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Permit (147) CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2019-00295 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/06/2019 Parcel: 2S1126603200 Jurisdiction: Tigard Site address: 8550 SW COLONY CREEK CT Project: Donaldson Subdivision: COLONY CREEK ESTATES Lot: 28 Project Description: (1)60 amp sub panel and(11)branch circuits for accessory building 1. Contractor: OWNER Owner: DONALDSON, JEFFREY D& KARI LEE JEFFREY& KARI DONALDSON 8550 SW COLONY CREEK CT 8550 SW COLONY CREEK CT TIGARD, OR 97224 TIGARD, OR 97224 PHONE: 971-404-7220 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-200 05/06/2019 $100.70 Specifics: amps or less 11 crt Branch Circuits w/Purchase 05/06/2019 $81.62 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 05/06/2019 $21.88 Electrical Type of Const: Occupancy Grp: Total $204.20 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. Tho-- ru-s are set forth in OAR 952-001-0010 through OAR 952-001-0090. -m tai rules or direct questions to OUNC by calling 5 . 32.1987 or 1.800 332.23' Issued By: F e�Pi ellttee 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. cv1.. i---- INAS - ZDA8 - ua3-IS Electrical Permit Application 1 OR 01 1 1( 1 11 (1\I v City of Tigard Received Permit#: _ "'e ;, • 13125 SW Hall Blvd.,Ti Dat�3 � J — !� . Tigard,OR 97223 Plan Review Phone: 503.718.2439 ` f G® Date/B : Related Permit#: r / Email: TigardBuildingPetmits®Ti:,: , `v V Ready Date/By: ® See Page 2 for I E,, \I'I) Inspection Line: 503.639.4175 `+I . . ..tigard+�r.gov Notified/Method: - Supplemental Information TYPE 0 WO• V-��`��tt PLAN REVIEW ❑New construction ❑Addition/altera i. replac:plirgw'0 N Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition 0 Other: G�.(`( 0 G,pY�v�s O 0 Servicem feeder 400 amps or more 0 Building over three stories. 'c, where the available fault current 0 Marinas and boatyards. CATEGORY OF CO $&LTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling 0 Commercial/industrial %Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived 0 Addition of new motor load of system. Job#: Job site address: $55o SW COIO( N QL.CI- 10011P or more. ❑"A","E","t-2'°,"t-s'°, City/State/ZIP: 43 I ❑Six or more residential units. occupancy. ty \ J c7tkd 0�2 a►�-ZZ4- ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:'13,N1IAIflti\ E 2c3)(2_/4, 0 Hazardous locations. ❑�lIvoltgefor .more than �J ❑Service or feeder 600 amps or more. Cross street/directions to job site: FEE SCHEDULE Description I Qty'. I Each I Total I • 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'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential // 1 (with above sq.ft.) 75.00 2 0) ( t1 47'70 - Crit.0 (//✓ (r rte'13 Ire- Tom✓ Limited energy,multi-family residential(with above sq.ft.) 75.00 2 ' - ' ) •t /k°1 i i j 7/ Renewable Energy 0 See Page 2 DA PROPERTY OWNER / ' 0 TENANT Services or feeders installation,alteration,and/or relocation Name: t VA ' Dona t d SCr1 200 amps or less / 100.70 Ai), 70 2 Address: B 55O Sw Cob 1 C K C T- 201 amps to 400 amps 133.56 2 r1 1 401 amps to 600 amps 200.34 2 City/State/ZIP: -E-�(Jt a v oK -4-224 601 amps to 1,000 amps 301.04 2 Phone:(TM)4o 4.-1,220 Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: •'•e-C-C® bead bat 1%es .conn relocation Owner installation:This installatio ' i-ing made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease t,,,r- c 70 according to ORS 447,449,6d 701. 201 amps to 400 amps 125.08 ' 2 Owner signaturemiDate: 1 401 amps to 599 amps 168.54 2 /' w Branch circuits—new,alteration,or extension,per panel c AP' ICANT` 0 CONTACT PERSON A.Fee for branch circuits with Business name: above service or feeder feet, // 7.42 2 eacT�-c-le atdr() Feehorbahcircus ��' Contact name: V �yJr; 1 .i... B.Fee for branch circuits without Address: (&SCS© SW Co long C_IC C 1 service or feederstfee,first 56.18 2 1 branch circuit City/State/ZIP: t ' Each add'!branch circuit 7.42 2 Tti a �� Gl'�-Z-24 Miscellaneous(service or feeder not included) Phone:(°"H) 4 G4 -4_22D Each manufactured or modular 67.84 2 Email: �' �.�-0 b Cadwelling service and/or feeder but es . lm Reconnect only 67.84 2 1 CONTRACTOR Pump or irrigation circle 67.84 2 Busiiness name: NON, 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) 66.25/hr Phone:( ) 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(%Z hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: - 1 Subtotal: /L2,3,2 Print name: Date: 0 Plan Review Required(25%of permit fee): -- r/'/ State surcharge(12%of permit fee): All, ' A'1+'•; si cure: C--) TOTAL PERMIT FEE: 42 �( , / This permit application expires if a permit is not obtained within 180 Picot name Date: days after it hat been adapted as aoatplett. * Number of inspections allowed per permit. 1:\BeIWmg\Permes\ELC_Pmn6App ELR ERE.doc Rev 10/2612017 440.4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: : FEE SCHEDULE • Fee for all residential systems combined: $75.00 �' °a Qty. "" �EachTTotal3' Renewable electrical energy systems: Check Type of Work Involved: s 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: 0 Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 0 Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 0 Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 O 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 charged at an hourly(I hr min) Inspections for which no fee is 00/ hr specifically listed('A hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): • Number of inspections allbwed per permit (SEE OAR 918-309-0000) Check Type of Work Involved: O Audio and Stereo Systems 0 Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation 1 ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling O Other: Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations 1:\Building\Peumds\ELC_PermitApp_ELR ERE.doc Rev 10/26/2017 City of Tigard Tel: 503.718.2439 Location: Inspection Date: 8550 SW COLONY CREEK CT, TIGARD, OR, 97224 Record Type: Record ID: Residential - Electrical ELC2019-00295 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor