Permit (42) INCITY OF TIGARD ELECTRICAL PERMIT
'. COMMUNITY DEVELOPMENT Permit#: ELC2017-00471
TEGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/21/2017
Parcel: 2S 111 D B 13000
Jurisdiction: Tigard
Site address: 15134 SW 96TH AVE
Project: MCNAMEE Subdivision: 1991-034 PARTITION PLAT
Project Description: (1)branch circuit for hot tub Lot: 2
Contractor: OWNER
Owner: MCNAMEE, MELVIN C JR& RISA L
MELVIN MCNAMEE 15134 SW 96TH AVE
15134 SW 96TH AVE TIGARD, OR 97224
TIGARD, OR 97224
PHONE: 503-624-1459 PHONE:
FAX:
FEES
Quantity Description Date Amount
Specifics: 1 crt Branch Circuits wo/Purchase 06/21/2017 $56.18
Service or Feeder
1 ea 12%State Surcharge- 06/21/2017 $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 •1: • -;•n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-4 4 10 through OAR 9 -0i -00.0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued 0 / /,
Permittee Signature: )(2.-M--ori ( C-e.-----
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURECAj2 '2 G�(.---1- , /-
Date: tP �//7
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 Applica *,vt) t-, FOR OFF I( I. t 0\1.1
'1 _.i..„1 k,P,,ii '0" 4" j t
City of Tigard 4 DReactee/iBved: / AriP71
Alp Permit#: --40ley 7—ev /7
111 4 13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review '4.9
: I Phone: 503.718.2439 Fax: 503.59n.F9,609 1 ,,n,--,, Date/B : Related Permit#: Ai.,
Inspection Line: 503.639.4175 ' '' ''' A ' ''l' Ready Date/By: 1.174 Ili See Page 2 for
-1-I(,ARD
Internet: www.tigard-or.gov -., -, Notified/Method: Supplemental Information
' i- A,
TY' 0 a 0 ' PLAN REVIEW
• •a r
0 New construction 0 Addy . 2 tiWitieiiikef',i-, b ., 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.
0 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.
0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ['Emergency system, larger separately derived
Job#: Job site address:/5.,/u c tei 76 rff.nt/c.
„ • c, tip
- 0 Aiododitioonromfonre:motor load of system.
City/State/ZIP: 71-1 g A-8 D 0 8 q7aaq 0 Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: /4/074—Y-6,)6 0 Hazardous locations. 0 Supply voltage for more than
0 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
Ea.add'l 500 sq ft.or portion 33.92 1
PESOUrn014 OF WORK Limited energy,residential
49/c,'?id/6 A-afa ii of 7'-V 0 (with above sq.ft.)
75.00 2
Limited resicieenntieralgy multi-family(Withabove sq.ft.) 75.00 2
0 PROPERTY OWNER I 0 TENANT sReernv je we eas bel er feedersEner
Energy
installation,aloteraSteieonP,aagned/2or relocation
Name: 44 Li/i/t/M c ly 4-A4t-'E 200 amps or less 100.70 2
Address: /313 q s a/ (76 if----#. /live 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: fig 4-RD 08 97 4f 601 amps to 1,000 amps 301.04 2
Phone:(9)3.-6 a v,.4(/s--ci I Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: if ii 5,4 A4c NA iviF 0 c if ci615
t /14E7.—relocation
Owner installation:This installation is being made on perty that I own which is not 200 amps or less 59.36 1
intended for sale,lease,ren exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner 5( zA
eiipDate: 6....Jo--/-7,401 amps to 599 amps 168.54 2
ABrFanchfor circuitsh 7 newt,alliteration,or extension,per panel
0 APPLICANT 1 0 CONTACT PERSON '
s
wit
Business name: above service or feeder fee,
7.42 2
each branch circuit
Contact name: B.Fee for branch circuits without
service or feeder fee,first
/ 56.18 5--6./ 2
Address:
branch circuit
City/State/ZIP:
Each axle'branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) I Fax::( )
Each manufactured or modular
Email: 67.84 2
dwelling,service and/or feeder
Reconnect only 67.84 2
,Er.C.ION_TRACTOR Pump or irrigation circle 67.84 2
Business name: N\ 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:( ) I 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.: I Suprv.Lic.: specifically listed(Y2 hr min)
90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: 5-"&.l g
Print name: I Date: 0 Plan Review Required(25%of permit fee): ---
State surcharge(12%of permit fee): (
Authorized signature:
TOTAL PERMIT FEE: (rA.
This permit permit application expires if a permit is not obtained within 180
I Print nampel4E6 6//144.4 A ...,A- I Date6-3 0.....—I) I * Number of inspections allowed per permit.
days after it has been accepted as complete.
IABuilding\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(11/05/COM/WEB
Electrical Permit Application–City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL
O
Description tl" E -I, Qty. ' Each I Total r
1 T -
Fee for all residential systems combined: $75.00 Renewable electrical energysystems:
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:
25.01 to 50 kva 301.04 2
n Burglar Alarm
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
1=1 Other. charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(/=hr min)
f `ELFES' m < s
COO RIAL'MOR 0 Y , _ 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
n Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
O Instrumentation
O Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
O Protective Signaling
O Other:
Total number of commercial systems: —
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15134 SW 96TH AVE, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Electrical ELC2017-00471
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor