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Permit (80) CITY OF TIGARD ELECTRICAL PERMIT .1111 COMMUNITY DEVELOPMENT Permit#: ELC2018-00017 riGAfgD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/10/2018 Parcel: 2S110DD10100 Jurisdiction: Tigard Site address: 15725 SW HIGHLAND CT Project: ALEXANDER Subdivision: SUMMERFIELD NO.6 Lot: 317 Project Description: (3)branch circuits for water heater,bathrooms,and recessed lights in bathrooms. Contractor: ARON ELECTRICAL CONSTRUCTION LLC Owner: ALEXANDER FAMILY REVOCABLE TRUST 15704 NE 70TH ST BY ALEXANDER, LINDA EILEEN TR VANCOUVER, WA 98682 15725 SW HIGHLAND CT TIGARD, OR 97224 • PHONE: 503-516-3139 PHONE: FAX: 360-882-7978 FEES Quantity Description Date Amount 3 crt Branch Circuits wo/Purchase 01/10/2018 $71.02 Specifics: Service or Feeder 1 ea 12%State Surcharge- 01/10/2018 $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 you to follow th by the Oregon Utility Notification Center.. ose rules are set forth - 952-001-0010 through 0 52-001-0090. You may obtain a py of the rules or direct)questions to OUNC by calling 503.232. 0 00.332.2344 Issued By: r� , .� C � _ pe�fnittee...S 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. 11 Electrical Permit Application M I �, b R ohh�cl: psi.Ovi.1 Cityo Tl and Received ' j permit#: /�� f g Date/By: (0 1K !/ jl��C�t11'17 • 13125 SW Hall Blvd.,Tigard,OR 97223 �� Plan Revie t + Related Permit#: /J401/1 2 It/ i _ Phone: 503.718.2439 Fax: 503.598.1960 ��}v Die/By: t r `y�c D 14 Inspection Line: 503.639.4175 toy Date/By: Juris: ® See Page 2 for I� ., Y Y� 1 I G A R D 1. ' 1^-t o -• ethod: I Supplemental Information Internet: www.tigard-or.gov e %' a PE OF WORK �{, t ° PLAN REVIEW g � ❑New construction LLLIIId Addition/alteration/rent 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 ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground,or exceeds 14,000 0 Commercial-use agricultural and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: /572_) ,�'V\I it 1 S ft LA Ni.6 C , 100HP or more. ❑"A","E","1-2","1-3", ❑Six or more residential units. occupancy. ❑Health-care facilities. City/State/ZIP: l G ti(Ll� l 2-21 0 Recreational vehicle parks. 0 Hazardous locations. 0 Supply voltage for more than Suite/bldg./apt.#: I Project name: 11G 600 volts nominal. ❑Service or feeder 600 amps or more. 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: I 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 75.00 2 y. (with above sq.ft.) lee Woc�cr i J c (> 41 11 J o� V tS > a n S �( Limited energy,multi-family e75.00 2 -two ,lw r «-CSe•jO.s1 t t (,t1- 1 1 lL ' �TTT J,� residential(with above sq.ft.) 1 > Renewable Energy 0 See Page 2 0 PROPERTY OWNER I 0 TENANT Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Address: 401 amps to 600 amps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 Phone:( ) 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,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension,per panel 0 APPLICANT 0 CONTACT PERSON A.Fee for branch circuits with 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 A 56.18 S7 /'i( 2 Address: branch circuit ` City/State/ZIP: Each add'l branch circuit 2 7.42 /W.til2 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 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: A p oirm L L C' J2 c C L cc)M S(!2 V Ct C6 1-1 Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: (�10 4 4 E2. 7 cit4.- 't panel,alteration,or extension. p p Each additional inspection over allowable in any of the above City/State/ZIP: 11 C©c).v _ w' A- t t Q b Additional inspection(1 hr min) 66.25/hr Phone:(`J03)`>I b' 3 13 c� Fax:(�6C')�g �- - 19 7C� Investigation(1 hr min) 90.00/hr ( 9 c ca Industrial plant(1 hr min) 78.18/hr Email: t�r2U(y _ - •- .c:. t C T Inspections for which no fee is s specifically listed('/z hr min) 90.00/hr CCB Lic.: (y 2:1 Cf � I Electrical Lic.: C ,:.s-' 13.'i Suprv.Lic.: 7 FSFS S ELECTRICAL PERMIT FEES Suprv.Electrician sig 'attire,required: \ j4 ` 14 Subtotal: 7/,Oil Print name: i..-951 V '.L t I R-©Pc Date: 1 1 1 O 2cs \tg, 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): r,$) iSSi5--1----------- TOTAL PERMIT FEE: .52 Authorized signature: This permit application expires if a permit is not obtained within 180 I Print name: l C�s-_� q`�2.C,.. Date: 1, , to 2G 1g 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: FSE SCREDI .,E Fee for all residential systems combined: $75.00 Description Qty,r� Each j Total I Renewable 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 n Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100kva-noadditional charge 0.0 3 Each additional inspection over allowable in any of the above: n 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 specifically listed(1/2 hr min) COMMERCIAL WORK ONLY: EL.ECTRIC4 PERIVIItTEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) * Number of inspections allowed per permit. 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* ❑ M• edical ❑ Nurse Calls n O• utdoor 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.doc Rev 06/17/2015 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15725 SW HIGHLAND CT, TIGARD, OR, 97224 February 22, 2018 at 10:45:09 AM Record Type: Record ID: Residential - Electrical ELC2018-00017 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15725 SW HIGHLAND CT, TIGARD, OR, 97224 February 22, 2018 at 10:45:09 AM Record Type: Record ID: Residential - Electrical ELC2018-00017 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor