Permit CITY OF TIGARDIII ELECTRICAL PERMIT
'• COMMUNITY DEVELOPMENT Permit#: ELC2016-00567
TR33A.RL 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/18/2016
Parcel: 1S134BD02100
Jurisdiction: Tigard
Site address: 11805 SW SCHOLLWOOD CT
Project: Murthy Subdivision: ENGLEWOOD NO.2 Lot: 109
Project Description: Panel&meter base upgrade
Contractor: SAVYASAACHI KESHAVA MURTHY Owner: MURTHY, SAVYASAACHI KESHAVA
11805 SW SCHOLLWOOD CT 11805 SW SCHOLLWOOD CT
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503-720-3064 PHONE: 503-720-3064
FAX:
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 07/18/2016 $100.70
Specifics: amps or less
1 ea 12%State Surcharge- 07/18/2016 $12.08
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $112.78
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. A NTION: • -.on law -• ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules re set forth in OAR
952-00 -0010 through OAR 45 •11-009+. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19 or 1.800.332.2344
Iss ed By: ' /� Permittee Signature: ��
a_
OWNER INSTALLATION ONLY
The installation is being made on property • n which is not inten'e•for sale,lease or rent. s�
OWNER'S SIGNATURE Date: / /S/ '
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 ,-, Folz orrice: I:SE 0y1.1
Cl Of Tl and LA.)4,,,,_1 =� > Y Received 7
`J ✓g Date/B ( i g ko MI Permit#: ELC o 0/6—00 5.4
III • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
G Phone: 503.718.2439 Fax: 503.598.1 1 S 2J I6 Date/B : Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: kris: ® See Page 2 for
I I G A R D Internet: www.tigard-or.gov g^� ..
W t a�:,'10, -`t. Notified Method: Supplemental Information
TYPE PLAN REVIEW
0 New construction 0 Addition/alteration/replacement 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.
❑Demolition 0 Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION: exceeds 10,000 amps at 150 volts or 0 Floating buildings.
El 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
Multi-familyampMaster builderOther: Fire for all other installations. butdings.
❑ ❑ 0 0Fire pump. Installation❑ of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
C' ❑Addition of new motor load of system.
Job#: Job site address:
i d O a 3 i*_5 SC H,LLL1 O:v.Cr l0OHP or more. ❑«A» «E„ «I 2»<.1 3>,
^ �-y� n
0 Six or more residential units. occupancy.
City/State/ZIP: T J C I--GJ\I-'� v'` q 72-2-3 0 Recreational vehicle parks.
❑Health-care facilities.
Suite/bldg./apt.#: Project name: 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: Style SC}A.v L.Lt..l 2-:r- LT FEE SCHEDULE
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
PANIC-L— ,c Tc-- v (; p((7�'�1[= (with above sq.ft.) 75.00 2
Limited energy,multi-family
75.00 2
residential(with above sq.ft.)
j3"PROPERTY OWNER 0 TENANT Renewable Energy 0 See Page 2
Services or feeders installation,alteration,and/or relocation
Name: S A v.y/5 A Ac E4 I v£5 i4 A i n M V 10-.'(({7 200 amps or less P 100.70 kV. b 2
Address: 201 amps to 400 amps 133.56 2
((E O j 5,,.-.1 S C_1-1 o2-L(.-S i,3`.;: C T 401 amps to 600 amps 200.34 2
City/State/ZIP:
(t,I,VL 0e 012 2 Z 3 601 amps to 1,000 amps 301.04 2
Phone:(5 c3) 7;2_o; S v 6 4_, Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: _SA v'v A s A A L l-k , i-. ce cCry M,l-)Z L : C C3 t^i
relocation
Owner installation:This installation is b-ing made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchar .e according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: ----- Date: 7)(S'I:2 1 6 401 amps to 599 amps 168.54 2
0
APPLIC 9`CONTACT FERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: above service or feeder fee,
each branch circuit 7.42 2
Contact name: B.Fee for branch circuits without
Address: service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Each add'l 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: V (_,L.)/\) e VL. Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: panel,alteration,or extension. g
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
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: /40. 70
Print name: Date: 0 Plan Review Required(25%of permit fee): ------
State surcharge(12%of permit fee): /A,p g
TOTAL PERMIT FEE:
Authorized signature: ii A-?
This permit application expires if a permit is not obtained within 180
Print name: SA v>/{SA Ac RI ,CS 14 A-v Ari t;tri+y Date: .� ( s days after it has been accepted as complete.
1 i 6 * Number of inspections allowed per permit.
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
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 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:
❑ 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
55226 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 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed('/Z hr min)
COi��I1VI R+C ::WORIC ONLY:
ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
* Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
n Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
L Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
❑ 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\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
11805 SW SCHOLLWOOD CT, TIGARD, OR,
97223
Residential - Electrical
199 Electrical final
PASS - No C of O
ELC2016-00567
Jeff Grove
Violation Summary:
Inspector Contractor