Loading...
Permit (276) CITY OF TIGARD ELECTRICAL PERMIT IIICOMMUNITY DEVELOPMENT Permit#: ELC2016-00918 Date Issued: 12/05/2016 T f(1 A k'.1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S114BA01200 Jurisdiction: Tigard Site address: 16145 SW GRIMSON CT Project: MONROE Subdivision: PICK'S LANDING NO.2 Lot: 127 Project Description: (1)service and(7)branch circuits for addition Contractor: KVA ELECTRICAL LLC Owner: MONROE, CONNIE LEE PO BOX 12069 16145 SW GRIMSON CT SALEM,OR 97309 TIGARD, OR 97224 PHONE: PHONE: 503-689-4822 FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-200 12/05/2016 $100.70 Specifics: amps or less 7 crt Branch Circuits w/Purchase 12/05/2016 $51.94 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 12/05/2016 $18.32 Electrical Type of Const: Occupancy Grp: Total $170.96 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. AT TION: Or-•on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 0010 through OAR•52-0. u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. IssGed By: / Permittee Signature: G 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: —144— LICENSE NO. 34,( 75 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 1:OR OFFI('F I SF OWN Ll Received �Q City of Tigard Date/By: / ...1s---/4,0,h Permit#: Eizgo/ -co l?/� 13125 SW Hall Blvd.,Tig .i \Phone: 503.718.2439 F � � ,� Plan Review Inspection Line: 503.639.417©1 peoNiallrib.. A Date/By: Related Permit#: Internet: www.tigard-or.gov 9 OZ (1 Ready Date/By: Allis: s See Page 2 for t Notified/Method: Supplemental Information C131\1333 Email: 1 � i � � K 1'/f-E.ice ru+ �r � !I C_ e ell k t'�I n tiucti .ii Ddition/alteraho repent � emon ' Other. Business name: jet f c1-1 / //c. ',CA Y � TR1 < .o- ,k .. Address: /Cl' ;� /Z Vii/ (1-and 2-family dwelling r Commercial/industrial Accessory building City/State/ZIP:jri.,/ — �,i e `73 ( C 1 Multifamily Master builder Other: Phone:(9� )(e• 4?Z Z Fax:( ) ��_.- �.., .x ,. Email: ���'IPC( 7/1/17_ Job#: Job site address: / ,/9 5 �lz///r j Oti/ C � CC L c.: r Electrical Lic.: ��� Sl B l 2,� e yZ7 rod1/t1 G /c 6 City/State/ZIP: . /6 fz/) of_ '7722_(-1 Suprv.Electrician signature,required: 3(:/7.3 Suite/bldg./apt.#: Project name: I // / Print name: e.....„, �_.--�1 i�hi�o[ C:. t. /( Cross street/directions to job site: <' Authorized sign\ j Print name: / __----•`'���� D Subdivision: Lot#: 1 V Tax map/parcel#: w , s CRIPT` O - Please check all that apply(submit 1 sets of plans w/items // / checked): (-- L"-Jk 1 L 'j,-, -7 C J//(/.1 (, c /' ,--ft-4.✓ Service or feeder 400 amps or Building over three more stories. / Ti l f where the available fault Marinas and boatyards. current Floating buildings. A exceeds 10,000 amps at 150 Commercial-use w. _ - . e . ...,. , ,.,._. i ,_ volts OI agricultural Name: Cc)v1 1 1 less to ground,or exceeds buildings. Lec /t/t(9A(`Cf' 14,000 Installation of 150 KVA or Address: amps for all other installations. larger separately derived {6 I S�✓ ��/l n ft✓� L� Fire pump. system. Emergency system. City/State/ZIP: i f a rd, ( oq Addition of new motor load of occupancy. Phone:(,.j0 ) ,5 Oil 501? Fax:( ) 100HP or more. Recreational vehicle parks. Six or more residential units. Supply voltage for more Ercall: Health-care facilities. than Hazardous locations. 600 volts nominal. Owner installation:This installation is being made on property that I own which is Service or feeder 600 amps or more. not intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Owner signature: Date: Description Qty. Each Total PPLI , NTACT New residential single-or multi-family dwelling ,., unit. Includes attached garage..r' ''Business name: KW. c lc,�/72/ / i/C. Contact name: 1//41:t2/ f 1,000 sq.ft,or less 168.54 4 Address: iEa.addl.500 sq.ft.or - )- 'g r (�/ Z_G q portion 33.92 1 City/State/ZIP: S (L.4,1,''1/64 e/756 9 Limited energy,residential 75.00 2 Phone:(4";'.1.3 ) 4,8 i_ Y8 2.Z Fax: :( ) (with above sq.ft.) 1:\Building'Permits'ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-46151'01/05/COM/WEB Limited energy multi-family State surcharge(12%of permit fee): / '>/ residential(with above sq. 75.00 2 ft.) TOTAL PERMIT FEE: 70,4 Renewable Energy See Page 2 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. ! Services or feeders installation,alteration,and/or * Number of inspections allowed per permit. relocation 200 amps or less 100.70 tr.gc 2 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration, and/or relocation 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 401 amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with above service or feeder fee,each branch 7 7.42 4—) ,eiti2 circuit B.Fee for branch circuits without service or feeder fee,first branch circuit 56.1$ 2 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Each manufactured or modular dwelling,service 67.84 2 and/or feeder Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 Sign or outline lighting 67.84 2 Signal circuit(s)or limited- energy panel,alteration,or See Page 2 2 extension. Each additional inspection over allowable in any of the above Additional inspection(1 hr 66.25/hr min) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr specifically listed(Y2 hr min) Subtotal: /526)1 5 1 /,1/ Plan Review Required(25%of permit C fee): I:\Building\Pemmits\ELC_PernitApp_ELR ERE.doe Rev 06/17/2015 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16145 SW GRIMSON CT, TIGARD, OR, 97224 Record Type: Record ID: Residential - Electrical ELC2016-00918 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor