Permit CITY OF TIGARD ELECTRICAL PERMIT
s COMMUNITY DEVELOPMENT ELECTRICAL
ELC2015-00135
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/04/2015
Parcel: 25111 CC06100
Jurisdiction: Tigard
Site address: 9940 SW CENTURY OAK DR
Project: ORTIZ Subdivision: SUMMERFIELD Lot: 84
Project Description: (4)branch circuits for kitchen remodel.
Contractor: HOUGH ELECTRIC LLC Owner: ORTIZ, PAUL& DENISE
10355 SW BRYTON CT FIGUERAS,ANTHONY
WILSONVILLE, OR 97070 21740 SW 109TH TER
TUALATIN, OR 97062
PHONE: 503-572-3482 PHONE:
FAX:
FEES
Quantity Description Date Amount
4 crt Branch Circuits wo/Purchase 03/04/2015 $78.44
Specifics: Service or Feeder
1 ea 12%State Surcharge- 03/04/2015 $9.41
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $87.85
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• enter. Those rules are set forth in OAR
952-001-0010 through OA' • 2-0/�'90. Y•u may obtain a copy of the rules or direct questions to OUNC by calli 03.232.1987 1.800.332.2344.
/ ;I 74.-C->. ...-------Issued By: ,/ dam` Permittee Signa re: �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
City of Tigard ED��vED Received e .) Y/ly Permit#: EGG aD(5 t 3�'
13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review
• Phone: 503.718.2439 Fax: 503.598.I 0 Date/By: Related Permit#:
Inspection Line: 503.639.4175 p t� 205 Ready Date/By: ' orris: 65 See Page 2 for
Internet: www.tigard-or.gov MARD Notified/Method: f-A Supplemental Information
- TYPE OF WOR f•I'"i dF Tr flsf��14 PLAN REVIEW
�(ti LJ>�' Please check all that apply(submit 2 sets of plans w/items checked
❑New construction ddition/alteratigl/I flbttt 400 y( p checked):
V+�"+ ❑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.
-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 site address: �1 p ❑Addition of new motor load of system.
Job#:
1 ( IyO SCJ Ce't...(Jr40 04 1( R- 100HP or more. ❑ A E 1.2 1_3„
City/State/ZIP: / ❑Six or more residential units. occupancy.
.;.7 R i 2 ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: C ^ ❑Hazardous locations. ❑Supply voltage for more than
t/f t�-- ❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE -
Description I Qty. I Each I Total I "
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 1
- DESCRIPTION OF WORK Limited energy,residential
/ (with above sq.ft.) 75.00 2
rt'it 4.e,, Ire w.C cl-e- / Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
❑ PROPERTY OWNER ❑ Nr Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) 1 Fax:( ) 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 1 2
Owner signature: Date: 401 amps to 599 amps 168.54 • 2
❑ APPLICANT ( ❑ CONTACT PERSON Branch circuits-new,alteration,or extension, er panel
A.Fee for branch circuits with
Business name: above service or feeder fee,
7.42 2
each branch circuit
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 3 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: htt?c.i s 4 %%Y c 74•- C C C C_ Sign or outline lighting 67.84 2• Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: /0 3 S�S 5"....,3 r,. r. C 7— panel,alteration,or extension. g
City/State/ZIP: l(e 2 7'�� t7 Each additional inspection over allowable in any of the above
(.t); /S /ki Additional inspection(1 hr min) 66.25/hr
Phone:(5 c) .-7 Z _3 c./v 7 Fax:( ) Investigation(1 hr min) 66.25/hr
Email: ) PA e ,e�e ,,,r e ,J c,-K t ��ti v�, C o�.. Industrial plant(1 hr min) 78.18/hr
`` Inspections for which no fee is 00/
CCB Lic.: /?tip g7 Electrical Lic.:_ i Suprv.Lie.: S 7/ 7 �' specifically listed(%hr min) hr
ELECTRICAL PERMIT FEES _
Suprv.Electrician signature,required: G /711-2--g---'E - Subtotal:
Print name: , S Ce, 140 Date: rY/Are A y 24,E ❑Plan Review Required(25%of permit fee): -
r r State surcharge(12%of permit fee):
Authorized signature: (C.,_ t`T—Z (..-\., TOTAL PERMIT FEE: ` -
This permit application expires if a permit is not obtained within 180
Print name: C ____ f / �j�� Date:j/�iY✓C 4 y 2, /S'— days after it has been accepted as complete.
// f ! • Number of inspections allowed per permit.
I:\BuildingWermita\ELC_Pennit/�p_ELR_ERE.dac Rev 04/21/2014 440-4415T(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
•
Fee for all residential systems Rene stems combined: $75.00 Rene Description I otr. I Each I Total I
wable 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
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 over 25 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(%2 hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
(SEE OAR 918-309-0000) * Number of inspections allowed per permit.
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\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
9940 SW CENTURY OAK DR, TIGARD, OR,
97224
Residential - Electrical
199 Electrical final
FAIL
ELC2015-00135
David Young
New gfi's in each bath not on permit. Gfi in master appears to have hot and neutral
reversed.
Note: stop work order posted for plumbing, mechanical and electrical work done with no
permits and inspections. No further inspections prior to permits being obtained.
Violation Summary:
Inspector Contractor
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
9940 SW CENTURY OAK DR, TIGARD, OR,
97224
Residential - Electrical
199 Electrical final
FAIL
June 8, 2015 at 10:47:17 AM
ELC2015-00135
David Young
New Gfi in master appears to have hot and neutral reversed. Fix and recall final after
stop work order removed.
Note: stop work order posted for plumbing, mechanical work done with no permits and
inspections. No further inspections prior to permits being obtained.
Violation Summary:
Inspector Contractor
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
9940 SW CENTURY OAK DR, TIGARD, OR,
97224
Residential - Electrical
199 Electrical final
FAIL
ELC2015-00135
David Young
New Gfi in master appears to have hot and neutral reversed. Fix and recall final after
stop work order removed.
Note: stop work order posted for plumbing, mechanical work done with no permits and
inspections. No further inspections prior to permits being obtained.
Violation Summary:
Inspector Contractor
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
9940 SW CENTURY OAK DR, TIGARD, OR,
97224
Residential - Electrical
199 Electrical final
FAIL
June 17, 2015 at 10:23:21 AM
ELC2015-00135
David Young
Master bath gfi not resetting.
Violation Summary:
Inspector Contractor
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
9940 SW CENTURY OAK DR, TIGARD, OR,
97224
Residential - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00135
David Young
Correction done.
Violation Summary:
Inspector Contractor