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Permit CITY OF TIGARD ELECTRICAL PERMIT •II • ' COMMUNITY DEVELOPMENT Permit#: ELC2014-00267 T[GA R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/21/2014 Parcel: 25111 CC11800 Jurisdiction: Tigard Site address: 10445 SW HIGHLAND DR Project: Eischen Subdivision: SUMMERFIELD NO.4 Lot: 169 Project Description: (8)branch circuits for bathroom,laundry room&kitchen remodel. Contractor: LIGHTING ELECTRIC LLC Owner: EISCHEN ENTERPRISES LLC PO BOX 890 10445 SW HIGHLAND DR WOODBURN,OR 97071 TIGARD,OR 97224 PHONE: 971-338-8989 PHONE: FAX: FEES Quantity Description Date Amount 8 crt Branch Circuits wo/Purchase 05/21/2014 $108.12 Specifics: Service or Feeder 1 ea 12%State Surcharge- 05/21/2014 $12.97 Type of Use: SF Electrical Class of Work: ALT Type of Const: 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. ATTEN on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0 through OAR 2-0 J"C� You may obtain a copy of the rules or direct questions to OU NC by = '„`x.232.1987 or 1.814 . .:4. Issued y: ,�C Permittee Signature. 4, ' i ' '. / eel-4—'1/4_, 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 ApplicaAot 1 OR OFFICE I SF ONLY City of Tigard CEIVEP Received Permit No.: a.,p( '49 7 III • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review = Phone: 503.718.2439 Fax: 503.598.1960 Date/8 DateB : Other Permit: T I G A R D Inspection Line: 503.639.4175 MAY 21 2014 Date Ready/By: lulls: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE Ii`f*bltK1[CARD PLAN REVIEW ❑New construction 14.AdditM N 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 g. 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. Multi family ❑ Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. j `` ❑Addition of new motor load of ❑"A","E","1-2 ,"1-3", Job no.: Job site address: 1 O�I YS S L.) Ill ,I ci''�G Six or or more. occupancy. 1 `_ ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP: ) -_ Al no 97ZZy 0 Health care facilities. 0 Supply voltage for more than l/ ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: 1-) JIN la•,d Dr. ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. [ Fee. j Total I V 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 I Tax map/parcel no.: Limited energy,residential 75.00 2 DESCRIPTION OF WORK (with above sq.ft.) Limited energy,multi-family �,} �.> - 5Ad residential(with above sq.ft.) 75.00 2 Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation *. PROPERTY OWNER ❑ TENANT 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name: a,,N,cl /£�,i_SCJ',R� J 401 amps to 600 amps 200.34 2 Address: 1975s (k / j /ct he 601 amps to 1,000 amps 301.04 2 � . Over 1,000 amps or volts 552.26 2 City/State/ZIP: 7 1 `,n r /A Ot 97z2 9 Temporary services or feeders installation,alteration,and/or J relocation Phone:( ) Fax:( ) 200 amps or less 59.36 I Owner installation:This installation is being made on property that 1 own which is not 201 amps to 400 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 71 CONTACT PERSON A.Fee for branch circuits with above service or feeder fee, Business name: 7 L vim,t5 A1 COn14, each branch circuit 7.42 2 B.Fee for branch circuits without Contact name: Ti rv‘ L . , ,t ki service or feeder fee,first 56.18 h4 / 2 branch circuit Address: Q O j3� 1914 Each add'l branch circuit 1 7.42 4.3/ 7 y 2 r f Qn� Miscellaneous(service or feeder not included) City/State/ZIP: L q 14 ��k C)7 0 Each manufactured or modular 9 O f_z7 C ( ) dwelling,service and/or feeder 67.84 2 Phone: ( ) C Fax: Reconnect only 67.84 2 E-mail:7_ Lze ,„-,tci 0 yCk kix, ,C c7t^,1 Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name: C..,7k 1•. 1 �l Cie C. r C_ // Signal circuit(s)or limited-energy See f / panel,alteration,or extension. Page 2 2 Address: I) O t (•' 'ct 0 Each additional inspection over allowable in any of the above City/State/ZIP: C: rte Additional inspection(1 hr min) 66.25/hr pr� r,+'Yr _( Investigation(1 hr min) 66.25/hr Phone:(68(7() 3 y Gt Fax:( ) Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lie.:(er'jfk(d2 Electrical Lid.: C C(©t. Suprv.Lie.: 3s-3C 5 specifically listed('A hr min) 90.00/hr CA,,-13 ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: I yt Cti(r, le .1 1 Subtotal: /Q . I Print name: Jo�n C�l i > 3�'YI Date: 5 .)ci Plan review(25%of permit fee): TT State surcharge(12%of permit fee): /2.9 Authorized signature: - i--i TOTAL PERMIT FEE: /,�/ • Cl / This permit application expires if a permit is not obtained within 180 Print name: )Lo uS tpl"6 4,1 to 4,51 v�L _ Date.S M It) days after it has been accepted as complete. /y • Number of inspections allowed per permit. I.1 Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 440-4615T(II/05/COM/WEB 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 10445 SW HIGHLAND DR, TIGARD, OR, 97224 Residential - Electrical 199 Electrical ﬁnal FAIL ELC2014-00267 Herb Stabenow Private property on site-unable to inspect without an adult present Violation Summary: Inspector Contractor