Loading...
Permit (34) CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2016-00597 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/27/2016 Parcel: 2S103CA02600 Jurisdiction: Tigard Site address: 11905 SW JAMES CT Project: GRAHAM Subdivision: TRAVPORT PARK Lot: 6 Project Description: (2)branch circuits for Kitchen Remodel. Contractor: BRIGHTSIDE ELECTRIC&LIGHTING SERV Owner: GRAHAM, BRENTON PO BOX 930 RAMSEY, BRIDGET CARLTON, OR 97111 11905 SW JAMES ST TIGARD,OR 97223 PHONE: 503-852-7900 PHONE: FAX: 503-852-9573 FEES Quantity Description Date Amount 2 crt Branch Circuits wo/Purchase 07/27/2016 $63.60 Specifics: Service or Feeder 1 ea 12%State Surcharge- 07/27/2016 $7.63 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $71.23 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 -s adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR ����llll ,� 952-001-0010 through OAR 952-001-0090. You m 'n copy o or direct questions to OUNC by calli , 3 3 .1987 or 1.800. 32.2344. Issued By: Z�-✓✓`�' -- f Permi ee ignature: 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 Application FOR OFFICE USE ONLY City of Tigard � ,,, ,` DateBe� � i ' PermitNo.: !Y) l., I a 13125 SW Hall Blvd.,Tigard,OR 972 's c3 t Plan Review ' `�C� Phone: 503.718.2439 Fax: 503.598.1960 }i `^ " Date/B : Other Permit: • S /(0...i i Inspection Line: 503 639 4175 ;Date Read/B Jur�s TIGARQReady/By: ® SeePage2for Internet: www.tigard-or.gov ,- , illtkfied/Method Supplemental Information ..: 3 YPE+ Off'"4 O .' $ 1 . ' P ;ANi 'viu;4 ` 0 New construction Addition/alteratiOn/replacement Please check all that apply(submit 2 sets of plans w/items checked below): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other: where the available fault current ❑Marinas and boatyards. �` exceeds 10,000 ampsFloating g ; . CA'I'EGORS�joF SONS YI U CC1Il�N i' • ' '�' at 1501volts or 0 buildings. less toground,or exceeds 14,000 0 Commercial-use agricultural C$ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 RVA or �n 'I ( iAIN ❑Emergency system. larger separately derived system. 1 �� ���. 0 Addition of new motor load of 0"A" Job no.: Job site address: 5Al100HP or more. occupancy. 05y_ //?o5A To CI 0 Six or more residential units. 0 Recreational vehicle parks. City/State/ZIP: ( r trJ�a n� 0/. 97 zZ , 0 Health-care facilities. 0 Supply voltage for more than /// ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: 0 Service or feeder 600 amps or more. j � � �jr�. ��rn�o�� SCFIED Cross street/directions to job site: � � ° S �-�Q W��� �� Description � Qty. I Fee. I Total New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential `` 4UEScmr Into 'k ORK„r;! A x )0;, ', (withq ft.) 75.00 2 Limited energy,n It ‘ ' ; above s Multi-family residential(with above sq.ft.) 75.00 2 Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 ©*:Rii P3i�a f OW;i ER ! 0 EN I � „ , 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City/State/ZIP: Temporary services or feeders installation,alteration,and/or relocation Phone:( ) Fax:( ) 200 amps or less 59.36 1 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 Branch circuits—new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits with 0 AI'PUCA 1T : ,; " '0 CONTACT ERSO" ryf �j - � - - each above branchseice circoruiteeder fee, 1 7.42 7, 72 2 Business name: B.Fee for branch circuits without !� service or feeder fee,first 56.18 4./5 2 Contact name: branch circuit Each add'l branch circuit 7.42 2 Address: Miscellaneous(service or feeder not included) Each manufactured or modular City/State/ZIP: dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 Phone:( ) Fax: :( ) Pump or irrigation circle 67.84 2 E-mail: Sign or outline lighting 67.84 2 1! ,. _ ONTRkCkOR „� yin`" Signal circuit(s)or limited-energy Business name: � panel,alteration,or extension. Page 2 2 � �J/,F �64I� 9 Each additional inspection over allowable in any of the above Address: PO q'3D Additional inspection(1 hr min) 66.25/hr City/State/ZIP: wZ d� o' 97(�/ Investigation(1 hr min) 66.25/hr T / 7 Industrial plant(1 hr min) 78.18/hr Phone:(yo3) 9y"2— 79' Fax:�G 3 ) Ff2--c75- ; Inspections for which no fee is r specifically listed('V*hr min) 90.00/hr CCB Lic.: /5-1,57‘a Electrical Lic.:j4'//O L Suprv.Lic.:S"3gGS I CTRICA � � IwEES - ` Subtotal: 43 , Suprv.Electrician signature,required: �.-,,frit n 0e Q civ t-r� �-t Plan review(25%of permit fee): '✓ Print name: 0,91/1 p / d z ........// ate: /_ _is-/Z State surcharge(12%of permit fee): 7t.6 �7 YJ TOTAL PERMIT FEE: 7 / 2 3 Authorized signature: , This permit application expires if a permit is not obtained within 180 i �' days after it has been accepted as complete. Print name: 4,9_,,,e), Date: Z �r��e� � ��G- * Number of inspections allowed per permit. I:\Building\Permits\ELC-PermitApp.doc 07/01/10 440-46151(11/05/COM/WEB 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 11905 SW JAMES CT, TIGARD, OR, 97223 Residential - Electrical 199 Electrical final PASS - No C of O ELC2016-00597 Jeff Grove Violation Summary: Inspector Contractor