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Permit
CITY OF TIGARD ELECTRICAL PERMIT 41 I s . COMMUNITY DEVELOPMENT Permit#: ELC2015-00918 13125 SW Hall Blvd..Tigard OR 97223 503.718.2439 Date Issued: 11/17/2015 TIGA1 D Parcel: 25110CB12900 Jurisdiction: TIGARD Site address: 12053 SW AUTUMNVIEW ST Project: Stone Bridge Homes NW Subdivision: SOUTH VIEW HEIGHTS Lot: 17 Project Description: (1)branch circuit for a/c Contractor: CITY ELECTRIC&SUPPLY CO Owner: STONE BRIDGE HOMES NW LLC 55568 SW SCHALTENRAND LN 4230 GALEWOOD ST, STE 100 SHERWOOD, OR 97140 LAKE OSWEGO, OR 97035 PHONE: 971-404-1714 PHONE: FAX: 503-625-3052 FEES Quantity Description Date Amount 1 crt Branch Circuits wo/Purchase 11/17/2015 $56.18 Specifics: Service or Feeder 1 ea 12%State Surcharge- 11/17/2015 $6.74 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $62 92 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 ccordance approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more th- 180 days. TENTION: Oregon law • ires you to follow the rules adopted by the Oregon Utility Notification Center. Those r les • e se •• 10AR 952- 1-0010 through OAR 95 •01-0090 '•u may obtain a cop of the rules or direct questions to OUNC by calling 503.23.. •87 0 1.800.33 34• I ued By: , %�/∎L,/t L L� Permittee Signature: / ,/ r / 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: CONTRACTORLNSTALLATION 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 Applic'at>1epIVED FOR OFFICE USE ONLY City Tigard NOV 17 2015 Received ®�� f!-e�oi6`•QO Cit of Ti and Permit No.; ante/Inv. 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review -. II Phone: 503.718.2439 Fax: ; ITUF TIGARD Lute/By: Other Permit: TIGAfti3 Inspection Line: 503.639.4 ILDING DIVISION Date Ready/13y: loos Pi See Page 2 for Internet: www,ligard-or.go 3l Not Supplemental Information TYPE OF WORK I'1,AN REVIEW _. ___.__ ❑ / '_-- t'lea.e cl'..el.;dl I.e poly(submit 2 Sins of plans witicros checked helutt). New construction Addition/alteration,re placement ❑Service or feeder dot)amps ei wore ❑Building over duce stones ❑ DcinolItkill ❑Other: where the available fault current ❑Marinas and boatyards. ('A'FLCORY OF CONST1tU(11ON exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑ Multi-family ❑ Master builder ❑Other: ❑lire primp, ❑installation of 150 KVA ur ---- ----- ❑Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑''A•,"F" "1-2""1-3", Job no.: Job site address: �`— 1001Wormore. occupancy. ❑Six or more residential units, ❑Recreational vehicle parks. City/State/ZIP:Tigard,OR 97224 ❑health-care facilities. ❑Supply voltage for more than 01 lazardors locations. 600 volts nominal. Suite/bldg./apt,no.. Project name:Southview Heights ❑Service or feeder 600 amps or more. . 3:7SdiED*U F .. rs a ., .x s Cross street/directions to job site:SW 122"i Ave&SW Beef Bend Rd firscription f Qty. I fen, I 'ram _j_ New residential single-or multi-family dwelling unit. Includes attached garage. ` 1,01)0 sq.0 or less 168.54 4 Subdivision:Southview Heights LM no.: 1 Ea add'l 500 sq.0.or portion 33.92 1 Tax map/parcel no.: 1 Limited energy,residential sa w,.: ,u 75.00 2 ,,, `af' - ON i), 1S,OR1( (with abovesq.1L) - r�� ^ . � - � Limited energy,moil-ramify 7S 00 2 nc f. euce- r,rYGe_.e, C'A,C.C.L.L - residential(with above sq.IIJ -— — .} r Renewable Energy ❑ See Page 2 + / _ Services or feeders installation,alteration,and/or relocation © PROPER] ` OWNER R I ❑ TENANT 200 amps or less 1(x1.70 2 P ' _. __.. 201 amps to 400 amps 133.56 2 Name:Stone Bridge Irlomes NW,LLC 401 amps to 600 amps 200.34 Address:4230 Galewood St,Suite 100 601 amps to 1,000 amps 301.04 2 Over 1,00(1 amps or volts 552.26 2 City/State/ZIP:Lake Oswego,OR 97035 Temporary services or feeders installation,alteration,and/or Phone:(503)387.7577 Fax:(503)387.7615 relocation 200 amps or less 59.36 Owner installation:This installation is being made on property that I own which is not ' 201 amps to 400 amps 125,08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: )ate: Branch circuits-new,alteration,or extension,per panel . A.Fee for branch circuits with above service or feeder fee, Business name:same as above each branch circuit 7'32 2 ' B.Fee for branch circuits without Contact name:Deirdre Britt service or feeder tee,first 56 18 S/ iS 2 branch circuit (C Address: Each add'l branch circuit 7,42 2 City/State/ZIP: Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 Phone:( ) Fax: :( ) dwellin&scrvice and/or feeder —._...._-_—..-..._....._ Reconnect only 67,84 2 E-mail: dbritt{iiistonehridgehomesnw.com - Pump or irrigation circle 67,84 2 CONTRACTOR Sign or outline lighting 67,84 2 Business name:City Electric Signal circuit(s)or limited-energy Sec panel,alteration,or extension. Page 2 Address:55568 SW Schalten brand Ln Each additional ins section over allowable in an of the above Additional inspection(I hr min) IIIIIIESEM City/State/ZIP:Sherwood,OR 97140 _ Investigation(I hr min) M 66,25/hr Phone:(971)404.1714 Fax:(503)625.3052 Industrial plant(1 hr mm) 78.18/hr Inspections lx which no tie is CCI3 Lic.: 42422 Electrical Lie.: 26-2){9C Suprv-. Lie,: 35925 sp:cilieall■ listed(t5 hr min) 90(t0/ht -__-__ ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: e-'2....._,.) Sublot'al 5-6 1 rp' .. Print name: Chuck Friesen 1 Date: Plan revie 1255'.of permit fee) _--- State surcharge 112%of permit fee). G-751 Authorized signature: I 'fOTAI.PERIOD FIT' r�ja .9 V ✓ .' • ................ 1 his pennil application expires if a pernW is nal obtained within MHO.... Penn name: �01•i h Date: j( ) l ____. . d% i 7 f dos after it has been accepted as complete. �..__._.. _.. • Nundrsr.f mslxcions allowed pi:.Ixrnur i`Iii'1,iu-I.nnnsU la )..uui.l l, L.ie i:i...ke Ran .±nlr?4)i .I111 10 l 01;11.)^,11)10:511 11 Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Uracripsion �qs tie Fee for all residential systems combined $75.00 TO tai,Renewable electrical energy systems: t Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2., ri Audio and Stereo Systems* 15.01 to 25 kva 206.34 2 Wind generation systems in excess of 25 kva:..,.._ I Burglar Alarm 25.01 to 50 kva 5 2 ® Garage Door Opener* 50.01 to 100 kva 552.26 • 2. >100 kva(fee in accordance with 552.26 2 EZ Heating,Ventilation and Air'Conditioning onx9la-309-ooao) ,.._ ;. System* Solar generation systems in excess of 25 kva: Each additional kva over 25 7.42,,; 3 • Vacuum Systems* >100 kva—no additi . W , y * onal charge OA 3- `EachailililiunahirisiiCciiitn over allowable inldnyof the above: Ej Other: Each additional inspection 66.251hr'' ; 1'. charged at an hourly(I hr mm) ;`Inspectionsforwhichno fee is"" 90.00/hr . _ listed { rm . � �°°^. ,,. ,; . Z - 'siiccitica 'l,h u3}. , Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) ,Plan review,if required(25%of permit fee): State surcharge(12%of permit fee): _... , Check Type of Work Involved: TOTAL PERMIT FEE: . This permil'nj,,Iiciaiiim_c■p resifs Imrmi0s;4ot obtained within 180 E Audio and Stereo Systems days after it has been siceeptedu`s complete: • Number of inspections allowed per permit. fl Boiler Controls fl Clock Systems • n D• ata Telecommunication Installation in F• ire Alarm Installation l-IVAC .fl Instrumentation • H Intercom and Paging Systems n L• andscape Irrigation Control* (l Medical N• urse Calls P Outdoor Landscape Lighting* [l Protective Signaling Li Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:4Buiid.ogNI'eneii slELC_Permi.App_ELR_ERE doc Rev 05/21/2013