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Permit (116) 11111 CITY OF TIGARD ELECTRICAL PERMIT ' : '• COMMUNITY DEVELOPMENT ELECTRICAL ELC2018-00003 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/02/2018 Parcel: 2S 111 BA00807 Jurisdiction: Tigard Site address: 14270 SW 100TH AVE Project: Treichler Subdivision: Project Description: (1)200 ampNone Lot: None p panel and(9)branch circuits for Kitchen and dining room remodel. Contractor: BFP ELECTRIC LLC Owner: 28075 S BEAVERCREEK RD WILSON, JOHN, LAURA K MULINO, OR 97042 WILSON, C WOOD, SALLY L ET AL 14270 SW 100TH AVE PORTLAND, OR 97224 PHONE: 503-515-9792 PHONE: 503-789-5807 FAX: 503-632-3768 FEES Quantity Description Date Amount Specifics: 1 ea Services or Feeders-200 01/02/2018 $100.70 amps or less 9 crt Branch Circuits w/Purchase 01/02/2018 $66.78 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 01/02/2018 T Electrical $20.10 ype of Const: Occupancy Grp: Total $187.58 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. YcoPY odirect questions to OUNC by calling 503.232.1987 or 1.:00.332.2344. Issued By: l'' _ _ — •ermr ee Signature: '"" r 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 603.639.4175 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 A lication FOR OFFICE l SE O\L1' - City of Tigard Received N ' 13125 SW Hail Blvd.,Tigard,OR 97223 ��'"" °' � �.; �r:s: I , le h fi Pemrit#: Phone: 503.718.2439 Fax: 503.598.1960 4 # A _;i`�( �Sj, t 1 u\R i� Inspection Line: Related pew#: Internet: Line:g 503.639.4175.gov J r q Ready Date/By: See _ =f ,� r�N _ 2_1,! Notified/Method: � Su Page l for TYPE OF WORK !�' Supplemental Information ❑New construction ®Addition/atteratlon/r •c. , p PLAN REVIEW Q Demolition l, ; r L 1 Please check all that apply(submit 2 sets of ps w/items checked): ❑Other: ,. +.,l a,§ ❑Service or feeder 400 amps or more CATEGORY OF CONSTRUCTIONwhere the available fault current ❑Building over three stories. fa 0 Marinas and boatyards. 1-and 2-family dwelling 0 CommerciaUindustriat exceeds 10,000 amps at 150 volts or ❑Floating buildings.❑Multi -fa y 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Master builder Other: amps for all other installations. buildings. JOB SITE INFORMATION AND LOCATION 0 Firempeenpump0 Installation te150 KVA or Job#: Job site address:14270 SW 100th Ave El Emergency system. larger separately derives ❑Addition of new motor load of system. City/State/ZIP:Portland,OR,97224 100HPormore. ❑"A"B",°t-zry"1-3", ❑Six or more residential units, occupancy. Suite/bldg./apt.#: Project name: 0 Health-care facilities. 0 Recreational vehicle parks- Cross street/directions to job site: ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. FEE SCHEDULE M. Each Subdivision: New residential single-or multi faamfiy dwelling unit ot:v 0 Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less miumnz_LI DESCRIPTION OF WORK Ea.add'I 500 sq.ft.or portion - Kitchen Remodel/Panel Change Limited energy,residential 33.92 _© (with above .,ft, III 75.00 -® Limited energy,multi-family ■ PROPERTY OWNER residential(with above s+.ft 75.00 �® TENANT Renewable Ene ❑ See Pa:e 2 _. Name: / Services or feeders installation,alteration,and/or relocation Address: 200 amps or less © 100.70 100.7 9 �f II.,{ 201 amps to 400 amps - City/State/Z,IP: er-.1-# 401 amps to 600 amps 133.56 �© ��` , - 200.34 MO© Phone:( a, ) + I_ ZZ 601 amps to 1,000 amps 301.04 II ■ Over 1,000 amps or volts - � 11 Tem ra 552.26 _© _ po ry services or feeders installation,alteration,and/or Owner installation:This iinstall. nn is being made on propertyrelocation intended for sale,lease,rent,or exchange,according to ORS 449 670,and which 200 amps to less400 - 59.36 _u' Owner signature:_ 201 amps 400 amps - 125.5408 _© APPLICANT — _ __ Date: 401 amps to 599 amps - 2, CONTACT PERSON 168.54 �© Branch circuits— alteration,or extension, ,er :net Business name: o'f'r A.Fee for branch circuits with Contact name: 1 � above service or feeder fee, fh J. each branch circuit 66.78 Address: } s13.Fee for Manch circuits without r dj service or feeder fee,first ��. � p a' branch cirbuit City/StatelZIP: 0 r i`"' 8 0Each add']branch circuit - Phone:(co)) s 7.42 _� 2 Miscellaneous service or feeder not included Email: A. 1 r Each manufactured or modular ft r t 1111111113311 n r dwellin: service and/or feederIII 67.84 -® C 1w CTOR Reconnect only _© Pump or irrigation circle Business name:BFP Electric LLC - 67.84 ® Address:28075 S Beavercreek Rd Signor outline lighting - Signal circuit(s)or limited-energy 67.84 _® City/State/ZIP:Mulino,OR 97042 ei alteratio or extension 0 See Page 2 -1111 Each additional ins, tion over allowable in an of the above Phone:(503)515-9792 Additional inspection(1 hr min) 111166.25/hr Fax:(503)632-3768 U' Email:ben_baurer@bfpelectricflc.com Investigation(1 hr min) 111190.00lhr =: Industrial plant(1 hr min) 111111111=2111111111111111 CCB Lic.: 187565 7 + Electrical Lic.: C403 Inspections for which no fee is it, Suprv.Lic.: 569950 .. fico! listed %:hr rain III 90.00/hr -II Suprv.Electrician signator ,required. ,,.. 11M11....111.6"' ELECTRICAL PERMIT FEES Print name: Ben Baurer Subtotal: 167.48 Date: 12/26/2017 0 Plan Review Required(25%of Permitfee); — Authorized signature: State surcharge(12%ofpermit fee): 20.1 Print name: Ben Baurer TOTAL PERMIT FEE: 187.58 Date: 12/26/2017 This permit application expiresif a permit is not obtained within 180 t::\Buildiag1Permas}ELC Permit. days after it has been accepted as complete pp ELR ERE Rev 06/17/2015 * Number of inspections allowed 440-4615T(11/05/COM/WEB per permit.