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Permit EI:JEED CITY OF TIGARD ///vpsxp ' ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2015-00889 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/03/2015 Parcel: 25111 DC09300 Jurisdiction: Tigard Site address: 15750 SW OAKHILL LN Project: BYERS Subdivision: SUMMERFIELD NO.10 Lot: 564 Project Description: (5)branch circuits for relocating outlets and can lights. 1119/2015: REPRINT to add(7)branch circuits and(1)200 amp or less service. Contractor: VIKING ELECTRIC INC Owner: BYERS, LARRY 4326 SE WOODSTOCK BLVD SUITE 518 15750 SW OAKHILL LN PORTLAND, OR 97206 TIGARD, OR 97224 PHONE: 503-775-3479 PHONE: FAX: 503-772-0105 FEES Quantity Description Date Amount 1 ea Services or Feeders-200 11/09/2015 $100.70 Specifics: amps or less 12 crt Branch Circuits w/Purchase 11/09/2015 $89.04 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 11/09/2015 $22.77 Electrical Type of Const: 45 Misc Administration Fee 11/09/2015 $45.00 Occupancy Grp: Total $257.51 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 -• Those rules are set forth in OAR 952-001-0010 through 0 952-001-0�0. You may obtain a copy of the rules or direct questions to OUNC by calling 50 . 32.rt.800. 42 • 4. ► ' Issued By: Permittee Signature: /.3�� 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 603.639.4176 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. CITY OF TIGARD ELECTRICAL PERMIT 1 � Permit#: ELC2015-00889 +A' COMMUNITY DEVELOPMENT G Date Issued: 11/03/2015 TIGARD 13125 SW Hall Blvd,Tigard OR 97223 503 718 2439 Parcel: 2S111 DC09300 Jurisdiction• Tigard Site address. 15750 SW OAKHILL LN Project: BYERS Subdivision• SUMMERFIELD NO 10 Lot: 564 Project Description: (5)branch circuits for relocating outlets and can lights Contractor: VIKING ELECTRIC INC Owner: BYERS, LARRY 4326 SE WOODSTOCK BLVD SUITE 518 15750 SW OAKHILL LN PORTLAND, OR 97206 TIGARD, OR 97224 PHONE 503-775-3479 PHONE FAX 503-772-0105 FEES Quantity Description Date Amount 5 crt Branch Circuits wo/Purchase 11/03/2015 $85 86 Specifics: Service or Feeder 1 ea 12%State Surcharge- 11/03/2015 $10 30 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $96 16 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 copy o e rules or t questions to OUNC by calling 503 • 1 800 2 • • k........ Issued By: t'sa �� 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. i� Electrical Permit Application t►`Ct� FOR OFFICE USE ONLY Received -,�-_ City of Tigard 2p'\5 Date/B • f - Permit 8 ao lS— d n 13125 SW Hall Blvd.Tigard,OR 97223 NOV Plan Review O.. . Phone 503 718.2439 Fax 503 598 1960 g��(a- �� Date/13 . Related Permit II [5-- • 7 4 Inspection Line 503.639.4175 ��]��i ty`l➢�^� ��(teady Date/By• ® See Pagc•2 for TIGARD Internet: www.tigard-or.gov $ �aj�® ( �bufied/Method• Supplemental Information ptC X01 J TYPE OF WORM„L,_ m PLAN REVIEW' ❑ New construction ❑Addition/alteration/ 'y replacement Please check all that apply(submit 2 sets of plans whtems checked) ❑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 ❑ 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 ❑Addition of new motor load of system Job#: Job site address.x.5-7s-c.mac} G7¢,ellj_ e,,,- 100111'or more ❑ A F l_� l_c City/State/ZIP: ❑Six or more residential units occupancy 5 ��5/�/a, ��_ ❑Health-care facilities ❑Recreational vehicle parks Suite/bldg,/apt.#: Project name: L�Z ❑Hazardous locations ❑Supply voltage for more than +Y ❑Service or feeder 600 amps or more 600 volts nominal Cross street/directions to job site: FEE SCHEDULE `� _ /_ / IcscnplIon I QR.. I Each I Total I * )--'44t‘—/ S(.e�� )`'fie-e-_,� ZL C"/ New residential single-or multi-fancily dwelling unit. Subdivision' Lot#: Includes attached garage. 1,000 sq ft or less 168 54 4 Tax map/parcel 4: Ea add'l 500 sq ft or portion 33 92 I DESCRIPTION OF WORK Limited energy,residential 75 00 2 (with above sq.ft.) -— —.=_— -— 7ornor!::.- Limited energy,multi-family 75.00 /�� residential(with above sq ft.) r`^��(( �TS .1 CiS Renewable Energy 0 See Page 2 PROPERTY OWNER I ❑ TENANT Services or feeders installation,alteration,and/or relocation Name. 14/Z j .7 s Y5..-s 200 amps or less 100 70 2 Address. /5-76-//D S�,J �Fi/L i L� 201 amps to 400 amps 133 56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: 7,6AtG,e. one. J'72-2-9 601 amps to 1,000 amps 301.04 2 Phone. ( 97 S70 Ie:LC 7 Fax:( ) Ovei 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: Lv12.v3oare2.s ite7 �j ,l649 . 60Ai relocation Owner installation:This installation is being mad/on property that I own which is not 200 amps or less 59.36 I intended for sale,lease,rent,or exchange,according to ORS 4.47,449,670.and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 ❑ APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A Fee for branch en cults with Business name: a S q 6-av(___ above service or feeder fee, each blanch circuit 7.42 2 _ Contact name: B Fee for branch circuits without service or feeder fee,first 561 S 2 Address. branch circuit . , City/State/ZIP: Each add•I branch circuit 7 42 ?JR. 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 of irrigation circle 67 84 2 Business name: Yale/N.6 E1. C7- /C Sign or outline lighting 67 84 2 Signal circuit(s)or limited-energy Address. L/3 se ��AS,�e� ❑ Sec Page 2 2 panel,alteration,or extension /L L �p �� 2-0 Each additional inspection over allowable in any of the above City/State/ZIP: mil/ /State/ZIP: Additional inspection(I hr mm) 66 25/hr Phone:jai) 7'$-.3(i 79 Fax:( ) Investigation(I hr min) 90 00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no tee is 90.00/hr CCB Lic.: 5 5 7 Electrical Lie.: Suprv. Lie.: specifically listed('/hr min) ELECTRICAL PERMIT FEES Supry Electrician signature,required: & COj ,Cezgd �� Subtotal: r'S"0j Print name: Date: ❑Plan Review Required(25%ofpermit fee): State surcharge(12%of permit fee): /0.3a Authorized signature: TOTAL PERMIT FEE. (C/6./ 9 9 This permit application expires if a permit is not obtained within ISO Print name: Date: dm's after it has been accepted as complete. * Number of inspections allowed per permit I\t)addrne\I'ern»is\I:1-C_I'ei notApp_GLR_ERE doe Rev 06/17/2015 440-46151(1 I/05/CUxi/WE13 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. I Each I Total 1 Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5 01 to 15 kva 133.56 2 n 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 n 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 any of the above: Ti Other: Each additional inspection is 66 25/hi charged at an hourly(I hr mm) Inspections foi which no fee is 90.00/hr specifically listed(%z hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal perm t Page I): * Number of inspections allowed per r permit (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems Ti Boiler Controls Ti Clock Systems n Data Telecommunication Installation Ti Fire Alarm Installation ❑ HVAC Ti Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* Ti P• rotective Signaling Ti O• ther: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1\13oildmc\Po mo,\11LC_I'n nutApp_E1.R_13RE doe Rev 06/17/2015 TYPE OF WORK PLAN-REVIEW. , ❑t1_Ve New construction ❑Addition/alteration/replacement t± F check all that apply(submit 2 sets of plans w/items checked): ❑13emohtlon ❑Other ❑Service or feeder 400 amps or more ❑Building over three stones. •' where the available fault current ❑Mminas and boatyards CATEGORY OF CONSTRUCTION 2��cexeeeds 10.000 amps at 150 volts or ❑Floating buildings. 0 1-and 2-family dwelling ❑Commet cial/industrial ❑Accessory build 2, -1 to gmund.or exceeds 14.000 ❑Commercial-use agricuitural i amps lot all otter installations. buildings. ❑Multi-family ❑Master builder ❑Other: a� i l�j{,,,p ❑Installation(4'150 KVA or JOB SITE INFORMATION'AND LOCATION {A tp� �"VOLT.r system larger separately telyderived `l:�T`- fi�� ,1 }�i Imw motor load of system. Job#: ,ears site❑dtim : 10011P of more /S7SG Set:' C:+ . � TIL10 � ❑ •..F.,..t.>'.„1 �.. OV City:State:Z11): 2,,. .„,,»iti-x,. d-;r° ❑Six or more residential units occupancy. ~�,;*. .-7` ❑Recrea ❑iieaith-care faciliRecreational vehicle parks Project Hazardous locations ❑Supply voltage for more than Suitc/bldg./apt.#: l roject name: ( �; /e ❑ 600 volts nominal. / --- ❑Service or feeder 600 amps or amore. Cross street/directions to job site: FEE SCIIEI>ULE L1t5Cnntion _ l Qt?. I Each I Total i + t l. =4 ` f ,,,-r tieefi'Z r`W r'E-`r) 7-Z4',~f4- C 6-„ 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 tl or portion 33.92 I Tf SCKIPTiO OF WORK --" Limited energy,residential 75 00 2 e- ,<-7-�3 ,/fir . —e ,4` (with nerve,mn it.) C Limited energy,multi-family 75.00 2 residential(with above sq.0.) Renewable Energy ❑ Sec Page 2 ll PROPEttTY OWNER } ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: .._/____"4")2-___17___ g_Y6Ite.5 200 amps or less 100.70 2 . . Address. /57 , t..4..) F: (tHc Z. �'� 201 amps to 400 amps 133 56 401 maps to 6110 amps 200.34 2 City'State.YIP: ,16 At-,„e. et'R, T7.2-2--9 601 amps to 1.000 amps 301.04 Phone:( .77)1 "70 10,...ya 7 Fax:( ) Over 1.000 amps or volts 55 226 2 Temporary services or feeders installation,alteration,and/or Email: 4G12.e/V3ia&y'6/1S 49 rev ' e-D�? relocation au nor installation:This installation is being made.on property that I own which is not 200 amps or less 59.36 I 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 ❑ APPLICANT _1_ 0 C'ON Branch circuits—new,alteration,or extension,per panel "i'>1CI PFKSOE� A.Fee for branch circuits with Business name: (5::::6„,-4„, ` 'L.,.Ize+•° above service or feeder fee, each blanch circuit 7.42 2 Contact name: 13.Fee for blanch circuits without service in feeder fee,fast 2 Address: branch circuit 56.13 City/State/ZIP: Each add')branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax::( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: Reconnect only 67.34 2 f"-'- CONTRACTOR Pump of itrigation circle 67.84 2 I Business name: V ijet 6 e-C'7" PC Sign or outline lighting 67.84 2 Signal circuu(s)or limited-energy 2 I Address: ❑ Sec Page 2 F! 4/3 UP � ��(/�!}(�,� panel, - I CityiState ZiP: ,gr�yS/� ®,e �Zp� Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone: 3) 775--3/79 Fax:( ) Investigation(i hr min) 90.00/hl Industrial plant(I hr min) 78.18/In Email: c� Inspections for which no fee is 90.001 hr CCB I.ic.:�� Electrical �:: (4-5( Suprs• t"tc.�n9 9L \ specifically listed('/•hr min) / _.l ELECTRICAL PERMIT FEES Suprv.Electrician signature,required- (6t(( _— Subtotal: t Print name: ,,, k Date: \ j31 t 5— ❑Plan Review Required(25%of permit fee): • Slate surcharge(12%of permit fee): Authorized signature' TOTAL PERMIT FEE: - This permit application expires if a permit is not obtained within ISO Print name: Date: days after it has been accepted as complete. Nmnitcr of inspections allowed per permit. I:1tta1dmg•fc■.ouvt t C Penun App tt.tt EltE.dae Ro 06.i 7 2013 440.4htSl(1 I OS•CON'WEti 1 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 15750 SW OAKHILL LN, TIGARD, OR, 97224 Residential - Electrical 199 Electrical ﬁnal PASS - No C of O ELC2015-00889 Jeff Grove Violation Summary: Inspector Contractor