Permit (134) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2019-00125
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TIGA1 D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/25/2019
Parcel: 1S125DC08700
Jurisdiction: Tigard
Site address: 7158 SW ASH CREEK CT
Project: BONELLO Subdivision: ASH CREEK ESTATES Lot: 20
Project Description: Interior remodel: Demolition of(2) non-load-bearing walls in kitchen and soffit construction above kitchen cabinets.
Electrical permit created separately.
Contractor: OWNER Owner: BONELLO, REBECCA A& MICHAEL P
MICHAEL& REBECCA BONELLO 7158 SW ASH CREEK CT
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503-360-8546 PHONE:
FAX:
FEES
Quantity Description Date Amount
8 crt Branch Circuits wo/Purchase 02/25/2019 $108.12
Specifics: Service or Feeder
1 ea 12%State Surcharge- 02/25/2019 $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 Center Those rul- are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a c•• of the rules or.irect questions to OUNC by calling 503.232 - / 1.800.332.2
irratiL 1--
Issued By: IlLer.- Perntittai nature: iiJlins, lour
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 OFF l( E. t SE ON EN
City of Tigard e.,l I 1 D Ra"e .., Permit#: —,
IIIat 13125 SW Hall Blvd.,Tigard,OR 97223 — ("'` "' PlanReview ,1 tr�� _ aim -
"
' 0 Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: s '1-i . a
Inspection Line: 503.639.4175 -1 B 2 i3 t.O 1 Ready Date/By: H See Page 2 for
T I G;1 R D Internet: www.tigard-or.gov t� {ey Notified/Method: Supplemental Information MI
till i i��r�l��i3
TYPE OF WO PLANYfEw? r DIVISION New construction ®Addition/alterati 1atrtient Please check all that apply(submit 2 sets opans w/tems checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
1:1 Demolition ❑Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
N 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
F
0 Multi-family 0 Master builder 0 Other: all other installations. nstdings.
0 Fire re for pump. 0 Installation of 150 KVA or
JOBSITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
_
Job#:1 Job site address:7158 SW ASH CREEK COURT 0 100HP0HP o of new motor load of system.
or more. ❑«A" "E" "1-2""1-3"
City/State/ZIP:97223 0 Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:KITCHEN REMODEL ❑Hazardous locations. ❑Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:JOB SITE IS AN EXISTING HOME ADDRESS FEE SCHEDULE
Description I Qty. ] Each I Total
New residential single-or multi-family dwelling unit.
Subdivision:- Lot#:20 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:1S125DC08700
Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
75.00 2
Upgrade ceiling recessed lighting and move light switch.Add 2 new circuits (with above sq.ft.)
Limited energy,multi-family
75.00 2
Move existing and add new recepticles to line up with new kitchen layout. residential(with above sq.ft.)
Renewable Energy 0 See Page 2
N PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Michael Bonello 200 amps or less 100.70 2
Address:7158 SW ASH CREEK COURT 201 amps to 400 amps 133.56 2
401 amps to 600 amps 20034 2
City/State/ZIP:97223 601
amps to 1,000 amps 301.04 2
Phone:(503)360 8546 Fax:( ) Over 1,000 amps or volts 552.26 2
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,1-. -,,rent,or-xchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Ir [�
Owner signature: b-Lys(a: Date: O"Z-4�7f 401 amps to 599 amps 168.54 2
® APP ICANT 0 CONTACT PERSON 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:As above B.Fee for branch circuits without
Address: service or feeder fee,first 1 56.18 56.18 2
branch circuit
City/State/ZIP: Each add'l branch circuit 7 7.42 51.94 2
Miscellaneous(service or feeder not included)
Phone:(503)360 8546 Fax::( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:mikeb1302@gmail.com Reconnect only 67.84 2
CONTRACTOR 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(1 hr min) 6625/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 Lic.: Electrical Lic.: Suprv.Lic.: specifically listed(%2 hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: 108.12 _
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): _ .�17
(r TOTAL PERMIT FEE: VI
Authorized signature: _ j�J.This permit application expires if a permit is not obtained within 180
Print name: MICHAEL I S NELLO Date: 02/22/2019 days after it has been accepted as complete.
* Number of inspections allowed per permit.
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Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
DeFee for all residential systems combined: $75.00 Renewable
° Each Total
electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
n 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 552.26 2
with OAR 918-309-0040)
❑ H• eating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
n V• acuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
n 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(Y2 hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Number of inspectionsSubtotal(Enter on Page 1):
(SEE OAR 918-309-0000)
* allowed per permit.
Check Type of Work Involved:
R A• udio and Stereo Systems
n B• oiler Controls
n C• lock Systems
❑ D• ata Telecommunication Installation
❑ Fire Alarm Installation
n HVAC
n Instrumentation
n Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
n N• urse Calls
F1 O• utdoor Landscape Lighting*
TI P• rotective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
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