Permit Support Document CITY OF TIGARD { f : ELECTRICAL PERMIT
a
Jrli . COMMUNITY DEVELOPMENT F7. Permit#: ELC2019-00339
T E GA R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/20/2019
Parcel: 2S 111 AC01100
Jurisdiction: Tigard
Site address: 14650 SW 92ND AVE
Project: Hunter Caputo Subdivision: PINEBROOK TERRACE Lot: 52
Project Description: New meter&panel and wiring for outdoor swim spa. 8/26/2019: REPRINT to add(5)branch circuits for a total of
(8).
Contractor: GARNER ELECTRIC Owner: CAPUTO, HUNTER
2920 SE BROOKWOOD AVE A 14650 SW 92ND AVE
HILLSBORO, OR 97123 TIGARD, OR 97224
PHONE: 503-648-4552 PHONE:
FAX: 503-642-7925
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 05/20/2019 $100.70
Specifics: amps or less
3 crt Branch Circuits w/Purchase 05/20/2019 $22.26
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 05/20/2019 $14.76
Electrical
Type of Const: 5 crt Branch Circuits w/Purchase 08/23/2019 $37.10
Occupancy Grp: Service or Feeder
0 ea 12%State Surcharge- 08/23/2019 $4.45
Electrical
Total $179.27
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 thro < OA- • -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
1SSSUed° . a SitesIr
Permittee Signature: !T L re'df77�AI
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
03/18/2013 03:29 15036427925 GARNER ELECTRIC PAGE 02/02
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Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Ttri$ . ... ;,,�y�,�� t�,e�. � ,. ,. ....-.... `�..
0 • 4' VCM.., ".'Til',, x:8:"..:^C'-"t'"..';._.._ Es ToGI
Fee for all residential systems combined: �., $75.00 Renewable electrical energy systems:
3 kva or less 100,70 2
Check Type of Work Involved:
5.01 to 15 kVa 133.56 2
❑ Audio and Stereo Systems* 15,01 to 25 kva 200.34 2
Wind geueratlon systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50,01 to 100 kva 552.26 2 •
n Garage Door Opener* >100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
0 Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 I 3
ri Vacuum Systems* >100 kva—no additional charge 0.0 IF 3
Each additional inspection over allowable hi 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 )4 hr mini 4'au+t- lJr1fi11C{2�1t t.,C,+1.� ,r 9^ ;� S
-r,. 1Y� � ��,* ^` �--'=`�F'��fz Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 • 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
0 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
t 1Buildina\PernhIe\ELC„PtrtnllAPP..6L1LERVIQC Rev 06/17/2015