYL A
TIGARD, OR 97223 13285 SW VILLAGE DR
TIGARD, OR 97223
PHONE: 503 - 639 -7920 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo /Purchase 12/11/2013 $56.18
Specifics: Service or Feeder
1 ea 12% State Surcharge - 12/11/2013 $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 t - • - - •. _ -. by the Oregon Utility Nn ification Center. Those rules a re set forth in OAR
952- 001 -0010 through OAR 952- 001 -0090. You may obtain a co of the rules or dir ct questions to OUNC b callin. •03.232.1987 or 1.800.332.23 .
Idr�
Issued By: �� �i�y Permitter Signa �� � . .�.i •_
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.
Electrical Permit Application Ft/it 01.1. .F. l tit.: ON I.\
City of Tigard r� , Received D Permit No.: r 4.. c _ e , _
• 1 3125 SW Hall Blvd., Tigard, OR 9722 " Plan Review
Phone: 503.718.2439 Fax: 503.598.1 Other Permit: Q a O .
2Q� Date/By: / 3 3 ` t S
l ` �` i Inspection Line: 503.639.4175 E
o C 1 Date Ready/By: ® y: Atria Page 2 for
Internet: www.tigard - or.gov (� ��Q`1 Notified/Method: 72"1" Supplemental Information
TYPE OF WORK 1� v` iI nitSk014 PLAN REVIEW
❑ New construction gAddition/alterationl5 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
T O 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 load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: I Job site address: /3 2 8_ •5 it) U, I10f 100HP or more. occupancy.
❑
f ❑ Six or more residential units. Recreational vehicle parks.
City/State /ZIP: ,� Q ❑ Health -care facilities. ❑ Supply voltage for more than
I — / (/ I' O /� 9 ( � I Z 2 3 ❑Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: 5L-A et/UCb'l ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
•
Cross street/directions to job site: As 14 5 4 V/ Iluq� ' 0 Description I Qty. I Fee. I Total I •
7 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'I 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
(with above ft.) 75.00 2
DESCRIPTION OF WORK ( sq.
Limited energy, multi- family 75.00 2
/ I residential (with above sq. ft.)
r �'' n� 9 r° U " ��� �� O e�s - " t f� Renewable Energy ❑ See Page 2
( I K7I''Y 4•PO;fe. (60 4 /y //l Services or feeders installation, alteration, and/or relocation
PROPERTY OWNER I ❑ TENANT , 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name: /�/f / ( /v 7 /i s t t�Cjy cZe4 401 amps to 600 amps 200.34 2
Address: ` , 601 amps to 1,000 amps 301.04
f 3 2 8� s (A) U /�I a f P 9,,u r N .�- 2
77:„._ Over 1,000 amps or volts 552.26 2
r
City/State /ZIP: l 6 9 7 Z. 2 Temporary services or feeders installation, alteration, and/or
,03
Phone: () 6 3 79 I Fax: ( ) relocation
200 amps or less 59.36 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended f o r sale le.r. e r e n t , an . ' , • • . ing to ORS 447, 449, 670, an 701 401 amps to 599 amps 168.54 2
Owners _ . • re: _ -_ i` . .. , , _ Date: 2 3 Branch circuits — new alteration or extension • er . anel
❑ APPLIC' • ❑ 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
Contact name: /�� /1 service or feeder fee, first I
Y (// branch circuit 56.18 5'z, ,is 2
Address: Each add'I branch circuit 7.42 2
City/State /ZIP: Miscellaneous (service or feeder not included)
Each manufactured or modular 67.84 2
Phone: ( ) I Fax: : ( ) dwelling, service and/or feeder
Reconnect only 67.84 2
E - mail: Pump or irrigation circle 67.84 2
CONTRACTOR 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
City/State /ZIP: / Additional inspection (1 hr min) 66.25/ hr
Investigation (I hr min) 66.25/ hr
Phone: ( ) I Fax: ( ) Industrial plant (1 hr min) 78.18/ hr
Inspections for which no fee is
CCB Lic.: I Electrical Lic.: I Suprv. Lic.: specifically hr
fically listed (Y. hr min) _
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required:
Subtotal: S'7p t ig-
Print name: Date: Plan review (25% of permit fee):
State surcharge (12% of permit fee): 6, . '717
Authorized signature: TOTAL PERMIT FEE: Ca.,g1
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
" Number of inspections allowed per permit.
I:\ Building lPermits \ELC_PermitApp_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 Otv. 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
El 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 552.26 2
El Heating, Ventilation and Air Conditioning OAR918- 309 -0040)
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
El Other: additional inspection over allowable in any of the above:
Other: Each additional inspection is
charged at an hourly (I hr min) 66.25/ hr 1
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 if 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
El Clock Systems
El Data Telecommunication Installation
❑ Fire Alarm Installation
El HVAC
❑ Instrumentation
El Intercom and Paging Systems
•
El Landscape Irrigation Control*
El Medical
❑ Nurse Calls
El Outdoor Landscape Lighting*
El Protective Signaling
El 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:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13285 SW VILLAGE GLENN DR, TIGARD, OR,
97223
Residential - Electrical
199 Electrical final
2013-12-12 (null)
ELC2013-00732
PASS - No C of O
Drive rods flush with the ground--provide a cable connector for the feed to the sub-panel
make 30" access to the panel
Violation Summary:
Inspector Contractor