Permit (48) CITY OF TIGARD ELECTRICAL PERMIT
11111
• Permit ELC2016-00790
COMMUNITY DEVELOPMENT
T t . ;+ h.D13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 . Date Issued: 10/13/2016
ri Parcel: 2S110BC07500
Jurisdiction: Tigard
Site address: 12360 SW ASPEN RIDGE DR
Project: CANTRELL Subdivision: THORNWOOD Lot: 46
Project Description: Kitchen remodel completed without permits by previous owner. Investigative fee assessed for final inspection.
12/5/16,REPRINTED to add electrical contractor.
Contractor: B&0 ELECTRIC Owner: CANTRELL, DONALD P&DENISE L
21240 BOONES FERRY RD NE 12360 SW ASPEN RIDGE DR
AURORA, OR 97002 TIGARD, OR 97224
PHONE: 503-341-2203 PHONE:
FAX: 866-781-8957
FEES
Quantity Description Date Amount
Specifics: 1 ea Investigation Fee 10/13/2016 $90.00
1 ea Investigation 12%State 10/13/2016 $10.80
Type of Use: SF Surcharge
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $100.80
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. ATTE • • egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-,.10 through OAR •52-0r -.090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 1987, or 1.800.332.2344.
Issue. By: �,,(, c - -
— -_ Permittee Signature: � er-ir
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 603.639.4176 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.
IIIIICITY OF TIGARD ELECTRICAL PERMIT
1 " COMMUNITY DEVELOPMENT Permit#: ELC2016 00790
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/13/2016
Parcel: 2S110BC07500
Site address: 12360 SW ASPEN RIDGE DR Jurisdiction: Tigard
Project: CANTRELL Subdivision: THORNWOOD
Project Description: Kitchen remodel completed without ermits b Lot: 46
p y previous owner. Investigative fee assessed for final inspection.
Contractor: OWNER
Owner: CANTRELL, DONALD P& DENISE L
DAN& DENISE CANTRELL 12360 SW ASPEN RIDGE DR
12360 SW ASPEN RIDGE DRIVE
TIGARD, OR 97220 TIGARD, OR 97224
PHONE: 503-298-9630 PHONE:
FAX:
FEES
Quantity Description Date Amount
Specifics: 1 ea Investigation Fee 10/13/2016 $90.00
1 ea Investigation 12%State 10/13/2016 $10.80
Type of Use: SF Surcharge
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $100.80
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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-001 roug *AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 •:7• 1.8.s. 3 .2344.
Issued t ` ��
Permittee Signature: / �—
i �., -rump-
OWNER
'pOWNER INSTALLATION ONLY
The installation is being made on property I o. , ich'> intended for
OWNER'S SIGNATURE , . � ��/
_� Date: /0/-5/45'
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 ohhlc`l: l.sl:O\I.l
City of Tigard �t ' eceived
13125 SW Hall Blvd.,Tigard,OR 97223 til " ' Date/B • /�o, / _
C , 'i1
Ph
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Inspection Line: 503.639.4175 )n�f Date/B : Related Permit#: 4/("( .��' r -
T I G A R D 1 ,,k_, Ready Date/By: `See Page
a
Internet: www.tigard-or.gov N,tified/Method: ® See 2 nr
InformationSupplemental
TYPE OF WORK s�/O 4.ice
❑New construction �� �f' fit11 PLAN REVIEW
0 Addition/alteration/repla n�ttt 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.
El 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.
❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessorybuildingless to ground,or exceeds 14,000
0 Commercial-use agricultural
❑Multi-familyamps for all other installations. buildings.
0 Master builder
0 Other: 0 Fire pump.
JOB SITE INFORMATION AND LOCATION ❑larger
Installation separately 150 KVA or
0Emergency system. larger derived
Job#: I Job site address: �Ju s��, �� ❑Addition of new motor load of stem.
T>s r'.-z��t� 1S/r^ 10OHP or more. ❑«A»
City/State/ZIP:
` l�ti 7 �� rL "� � ❑Six or more residential units. occupancy.
Suite/bldg./apt.#: ❑Health-care facilities. 0 Recreational vehicle parks.
I Project namee„,,,.,..,-,-„,_, ❑Hazardous locations. 0 Supply voltage for more than
Cross street/directions to job site: 0 Service or feeder 600 amps or more. 600 volts nominal.
FEE SCHEDULE
Description I Qty. I Each I Total
Subdivision: New residential single-or multi-family dwelling unit.
I Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
DESCRIPTION OF WORK Ea. 500 sq.ft.or portion 33.92 1
Limiteitedd energy,residential
1�i FjLo ),i�cce (with above sq.ft.) 75.00 2
/� �� ie y I Limited energy,multi-family
� ,/� �/h/ residential(with above sq.ft.) 75.00 2
0 PROPY Ovet (iAt.
O ty +�z'� Renewable Energy> ❑ See Page 2
Name: � / ( Services or feeders installation,alteration,and/or relocation
G� LA `.q"Z 6'7>`=(. ( ./e/40 th; -{,200 amps or less 100.70 2
Address: -Z, cf 9 201 amps to 400 amps 133.56 2
City/State/ZIP: s----t ,) t2 72 Z / 401 amps to 1,0 amps 200.341 2
Phone: , x t ��y -�-� � 601 amps to 1,000 amps 301.04 2
(5; )��e,- - ems' 3,-: I Fax:( ) Over 1,000 amps or volts 552.26
Email: Temporary services or feeders installation,alteration,and/or2
Owner installation:This installation is being on property madethat I own which is not 20 00 20pon
amps or less 59.36 1
intended for sale,lease,rent, . I,a
c eccordinI t.
t1he 670,and 701. 201 amps to 400 amps
Owner signature: 125.08 2
��" Date:fr /j(/(/�, 401 amps to 599 amps 168.54 2
❑ APPLIC 0 CONTACT PERSON Branch circuits—new,alteration,or extension, .er panel
Business name: A.Fee for branch circuits with
above service or feeder fee,
Contact name: each branch circuit 7.42 2
B.Fee for branch circuits without
Address: service or feeder fee,first
branch circuit 56.18 2
City/State/ZIP: Each add'l branch circuit
_ 7.42 2
Phone:( ) I Fax: :( ) Miscellaneous(service or feeder not included)
Each manufactured or modular
Email: dwelling,service and/or feeder 67.84 2
CONTRACTOR Reconnect only 67.84 2
Business name: c.i f v
Pump or irrigation circle 67.84 2
1''-_ — ._ Sign or outline lighting 67.84 2
Address: Signal circuit(s)or limited-energy
panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP: Each additional inspection over allowable in any of the above
Phone:( ) Additional inspection(1 hr min) 66.25/hr
I Fax:( ) Investigation(1 hr min) y
90.00/hr /a,Ri
Email: Industrial plant(1 hr min) 78.18/hr
CCB Lic.: Inspections for which no fee is
Electrical Lic.: I Suprv.Lic.: specifically listed(''/z hr min) 90.00/hr
Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES
Print name: Subtotal: Old
Date: 0 Plan Review Required(25%of permit fee):
A
Authorized signature: TOTAL PERMIT FEE: 0
; r2 ,
This permit application expires if a permit is not obtained within 180
'i, `� Ak— n t I Date: /2,���( '�� I,, days after it has been accepted as complete.
I.\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
J * Number of inspections allowed per permit. re
State surcharge(12%of permit fee): t
Print name: �-
440-4615T(I 1/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
FEE SCHEDULE
RESIDENTIAL WORK ONLY: Description H Qty. I Each I Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less 100.70 2
Check Type of Work Involved: 5.01 to 15 kva 133.56 2
❑ 15.01 to 25 kva 200.34 2
Audio and Stereo Systems*
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
❑ Garage Door Opener* >100 kva(fee in accordance 552.26 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
>100 kva-no additional charge 0.0 3
❑ Vacuum Systems* Each additional inspection over allowable in any of the above:
Each additional inspection is 66.25/hr 1
❑ Other: charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed('/hr min)
" ELECTRICAL PERMIT'FEES ;.•
COMMERCIAL WORK ONLY: Subtotal(Enter on Page 1):
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
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
C] HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ 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
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
12360 SW ASPEN RIDGE DR, TIGARD, OR,
97224
Record Type:
Residential - Electrical
Inspection Type:
199 Electrical final
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
December 12, 2016 at 9:25:02
AM
Record ID:
ELC2016-00790
Inspector:
Jeff Grove
Contractor