The URL can be used to link to this page

Permit (190) CITY OF TIGARD ELECTRICAL PERMIT `> COMMUNITY DEVELOPMENT Permit#: ELC2018-00583 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/04/2018 Parcel: 2S110AD03700 Jurisdiction: Tigard Site address: 14677 SW 106TH AVE Project: Magness Subdivision: LANG HILL Lot: 31 Project Description: (8)branch circuits for interior remodel. Contractor: OWNER Owner: MAGNESS,VALARIE VALARIE MAGNESS 14677 SW 106TH AVE 14677 SW 106TH AVE TIGARD, OR 97224 TIGARD, OR 97224 PHONE: 503-828-5245 PHONE: FAX: FEES Quantity Description Date Amount 8 crt Branch Circuits wo/Purchase 09/04/2018 $108.12 Specifics: Service or Feeder 1 ea 12%State Surcharge- 09/04/2018 $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 follow the rules adopted by the Oregon Utility Notification aer. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of th- estions to OUNC by calling 503. 3 .1 ,7 800.332.2344. Issued By: AIIIIsi4r - Si•nature: 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 IJSE ONEv City of Tigard Received /2 - '. 13125 SW Hall Blvd.,Tigard,OR 97223 DateB : I GI]' 'ennit#: ©i az g Plan Review Related Permit#: Phone: 503.718.2439 Fax: 503.598.1960 \ Date/By: rM rI , _if—t- 1 Inspection Line: 503.639.4175 Ready Date/By: I Fd See Page 2 for TIGARD Internet: www.tigard-or.gov �ryIt9y Notified/Method: Supplemental Information '"I"vn OF wQR.:: t 1`1 ,.,:;.,.-,',.PLAN AN R " '' ❑New construction ®Addition/alteration/replac P11A yC1 e sT. Please check all that apply(submit 2 sets of plans w/items checked): �`"( ,\" ` ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: CVO' A where the available fault current ❑Marinas and boatyards. CATEGORY OF CONS a j t lit exceeds 10,000 amps at 150 volts or ❑Floating buildings. ® 1-and 2-family dwelling D Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or _. ., JOB SITE INFQRMATl0 :ANILOCATION . ❑Emergency system. larger separately derived Job#: Job site address: 14677 SW 106th Ave ❑Addition of new motor load of system. 100HP or more. ❑"A","E","l-2","1-3", City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: ❑Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site:SW Pacific Hwy to Canterbury Ln to 106th • Egt SCHE F ;E Description � Qty. I Each I Total New residential single-or multi-family dwelling unit. Subdivision:Calway Hill Lot#: Includes attached garage. 1,000 sqft.or less I 16?54 1.8.54 4 Tax map/parcel 4: Ea.add'l 500 sq.ft.or portion 3.' 3 .92 1 b Se WTiON"OF+•WOR1c Limited energy,residential (with above sq.ft.) 75.00 2 Adding and/or moving switches,receptacles and recessed lighting Limited energy,multi-family 75.00 2 residential(with above sq.ft.) } Renewable Energy ❑ See Page 2 CA,",PROPERT'! o :" " , 0 TENANT Services or feeders installation,alteration,and/or relocation Name:Valarie Magness 200 amps or less 100.70 2 Address: 14677 SW 106th Ave 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Tigard,OR 97224 601 amps to 1,000 amps 301.04 2 Phone:(503)828-5245 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:Tl insta .,ion is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,16aN1 . ;.change,according to ORS 447,449,670,a i 71 . 201 amps to 400 amps 125.08 2 Owner signature: f Date: 401 amps to 599 amps 168.54 2 ►®-APPLICANT -,*,:!:4:0 CONTACT PE p X' - Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: above service or feeder fee, each branch circuit 7.42 2 Contact name:Valarie Magness B.Fee for branch circuits without service or feeder fee,first 1 56.18 Address: 14677 SW 106th Ave branch circuit 56.18 2 City/State/ZIP:Tigard,OR 97224 Each add'I branch circuit 7 7.42 51.94 2 Miscellaneous(service or feeder not included) Phone:(503)828-5245 Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: magsterb4u@msn.com Reconnect only 67.84 2 " i` CO TRACT R Pump or irrigation circle 67.84 2 Business name: Sign or outline lighting 67.84 2 Address: Signal circuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension. City/State/ZIP: Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90 00/hr CCB Lie.: Electrical Lic.: Suprv.Lic.: specifically listed(%E hr mm) ERIAL'PERMIT fEE8 Suprv.Electrician signature,required: Subtotal: .-3-t6Se(1j 11, Print name: Date: ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): _ .23'/)M 7 Authorized signature: P TOTAL PERMIT FEE: 347.85 e1' �� This permit application expires if a permit is not obtained within 80 Print name: Valarie Magness Date: 9/2/18 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(I 1/05/COM/WEB City of Tigard Tel: 503.718.2439 Location: Inspection Date: 14677 SW 106TH AVE, TIGARD, OR, 97224 July 5, 2019 at 10:03:42 AM Record Type: Record ID: Residential - Electrical ELC2018-00583 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor