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Permit (134) CITY OF TIGARD ELECTRICAL PERMIT P a,-. COMMUNITY DEVELOPMENT Permit#: ELC2017-00854 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/14/2017 Parcel: 2 S 103CCO2200 Jurisdiction: Tigard Site address: 13830 SW 121ST AVE Project: MONAGHAN Subdivision: COLONIAL VIEW Lot: 17 Project Description: Replacing(8)branch circuits for remodel. Contractor: OWNER Owner: MONAGHAN, PENNY D&JAMES D JAMES MONAGHAN 13830 SW 121ST AVE 13830 SW 121ST AVE TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503-888-5583 PHONE: FAX: FEES Quantity Description Date Amount 8 crt Branch Circuits wo/Purchase 11/14/2017 $108.12 Specifics: Service or Feeder 1 ea 12%State Surcharge- 11/14/2017 $12.97 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $121.09 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 you to folk. - adopted by the Oregon Utility Notification Center. Those rules are set -f h in OAR 952-001-0010 through O:- 952-001-0090. Yo ••- ••t=in a copy of the rule ,•r direct questions to OUNC by calling 503.22.2.,19887 or 11..800.332.2344. - ••'•ee Signature: ` ' ' ` �'I�" ``1 �' Issued By: �,:,� .�� PP- g 0 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 FOR OFFICE l:SI:O\1.1 City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 972 i Date/B : // / �A g r Plan Review C Phone: 503.718.2439 Fax: 503.598 166 'r e i rte—,I Date/B Related Permit#: Inspection Line: 503.639.4175 T I G A R D Ready Date/By: Mili El See Page 2 for Internet: www.tigard-or.gov N 0 V 1 4 2 Q 1 7 Notified/Method: Supplemental Information TYPE OF WORK 1 Y t f 1 i� s:l?1 $ PLAN REVIEW IDNew construction ElAddition/alter.4l:.lgjy%r cements Please check all that apply(submit 2 sets of plans w/items checked): . I` - 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. ❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural El Multi-family El Master builder ❑Other: amps for all other installations. buildings. ['Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: I Job site address: /5�j?jQ Qsc U la r 5T 0 Addition of new motor load of system. _ 100HP or more. ❑"A" "E" "1-2""1-3" City/State/ZIP: `-nGitcca t� 2Z ❑Six or more residential units. occupancy. ( 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: I Project name: ©jin 3I_ r_ !' ❑Hazardous locations. 0 Supply voltage for more than Cross street/directions to job site: �G V ❑Service or feeder 600 amps or more. 600 volts nominal. FEE SCHEDULE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: I 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 / id4.�., to , , - z-e-, e/iAs (with above sq.ft.) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 0 PROPERTY OWNER I 0 TENANT Renewable Energy ❑ See Page 2 Name: Oa/ �c] /13 �n Services or feeders installation,alteration,and/or relocation tivVt I r ,Cot cl el rt ok:. 200 amps or less 100.70 2 Address: 3 U �� l f S i v��? 201 amps to 400 amps 133.56 2 City/State/ZIP: T n 401 amps to 600 amps 200.34 2 t Com`-- C2)1- t .c/7 2s 3 601 amps to 1,000 amps Phone:(SO?) i 3-5--- 301.04 2 (� 3 Fax:( ) Over 1,000 amps or volts 552.26 2 Email:jG� �en ct 1(.l Gt,� u q e,r/,1`,.�1,15 C i G U Temporary services or feeders installation,alteration,and/or Owner installation:This installation is beingmade on propertyrelocation0amps or that I own which is not 200 amps or less 1 59.36 I 1 intended for sale,lea rent,or xchin lio ORS an ,accord447,449,670,and 701. 201 amps to 400 amps 125.08 Owner signaturee'S � ai 2 Date: /�/�'l 401 amps to 599 amps 168.54 2 0 APPLICANT 1 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel Business name: A.Fee for branch circuits with above service or feeder fee, Contact name: each branch circuit 7.42 2 B.Fee for branch circuits without Address: service or feeder fee,first t branch circuit / 56.18 �]t 2 City/State/ZIP: Each add'l branch circuit 'P 7.42 5/ iii 2 Phone:( ) I Fax::( ) Miscellaneous(service or feeder not included) Each manufactured or modular Email: dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: 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 Phone:( ) I Fax:( ) Additional inspection(1 hr min) 66.25/hr Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: 1 Electrical Lic.: I Suprv.Lic.: specifically listed(''/z hr min) 90.00/hr Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES Subtotal: /MO- . name: I Date: , ' 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): /0,4-7 7 Authorized signature: TOTAL PERMIT FEE: i?-) (�1 IPrint name: I TMs permit application expires if a permit is not obtained within 180 I Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I:\BuildingTermits\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: REm �7 ''�T WORK/�7�� - FEE: SCHEDULE _� SIDE IAL ONLY; - , `' Description 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: 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 >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 1 111 Other: charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('h hr min) X EttCTIO6,4 IWO, 'CS 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 O Instrumentation O Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical O Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: — *No licenses are required. Licenses are required for all other installations \Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13830 SW 121ST AVE, TIGARD, OR, 97223 Record Type: Record ID: Residential - Electrical ELC2017-00854 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor