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Permit (68) CITY OF TIGARD ELECTRICAL PERMIT 2 COMMUNITY DEVELOPMENT Permit#: ELC2017-00698 T E GAR^ 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/2017 Parcel: 2S112CC14100 Jurisdiction: Tigard Site address: 8077 SW CAROL ANN CT Project: WICKER Subdivision: DURHAM SCHOOL PARK Lot: 3 Project Description: (3)branch circuits for kitchen remodel. Contractor: OWNER Owner: WICKER, CAITLIN CAITLIN WICKER 8077 SW CAROL ANN CT 8077 SW CAROL ANN CT TIGARD, OR 97224 TIGARD, OR 97224 PHONE: PHONE: FAX: FEES Quantity Description Date Amount 3 crt Branch Circuits wo/Purchase 09/25/2017 $71.02 Specifics: Service or Feeder 1 ea 12%State Surcharge- 09/25/2017 $8.52 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $79.54 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. ATTENTION: Oregon law requires ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA 52-001-0090. Y ay obtain a py of the r es or direct questions to OUNC by calling 503.232.1 or 1.801.332.2344. Issued By: 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. 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 l O R( r r l c i 1 SL 0 y 1.1 City of TigardReceived • 13125 S W Hall Blvd.,Tigard,OR 97223 "a.^ ' k` r'"ate/B : L� g � lan Review I Phone: 503.718.2439 Fax: 503.598.1960 Date/B :III Related Permit#i.Q - .i3, ,, Inspection Line: 503.639.4175 h q Ready Date/By: Juris: ® See Page 2 for II�' IZ l� Internet: www.tigard-or.gov SEC)CG C5 2 b C 11 Notified/Method: Supplemental Information TYPE OF WORK .•')C' ptilG PLAN REVIEW ❑New construction ErAddition/alteration/r lg"t") r CZ10 N Please check all that apply(submit 2 sets of plans w/items checked): 1. 1 L ; I i°;;"... 01 i''"r 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑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 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ngs. ❑Multi-family ❑Master builder 0 Other: 0 amps umall other installations. but pump. Installation❑ of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived i )' a tf o i /•� n / ❑Addition of new motor load of system. Job#: Job site address: 1 7 �j, ✓, Cairo�1 f: rC.� 1001-IP or more. ❑"A","E","1-2","1-3", City/State/ZIP: ( �/yy� p r ❑Six or more residential units. occupancy. ty �,G)��r Li` Cl v� 7 a�y ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: f 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: FEE SCHEDULE Description I Qty. I Each I 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 DESCRIPTION OF WORK Limited energy,residential ntial 75.00 2or oV�C� 3 Q /A � [ f- n)`o n (with above sq.ft.) Limited energy,multi-family \LO� residential(with above sq.ft.) 75.00 2 tl PROPERTY OWNER © TENANT Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name: Cal-\-i.1 , ',C i=Qy' 200 amps or less 100.70 2 Address: eo"7 7 5 4V Ca►l.'\ Am.CA— 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: �, „a Cj t� r��( I 601 amps to 1,000 amps 301.04 2 Phone:( ) \ Fax:( 'j) 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 sa-, -. - ren chan.- according to ORS 447,449,6 a31701.1 201 amps to 400 amps 125.08 2 15._ 401 to 599 168.54 2 Owner signature: 11111 Date: � ampsamps 0 AP' CANT 0 CONTACT PERSON Branch circuits—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 service or feeder fee,first Address: branch circuit j 56.18 2 Each add'I branch circuit 7.42 a 2 City/State/ZIP: v2^ " Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: VC,,,Jr Veir' Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: ❑ 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 CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed(%hr min) 90.00/hr ELECTRICAL PERMIT FEES }PrinSuprv.Electrician signature,required: Subtotal: 71-0;01- Print t name: Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): r•5) TOTAL PERMIT FEE: 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_ELR_ERE.doc 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 WORK ONLY: X; :, FEE.SPIEMATLE Fee for all residential s stems combined: $75.00Renewable on I Qty• i Each I Total i 3' electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ 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 ❑ 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 min) Inspections for which no fee is 90.00/hr ' b �'"{c ECtRI AL P s ally listed(1z hr mm �+ 1 IE ': ORK 0 ,h. �. �4, EL . ; ige Fee for each commercial system: $75.00 SubtotalEEs p per permit. Page 1): y * 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 ❑ 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 1:\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: 8077 SW CAROL ANN CT, TIGARD, OR, 97224 October 11 , 2017 at 1 :44:56 PM Record Type: Record ID: Residential - Electrical ELC2017-00698 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Provide outlet from existing peninsula back to island countertop. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8077 SW CAROL ANN CT, TIGARD, OR, 97224 October 19, 2017 at 11 :57:27 AM Record Type: Record ID: Residential - Electrical ELC2017-00698 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS - NoCofO Comments: Corrections complete. Violation Summary: Inspector Contractor