The URL can be used to link to this page

Permit CITY OF TIGARD ELECTRICAL PERMIT 111 COMMUNITY DEVELOPMENT Permit#: ELC2020-00088 T I G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/12/2020 Parcel: 2S111 CD00500 Jurisdiction: Tigard Site address: 9835 SW DURHAM RD Project: HAKIMI Subdivision: ALDERBROOK FARM Lot: 21 Project Description: Replacing(1)200 amp service panel. Contractor: AWSEM ELECTRIC LLC Owner: HAKIMI, SALEEM M&MOHAMMAD M 20315 NE SANDY BLVD 16115 SW DEWBERRY LN FAIRVIEW, OR 97024 TIGARD, OR 97223 PHONE: 503-830-7854 PHONE. FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-200 02/12/2020 $100.70 Specifics: amps or less 1 ea 12%State Surcharge- 02/12/2020 $12.08 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: 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 and411 other pplicable law. All work will be done in accordance with approved plans. This permi will expire if work is not started within 180 days of issuance, At if work suspended for more the 180 days. ATTENTION: Oregon la req ires you foil w the rul adopted by the Oregon Utility Notification Cer. Tho s are set forth in OAR 952-001-0010 through OAR 95 .01-'••0. Yo y,pbtain copy of e rules or direct questions to OUNC by calling 503.23 987 or 1.8 . 34 . Issued By: /� / mittee Signature: „77 OWNER INSTALLATION ONLY The installatior> eing 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 � r, FOR OFFICE USE ONLY r City of Tigard Received II - r !ate/B : Lf��'jC� 'ar'i '_ . -�/ I13125 SW Hall Blvd.,Tigard,OR 97223 F"7 1 tan Review Phone: 503.718.2439 Date/B : Related Permit#: T l G A R D Email: TigardBuildingPermits@Tigard-or.gov Ready Date/By: r � Ea See Page 2 for Inspection Line: 503.639.4175 Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW 0 New constructionAddition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. j'1-and 2-family dwelling ❑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 ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived -3� •C /J wY{?d ❑Addition of new motor load of system. Job#: Job site address: /J Addition P or more. ❑system. City/State/ZIP: e----- tIrc El Six or more residential units. occupancy. ` • 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: roject name: ❑Hazardous locations. ❑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 e /,�, y��f� / (with above sq.ft.) 75.00 2 9—C ' '""Y - C/� ( � Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 ❑ PROPERTY OWNER 0 TENANT` Services or feeders installation,alteration,and/or relocation Name: /14 0 r 5a 1 e,„ � t,t t, ..(� / /;s4t 200 amps or less i 100.70 2 Address: GG 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 Branch circuits—new,alteration,or extension,per panel `gr APPLICANT 0 CONTACT PERSON A.Fee for branch circuits with Business name: S. �?�jy.c> above service or feeder fee, 7.42 2 �[ each branch circuit Contact name: B.Fee for branch circuits without Address: service or feeder fee,first 56.18 2 branch circuit 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 Email: 67.84 2 Reconnect only 67.84 2 // CONTRACTOR Pump or irrigation circle 67.84 2 Business name: J'1.i,19e .G/ems t`G Sign or outline lighting 67.84 2 Ar„.. �re, r!{tt.p 7 Signal circuit(s)or limited-energy Address: z-7s " panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: �� ©� Each additional inspection over allowable in any of the above ��I Additional inspection(1 hr min) 66.25/hr Phone:(�j3) 05 Investigation(1 hr min) 90.00/hr Email: .'6 G� , ' / . Cc5--y� 1 /(l-2 Industrial plant(1 hr min) 78.18/hr CJ Inspections for which no fee is ( ?Ji t i c ifZ,y Electrical Lic.: 37,.9?�c- Suprv.Lic.: 'VW j specifically listed(1/2hr min) 90.00/hr / q-diw Suprv.Electrician signature,required: - ELECTRICAL PERMIT FEESSubtotal: Print name: e2. �e A.(,)s Date: 2_p-�6 ❑Plan Review Required(25%of permit fee): VA 1 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: 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 Description I Qty. I Each I Total I * Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 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 generation systems in excess of 25 kva: n 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 with OAR 918-309-0040) 552.26 2 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('h hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES 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: n A• udio and Stereo Systems n Boiler Controls n C• lock Systems n D• ata Telecommunication Installation n F• ire Alarm Installation n HVAC n Instrumentation n Intercom and Paging Systems n L• andscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ 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.doc Rev 10/26/2017