Loading...
Permit (176) CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT " Permit#: ELC2018-00589 Tigard OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 09/20/2018 T E(3A.RC; 9 /r? 4." Parcel: 2S115AB01400 Jurisdiction: Tigard Site address: 16297 SW 113TH AVE Project: Willow Brook,Lot 19 Subdivision: Lot: 19 Project Description: Temporary Sales Office located in the garage of lot 19 of the Willow Brook Subdivision(SUB2016-00011,formerly called the 113th Ave Subdivision).11/1/2018: REPRINT permit to correct address from 16325 to 16297. Contractor: GARNER ELECTRIC Owner: MISSION HOMES NW LLC 2920 SE BROOKWOOD AVE A PO BOX 1689 HILLSBORO, OR 97123 LAKE OSWEGO, OR 97035 PHONE: 503-648-4552 PHONE: FAX: 503-642-7925 FEES Quantity Description Date Amount 1 crt Branch Circuits wo/Purchase 09/05/2018 $56.18 Specifics: Service or Feeder 1 ea 12%State Surcharge- 09/05/2018 $6.74 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $62.92 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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: &A7 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. CITY OF TIGARD• ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2018-00589 Tigard OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 09/20/2018 Ff(;;til=.fl 9 Parcel: 2S115AB01400 Jurisdiction: Tigard Site address: 16325 SW 113TH AVE Project: Willow Brook Temporary Sales Office Subdivision: Lot: 19 Project Description: Temporary Sales Office located in the garage of lot 19 of the Willow Brook Subdivision(SUB2016-00011,formerly called the 113th Ave Subdivision) Contractor: GARNER ELECTRIC Owner: MISSION HOMES NW LLC 2920 SE BROOKWOOD AVE A PO BOX 1689 HILLSBORO, OR 97123 LAKE OSWEGO, OR 97035 PHONE: 503-648-4552 PHONE: FAX: 503-642-7925 FEES Quantity Description Date Amount 1 crt Branch Circuits wo/Purchase 09/05/2018 $56.18 Specifics: Service or Feeder 1 ea 12%State Surcharge- 09/05/2018 $6.74 Type of Use: Electrical Class of Work: Type of Const: Occupancy Grp: Total $62.92 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 y to follow the rules adopted by the Oregon Utility Notifi tion Center. Those rules are set forth in OAR 952-001-0010 through 0' 2-001-.!w4. You ay obtain copy of the rules or direct questions to OUNC by calling 5 232. 987 800.33 044. Issued By: 4 Permittee Signature: it - �C: % 7C I � v 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. Iii, Er L:I/17 l't.4-1.4.'b' I _ ' •,,,,,c J-- . •,•LtC-,4"' , Electrical Permit Application i OR oil 1( 1 1 ,,i oNi •1 AUG 30 Z018 .. City of Tigard Receive!! 9 ,,,F.._ 7/7 permit li ---.. 13125 SW Hall Blvd.,Tigard,OR 9722k., I I;_' '-' : a Phone: 503.718.2439 Fax: 503.598.1/09;i I'i. k,,!. f,. ;l'..i.1 kiT.L.fiMMIIIIIIII. Related Permit it: Inspection Line: 503.639.4175 . .. ir,,..', , ,01,,10 liall6 Date/fly: Juts: -, See Page 2 for riGAR n Internet: www,figard-or.ilov '4....)I-1 I...11 4_i ,.: '0„..::5..V ,,7"._ 24rat .dadethod: Supplemental Information llir-l-ni" i;-.',..,-,2.;;;tri'' ,'''l dl'',- . ''.'r;4.'" ' --0,It'.''ittlfat' -,...;1',2;,::, .4,i,Ar t I New construction [3 Addition/alteration/replacement Please check all that apply(submit a sets of plans Whams checked): 0 Demolition .,, ii Yffl 0 Sendee or koder 400 areas or snore 0 Building cwer duce stories, , where the available fault current 0 Marinas and boatyards. 114 Other , : C-fietts " ...441tAT.gowot„..:0; stittionoN4c r - ...,zy,r,„.,c- ,liTte, exceeds 10,000 amps at ISO Volts or 0 Floating buildings. 1-and 2-family dwelling :4 Commercial/industrial 0 Accessory building le"to ground,or exceeds 14,000 0 CO nmerclal-use agricultural amps for all other installations. buildings. El Multi-family 0 Master builder 0 Other. 0 Fire pump. 0 Installation of 150 KVA or .',.. dr.,rolit. ,s jui00)1qAStiloc,,,Otp* ,,,,,,,,!, '.' ,„.„ hi"::- 0 Emergency system. larger separately derived .,..-) 0 Addition of new motor load of system. Job#: I Job site address:SW 113°AVE 1(4,--",.4-7- 0 lOOHP or more. O"A","E","1-2","1-3", 0 Six or more residential units. occupancy. City/State/ZIP:Tigard,OR 0 Health-care facilities. 0 RccrcatIonal vehicle parks. Suite/bldg./apt.#: J Project name:Model Home 0 Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: 1.i.k, 214"4,;-Fgetfir"ni Dasedotion Qty, I Each I TWO I •: New residential single-or multi-family dwelling unit. Subdivision:Willow Brook 1 Lot#:19 Includes attached garage. 1.000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.addi 500 sq.ft.or portion 33.92 I 41incsAeallt1ioN oito5itoRg;f4V- -11411r i41,1, .. Limited energy,residential * ' 75.00 2 aett-al 6 Cony etriz ot *) 5a te£ 0-f-lite„) (with above sq,ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) talltbwrigjr or, o„,„,, ,,,,,,,,,c,,,,,,,, .. ,,,, ,,,,, „.„, Renewable Energy 0 See Page 2 , ....- ,„ kb, 4,&- 4.,4 ,010,/%11,4q0,:=C -444 "- Services or feeders installationolteration,and/or relocation Name:Pacific Lifestyle Homes 200 amps or less 100.70 2 Address: 11815 NE 991a ST 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Vancouver,WA 98682 601 amps to 1,000 amps 301.04 2 Phone:(360)573-8081 Fax:(-) Over 1,000 amps or volts 552.26 2 1 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 i'i APPOCANt",' -c'.41P-,' briiisw7 ist taNTA 1,, ., I,,- ,, Branch circuits-newalteration,or extension,per panel - --,, ... ,l' ,-....' ,'b ,' A' ..- • z:6,.. 1 41 A.Fee for ' branch circuits with Business name:Pacific Lifestyle Homes above service or feeder fee, each branch circuit --1-------242---11W 2 Contact name:Permit Coordinator B.Fee for branch circuits without service or feeder fee,first 56.18 ....... -(,ft 2 Address:11815 NE 99th Street,Suite 1200 branch circuit City/State/ZIP:Vancouver,WA 98682 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)573-8081 Fax::(360)574-6401 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:perinits@buildpib.com Reconnect only 67.84 2 Pump or'm'ga'on c' le 67.84 2 Business name:Garner Electric Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Page 2 2 City/State/ZIP:Beaverton,OR 97006 Address:2920 SE Brookwood Ave,Suite A panel,alteration,or extension. 0 See Pa- Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66,25/hr Phone:(503)648-4552 Fax:OLP 642-7925 Investigation(I hr mm) 90.00/hr Email:melgamer©garnerelectric.com Industrial plant(I hr min) 78.18/hr .. it Inspections for which no fee a 90.00/hr CCB Lic.: 121159 Electrical c.: -305 Lic.:3707S ,,,ecifi""Y listed eA hr min) P * — Aellille'' .g.lsktt*-C'Alt , ete'''' b,,,1401 Suprv.Electrician signature, 'red: Subtotal: c 4,,l Date: c3/30 Print name: Charles G ner j II Z 0 Plan Review Required(25%of permit fee): State surcharge-(12%of permit fec): Cr V This permit application eTtiC;TresALIfPaEpeRirVimiltrisFaatEE;obbtrhne?wit /1-1' Authorized signature: ..\\) Print name: Melissa Stock Date: 13A0))42) days alter it baa been accepted as complete. „1110./k • Number of inspections allowed per permit. htlltrildinthmtititELC_PernitApp_ELIC_EREdoc Rev 06/17/2015 4464615TO I/0$/COM/WEB See nitaSfeffiXV rn I tit A4.5T2.oit-co II( tbr ctr9 ClitectIOY1 . Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: SCIIEthicripik. I (O. I Eich TOR I " Fee for all residential systems combined: $75.00 Renewable electrical energy systems: kva or less 100.70 2 Check Type of Work Involved: 5.01 to 15 kva 133.56 2 0 Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: LIII Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 0 Garage Door Opener* )400 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: Each additional inspection is 66.25/hr 1 Li Other: charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr s cifically listed pi hr mm ) 6-, Cm.PERmtfittOT, COMMERCIAVVVORKWIL-Vt RiPir,;:/CV Ets Subtotal(Enter on Page 1): Fee for each commercial system: $75,00 o Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: El A• udio and Stereo Systems 0 B• oiler Controls 0 C• lock Systems 0 D• ata Telecommunication Installation El Fire Alarm Installation • HVAC O Instrumentation El Intercom and Paging Systems I: Landscape Irrigation Control* M• edical O Nurse Calls E] Outdoor Landscape Lighting* O Protective Signaling O• ther: Total number of commercial systems: *No licenses arc required. Licenses are required for all other installations kkeellengTennitAELC_FermitApp fiLik„ERE drx Rev 06/17/2015 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16297 SW 113TH AVE, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Electrical ELC2018-00589 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor