Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
,011 CITY OF TIGARD ELECTRICAL PERMIT • 2 COMMUNITY DEVELOPMENT Permit#: ELC2019-00862 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12l16/2019 Parcel: 1 S135DD03800 Jurisdiction: Tigard Site address: 11734 SW 90TH AVE Project: COLLING Subdivision: None Lot: None Project Description: (1)new service. Contractor: HARBOR NORTHWEST ELECTRIC LLC Owner: COLLING, DOUGLAS A 1404 NE 17TH AVE HORTON, KAMI L BATTLE GROUND,WA 98604 11734 SW 90TH AVE TIGARD, OR 97223 PHONE: 503-358-8723 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-200 12/16/2019 $100.70 Specifics: amps or less 1 ea 12%State Surcharge- 12/16/2019 $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 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 maybtai y of th k3e-ot direct questions to OUNC by calling 503.232.yQ87 or 1.800.332.24. Issued By: `"—Permitter)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. L1VV41141,141 J. VS. 1VJ•JtSVM4lV 11 City of Tigard Received Date/ur: 17-/L ./ 4 -Pemutx: .i�-ZC..0 14-C,b87onl "" 13125 SW Hall Blvd.,Tigard,OR 97223 1_ t:4„_. t ran Review E7ri Phone: 503.718.2439 Fax 503.598.196 t 3Related Permit#: �r•a f 4. s ._ ' ate/By: Tt GARD Inspection Line: 503.639.4175 Ready Date/By: nails: rd See Paget for ' Internet: www.tigard-or.gov n r�, y 6 2 n 1 n NotifiedMtethod: Supplemental Information lJ� i 1 O ll J TYPE OF WORK PLAN REVIEW '' Please check all that apply planschecked): New construction �Addition/alteration/replacement pp y(submit 2 sets of w.items DCIROhtlOn Other where Service or feeds 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 140 volts or ❑Floating buildings. 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground or exceeds 14,00(1 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: ['Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system_ larger separately derived T ❑Addition of new motor lend of system. Job#: Job site address: 1 13 / 5W 1 Q 10011P or more. ❑`A" '°E' "1 2" "1 3" City/State/ZIP: )n ❑Six or more residential units. occupancy. T I�A/ !p�J p,I 1 21.3 , ❑Health-care facilities. El Recreational vehicle parks. Suite/bldg./apl.#: 1 I 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 SC JIEDULE C/d L.., ` V. ^� o Description i 4tp. I Encb I Total 1 * 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#: Es.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 Siwith above sq.f t.) M.. in..) / / ✓1 k Limited energy,multi-family 75.00 2 residential(with above sq.ft.) PROPERTY OWNER 0 TENANT R wableEneagy 0 See Page 2 ry ens br installation,alteration,and/or relocation Name: 1 )V ( n Hirt j 200 amps or less ( 100.70 �ita'1'c 2 Address: J J 201 amps to 400 amps 133.56 V�/ 2 ©"� ,c(--J i/ i L lG/ t/lc (. C.i 401 amps to 600 amps 200.34 2 City/Stale/ZIP: / 114, J 02 9 7 Z 2 d1 601 amps to 1,000 amps 301.04 2 i Phone:(C,j) -fie,-- -_p?yr 1 Fax:( ) Over 1,000 amps or volts 552.26 2 f Temporary services or feeders installation,alteration,and/or Email: &IOC/ .. (-0/itnrl 6)A6Tit7o1Z. ,Colo'" relocation Owner installatii : This install on 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 lc 599 amps 168.54 2 ❑ APPLICANT I Ell CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch ctircati7s with Business mine: above service or feeder fee, each branch circuit 7.42 2 Contact name: B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address: branch circuit City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone: ( ) Fax: : ( ) 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: l!n/bn/ BUyrnw+ sT /Dcr„ t / ! C Sign or outline lighting 67.84 2 Address: Z 3 Y 0 °1 N �Q h n!1 Signal circuit(s)or limited-energy g 2 !� I 'G iC panel,alteration,or extension. ❑ Page 2 l OW a J� Each additional inspection over allowable in any of the above City/State/ZIP: e p H'i In .��A (,)a /�/{c(6Ol.� Additional ins i. / 1 inspection(I hr min) 66.25;hr Phone:()(V 3 ) 3 f i - '7 2, 3 Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18i hr Inspections for which no fee is 90-00t hr CCB Lie.: /9 7 / Y 4, Electrical Lic.: L 9'S'9Suprv.Lic.: S y rCl specifically listed('is hr min)ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: G1 r� �', i Subtotal: IOU,7Q Print name: ) v1 Date: c, ❑Plan Review Required(25%of permit fee): �i°r)+J rL/n t.„./irk / 7.„i6-ZD) / SState surcharge(12%of permit fee): /), (} Authorized signature: TOTAL PERMIT FEE:'1/(a. ,7 This permit application expires if a permit is not obtained within ill Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Dewripiion I Qty. I Each I Total 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* >loo kva(fee in accordance 552.26 2 with OAR 918-309-0040) ❑ 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 charged at an hourly(1 hr min) 66.25/hr Inspections for which no fee is 90.00/hr specifically listed(`/2 hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES 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