The URL can be used to link to this page

Permit (11) CITY OF TIGARD ELECTRICAL PERMIT 2 '' COMMUNITY DEVELOPMENT Permit#: ELC2016-00737 T GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/28/2016 E Parcel: 2S110AB02300 Jurisdiction: Tigard Site address: 14420 SW 114TH AVE Project: CACH Subdivision: COLE'S ACRES Lot: 9 Project Description: (10)branch circuits for kitchen remodel and recessed lighting. Contractor: OCHSNER ELECTRIC INC Owner: CACH, CHRISTOPHER J&SHERI LF 12027 NE SUMNER ST#1G 14420 SW 114TH AVE PORTLAND, OR 97220 TIGARD, OR 97224 PHONE: 503-254-0015 PHONE: FAX: 503-254-8126 FEES Quantity Description Date Amount 10 crt Branch Circuits wo/Purchase 09/28/2016 $122.96 Specifics: Service or Feeder 1 ea 12%State Surcharge- 09/28/2016 $14.76 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $137.72 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. NTION: Or-=•n law --uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0 -0010 through OAR 9,2- 01-0090.Aiimay obtain a copy of the rules or direct questions to OUNC by calling 503.2 2.1987 1.800.332.2 (`_ Ise ed By: __ AL / / Permittee Signature: `ter 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' _ 01..... 41 U sw Date: 19/9v// LICENSE NO. y� 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 Received City of Tigard Date/By IITIEVAIIIIIIIIIMMINISIIII 111 a 13125 SW Hall Blvd.,Tigard,OR 972 �(j Plan Review Phone: 503.718.2439 Fax: 503.598.1960 E0 2 2'O Related Permit II: DateBy: Inspection Line: 503.639.4175 5 , 1 Ready Date/By. lur ® See Page 2 for TIGARD Internet: www.tigard-or.gov ` Q� -.‘,.1‘341,�11�`•ified/Method: ',/----(7.',.---6 Supplemental Information .w l,©1 wi It i Ok�� v; .. ..,.. PiA+l RpflEW E New construction ®Addition/alteratmeP placement Please check all that apply(submit 2 sets of plans w Items checked). ❑Service or feeder 400 amps or more ❑Building over Ybree stones. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. iCAT t COONST1'hl T amps atorting bt dings. exceeds 10,000 150 volts 0 Floa til ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less:of o ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑ Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB StEE INFOR1ATIbiN iAND LOCATION ❑Emergency systemlarger separately derived Job site address: 14420 SW 114th Ave. ❑Addition of new motor load of system. JOb#: 1001-1P or more. ❑"A" "E""1-2" "1-3" City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: ❑Hazardous locations 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. 11 Cross street/directions to job site: FEE Sritt# E 4 4% Description I Qty. I Each Total , New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sqft.or less 168.54 4 Tax map/parcel#: Ea.add'1500 sq.ft.or portion n 33.92 1 ... �.� i .j .0141s'If`1 ON s, Limited energy,residential75.00 Add circuits for kitchen remodel. Install recessed lighting in basement and Pt (with above sq.ft.) 2 1 Limited energy,multi-family 75.00 2 floor residential(with above sq.ft.) Renewable Energy 0 See Page 2 . F t11.0f '" OWNER. -. w.' 1xIANT Services or feeders installation,alteration,and/or relocation Name:Chris Cach 200 amps or less 100.70 2 Address: 14420 SW 114th Ave 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Tigard,OR 97225 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 E {{( r . Branch circuits—new,alteration,or extension,per panel E A t iAl T ?L C1NTAC , ?N. m A.Fee for branch circuits with 1 Business name: above service or feeder fee, 7.42 �8 2 each branch circuit Contact name: B.Fee for branch circuits without service or feeder fee,first 1 56.18 56.18 2 Address: branch circuit City/State/ZIP: Each add'I branch circuit / 7.42 C‘rizr 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 _ ":14:g.:2"-- 11':•I' ': o 04-crf ,_ . . :....,. ).-o.. Pump or irrigation circle 67.84 2 Business name:Ochsner Electric,Inc Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: 12027 NE Sumner St#1G panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP:Portland,OR 97220 Additional inspection(1 hr min) 66.25/hr Phone:(503)254-0015 Fax:(503)254-8126 Investigation(1 hr min) , 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: /0////9 Inspections for which no fee is 90.00/hr L' CCB Lic.: 88522 Electr. al .: 26;/323C 'uprv. .: 5363S specifically listed CA hr min) . Lt TEIc L RMIT FEES Suprv.Electrician signature,requi ed: - ( Subtotal: 122.96 Print name: Justin K.Ochsner Date: 9-28-2016 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): 14.76 i Authorized signature: TOTAL PERMIT FEE: 137.72 This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. 1:1Building\Permits\ELC_PermitApp_ELR_EKE.doe Rev 06/I7/2015 440-4615T(I I/05/COM/WEB