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Permit (89) CITY OF TIGARD ELECTRICAL PERMIT IIII �, COMMUNITY DEVELOPMENT Permit#: ELC2017-00534 Date Issued: 07/19/2017 T F GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S136AA00701 Jurisdiction: Tigard Site address: 10200 SW 70TH AVE Project: Krohn Subdivision: None Lot: None Project Description: Upgrade electrical panel from 100 amp to 200 amp. Contractor: OWNER Owner: KROHN, NOAH&CRISTIANE NOAH KROHN 10200 SW 70TH AVE 10200 SW 70TH AVE TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503-435-9504 PHONE: 503-435-9504 FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-200 07/19/2017 $100.70 Specifics: amps or less 1 ea 12%State Surcharge- 07/19/2017 $12.08 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 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••: e -•on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR '2 952-001-00 •through OAR2-OO 0 You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 .1987 or 1.800.332.2344. Issue• By: if Permittee Signature: k U NAT' - OWNER INSTALLATION ONLY The installation is being made on property I wn which is not intended for sale,lease or rent. OWNER'S SIGNATURE ( 0 . Date: 7/�9//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 Application FOR OFFICE USE ONE) City of TigardRReceived q ' Permit#: g'(C7(6 V t 111 '. 13125 SW Hall Blvd.,Tigard,OR 97 "'�E+f tl E` PlanDateRiv : eview 2 Phone: 503.718.2439 Fax: 503.598.1,?60 Date/B : Related Permit#: T I G A R[) Inspection Line: 503.639.4175 J U L 1 9 2017 Ready Date/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information ��j��%Oiu/%/��//�////�jjG .,, O i,. ., r`j DO,';D. ///4PJJ rz �&IIV4I G /i i/%; , ��j��iH��/ a j�� ❑New construction ®Addition/a tern i l f l •Al If ON 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: / N/ �� y where the available fault current 0 Marinas and boatyards. ��j�j j / 4j/) �/4/j %��yitzr ��-jj exceeds 10,000 amps at 150 volts or ❑Floating buildings. ® 1-and 2-family dwelling ❑Commercial/industrial ❑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 Fire pump. ❑Installation of 150 KVA or '/ �� we D / G , , x � ❑Emergency system. larger separately derived� ga %/ G / ma v% %i% ii ',/ %%i j Job#: Job site address: 10200 SW 705h Ave ❑Addition of new motor load of system. 100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP:Tigard,Oregon 97223 ❑Six or more residential units. occupancy. 0 Health-care facilities. ID Recreational vehicle parks. Suite/bldg./apt.#: Project name: 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:Oak&70th Ave '''' ',/ f A %/ ILA''' ////' // Description Qty. Each Total New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 j � �tn mio yiei� v:ow/iirraiy�� o/!iv//a ��/ Limited energy,residential 75.00 2 Upgrade electrical panel from 100 amp to 200 amp (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) d/ �� % /,,, Renewable Energy 0 See Page 2 �� /Oi„/y v4.6/' T%/�///�O� AA.,:/',7�� /, a mi% �� w Services or feeders installation,alteration,and/or relocation Name:Noah Krohn 200 amps or less i 100.70 AOD.7o 2 Address: 10200 SW 70th Ave 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Tigard,OR 97223 601 amps to 1,000 amps 301.04 2 Phone:(503)435-9504 l Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: 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 rent,o - an:e,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature;;( A UAL ; Date: 7(«(I i 401 amps to 599 amps 168.54 2 :///,,, i! %�/moo f /, is/ter%� Branch circuits—new,alteration,or extension ,, // � 1 ' 1% ' ji,. �j % D %i?��a % ��/ .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 Address: service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) I Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: Reconnect only 67.84 2 �AA////A/�EM d :S <%M9:2i,, f l//��/O iZeA Pump or irrigation circle 67.84 2 Business name: n(.0 ice' 22 Sign or outline lighting 67.84 2 Address: Signal circuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension. 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 Industrial plant(1 hr min) 78.18/hr Email: Inspections for which no fee is 90.00/hr CCB Lic.: Electrical Lic.: Suprv.Lic.: s.-cificall listed hr min % %., yam/alio�i�ia/�� 0 Suprv.Electrician signature,required: Subtotal: /00. Print name: Date: 0 Plan Review Required(25%of permit fee): .--—• State surcharge(12%of permit fee): /A.O if- TOTAL PERMIT FEE: f /2,.. 7 sr Authorized signature: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELRERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited EnergyPermit Fees: Renewable Energy Permit Fees: %`,„�u..a,%✓',-.,' /%��.,//o/-/%/%"7r,,;.,,,,,., a%a /5/ao!%aiyio/aoO�apiayvi/iipo / ;22 Qty. 2�� Description Qty. Each Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 El 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 El Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr mm) Inspections for which no fee is 90.00/hr s secificall listed Y2 hr min x oio/oip�ai silo aiaaiaaao%oi/�/%aio oaoipoa/,�y/(opiaiai//aHi�aiiai/ayaii% j� /%/G/D a;a, %%., pi/;c„'O ''t�i;; j% %' , p %///, :% xai/i�i,�j��%�j/ Vt Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): 3 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: El Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC El Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* El Medical El 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\ELCPermitApp_ELR_ERE.doc Rev 06/17/2015 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10200 SW 70TH AVE, TIGARD, OR, 97223 August 31 , 2017 at 2:03:48 PM Record Type: Record ID: Residential - Electrical ELC2017-00534 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS - NoCofO Comments: Existing grounding ok per building inspector supervisor. Violation Summary: Inspector Contractor