Permit CITY OF TIGARD ELECTRICAL PERMIT
III1f, 5'' Permit#: ELC2020-00069
COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 • R* / fa, Date Issued: 02/10/2020
t" " Parcel: 2S111CD04300
Jurisdiction: Tigard
Site address: 9520 SW BRENTWOOD PL
Project: SMARTER REDESIGN LLC Subdivision: SUMMERFIELD NO.9 Lot: 502
Project Description: (1)branch circuit for exhaust fan installation. 3/10/20: REPRINTED permit to include(6)branch circuits for
bathrooms and kitchen.
Contractor: OWNER Owner: SMARTER REDESIGN LLC
15916 NW CLAREMONT DR
PORTLAND, OR 97229
PHONE: PHONE:
FAX:
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 02/10/2020 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 02/10/2020 $6.74
Type of Use: SF Electrical
Class of Work: ALT 6 crt Branch Circuits w/Purchase 03/10/2020 $44.52
Service or Feeder
Type of Const: 0 ea 12%State Surcharge- 03/10/2020 $5.34
Occupancy Grp: Electrical
Total $112.78
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 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987/orr�1.800.0.333223-444..
Issued By: �� Permittee Signature: �(/• ��vc
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 = =��fFIIIMIIIIIIIEIEIIIIIMIIIIIIII
I
City of Tigard t may. /(��� /�y..� Permit#: Gl�
13125 SW Hall Blvd.,Tigard,OR 97223IN
4 �OZO Plan iReview "/ Re��Permit#:
Phone: 503.7182439 FEB Date/By: /"►o.e aU-01371
Email: TigardBuildingPermits@Tigard-or.ga(+ i' y t r early Date/By: Ms: 0 See Page 2 for
I I t v I' inspection Line: 503.639.4175 Intemelt rl', t( �11 ohfird/Method: 7�( Suppkmeotal ldormation
,�f �u any
,.Y 'Y }'x) l''L,'y,�b f ' !+.- Y C‘r '� d fi3,-. # 'i ZZ. r 1 t: l+
'�iu w . p ""a�. ?X ?� 'MFe�# r t '1'.;; 1 -' x "�. .,*•. t ,: ai..1. .-.� •��. �'. t . .. . '
❑New construction ❑Addition/alteration/replacement Please check all that apply(submit a sets of plans w/items checked):
❑Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑Other: -'.r- where the available fault current 0 Marinas and boatyards.
r'<" ..:-2- - . CA Rt- cON v ! , a;.S5%' rr r1-'":- exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1 and 2-family dwelling 0 Commercial/industrial Si ACx s ry build' less to pound,or exceeds la,000 0 Commercial-use agricultural
r % amps for all other installations. buildings.
❑Multi-family ❑Master builder l�F--_ 0 Fire pump. 0 installation of 150 KVA or
'" :Idl$ SiT i'WO& ortoN-,Q ¢ N -.. ...., 0 Emergency system. larger separately derived
"` ' ' :.t ❑Addition of new motor load of system.
Job#: Job site address:pij xj S� v �fc2f 100HP or more. ❑"A","E',^l-T',"l-3"•
❑Six or more residential units. occupancy.
City/State/ZIP: Lj 0 Recreational vehicle parks.
ty 4„te�t or y ❑Health-care facilities.
Suite/bldg./apt.#: Cl (Project name: 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: 'FEE ,E `"`J "
r„
ante J^' d3C l+y.n. .
1 narrlpdoa 1 Qty. I raea I Total I :
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: p' Ea.add'I 500 sq.ft.or portion 33.92 1
;M' „":K., 1100W4)bi U)I°1. ..a••'„ 4:7; »„ .v"417'..a„t:- -i:. Limited energy,residential 75.00 2
0/' / `u (with above sq.ft.)
4�-i441,CA G,r-- t44 /.{ TIJ1r C(f •w b� Limited energy,multi-family 75.00 2
// ! residential(with above sq.It.)
,l(.,_[1 +r R gef l,a0.,',,'^ '" 4�.,"0 71 �z7 fsC�' Jt �tenewable Eaeryy ❑ See Page Z
❑'P$OfikrY OWNER - . 0-tight(E ` l+'t 6ervicea or feeders inatatlation alteration andlOr relocation
Name: 7UD/T-7,70- Cl. uhercr -SM/ 7Ee 106.-/,er.3,c N L 200 amps or less 100.70 2
�'r�3 201 amps to 400 amps 133.56 2
Address: . o)S.�f S'�.l 4:5,Qo%7Z)en.$) p1. . 401 amps to 600 amps 200.34 2
City/State/ZIP: 'i/67frtr/), QP 77.1.7y 601 amps to 1,000 amps 301.04 2
Phone:( gc5) y ls(o g771
Over 1,000 amps or volts 552.26 2
�1 Temporary services or feeders installation,alteration,and/or
Email: p310//{{// , Sm, A y�/9 nlu//• c cl/17 relocation
Owner installatl'on:This installation is being made on property that i own which is not 200 amps or less 59.36 I
intended for sale,lease,rent,or exch ge,according to O$S 447,449,670,and 701. 201 amps to 400 amps I 125.08 2
Owner signature: , L/U 1 =4 Z. Date:a-/l ) 401 amps to 599 amps 168.54 2
r 4;:.;:.- • Branch circuits-new,alteration,or extension,per panel
'®= .r° - . ,..,'4,-;• - . - - '' A.Fee for branch circuits with
Business name: above service or feeder fee, 7.42 2
each branch circuit
Contact name: B.Fee for branch circuits without
Address: sery b ih or(ceder fee,first ( 56.18 5-4„(t 2
circuit
City/State/ZIP: Each add'l branch circuit r", 7.42 ,0114.$ 2
Miscellaneous(service or feeder not Included)
Phone: ( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: Reconnect only 67.84 2
CONTRACTOR . - Pump or irrigation circle 67.84 2
Business name: Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: panel,alteration,or extension.
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(I hr min) 78.18/hr
Email:
Inspections for which no fee is 90.00/hr
CCB Lic.: I Electrical Lic.: 1 Suprv.Lic.:
specifically listed('h hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: '7L=(y
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): 6,,;-744
TOTAL PERMIT FEE:
Authorized signature: ,1p'l,
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.;/- 11
Number of inspections allowed per permit. j I 0 .'7-6
I:•Buildiog1ermhslFt C_PernutApp_ELAERE doc Rev 10/262017 440-4615T(11/05/COM'WEB 21 w
•
CITY OF TIGARD ELECTRICAL PERMIT
111
COMMUNITY DEVELOPMENT Permit#: ELC2020-00069
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/10/2020
TIGARDg Parcel: 2S111CD04300
Jurisdiction: Tigard
Site address: 9520 SW BRENTWOOD PL
Project: SMARTER REDESIGN LLC Subdivision: SUMMERFIELD NO.9 Lot: 502
Project Description: (1)branch circuit for exhaust fan installation.
Contractor: OWNER Owner: SMARTER REDESIGN LLC
15916 NW CLAREMONT DR
PORTLAND, OR 97229
PHONE: PHONE:
FAX:
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 02/10/2020 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 02/10/2020 $6.74
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $62.92
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: Ore law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through 52-001- 0. may obtai copy of the s or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ._ 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 may' _IV rOlz Ofrlf ►: t SI,ON1.1
City of Tigard su
Date/By: Permit#:
11111‘ v 13125 SW Hall Blvd.,Tigard,OR 972230/K110 �rvJL� c
g FEB 4 2Q2 s Plan Review
Phone: 503.718.2439 Date/By: Related Permit#: 0.G ROO 477
Email: TigardBuildingPetmits@Tigard-or go'j i '1 i t..,-, t beady Date/By: Juns ® See Page 2 for
1 i('AR I) jtiti:' ,. otified/Method: �C. Supplemental Information
,-,,,,,,,,,,, , .. ,Inspection Lme 503.639 4175 Intemel Ivpylvlt „ ,,, e, r
'TYPE`:o WORtC `°°JJ _ h
61 3 E $ )§% '
,,,...„
❑New construction 0 Addition/alteration/replacement Please check all that apply(submit/sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑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.
❑ 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 ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address:45—z st_j l wit t7 a..31 100HP or more. ❑ <A„ «E>, «1_Z„ <1.3„
�7�-7 �'�� `^' ❑Six or more residential units. occupancy.
City/State/ZIP: / 11 0 Recreational vehicle parks.
tY / ,�j/{�� Q� / ❑Health-care facilities.
Suite/bldg./apt.#: (� (Project name: 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
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'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
��j` / (with above sq.ft.) 75.00 2
tlJ � �� G,ru-t. 7" �rJtr C Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
0 PROPERTY OWNER ;1 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: 76/ /) c). Cf ri i ' S%Y�dierE ' /c/CO a/GN LLc'- 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Address: 93..2,0 S-G,) bPafr`-zucai) /,'L' 401 amps to 600 amps 200.34 2
City/State/ZIP: `j/67A 7r 6)g "/7 22y 601 amps to 1,000 amps 301.04 2
Phone:( 5x5) ,S-i (,-, - 3 72r) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: ma f 4, in Sr»i hi )q,ci,/, C vrk7 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 exch g ,according to O S 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: l �C(7/ ��� Jr:::/ ,L)" cj, ✓ Date:e 2�%G , 401 amps to 599 amps 168.54 2
0 APPLICANT LY C(id1VTACT PERSON
Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: above service or feeder fee, 7.42 2
each branch circuit
Contact name: B.Fee for branch circuits without
service or feeder fee,first 56.18 l t 2
Address: branch circuit
City/State/ZIP: Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP:
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('A hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: yze_l
Print name: Date: 0 Plan Review Required(25%of permit fee): -----
State State surcharge(12%of permit fee): (,,'7H
TOTAL PERMIT FEE:
Authorized signature: `,ia
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Budding\Permits\ELC_PermitApp_ELR_ERE.doc Rev 10/26/2017 440-4615T(11/05/COM/WEB
Electrical Permit Application z�gL�,1$t1 mit orrlci: t si.0_1.1
— City of Tigard --- Received-
lig 13125 SW Hall Blvd.,Tigard,OR 97223 — Date/B : L iY _ wi Maill
= 4 EB 2��U Plan Review Related Permit#: -
Phone: 503.718.2439 Date/B : ,g ,J' _, w
Email: TigardBuildingPermits@Tigard-or.gov t; , ;- ,Ready Date/By: Juris: la See Page 2 for
T I G A R D I k "t Notified/Method: Supplemental Information
Inspection Line: 503.639.4175 Internet: www+� 7- C pp
TYPE OF WORK A v �"�'
PLAN REVIEW
❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
ElService or feeder 400 amps or more ElBuilding over three stories.
El 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.
El1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
bu
ngs.
❑Multi-family 0 Master builder ❑Other: amps for allother installations. Installation
❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
Job#: Job site address: W ❑Addition of new motor load of system.
Cjrj SL-J E 100HP or more. ❑"A" "E' "1-2" "1-3„
❑Six or more residential units. occupancy.
City/State/ZIP: '7'70( Q� C7 - a El vehicle parks.
/ �U I _ 0 Health-care facilities.
Suite/bldg./apt.#: (Project name: ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
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 75.00 2
,[ (with above sq.ft.)
„� �y'� ® G,r� is 'r1r t"'3't Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
❑ PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) 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,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
0 APPLICANT El 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: B.Fee for branch circuits without
service or feeder fee,first
Address: branch circuit ( 56.18 ` ,. ,r' 2
,
City/State/ZIP: Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: panel,alteration,or extension. ❑ See Page 2 2
Each additional inspection over allowable in any of the above
City/State/ZIP: 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(1/2 hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: +_l ie
Print name: Date: 0 Plan Review Required(25%of permit fee): ,.--
State surcharge(12%of permit fee): 6,'7,4
Authorized signature: TOTAL PERMIT FEE: (/-�
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC PermitApp_ELR_ERE.doc Rev 10/26/2017 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 Description I Qty. I Each I Total I
y Renewable 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 t 918-309-0040)
n Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
n Vacuum 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(A hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
3 * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
n A• udio and Stereo Systems
n Boiler Controls
n Clock Systems
n Data Telecommunication Installation
n Fire Alarm Installation
n H• VAC
❑ Instrumentation
❑ Intercom and Paging Systems
n L• andscape Irrigation Control*
❑ Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
n P• rotective Signaling
n O• ther:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1_\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 10/26/2017