Permit (37) CITY OF TIGARD ELECTRICAL PERMIT
F :' COMMUNITY DEVELOPMENT Permit#: ELC2017-00361
13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439 Date Issued: 05/22/2017
[ 'A 'D g Parcel: 1 S 125 DA03800
Jurisdiction: Tigard
Site address: 6620 SW WALNUT TER
Project: Kovalev Subdivision: KINGS VIEW Lot: 23
Project Description: (1)branch circuit for a/c
Contractor: SUNLIGHT ELECTRIC INC Owner: KOVALEV,VITALY&ANITA
2804 NE 65TH AVE SUITE D 6990 SW CANBY ST
VANCOUVER, WA 98661 PORTLAND, OR 97223
PHONE: 360-772-3877 PHONE:
FAX: 360-694-9728
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 05/22/2017 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 05/22/2017 $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. ATTENT• . Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-00 •through••R 955-0 0. You may obtai a copy of the rules or direct questions to OUNC by calling 503.232 1987 or 1.800.332.2344.
Issued B : - (�"� ,�_i Permittee Signature:
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. /79S
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()1.:.(II I R I t ‘..1.•
City of Tigard RECEIVED Received gg-/ 7Y 2,/,„
Date/By: / Pemiit No.: 5,45U/7..Go,...„..,/
, 13125 SW Hall Blvd.,Tigard,OR 97223 Phut Review
Phone: 503.718.2439 Fax: 503.591vr 2 2 2017 _Rale/EV:DOther Permit:
-• Inspection Line: 503.639.4175 ata Ready/By: Jam. - ES See Page 2 for
Itt,:k kt)
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
.X.
.F TIGARD ' , _
, . PLAN REVIEW • -
0 Additi,sin Ill 1 ,8!,ilili.Gicp acDIVISnim
It ...-.- Please cheek all that apply(submit/sets of plans mortems checked below):New construction
0 Service or feeder 400 amps or more 0 Building over three stories
0 Demolition 0 Other: wham the available fault current 0 Marinas and boatyards.
CATEGORY OF comritcriorf . exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground,or exceeds 14,000 0 Cinfirucrcial-use agricultural
1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
0 Multi-family 0 Master builder . 0 Other: la Eire away. 0 Installation of 75 KVA or
0 Emergency system. larger separately derived system.
MR SITE INFORMATION AND LOCATION 0 Addition of new motor load of 0"A","E"," .2","1-3",
Job no.: Job site address: caig. sw
\ ititit,cr osl:or mcirommcue:dential units. occupancy.
0 Recreational vehicle parka.
City/State/ .
1 °°' A
ZIP. -r it L O Healthcare facilities.
011azardaus location& 0 Supply voltage for more than
600 volts nominal.
Suite/bldg./apt no,:. 0 Project name: 0 Service or feeder 600 sups or more.
FEE SCHEDULE '
Cross street/directions to job site: Desensitise I our 1 sm 1 Teal 1
— --** New raddentleisingle-or multi-family dwelling unit
Includes attached garage.
Subdivision: Lot no.: 1,000 sq.ft.or leas 168.54 4
- Ea.add'i 500 sq.ft.or portion 33.92, —1---
Tax map/parcel no.: Limited emu,residential
75.00 2
DESCRIel'ION OF WORK - (with above sq.ft.)
Limited energy,multi-family
t. i ii, .
be, ft.)'- laex ir. ,4 ce, I.A.,)v-i(Ay residential with above sq.ft.) 75.00 2
Services or feeders installation,alteration,and/or relocation
200 amps or leas 100.70 2
0 PROPERTY OWNER j; 0 TENANT 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name:
' 601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
City/State/ZIP:
relocation
-
Phone:( ) Fax:( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 , 2
Owner installation:This installation is being made on property that I own which is not
401 amps to 599 amps 168.54 2
intended for sale,tease,rent,or exchange,according to ORS 447,449,670,and 701.
Branch circuits-new,alteration,or extension,per panel
Owner signature: Date:.............w.....____.__ A.Fee for branch circuits with
0 APPLICANT 0 CONTACI' PERSON above service or feeder 7.42 2
the,
each branch circuit
.
Business name: C(,(0 er.,( -140 ti_jt;6, ,- ' B.Pee for branch circuits without
service or feeder fee,ill%
f 56.18 2
Contact name: branch circuit
Each We branch circuit 7.42 2
Address:
Miscellaneous(service or feeder not included)
Each manufactured or modular
City/State/ZIP: ,,, 67.84
dwelling,service and/or feeder 2
/ Reconnect only 67.84 2
Phone:( ) Fax::( )
..... PwriP or Irrigation circle 67.84 2
;
E-mail:
Sign or outline lightMg 67.84 2
CONTRACTOR , ; - Signal circuit(s)or limited-energy
Business name: %.514 1"21*.i a,1,74._ g(.42 ,4-1.,,;c .17.12e, panel,alteration,or extension. Page 2 2
1 Each additional inspection over allowable in any of the above
Address: 2,glie'..t/E. 6-S-4-4 94,e- _ft_ito,..
Additional inspection(1 hr min) 66.25/is
66.25/hr
City/State/Z1P: Vet,k7 C 0 k 1,/-- 6/-. t/1/74 5)24' Investigation(1 hr min)
Industrial plant(1 hr min) 78.18/hr
Phone:(3Ca .5-/e 7-3-sef).",9 Fax:66. 5 £SC— 966 c) Inspections for which no fee is
90.00t hr
specifically listed Ph hr min)
CCB Lic.:/72,6-11.9 Electrical Lic.:-CZ 30 Suprv.Lie.: /7 73. s : ELECTRICAL PERMIT FEES
Subtotal: ..5'eo•i q
Suprv.Electrician signature,required:NoZ )..4....._..41
Plan review(25%of permit the): -,._-------'
Print name:C14 6-slb,--4, "..(, 4 6. ..........._-71 Date: tO-i.2,.--/b _ TOTAL State surcharge(12%of permit fee): 6•7g
2'ERMII'' P.E: _g _l
Authorized signature:
This permit application expires ifs permit Is not obtained within uto
Print name: . , I Date: i er) —1 2:-I 6days after it has been accepted as complete.
-,_.0 ,„.,vz • Number of inspections allowed per permit.
O'
1.43cikangTerniitsiELC,PermirApP 4404615TO 1/05/COM/WEB
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6620 SW WALNUT TER, TIGARD, OR, 97223 May 23, 2017 at 9:00:54 AM
Record Type: Record ID:
Residential - Electrical ELC2017-00361
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS - NoCofO
Comments:
AC connect ok.
Violation Summary:
Inspector Contractor