Permit CITY OF TIGARD ELECTRICAL PERMIT
2 . COMMUNITY DEVELOPMENT Permit#: ELC2015-00505
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 • Date Issued: 06/30/2015
Parcel: 2S 110DA01900
Jurisdiction: Tigard
Site address: 10580 SW NAEVE ST
Project: BECK Subdivision: RENAISSANCE SUMMIT Lot: 10
Project Description: Can lighting for the covered porch.
Contractor: OWNER Owner: BECK, NATHAN A&MICHELLE L
NATE&MICHELLE BECK 10580 SW NAEVE ST
10580 SW NAEVE ST TIGARD, OR 97224
TIGARD, OR 97224
PHONE: 503-956-3746 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 06/30/2015 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 06/30/2015 $6.74
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $62.92
Required Items and Reports(Cond ••ns)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Code - d all • er 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 'r if wo is suspended for more the 180
days. ATTENTION: Oregon law requires you to folio, •: =s adopted by the Oregon Utility Notification Ce r.4 Th-se rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain - •• of the ruler•irect questions to OUNC by calling 503.2 •.19:' 0 1.80. 332.2344.
Issued By: Per • ignature: l/
AO/ OWNER INSTALLATION ONLY __I
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, �1 j FOR OFFICE USE ONLY
City of Tigard AL&.4l� t Received
Date/B : or ( � 11, —BMISIIMIM
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 11111 N Phone: 503.718.2439 Fax: 503.598.1r N 3 0 2015 Date/B : Related Permit#: ST p`5. 411
inspection Line: 503.639.4175 J v Ready Date/By: - 65 See Page 2 for
I li,.11cI' Internet: www.tigard-or.gov Notified Method: Supplemental Information
'11'R i'•t alaf;a X11;
TYPE OF WORK PLAN REVIEW
❑New construction Rion/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.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
nd 2-family dwelling ❑Commercial/industrial ❑ Accessory building less to ground.or exceeds 14,000 ❑Commercial-use agricultural
a
amps for all other installations. buildings.
❑ Multi-family ❑ Master builder ❑Other: ['Fire pump. 0 Installation of 150 KVA or
JOB SiTE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: / �j f c
OS O 0 .�U 1`L G C.� � IOOHP or more. ❑.•A,. ..E„ ••I_2" ••I_3"
City/State/ZIP: n ❑Six or more residential units. occupancy.
C�V
/
0 2 ❑Recreational vehicle arks.
`'� 9 �a ['Health-care facilities. parks.
#: Project name: -6 E_e_(,, ❑Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qts. 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 1 168.54 4
Tax map/parcel#:
Ea.add'I 500 sq.ft.or portion 33.92 I
DESCRIPTION OF WORK Limited energy,residential 75.00
(with above sq.ft.)
�i7 n `/ �f Limited energy,multi-family 75.00
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
❑ PROPERTY OWNER I ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: 4/4k t3 aL/` 200 amps or less 100.70 '_'
Address: W{-8a S Lv 4r4Evt: S 201 amps to 400 amps 133.56 2
� 401 amps to 600 amps 200.34 2
City/State/ZIP: / , p� r?∎707y 601 amps to 1,000 amps 301.04 2
Phone:(...,<, ) /5-4,-37, I 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 r exchan ,according to ORS 447,449,670,and 701 201 amps to 400 amps 125.08 2
wner signatu • Date: 401 amps to 599 amps 168.54 2
❑ APPLICANT I ❑ CONTACT P SO Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: above service or feeder fee,
7.42
each branch circuit
Contact name: AG AC- B.Fee for branch circuits without
Address: )n �/ service or feeder fee,first / 56.18 2
l v-C8Q S LA) // 1 r;f/e 51 branch circuit �/
City/State/ZiP: pia t 9747 Y Each add'I branch circuit 7.42 2
(s ) `/ 7 / Miscellaneous(service or feeder not included)
Phone: D f5-4 -3 7 1 f I Fax::( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: Reconnect only _ 67.84 2
CONTRACT-RR ., ,I� Pump or irrigation circle 67.84 2
Business name: I p )4) fir' ' L Sign or outline lighting 67.84 2
����//// l/` Signal circuit(s)or limited-energy ❑ Page 2
Address: g 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(I hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email: inspections for which no fee is
90.00.hr
CCB Lic.: Electrical Lic.: Suprv. Lic.:
specifically listed('_hr min)
ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required: Subtotal:
Print name: Date: ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE: 42 ,
This permit application expires if a permit is not obtained within 180
Print name: I Date: days after it has been accepted as complete.
" Number of inspections allowed per permit.
I:Building'Permits\ELC_PennitApp_ELR_ERE.doc Rev 06/172015 440-4615T(11,05'COM.WEB
i
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Dcscriplion I Qh. 1 Each total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: s kva or less 100.70
5.01 to 15 kva 133.56
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
n Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in an _of the above:
Other: Each additional inspection is 66.25/hr I
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specificalh listed('_hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter on Page I):
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
❑ Fire Alarm Installation
n HVAC
Instrumentation
Intercom and Paging Systems
I I 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
1,BuildingTennas,ELC_PermitApp_ELR_ERE.doc Rev 06,17 2015
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
10580 SW NAEVE ST, TIGARD, OR, 97224
Residential - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00505
David Young
Violation Summary:
Inspector Contractor