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Permit y p CITY OF TIGARD ELECTRICAL PERMIT '`- 3 ' COMMUNITY DEVELOPMENT Permit#: ELC2015-00715 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/03/2015 Parcel: 2S112AD00200 Jurisdiction: Tigard Site address: 6830 SW BONITA RD Project: Smetco Subdivision: BONITA GARDENS Lot: 4 Project Description: Install 75 kva transformer and new 200 amp panel Contractor: BRIGHT STAR ELECTRIC COMPANY Owner: STEMS FAMILY HOLDINGS LLC 1690 SE 27TH ST BY JOHN E SMETS GRESHAM, OR 97080 PO BOX 560 AURORA, OR 97002 PHONE: 971-998-8459 PHONE: FAX: 503-907-9809 FEES Quantity Description Date Amount 1 ea Services or Feeders-200 09/03/2015 $100.70 Specifics: amps or less 1 ea 12%State Surcharge- 09/03/2015 $12.08 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 Required Items and Reports(Conditions) This permit i • e. .c'-ct to the regulations contained in the Tigard Municipal Code, State of OR. Special y Codes and all o hernapplicable law. All wo will be done ' accordance with -pproved plans. This permit will expire if work is not started within 180 days o iss ance, or if ark s suspended for more e 180 days. •TTENTION: Oregon I. re•.. -s you to follow the rules adopted by the Oregon Utility Notif ation Center. Th rules are set forth n OAR 952-111-0010 thr.ugh OAR 952-00 090. Y ay obtain a copy of,the rules or direct questions to OUNC by calling X03.232. 987 or .8 . 32.2344. i ii Is ued By: �- / •�L / 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: C•NT'A OR INSTA LATION O Y SIGNATURE OF SUPR.ELEC' (X' Date: LICENSE NO. V93 5 Call 503.639.4175 by 7:00 a.m.for the ext 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 APPlicatiPECEIVED FOR OFFICE USE ONLY City of Tigard te/B / 5// ) /`reki Permit li: f,--t'Q .-'t 13125 SW Hall Blvd.,Tigard,OR 972 'p 2 2015 Plan Review � , S Phone: 503.718.2439 Fax: 503.598.�j�f Date/B : Related Permit#: Inspection Line: 503.639.4175 CITY OF��(-,.%`'•q Ready Date/By: Juris: ® See Page 2 for TIGARD Internet: www.tigard-or.gov v'' r — Notified/Method: Supplemental Information I ' a TYPE a PLAN REVIEW ❑ New construction Addition/alteration/replacement Please check all that apply(submit jr sets of plans w/items checked): El 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. ❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building less to ground,or exceeds 14.000 ❑Commercial-use agricultural amps for another installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: 6 g 30 s W �u(7� ei ❑100H oo of new motor load of system. #: 100HP or more. ❑"A° "E" "1-2""1-3" City/State/ZIP: T1 O,� z2--(-1 ❑Six or more residential units. occupancy. 2 et'e "\ �7 ❑Health-care facilities. P ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: 61.4 -coo ❑I lazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE 1)c,c ripl ion i Qty. I Each I Total I ' New residential single-or multi-family dwelling unit. Subdivision: I Lot#: includes attached garage. - 1,000 sq.ti.or less 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 I V 1 J 'quk_ . L v l US oLC1 (with above sq.ft.) Limited energy,multi-family 75.00 Ii U. U 2 4 ��t 'e� residential(with above sq.ft.) \ 1 N Renewable Energy ❑ See Page 2 ❑ PROPERTY OWNER I ❑ TENANT Services or feeders installation,alt ation,and/or relocation Name: 200 amps or less ( 100.70 49. 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:( ) 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 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 _ Owner signature: Date: 401 amps to 599 amps 168.54 _ S.APPLICANT 1 ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel S l _ A.Fee for branch circuits with Business name: G\4 7 p\-f___ �e C\ C above service or feeder fee, 7.42 /✓� ( pre_ each branch circuit 1�N �Z C3 Contact name: . B.Fee for branch circuits without service or feeder fee,first 56.18 Address: branch circuit City/State/ZIP: Each add'I branch circuit 7.42 _ Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 Email: Reconnect only 67.84 _ CONTRACTOR Pump or irrigation circle 67.84 _ Business name: t, C1 Sign or outline lighting 67.84 2 '�c S pC� (�'L��p�C Address: S+ ^-i-le"` S^ d n4&) y Signal alteration,or limited-energy ❑ See Page 2 t�p tQ 2 l t panel,alteration,or extension. City/State/ZIP: L'l �S 4( Q-X `l 7 Q 4 0 — Each additional al p inspection inspection over allowable .2 any of the above Additional inspection(I hr min) 66.25/hr Phone:(77() fig—8 '9 I Fax:(570. ) 9v7_ 9e,,o ' Investigation(1 hr min) 90.00/hr ��k, L�-O/ 1,I v Industrial plant(1 hr min) 78.18/hr Email: Al i {f ( �-: / /"f (eIt Inspections for which no fee is 90.00/hr CCB Lie.:aS-01‘, tr4' • trical Lic. I ■ & uprv.Lie.: 13s specifically listed(''A hr min) 1 _ ELECTRICAL PERMIT FEES Suprv. Electrician signature,req 1 .' °t)I Subtotal: /e/u. '7c 1 Print name: /> k t e- Date: ©/ 3 /s- ❑Plan Review Required(25%of permit fee): l / State surcharge(12%of permit fee): 42.e,if Authorized signature: TOTAL PERMIT FEE: I/ate 7 g 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. 1:\Building\Permits\ELC_PetmitApp_ELR_ERE.doc Rev 06/172015 441M615T(I1/05/COMMtEB 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 Cit . I Each I total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 1 00.70 5.01 to 15 kva 133.56 ' ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 Wind generation systems in excess of 25 kva: I I 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 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 ❑ 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 speciticall■ listed('=hr min 1 COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system:ONLY: $75.00 Subtotal(Enter on Page I): (SEE OAR 918-309-0000) * Number of inspections allowed per permit. Check Type of Work Involved: n Audio and Stereo Systems ❑ Boiler Controls Clock Systems I Data Telecommunication Installation Fire Alarm Installation HVAC ❑ Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* n Medical Nurse Calls 7 Outdoor Landscape Lighting* Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Buildmg\Permes\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 6830 SW BONITA RD, TIGARD, OR, 97224 Commercial - Electrical 199 Electrical ﬁnal PASS - No C of O ELC2015-00715 Jeff Grove Violation Summary: Inspector Contractor