Permit (261) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2018-00044
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 01/17/2018
Tt[ 11ft.L 9
Parcel: 2S111AD02800
Jurisdiction: Tigard
Site address: 14600 SW 89TH AVE
Project: MARONEY Subdivision: PINEBROOK TERRACE Lot: 25
Project Description: (3)branch circuits for garage conversion.
Contractor: OWNER Owner: MARONEY, SHARON
SHARON MARONEY MURPHY, DANIEL A
8500 SW COLONY CREEK CT 14070 SW HALL BLVD
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503-260-7751 PHONE:
FAX:
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo/Purchase 01/17/2018 $63.60
Specifics: Service or Feeder
1 ea 12%State Surcharge- 01/17/2018 $7.63
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $71.23
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 A.throug�R 952-001-0090,ou may obta'-a copy of the rules or direct questions to OUNC by calling 503T32,•87 or 1.:. - .23 4..
Issued By: � �tii l'' - '! 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.
ECE VF '
Electrical Permit Application - FOR OFFICE USE ONLY
City of Tigard Received
��; 17 Date/By: "�� �� ermit#:C�e�cf/Q d�y
13125 SW Hall Blvd.,Tigard,OR 97223 �� Plan Review L
_ Phone: 503.718.2439 Date/By: Related Permit#:
4. 3
Email: TigardBuildingPennits@Tigard-or t�ar�` 0�7 PGA` ReadyDate/By: Juris: 5/See Page ��/
T I G A R D >, 3; ® 2 for
Inspection Line: 503.639.4175 Intent y• �vI Notified/Method: Supplemental Information
i 1 � Yrs 1'
,,, TYPE OF W I .41PLAN REVIEW
0 New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more ❑Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION ' rt 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 ❑Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other:
❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ' ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: I Job site address: /4--/Z, o
/�G(/ s �� 100HP or more. ❑"A","E","1-2","1-3",
City/State/ZIP: rl r
0 Six or more residential units. occupancy.
Iiii y� _ ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: roject name: w l ofaw i!2 e Lf 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: ElService
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 gyp, Ea.add'l 500 sq.ft.or portion 33.92 1
QF WORK' - w Limited energy,residential 75.00 2
(3) 6 '� _ 2- (with above sq.ft.)
l Z�IJG G cctt.t "T ret rsl�p C.. u`t",,--�i C2 Vf Limited energy,multi-family 75.00 2
t/ residential(with above sq.ft.)
®' ROk'ERTX OWNER •. 1 i ", 0 7TEN' a, Renewable Energy ❑ See Page 2
' . Services or feeders installation,alteration,and/or relocation
Name: S te,t,`r k l A4 ar 0 vi amps or less 100.70 2
Z)Address: 8 S 0 5 14 e o /a ,i3
t C'P..:- ....,(1 y {— 201 amps to 400 amps
/ 401 amps to 600 amps 133.56
200.34 2
City/State/ZIP: ..-�;` at 4 CI 2
J t "
.0601 amps to 1,000 amps 301.04 2
Phone:( ) 3 .--- e 5---).--? _5 / Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: 9j 4 a co b(.ceciW el--,,, rase»o (:), relocation
Owner installation: ' installation's being made on property t own which is not 200 amps or less 59.36 1
intended for sale,le.,e ent, . - • -- a ording to W -447,449,670,and 701. j_/ 201 amps to 400 amps 125.08 2
Owner signatu; jd d/AP _ ' f 4 Date:/ / 2 —f V 401 amps to 599 amps 168.54 2
''' Branch circuits—new,alteration,or extension,per panel
APPLICANT s': 'I .0
( T{?�C 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
Address: service or feeder fee,first 56.18 2
branch circuit 1 t
City/State/ZIP: Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Each manufactured or modular
Email:
dwelling,service and/or feeder 67.84 2
CONTRACTOR "
Reconnect only 67.84 2
Pump or irrigation •circle 67.84 2
Business name: Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:( ) hr min Investigation(1
g ) 90.00/hr
Email: Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed('V hr min) 90.00/hr
ELECTRICAL"PERMIT FEES: ` '`
Suprv.Electrician signature,required: Subtotal:
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE: 7/.2 e
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\ELCPermitApp_ELRERE.doc Rev 10/26/2017 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
TIALW £ONY. - FEE SCHEDULE '
RESIDE
Description I Qty. IEach 'tea,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
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* >100 kva—no additionalcharge 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
specifically listed('A hr min)
ERCIAL,WORK ONLY: :
' e= ELECTRICAL PERMITs a, ti
c.,�. 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
[1 Clock Systems
❑ Data Telecommunication Installation
n Fire Alarm Installation
n HVAC
n Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
n Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 10/26/2017
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
14600 SW 89TH AVE, TIGARD, OR, 97224 February 1 , 2018 at
9:45:21 AM
Record Type: Record ID:
Residential - Electrical ELC2018-00044
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS - NoCofO
Comments:
Corrections from previous inspection complete.
Violation Summary:
Inspector Contractor