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Permit CITY OF TIGARD ELECTRICAL PERMIT 8 COMMUNITY DEVELOPMENT Permit#: ELC2014-00235 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/12/2014 7[C;A R i7 g Parcel: 2S 110AB03200 Jurisdiction: Tigard Site address: 14285 SW 114TH AVE Project: Watkins Subdivision: COLE'S ACRES Lot: 15 Project Description: (5)branch circuits for window blinds,attic and arc welder. Contractor: OWNER Owner: WATKINS, PETER WATKINS, PETER 14285 SW 114TH AVE 14285 SW 114TH AVE TIGARD,OR 97224 TIGARD, OR 97224 PHONE: 503-957-8472 PHONE: 503-957-8472 FAX: FEES Quantity Description Date Amount 5 crt Branch Circuits wo/Purchase 05/12/2014 $85.86 Specifics: Service or Feeder 1 ea 12%State Surcharge- 05/12/2014 $10.30 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $96.16 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 99522--001- You ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1 800.332.2344 Issued By: //�_r Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on pro•-rty I own which is not int-nded for sale,lease or rent. OWNER'S SIGNATURE Date: / ( 2.( 2-i2 I 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 RECEIVE , FOR OFFI('E USE ONLY City of Tigard Received Permit Noe-IC ,/ -d0,?. 3- • 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 12 2014 Plan Review Phone: 503.718.2439 Fax: 503.598,1960 Date/B : Other Permit: 1'I G i.'1,,,i> Inspection Line: 503.639.4175 Date Ready/By: lif= 61 See Page 2 for Internet: www.tigard-or.gov CITY OF TIGAR ►Notified/Method: Supplemental Information ❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items chocked below): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. y g : exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural ® I-and 2-family dwelling Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑ Master builder ❑Other: Cl Fire pump. ❑Installation of 150 KVA or -. rl ❑Emergency system. larger separately derived system. i`I1 ' i c ill41 4.0"1i;� t ;a,a Its '0(')I' '''•'''' "1 ! ❑Addition of new motor load of ❑"A"°E","1-2" "1-3", 1 OOHP or more. occupancy. Job no.:2 Job site address: 14285 SW 114`h Ave ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP;Tigard OR,97224 ❑Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name:Watkins 0 Service or feeder 600 amps or more. ',:.;'S`,::;'* } . r '.., � '� z.. :�a'z ifll? �I�K�. t a ,way;. Cross street/directions to job site: 114`h Ave and Gaarde Description 4b Fee. Total • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision:Cole's Acres Lot no.: 15 1,000 sq.R.or less 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 Tax map/parcel no.:3101 Limited energy,residential re iat u It }lilsio)�.tnp i sv, i 4 ,;`�' '3 (with above sq.ft) 75.00 2•,' � . �a.irtl_, _.. R., .-, �.. o',!_.._. ,.,,.�.k -a Limited ener gy,multi-family 75.00 2 Add circuit for window blinds,3 spare circuits to attic,and arc welder circuit residential(with above sq.ft.) Renewable Energy ❑ See Page Services or feeders installation,alteration,and/or relocation : z; .x «� h 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name:Peter Watkins 401 amps to 600 amps 200.34 2 Address: 14285 SW 114th Ave 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP:Tigard OR,97224 Temporary services or feeders installation,alteration,and/or Phone:(503)957-8472 Fax:( ) relocation 200 amps or less 59.36 I Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,lea_e4 r%_oor..exchange,according to ORS 447,449,670,and'711. 401 amps to 599 amps 168.54 2 Owner signature: �'"/'sf' i4' 2 ' ' �. Date: / Branch circuits-new,alteration,or extension,per panel ' ur 1 A.Fee for branch circuits with• pJ s4rl3 �4 1 '''''' '�a ` ytt�I- „ s, a^ .- ..,x.. , + above service or feeder fee, Business name: each branch circuit 7'42 2 B.Fee for branch circuits without Contact name:Peter Watkins service or feeder fee,first 1 56 18 56.18 2 branch circuit Address: 14285 SW 114`h Ave Each add'I branch circuit 4 7.42 29.68 2 City/State/ZIP:Tigard OR,97224 Miscellaneous(service or feeder not included) tY g Each manufactured or modular dwelling,service and/or feeder 67.84 2 Phone:(503)957-8472 Fax: :( ) Reconnect only 67.84 2 E-mail:watkipet @gmail.com Pump or irrigation circle 67,84 2 P;. , _.� t,i, t: c tt 5d,: a` �� Sign or outline lighting 67.84 2 Business name: Signal circuit(s)or limited-energy See panel,alteration,or extension. Page 2 2 Address: 14285 SW 114`h Ave Each additional Inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr City/State/ZIP:Tigard OR,97224 Investigation(1 hr min) 66.25/hr Phone:(503)957-8472 Fax:( ) Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: Electrical Lic.: Suprv.Lie.: s ecificall listed ''A hr min Suprv.Electrician signature,required: Subtotal: 85.86 _ Print name: Date: Plan review(25%of permit fee): State surcharge(12%of permit fee): 10.30 - Authorized signature: 1 `tf TOTAL PERMIT FEE: 96,16 This permit application expires if a permit is not obtained within 180 Print name: Peter Watkins Date: 5/9/2014 days after it has been accepted as complete, Number of inspections allowed per permit. I:1Building\Permits\ELC_PermitApp ELR_ERE.doc Rev 0521/2013 440-4615T(II/05/COM/WEB i Electrical Permit Application —City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Fee for all residential systems combined $75.00 ��� Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less - 100.70 _© 5.01 to 15 kva 1111 133.56 _© ❑ Audio and Stereo Systems* 15.01 to 25 kva - 200.34 _© Wind leneration s stems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva - 301.04 _© ❑ Garage Door Opener* 50.01 to 100 kva - 552.26 _© >100 kva(fee in accordance with ■ 552.26 _© ❑ Heating, Ventilation and Air Conditioning OAR 918-309-0040 Solar generation systems in excess of 25 kva: System* Each additional kva over 25 111 7.42 _© ❑ Vacuum Systems* >100 kva—no additional charge - 0.0 _© Each additional ins•ection over allowable in an of the above: ❑ Other: Each additional inspection is ■ 66.25/hr _© char:ed at an hourl 1 hr min Inspections for which no fee is . 90.00/hr _. 'Cr (61t. '4 0 a : b' ® X1„6-ItZi)E l`r ' . s.ecificall listed 3 hr min 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 ❑ 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\PermiisiELC_PermiUPP_LR_ERE.doe Rev 05121/2013 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 14285 SW 114TH AVE, TIGARD, OR, 97224 Residential - Electrical 199 Electrical final PASS - No C of O ELC2014-00235 Jeff Grove Violation Summary: Inspector Contractor