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Permit (98) CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2018-00338 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/23/2018 T I Alla` g Parcel: 2S114BD02100 Jurisdiction: Tigard Site address: 9740 SW RIVERWOOD LN Project: Reed Subdivision: COPPER CREEK STAGE 2 Lot: 38 Project Description: (2)branch circuits for bathroom remodel Contractor: ENERGIZED ELECTRIC LLC Owner: REED, MARSHA L& 1696 SE 26TH DR DENNIS STEWART GRESHAM, OR 97080 9740 SW RIVERWOOD LN TIGARD, OR 97224 PHONE: 503-781-3647 PHONE: FAX: FEES , Quantity Description Date Amount 2 crt Branch Circuits wo/Purchase 05/23/2018 $63.60 Specifics: Service or Feeder 1 ea 12%State Surcharge- 05/23/2018 $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 Ce . Those rules ar set forth in OAR 952-001-0010 through OAR 9 1-00 . may btain a copy of the rules or direct questions to OUNC by calling 503.23 7 or 1.800.332.2344 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 RECEIVED FOR OFFICE USE.OyF1' Received y. g City of Tigard Date/B �•?3�d -''" 'e mut#:GI�COZ �1©?33F 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 2 3 2018 y' / ` C Plan Review Phone: 503.718.2439 Fax: 503.598.1960Related Permit sTel�i.–el/ Date/By: T I G A R D Inspection Line: 503.639.4175 , Ready DateBy: Juris: H See Page 2 for �11'Y OF .�.tUt Internet www.tigard-or.gov Notified/Method: Supplemental Information "�ti, LD1f DJVISIO�1 -.M VII W ❑New construction /3;Addition/alteration/replacement. 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. ❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards. z 41rRR lir 01?(O J 'RV t OZ i„ exceeds 10,000 amps at 150 volts or ❑Floating buildings. 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground or exceeds 14,000 p Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or ""11I ORMATI 1' "i*H: `' 1 ❑Emergency system. larger separately derived ��LA0 � �‘ ❑100I oo of oew moror load of system. Job#: Job site anddress: t�� L,,,,/J 100HP or more. 0"A","E","1-2","1-3", City/State/ZIP: '� 11 4 727 rz(� ��"� ❑Six or more residential units. occupancy. ' `s Q/C 1 C ` 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:`� �Y I V' ` 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: , tt) 6:21:2K✓ Carte k `Di. $C,00114 ,:::::::::::,:,::ng Description 1 Qty:) Each 1 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 13 5t R 'ON ' Limited energy,residential 75.00 2 l Jo.- 6- rc�1 a 1�` (with above sq.ft.) v Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 , ` f! Rf.OWK 0 '= - Services or feeders installation,alteration,and/or relocation Name: vtell„„,) + i 200 amps or less 100.70 2 Address: 1"t 1.16 5/".) Q, ✓1..-Cb� t,,.. 201 amps to 400 amps 133.56 2 n 401 amps to 600 amps 200.34 2 City/State/ZIP: Ti e,t4 0t` 01 ZZ L+ 1 601 amps to 1,000 amps 301.04 2 Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 t 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 \ ( �* � A.Fee for branch circuits with Business name.1j✓v�� .1 O� 1/G c above service or feeder fee, I S:� each branch circuit 7.42 2 Contact name: C\-,,5 r- r��-v� B.Fee for branch circuits without S6, t/d service or feeder fee,first } 56.18 Address: �bx l�� branch circuit / City/State/ZIP: 44,14.4_ c) '`1 .,cc o t Q k ck-IU Each add'1 branch circuit l 7.42 2 � 2 ` J Miscellaneous(service or feeder not included) Phone:( 15 ) COS..Sei cola Fax::( ) Com/—_. Each manufactured or modular 67.84 2 dwelling,sland/or feeder a2 Ckite qa�,)'Cwt Reconnect only 67.84 2 :, CTO* Pump or irrigation circle 67.84 2 Business name: E vve y ,Z 1ecN„;L Sign or outline lighting 67.84 2 3 x Signal circuit(s)or extensienergy 0 See Page 2 2 Address: el,alteration,or extension. City/State/ZIP: (1�T�V l v t (�'��Z� Each additional inspection over allowable in any of the above r Additional inspection(1 hr min) 66.25/hr Phone:(2A�)-7,8.1- '7:101- 7 t- 1- Fax:( ) Investigation(1 hr min) 90.00/hr �j l l1 Industrial plant(1 hr min) 78.18/hr Email: l� Inspections for which no fee is CCB Lic.:r b`i., `� Electrical Lic.:5-162 Suprv.Lic.:C�,`r specifically listed(%2 hr mm) 90.00/hr f( 1! LIE it1 C 4L P') ” T Suprv.Electrician signature,required: 2,-.:,..-.4 " Subtotal: 4,0 Print name: (0G,,t a pr b e(t Date: - 23-1 e 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): 7 Authorized signature: A____ TOTAL PERMIT FEE: 7/, g..5 This permit application expires if a permit is not obtained within 180 Print name: City ,, �w.0‘,,./...N Date:S -z 1— I8days after it has been accepted as complete. ' Number of inspections allowed per permit. I:\Buiiding\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: combined: $75.00 Renewable � C Ql Each Total Fee for all residential systems Renewwable electrr ical 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 El Garage Door Opener* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) El 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 specifically listed(V2 hr min) SCI tOlV1*/*RCIAL'WOR ONLY"; ... . 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 El HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls El Outdoor Landscape Lighting* ❑ Protective Signaling ❑ 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 06/17/2015