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Permit CITY OF TIGARD ELECTRICAL PERMIT 1111 a COMMUNITY DEVELOPMENT Permit#: ELC2015-00036 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/21/2015 —_. Parcel: 2S 102 DD00804 Jurisdiction: Tigard Site address: 8815 SW MCDONALD ST Project: Marks Subdivision: EDGEWOOD Lot: 5 Project Description: Reground house due to replacement of water service. Contractor: OWNER Owner: MARKS, GARY L AND KELLY L 8815 SW MCDONALD ST 8815 SW MCDONALD ST TIGARD, OR 97224 TIGARD, OR 97224 PHONE: 971-722-7775 PHONE: 971-722-7775 FAX: FEES Quantity Description Date Amount 1 ea Reconnect Only 01/21/2015 $67.84 Specifics: 1 ea 12%State Surcharge- 01/21/2015 $8.14 Electrical Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $75.98 Required Items and Reports(Conditions) This permit ubject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be do in accordance wi pproved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 day . ATTENTION: Oregon I requi - y• to ollow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95 -001-0010 thr gh OAR 952-00 00•I. You ma -in a copy of the rules or direct questions to OUNC by calling/55003.232.1987 or 00.332.2344. ` \ (11 'tiZl'( su ed By: / ,,,, . / Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own whic is not intended for sale,lease or rent.np OWNER'S SIGNATURE Y Date: //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 FOR OFFICE l 'A t)\1.1 City of Tigard ECEIVEp DateBe� O Permit#: t=om 0 s 114 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review = Phone: 503.718.2439 Fax: 503.598.1N 21 2015 Date/B : Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: Juris. 0 See Page 2 for t, et: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information ...tem • . TYPE filditaiNG DIVISION "MN REVIEW = , ❑New construction Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑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. g 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or '= JOB SITE INFORM; t' Alm.LOCATION- ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: Or/ ,) ' illit.i1 100HP or more. ❑ City/State/ZIP: 'n 9 0 ❑Six or more residential units. occupancy. {Y/U)1V �3� ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: /, , A uit - ❑Hazardous locations. ❑Supply voltage for more than A ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: "I E S D I E Ind+IA ��/� WI- 1 Description I Qty. I Each Total I " , t/V Y V kk 4 / i �'1 `+�`T/1 New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: - Ea.add'1500 sq.ft.or portion 33.92 1 .DESCRIPTLON Of WORK Limited energy,residential 75.00 2 _ w nl f' I vv f / (with above sq.ft.) / �1/l(jl y�Y/! V 6 Limited energy,multi-family ' residential(with above sq.ft.) 75.00 2 Renewable Energy ❑ See Page 2 PROPERTY OWNER Cl TENANT Services or feeders installation,alteration,and/or relocation Name: V,( v Sn 200 amps or less 100.70 2 Address: C "v �( \ /r,NNVIad 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 v V City/State/ZIP: V+ b E al-1)—AI 601 amps to 1,000 amps 301.04 2 Phone:( 'ill ?)). 1-4-9--s— Fax:( ) Over 1,000 amps or volts 552.26 2 JQ Temporary services or feeders installation,alteration,and/or Email: ,c(o (�v vV c relocation Owner installation:This l ation is being ma on property that I own which is not 200 amps or less 59.36 1 intended for sale,leas/e,rent,or xchange,according to ORS 447,449,67 and 7 I 01. 201 amps to 400 amps 125.08 2 A Owner signature: L Date: / �' 401 amps to 599 amps 168.54 2 Tt . ... — alteration or extension D panel ❑ APPLICANT. t L CON'T'ACT PERSON. Branch circuits new,al. ' n o n, • a A.Fee for branch circuits with Business name: above service or feeder fee, — each branch circuit 7.42 2 Contact name: B.Fee for branch circuits without Address: service or feeder fee,first 56.18 2 __ _ branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax::( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: Reconnect only l 67,.84 _ 0._ 2 CO CTOR' . . Pump or irrigation circle 67.84 2 Business name: Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 1:1 See Page 2 2 Address: tA0panel,alteration,or extension.144 - City/StatelZIP: Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( ) Fax:( ) Investigation(1 hr min) 66.25/hr Email: 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(/2 hr min) ELCrRtCA PzRMn FEES Suprv.Electrician signature,required: Subtotal: L1 Print name: Date: ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): f."/ Authorized si �ature: � TOTAL PERMIT FEE: 76%`7 g ri/f�/� t II 1 #This permit application it expires e if na permit is not o obtained within 180 Print name: / Date: days ar it has been accepted as complete. Number of inspections allowed per permit. I:\Building\Permits\ELC_PennilApp_ELRERE.doc Rev 04/21/2014 440-4615T(i 1/05/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 Description I Qty. I Each I Total I " Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kvaorless 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over25 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 66.25/hr 1 charged at an hourly(1 hr min) 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(Enter on Page 1): y * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ 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\Permi ts\ELC_PermitApp_ELR_ERE.doc Rev 04/21/2014 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 8815 SW MCDONALD ST, TIGARD, OR, 97224 Residential - Electrical 199 Electrical ﬁnal PASS - No C of O ELC2015-00036 Jeff Grove Violation Summary: Inspector Contractor