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Permit (138) CITY OF TIGARD ELECTRICAL PERMIT P-11 ''' COMMUNITY DEVELOPMENT Permit#: ELC2018-00665 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/10/2018 Parcel: 2S 111 BA02107 Jurisdiction: Tigard Site address: 9860 SW VIEW TER Project: PIMENTEL Subdivision: INGEBRAND HEIGHTS Lot: 7 Project Description: Panel replacement and(4)branch circuits for remodel. Contractor: OWNER Owner: PIMENTEL, MARK EDWIN PIMENTEL PIMENTEL, EDWIN 9860 SW VIEW TERRACE 9860 SW VIEW TER TIGARD, OR 97224 TIGARD, OR 97224 PHONE: 425-420-0423 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-200 10/10/2018 $100.70 Specifics: amps or less 4 crt Branch Circuits w/Purchase 10/10/2018 $29.68 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 10/10/2018 $15.65 Electrical Type of Const: Occupancy Grp: Total $146.03 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 therul se`adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OR01-0090. You may obtain a cop f the rul or direct questions to OUNC by calling 503 32.1987 . O0,,3 .23 Issued By: rt. 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 FOR OFFICE USE ONLY City of Tigard — ,; Received / _ ill n 13125 SW Hall Blvd.,Tigard,OR 97 3 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/8 : Related Permit#: Inspection Line: 503.639.4175 �CT 1 2018 Ready Date/By: ® See Page 2 for TIGARD Internet: www.tigard-or.gov Notified/Method: ," Supplemental Information F� 3 .. 111 New construction �ddition/altt+ t I- tl r1 . Please check all that apply(submit/sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stores. ❑ Demolition ❑Other: where the available fault current 0 Marinas and boatyards. mi✓ s_,...i ' ti* ' IM ,< -_, el exceeds 10,000 amps at 150 volts or 0 Floating buildings. 1-and 2-family dwelling 0 Commercial/industrial 1J 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:� �� 0 Fire pump. CI Installation of 150 KVA or �, l., „. .;, s t 1 "� 4` �\' ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: a r 0 0(A) v je..- )4 `r.-I I GlCli '}� 100HP or more. ❑"A","E","1-2","1-3", y ( ��t�rd 1 112 �12b4- ❑Six or more residential units. occupancy. City/State/ZIP: V 4 1 ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Pro ect name: n, ❑Hazardous locations 0 Supply voltage for more than j n-, eNi� ✓� 600 volts nominal. 0Service or feeder 600 amps or more. Cross street/directions toob site: J S(.4) I 00 Alit, 1�t>IIL>' Description •• •Qty. 1•.r Each I Total 1 * 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 r � , Ea.add'l 500 sq.ft.or portion 33.92 1 i' 'N';'''''-,,,,,,p et a'` s: Limited energy,residential 75.00 2 sire- 4'146X--1 w... a,vtx.( t A-M Ale iko,.LFt a. ti tz, (with above sq.ft.) Limited energy,multi-family 75.00 2 ik1^yif t'Rl residential(with above sq.ft.) le ergy ene bnalteration, Q See ge 2 P ' � ' MA y T: SRervsesor feeders installation,alrat o ,a •d/ ion Name: EciBti r1vnfy4 j 200 amps or less ( 100.70 FOC),lo 2 Address: d(4:(6.D co U L-u) re-t- 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: 1-150A-a,Q ©� q72-7-4 601 amps to 1,000 amps 301.04 2 Phone:(4-'lc) 4'2-o (?f .7,3I Fax:( ) Over 1,000 amps or volts 552.26 2 s , .��v �1a at. Temporary services or feeders installation,alteration,and/or Email: .(,L( relocation Owner installatio This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,le a rents or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signatureDate 0 to 0 401 amps to 599 amps 168.54 2 " Pfrte44 �� w� ` Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with it Zq t�0 Business name: above service or feeder fee, tT t 0 ti (, 5� n 5q each branch circuit 7'42 ' .L 2 Contact name: G(W{ 'Pitot B.Fee for branch circuits without service or feeder fee,first /�/�� Address: GO-\W l Vito Q „L branch circuit G 56.18 2 t b City/State/ZIP: rI Q�� I Q q�'ZZCf Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(42c) 4 - 0c4 23 Fax::( ) Each manufactured or modular 67.84 2 Email: Y S dwelling,service and/or feeder W s. 1 vtALvi' ”�-VL#COVil Reconnect only 67.84 2 ,W:.. mir Zt Pump or irrigation circle 67.84 2 Business name: Sign or outline lighting 67.84 2 Address: Signal circuit(s)or limited-energy 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP: Each additional inspection over allowable in any of the above Additional inspection(1 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 CCB Lie.: Electrical Lic.: Suprv.Lie.: specifically '/2 listed hr mm) 90 00/hr Suprv.Electrician signature,required: Subtotal: 133©. 3g Print name: I Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): I cd 6g- TOTAL PERMIT FEE: '46,V Authorized signature: 3 This permit application expires if a permit is not obtained within I80 Print name: Date: days after it has been accepted as complete. ` Number of inspections allowed per permit. I:\Building\Permits\ELCPermitApp_ELR_ERE.doc Rev 06/17/2015 440-46t5T(I 1/05/COM/WEB City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9860 SW VIEW TER, TIGARD, OR, 97224 Record Type: Record ID: Residential - Electrical ELC2018-00665 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor