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Permit (42) CITY OF TIGARD ELECTRICAL PERMIT • COMMUNITY DEVELOPMENT Permit#: ELC2016 00257 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/31/2016 Parcel: 2S102DB00203 Jurisdiction: Tigard Site address: 9303 SW HILL ST Project: Neubo Subdivision: BURNHAM TRACT Lot: 7 Project Description: (1)service and(8)branch circuits for panel change,kitchen remodel and convert baseboard heat to cadet heaters. Contractor: QUALITY PLUS FRAMING&ELECTRICAL Owner: NEUBO, CRAIG&KRISTY 16037 SW BOWMEN LN 18418 OLD RIVER LANDING SHERWOOD, OR 97140 LAKE OSWEGO, 04 97034 PHONE: 503-477-0704 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-200 03/31/2016 $100.70 Specifics: amps or less 1 ea 12%State Surcharge- 03/31/2016 $19.21 Type of Use: SF Electrical Class of Work: ALT 8 crt Branch Circuits w/Purchase 03/31/2016 $59.36 Service or Feeder Type of Const: Occupancy Grp: Total $179.27 Required Items and Reports(Conditions) 1 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all of -r :pplicpble law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if w•✓'. sus•-nded for more the 180 days. ATTENTI••: . -•on law requires you to follow the rules adopted by the Oregon Utility Notification Cente. "os ru-s - - set forth ' OAR 952-001-00 •through OAR ••2-r s -0.:. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198 or .800.•32 • Issue. By: A--- OWNER i:� �l Permittee Signature: C / . _ OWNER INSTALLATION ONLY / ' The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' -' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Electrical Permit A• .1i ,, L4.1 ,- .. TORR 01.1.1(4 t ,l.. Oy1.1 City of Tigard ' Date Received © Permit#:GG _ovh,-dao 5- irk 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review • Phone: 503.718.2439 Fax: 5Q3.$g.L96Q Date/B : Related Permit#: Inspection Line: 503.639.4175M(�K e jj 2016 Ready Date/By: Anis. ® See Page 2 for I I t, \k I) Internet: www.tigard-or.gov Notified/Method: Supplemental Information . TYW Ri (JA PLAN REVIEW ❑New construction * > 14ii Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition ❑Other: where the available fault current 0 Marinas and boatyards. ,, CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 Floating buildings. 5\and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14.000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION'AND LOCATION 0 Emergency system. larger separately derived `, v 0 Addition of new motor load of system. �VJob#: Job site address: lt4 t(l e_3. 100HP or more. ❑"A"."E "1 2 "l-3". r--. J �/ ❑Six or more residential units. occupancy. City/State/ZIP: l t�ct. (J(x-� 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: ..(l 9,1[e K. 0 Hazardous locations. 0 Supply voltage for more than r0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. 1... Each I Total New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sqft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 ?Clare-\ I�Sr.{'-`^�"� �e,� ��'e t (with above sq.ft.) ` Limited energy,multi-family CQ✓t-tw} Q,e•- ,c/1 t‘C„_ I- ,0 ` C " residential(with above sq.ft.) Renewable Energy 0 See Page 2 75.00 0 PROPERTY OWNER ' � 0 TENANT Services or feeders installation,alteration,and/or relocationp` Name: 200 amps or less 1 100.70 /w.7C 2 201 amps to 400 amps 133.56 2 Address: 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 1 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 0 APPLICANT ' 0 CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name: above service or feeder fee, e each branch circuit 7'42 / '" to 2 Contact name: B.Fee for branch circuits without Address: service or feeder fee,first branch circuit 56.18 2 City/State/ZIP: Each add'I 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 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: , ,c`1' `1 J Ou s rv-Q __ 1 670 X,j Sign or outline lighting 67.84 2 .5 Signal circuit(s)or limited-energy Address: ElSee Page 2 2 6 0 37 ��, 5c,,z�v� L4� panel,alteration,or extension. City/State/ZIP: S .` `� rt/ g7/416:" i��i/� Each additional inspection over allowable in any of the above tlr I [ Additional inspection(1 hr min 66.25/hr �vC p ) Phone:(5 3) "1 7'7,G'xj Y Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(I hr min) 78.18/hr Email: [-y v.', Zv\..a_ C' kNo.k-Atni ' , Inspections for which no fee is G specifically fisted('/ hr min) 90.00/hr CCB Lic.: -t S'c, 27 Electrical Lic.: Z.y a? Suprv. Lie.: 5)7(0,5 pe y ELECTRICAL PERMIT FEES Suprv. Electric n signature,required: �O Subtotal: 1w 06 Print name:Electric"' a.0,..v \C't Date: 3-3k- k, ❑Plan Review Required(25%of pennit fee): State surcharge(12%of pennit fee): 19.7e, Authorized signatur TOTAL PERMIT FEE: 1 79,2¢ ( This permit application expires if a permit is not obtain Print name: LL 1 Date: 3 f (� days after it has been accepted as : p _ t f �� 11.�� * Number of inspections allowed per permit. fj 9 ,a7I:Building Permits ETC_PennitApp_F.I.R_ERE.doe Res 06 172015 440-4615T(11 05 COM WEB /fes/7/ Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: ttOttitl4'1,' .'WORK C01'i'1,11(; r ;. , FEE Scf ►u}: 5 Description I Qty. I Each I Total I * 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 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: n Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 n 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 El Vacuum Systems* >100 kea no additional charge 0.0 3 Each additional inspection over allowable in any of the above: 111 Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('/z hr min) COMMERCIAL WORK ONLY: E aituca><, 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 n Boiler Controls ❑ Clock Systems n Data Telecommunication Installation ri Fire Alarm Installation n HVAC n Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* ❑ Medical n Nurse Calls ❑ Outdoor Landscape Lighting* n Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I.Building Permits I I C Permit App FLR_ERE.doe Ree 06 I7 2015