Permit CITY OF TIGARD ELECTRICAL PERMIT
s COMMUNITY DEVELOPMENT Permit#: ELC2015 00045
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.7182439 Date Issued: 01/22/2015
Parcel: 2S110AB00100
Jurisdiction: Tigard
Site address: 14000 SW 112TH AVE 82
Project: Parkwood Court Subdivision::ONDO SUPPLEMENTAL PLAT NO.8:/ Lot: 32-4
Project Description: Reconnect only for unit 82.
Contractor: Owner: ALRANCO, INC
BY JOHN R RICHES
2601 ORCHARD HEIGHTS RD NW
SALEM, OR 97304
PHONE: PHONE: 503-315-7116
FAX:
FEES
Quantity Description Date Amount
1 ea Reconnect Only 01/22/2015 $67.84
Specifics: 1 ea 12%State Surcharge- 01/22/2015 $8.14
Electrical
Type of Use: MF
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $75.98
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 Notifica'on Center. Those rules are set forth in OAR
952-001-0010 through 0 - 9 001-0090. You may obtain a copy of the rules or direct questions to OUNC by call... r 2.1987 or 1.800.332.2344.
Issued By: � Permittee Signature:•,�#e•
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.
RECEIVED
Electrical Permit Application FOR OFFICE ISF ON EN
City of Tigard JAN 2 2 2015 Received
: / ,� Permit#:
t t>2oi -boo��.5
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Related Permit#:
Phone: 503.718.2439 Fax: 503.591 146,0.,OF Date/Et
Inspection Line: 503.639.4175 l�l j ] Ready Date/By: luris: ® See Page 2 for
I i I1 Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: p Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑ (�S1 EL L ❑Service or feeder 400 amps or more ❑Building over three stories.
Demolition Other: where the available fault current ❑Marinas and boatyards.
CA GORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
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
Job#: I Job site address: it4b W �`t:1 1 I2. �y 6- Z ❑Addition of new motor load of system.
f �{V 100HPormore. ❑'<A„ «E„ •<l_2>, `•l_3„
City/State/ZIP: ,��T /�,� /� ❑Six or more residential units. occupancy.
ty -nl !% V je 1�Z ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.4: i5Z I Project name: I T ❑Hazardous locations. ❑Supplolt voltage for more than
❑Service or feeder 600 amps or more.
Cross street/directions to job site: 6t DE P . C01k/L-r FEE SCHEDULE
Description I Qty. I Each I Total I '
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
//��� ,, `` (with above sq.ft)
75.00 2
W�NC Cr rjW t ►�-� �+'� �`—' Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy ❑ See Page 2
` PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
,\
Name: 04t3 al cmes 200 amps or less 100.70 2
Address: 'Da BOX O 1 u 201 amps to 400 amps 133.56 2
On �� 1 401 amps to 600 amps 200.34 2
City/State/ZIP: 1C.. `.^ L� JJ 601 amps to 1,000 amps 301.04 2
Phone:(503)31c 111 `4, I Fax:(503 31C 1 I 1(, Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1_
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
I ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel_ _ _,A.Fee for branch circuits with
Business name: above service or feeder fee,
7.42 2
` _ each branch circuit
Contact name: Vl B.Fee for branch circuits without
Address: `Lko I Jo SW 112 Mc -1 branch it feeder fee,first 56.18 2
branch circuit
City/State/ZIP: �6 OR_ -I"1"Z Each add'!branch circuit 7.42 2
( L3%3 ,....102L-2, I ( 3 (a x �159 Each manufactured(service du or feeder not included)
Phone: Fax: : [, Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: Reconnect only 67.84 2•
CONTRACTOR _ Pump or irrigation circle 67.84 2
Business name: Sign or outline lighting 67.84 2
Address: Signal circuit(s)or limited-energy ❑ See Page 2 2
panel,alteration,or extension.
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) I 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.: I Electrical Lic.: I Suprv.Lic.: specifically listed(V2 hr min) _ _
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: 7 ay
Print name: Date: ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): f't /
2( Authorized sign '` TOTAL PERMIT FEE: #7 4
This permit application expires if a permit is not obtained within 180
•/
-�/ Print name: 'n 4 abate: I J'� I days after it has been accepted as complete.
fff ' Number of inspections allowed per permit.
I.\Building\Permits\ELC PermitApp_ELR_ERE.doe Rev 04/21/2014 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
Description I Qty. T 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
El 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
El Garage Door Opener* >100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
El 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
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(%i hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
1
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
• Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
El Audio and Stereo Systems
El Boiler Controls
❑ Clock Systems
El Data Telecommunication Installation
El Fire Alarm Installation
El HVAC
El Instrumentation
El Intercom and Paging Systems
❑ Landscape Irrigation Control*
El Medical
El 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
1:\Building\Permits\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
14000 SW 112TH AVE 82, TIGARD, OR, 97224
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00045
Jeff Grove
Violation Summary:
Inspector Contractor