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Permit (31) CITY OF TIGARD ELECTRICAL PERMIT a I ' COMMUNITY DEVELOPMENT Permit#: ELC2017-00228 T(GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/03/2017 Parcel: 2S 110DA04300 Jurisdiction: Tigard Site address: 10810 SW KABLE ST Project: Meehl Subdivision: ERICKSON HEIGHTS Lot: 4 Project Description: (1)branch circuit for basement remodel. Contractor: BOB MEEHL Owner: MEEHL, ROBERT C& 10810 SW KABLE ST GUERTIN, MARY M TIGARD, OR 97224 10810 SW KABLE ST TIGARD, OR 97224 PHONE: 503-312-9093 PHONE: 503-312-9093 FAX: FEES Quantity Description Date Amount Specifics: 1 crt Branch Circuits wo/Purchase 04/03/2017 $56.18 Service or Feeder 1 ea 12%State Surcharge- 04/03/2017 $6.74 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $62.92 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. ATT 4111: : -.on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-410 through OAR+52-00 :.90 ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. IPIssue. :y: l t-. , ii . .4 ' Permittee Signature: ' , I..1"/ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATURE o vraelzig ••• 17-40--i'------ Date: /4/ 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 , ,, , - - , ' I OR 01 1 1(1, F 1. 0y1.1 1. Da City of Tigard Received J/© Permit#: X�L L 7- 02,, , ' II m 13125 SW Hall Blvd.,Tigard,OR 97223 Yc =': / II , Plann Revie Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: T I G A ti D Inspection Line: 503.639.4175 `i Ready Date/By: Juris: Vi See Page 2 for Internet: www.ti and-or. ov ` g g Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑New construction ❑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. ❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. Multi-family 0 Master builder 0 Other: 0 Fireum . P P 0 Installation of 150 KVA or JOB`SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: /e1",, ,, _ ❑Addition of new motor load of system. ��) j eA)/ ' j .0 .e..---:" - 100HP or more. ❑ A» E» l_2»`<l_3» City/State/ZIP: 7-(' A e-e Q� G7� rI /ems ❑Six or more residential units. occupancy. �` 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: /C. 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: 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 DESCRIPTION OF WORK Ea. 500 sq.ft.or portion 33.92 1 Limitedited energy,residential 5-rt- L /-; � (with above sq.ft.) 75.00 2 -7-15-74, _ �' i Limited energy,multi-family •— .t::2 residential(with above sq.ft.) 75.00 2 0 PROPERTY OWNER 0 TENANTRenewable Energy 0 See Page 2 Services or feeders installation,alte ion,and/or relocation Name: (ai/Lt� 200 amps or less 100.70 2 Address: 201 amps to 400 amps 133.56 2 / �� lam, C 401 amps to 600 amps 200.34 2 City/State/ZIP: 7-e;"4,i47,-- 72...2_,I 601 amps to 1,000 amps 301.04 2 Phone:(Se 37 90 9 3 'TFax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or 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,>j: .r exchang- a •o d _to ORS 447,449,670, 70 . 201 amps to 400 amps 125.08 2 Owner signature: - ' /or• - re%-7/-c_ Date: 401 amps to 599 amps 168.54 2 0 •.'PLICANT 0 CONTACT PERSON Branch circuits-c 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 // G Address: service or feeder fee,first / 56.18jl 2 branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Phone: Miscellaneous(service or feeder not included) ( ) Fax: :( ) Each manufactured or modular dwelling, 67.84 2 Email: service and/or feeder Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: (4) v 4)L&) A 1 E2 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 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 CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed(%hr min) 90.00/hr Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES Subtotal: 5-6./(1) Print name: Date: 0 Plan Review Required(25%of permit fee): ., — State surcharge(12%of permit fee): (s•74 Authorized signature: TOTAL PERMIT FEE f a .9 a This permit application expires if a permit is not obtained within 180 Print name: pI� Date: /�� / / days after it has been accepted as complete. �/ //� ! / * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 44 15T(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 I Total I * Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less 100.70 2 Check Type of Work Involved: 133.56 2 5.01 to 15 kva n 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 ❑ 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 n V• acuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: FlEach additional inspection is 66.25/hr 1 O• ther: charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('/z hr min) ;ELECTRICAL PPM? 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 ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems n 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