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Permit CITY OF TIGARD ELECTRICAL PERMIT 21:r. COMMUNITY DEVELOPMENTIL Permit#: ELC2019 00495 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/25/2019 Parcel: 2S104CC04900 Jurisdiction: Tigard Site address: 13687 SW ESSEX DR Project: Saldana Subdivision: HILLSHIRE ESTATES NO.3 Lot: 157 Project Description: (8)branch circuits for kitchen and bathroom remodel. Contractor: TAURUS POWER&CONTROLS INC Owner: SALDANA, LEO B 9999 SW AVERY 13687 SW ESSEX DR TUALATIN, OR 97062 TIGARD, OR 97223 PHONE: 503-519-6707 PHONE: FAX: 503-692-9273 FEES Quantity Description Date Amount 8 crt Branch Circuits wo/Purchase 07/25/2019 $108.12 Specifics: Service or Feeder 1 ea 12%State Surcharge- 07/25/2019 $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 issuanc-, 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 C nter. Those rulees are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma •• -in a_•L - - r = • •irect questions to OUNC by calli •_„aave. yy; 1.800.3 . 344. Issued By: ``-- .�- l ` Permittee Signature* ArdligrrIIIIIIMOSIL 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 ;' cElifffinalifenft Date/B A,�a fl/ 13125 SW Hall Blvd.,Tigard,OR 9 Plan Review ■ Phone: 503.718.2439 Fax: 503.598.1960 C ZQ t9Date/13Related Permit#: ,/1 r _ •�,•r, Y J : Inspection Line: 503.639.4175 auL T I Ci A R p Ready Date/By ® See Page 2 for ME Internet www.tigard-or.gov ..11GAy1,0 Notified/Method:Supplemental Information ❑New construction El Addition/alteratl replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Demolition 0 Other: ❑Service or feeder 400 amps or more ❑Building over three stories. where the available fault current ❑Marinas and boatyards. ' c EC0 OF'- $ t '[ :% __ exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building legs to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑Multi-family amps for all other installations. buildings. y 0 Master builder 0 Other 0 Fire �y,' � ,�W pump. 0 Installation of 150 KVA or - °` 1 t JCB i FOl AT1 NI ND Tqe''lON " ` ❑Emergency system. larger separately derived Job#: Job site address: 13687 SW Essex Drive ❑Addition of new motor load of system. 100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP:Tigard,OR 97223 ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: ❑Hazardous locations. 0 Supply voltage for more than ❑Servrce or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: -Y "zi F 01flE uE+liitt+ 3 Description I Qty. I Each ITotal New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. Tax map/parcel 4: 1,000 sq.ft.or less 168.54 4 +� ;;y, . Ea.add'l 500 sq.ft.or portion 33.92 1 ';z ` ' L � " 'Oti$C � � �R �1 7, 1-1 :-:1:71171=- 0!„1:10f, Limited energy,residential Kitchen/Bathroom remodel (with above sq.ft.) 75.00 2 Limited energy,multi-family add/alter 8 circuits without feeder residential(with above sq.ft.) 75.00 2 >� 1112©PR1Y pR 4 Q IENA1N11 Renewable Energy 0 See Page 2 4L -sal ��rv� Services or feeders installation,alteration,and/or relocation Name: 0 -s200 amps or less 100.70 2 Address: t 3(-6C5-7 �i- �_ 4, 201 amps to 400 amps 133.56 2 { ( � 1 401 amps to 600 amps 200.34 2 City/State/ZIP: p 4J F—� '5 '7 Z 601 amps to 1,000 amps 301.04 2 Phone:( ) J Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or 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 -10 000C, IT 0 ..t:'I' 1' t1 ,' !n =k Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Green Ridge Power above service or feeder fee, each branch circuit 7.42 2 Contact name:Hilary Conway B.Fee for branch circuits without Address: 19450 SW Mohave Ct. service or feeder fee,first 1 branch circuit 56.18 c,? '`x' 2 City/State/ZIP:Tualatin,OR 97062 Each add'I branch circuit 7 7.42 57 6j.f 2 Phone:(503)395-1943 Fax: : Miscellaneous(service or feeder not included) ( ) Each manufactured or modular Email:operations@greenridgepower.com dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 '_ -0N#,CT YR ' I " 47, `a= " Pump or irrigation circle 67.84 2 Business-naiTaHrus-Power -Gmtrolg _ 5`rgtror°6at�efighting 67.84 2' Address:9999 SW Avery St. Signal circuit(s)orlimited-energy panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP:Tualatin,OR 97062 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)692-9004 Fax:( ) Investigation(1 hr min) 90.00/hr Email:operations@greenridgepower.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lie.: 76781 Electrical Lic.: 34-325C Suprv.Lic.: 3093S specifically listed(%hr min) 90.00/hr Suprv.Electrician signature,required: X41 1 ' * �T I '�� '! Subtotal: ;Cr a Print name: Bill Butterfield Date: 7/25/19 0 Plan Review Required(25%of permit fee): 405416A, State surcharge(12%of permit fee): `" '> Authorized signature: TOTAL PERMIT FEE: � � �/ This permit application expires if a permit is not obtained within 180 Print name: Bill Butterfield Date: 7/25/19 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I 1/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: ? iEi6t �"wi- 96 v enc .. " 1 * Fee for all residential systems combined: $75.00 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: ❑ 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 with OAR 918-309-0040) 552.26 2 ❑ 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: ❑ 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('/hr min) CON MERCtAL WORTS ONLY : _ r: CTl � P R117IT Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELCPermitApp_ELRERE.doc Rev 06/17/2015 City of Tigard Tel: 503.718.2439 Location: Inspection Date: 13687 SW ESSEX DR, TIGARD, OR, 97223 September 9, 2019 at 12:50:20 PM Record Type: Record ID: Residential - Electrical ELC2019-00495 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor