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Permit IIICITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT FROM Permit#: ELC2015-00445 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2015 Parcel: 2S110BA00500 Jurisdiction: TIGARD Site address: 14150 SW 117TH AVE Project: Hurd Subdivision: CANTERBURY WOODS CONDO Lot: 76 Project Description: (1)100 amp service. 6/10/15:Reprinted permit to reflect change in contractor from owner to Right Now Homes Services Inc. Contractor: RIGHT NOW HOME SERVICES INC Owner: HURD, LYNN C&SUSAN J BOX#701 12042 SE SUNNYSIDE RD 5429 W NW LBVD CLACKAMAS OR 97015 SPOKANE,WA 99205 CLACKAMAS, OR 97015 PHONE: 503-490-9471 PHONE: FAX: 503-775-6006 FEES Quantity Description Date Amount 50 COT Address Fee 06/08/2015 $50.00 Specifics: 1 ea Services or Feeders-200 06/08/2015 $100.70 amps or less Type of Use: SF 1 ea 12%State Surcharge- 06/08/2015 $12.08 Class of Work: ALT Electrical Type of Const: 45 Misc Administration Fee 06/09/2015 $45.00 Occupancy Grp: Total $207.78 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 952-001-0090. You may obtain a cop o ules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.\ Issued By: _ sCr-re--_ �i Permittee Signature: 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. II 06/10/2015 00:27 5037756006 TOTAL ENERGY SUL PAGE 01/01 06/09/2015 01:42 5035981960 L11Y ul- I1UAKJ rt-gs.x. CJ1f Ul Electrical Permit Application Gk For:nl•hu 1: 1 .st,t)N1.1 City of Tigard ! D;nr� - Y 1 lV ' G _ .i/S—Opyy 13125 S W Hall Blvd„Tigard,OR 97223 T RaWpw 1:11111--Or �p Related Permit B: Phone: 503,718.2439 Fox: :03.598.t9 '1 � Ai; Ste IPe1 for Inspection Line: 503,639!1175 Ready i eIBy: ` I, •;:1, inretnci: vftVw-tigtrrd-or,gov Notified/Method; Sapplearenal tncoraaatlor ?tease cheek all the witty(auhnt 3.etr of plans wCtcns chClwd):❑New construction ►/rdditi>t/alteration/replacement ❑Service or feeder 400 amps or more ❑}iw'l&tg over threw sroeie t 0 OemOlition ❑Other: wham the available thole current ❑Marinas and boaryardt. exceeds 10,000 amps at 15n volts or 0 Framing building. 0 1-and family dwelling 0 Commercial/industrial 0 Accessory building ices to graestd,a*exceeds 14,OOD p eomme*xrnt-vse oyiicalmrat amps far all other installaticna. bw'Idiom ❑Multi-family 0 Master builder ❑Other' OFira pump, ❑installation of 150 KVA ire ----cr.: F.mrtgency system_ larger separately to vtd job#: Job sitc'addres;: d Lt.." 4 4 - ❑0011Poefo motor 1004 of Cily?513te'ZIP: q ❑six or more residential unite. inn'• /r• 9 , O4° / 9 2.,z' ❑Iim10!-m,cfacilities. O fteemettional vehicle parks- Suitc/bldg./apt It: Project name: ❑Nroanloaa Iocaoona ❑Supply rrrlleac ht more than ©Serves or fcoda G00 amps or roam. 600 volts pommel. Cross.•,lseet/dircctians to job.rite: r Description r, tech Mail I . New residential single or molts-family dwrlhng note. 1 Subdivision: Lot#; Includes Attached garage. -Tax maplpcuect#: 1,000:..ft or less 168.54 Q .. . . ...... .. .. _.._--._- . .. La add'!5005.,R.or.. ion f 33.92 r0 •t: t;•`:` — Limited energy,residemiol 4 f 1. .r,I -i* C r " t�A (with above ma.ft.) 75.00 Limited mew,mufti-fnmity r 75.00 r _ t ; 2421,1 7- �j, 0 WA/ER m,identi l(with ebavc sq.ft) -- -.. __.. .. Renewable Gal :r ❑ .� _.,: 2 • • --• '••" mitts or feederm installation alterative mod/or relocation Nome: ton amps or less 100.70 /00,7/ 2 Address: 5-j'2 C4-, /V t'- 8411J) 0i temps to 400 amps t33,56 2 401 amps to 600 amp. 200.34 2 I City/State/ZIP: 2:10 -.2..-5 r k ,•,,-....z OS 601 amps to 1.000 mreppa 301,04 MI Phone:(5'03) Pr(._S r7 Fax:( ) Over 1.000 amps or volts 55226 2 Email: / - Moronity services to feeders installation,alterative,And/or H v ® Co C.7 • h relocation Owner Installstron:This instal dbion is being made on property that 1 own which is not 200 am.•or Ima 59.36 i intended for sal;least,rent,or exchange,according to ORS 447,449,670,and 701, 201 amp,to 400 ampa 125.08 2 owner signature: Date: 401 amps to 599 amps 168.54 2 Branch circalte-new alteretio or extension,. r anon _ ' '•:.::..ii:::::,.. A.Fee for branch circuits with Business name: above service or feeder fee, each branch circuit T� ran COntict name: ___ B.Fee for branch circuits wllhow Address: service or feeder fee,first 56.18 ill 2 branch circuit City/State/71P; Each add•i branch circuit 7.42 2 Phone: - -- - •—' Miscellaneous service or tied not inclad ( ) Fax::( ) Each manufactured or rnocallar Entail: dwclln .service and/or feeder II 67,84 2 kccormectonly ME 67,84 EMU Pump or irrigation circle ME 67.54 -© + tlytu, ♦Vk IA/e- Sign or outlineli. ; 67.84 �© t Signal circuit(s)or limited-cnergY Address: 1 0 gee Page 2 © d.tom, i `e • ne1 oltnati • or toctenaion. g City/State/ZIP: C/ c��f_81e.r i X. � /17 I Each additional his,eelinn , allvwahte In a,e of the ahavc C/,. . . Additional inspection(I hernia) ���■ Phone:( ) Fax:($112)3) 7�_5r , 0 r 6625/hr ■III Email:cm (� 1 t COM Industrial phut('hr 141111 � �� (� Iespootivna fat which no fee is CCB Lie-: IG 3(GO$ Elcetri 'n `Yi4i� aJ`} rc. / fecal lists! IA hr mite 90.0 hr �I Suprv.1;ItCtlician signatur c,required: -� �V � Ewa Subtotal' Print name: �:.7-.- • Dote �, . 0 Plan Review wired(25%of - it f>c): w"f 4 y State surcharge(12%of permit fez) Authorized signature: - TOTAL PERMIT FEE: This permit appliatnoa mrytrea it*permit i!not Atsirod wnhln 180 Print name; Date: I days slier it has been accepted as cOraprtrc. Number of inspections allowed per perm it. Pone tMretTemitet£LC_twmitAw .doe Ray 04)2111014 l404d13T11 tanrCOMME ,, CITY OF TIGARD ELECTRICAL PERMIT•111 ; s • COMMUNITY DEVELOPMENT Permit#: ELC2015-00445 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2015 Parcel: 2S 110 BA00500 Jurisdiction: TIGARD Site address: 14150 SW 117TH AVE Project: Hurd Subdivision: CANTERBURY WOODS CONDO Lot: 76 Project Description: (1)100 amp service Contractor: OWNER Owner: HURD, LYNN C&SUSAN J 5429 W NW LBVD SPOKANE,WA 99205 PHONE PHONE: FAX: FEES Quantity Description Date Amount 50 COT Address Fee 06/08/2015 $50.00 Specifics: 1 ea Services or Feeders-200 06/08/2015 $100.70 amps or less Type of Use: SF 1 ea 12%State Surcharge- 06/08/2015 $12.08 Class of Work: ALT Electrical Type of Const: Occupancy Grp: Total $162.78 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 -r• -r I. Y.0 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own why is not intended for sa ,lease or rent. OWNER'S SIGNATURE OOP ,i/ Date ‘/y/2-a)/S— 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 ECEIVEP P FOR OFFICE USE ONI 1 City o f Tigard JUN -8 2015 DaRece teBivyed:(/i/`/''1.' L5 /..V.,---/Y Permit GCao/S=00yy ;. •• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review • Phone: 503.718.2439 Fax: 503.598.1960 c ,r ` u patty. Related Permit#: Inspection Line: 503.639.4175 CITY OF fnIGARI) Ready Date/By: furze: ® See Page 2 for I I'' \R I) Internet: www.tigard-or.gov RT1jI nllyla I/IVISIO Notified/Method: Supplemental Information ❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition Other: ❑Service or feeder 400 amps or more ❑Building over three stories. ❑ where the available fault current ❑Marinas and boatyards. 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: 0 Fire pump. ❑Installation of 150 KVA or ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: /y/Sv ,ri..,) // /7 'LL-. t� 100HP or more. ❑"A"."E", '1-2","t-3", CI /State/ZIP: ❑Six or more residential units. occupancy. ty ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: I Project name: ❑Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: Description Qty. Each Total • 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'1500 sq.ft.or portion 33.92 1 Limited energy,residential 75.00 2 (with above sq.ft.) Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation Name: J , r ,� 200 amps or less / 100.70 /Od.'7v 2 Address: 0 y Z tihi eL �D 201 amps to 400 amps 133.56 2 ? (N 401 amps to 600 amps 200.34 2 City/State/ZIP: S�O1'R h ��/�1 /20 S 601 amps to 1,000 amps 301.04 2 Phone:(57�y) 3 Z 7 3 S f i I Fax:( ) over 1,000 amps or volts 552.26 2 ,c Temporary services or feeders installation,alteration,and/or Email: /�k,*1,.7 `j v� Q COh,07.1 Is". As e. 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,f exchange,accord' to ORS 447,449,670,and 7 1. 201 amps to 400 amps 125.08 2 Owner signature: -- Date: 6/8' /5-- 401 amps to 599 amps 168.54 _ 2 ❑ APPLICANT IN 11 ❑ 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: B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address: branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) I Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: Reconnect only 67.84 2 . Pump or irrigation circle 67.84 2 Business name: D AJ A �2 Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP: 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 Y.hr min Suprv.Electrician signature,required: Subtotal: /00, 70 Print name: Date: ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): /a, 491 Authorized signature: TOTAL PERMIT FEE: //? 7, This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete.!.` • Number of inspections allowed per permit. 7L -o.5.-0 , 1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 04/21/2014 440.46151(11/05/COM/WEB /6a- 7cP Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: ' Fee for all residential systems combined: $75.00 °enewan terns: y Renewable electrical energy systems: Check Type of Work Involved: 5 kvaorless 100.70 _© 5.01 to 15 kva 1111 133.56 _© El Audio and Stereo Systems* 15.01 to 25 kva 200.34 _© Wind •eneration s stems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 11111 301.04 _© 50.01 to 100 kva I. 552.26 _© ❑ Garage Door Opener* >100 kva(fee in accordance ■ 552.26 —© 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 _© ❑ 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 _111 charred at an hour) 1 hr min Inspections for which no fee is ■ 90.00/hr —. s cificall listed Y.hr min COMMERCIAL WORK ONLY: ' ' ' " ` Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 • 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 El Fire Alarm Installation ❑ HVAC El Instrumentation El Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls El Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\Building\Permits\ELC_PermitApp_ELR_ERE.doe 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 14150 SW 117TH AVE, TIGARD, OR, 97224 Residential - Electrical 199 Electrical final PASS - No C of O ELC2015-00445 David Young Correction complete from previous inspection. Violation Summary: Inspector Contractor