Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2020-00345
T!GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/08/2020
Parcel: 1 S 136AA09700
Jurisdiction: Tigard
Site address: 10230 SW MCKENNA PL
Project: Kondor Subdivision: VENTURA ESTATES Lot: 19
Project Description: Add(1)branch circuit in garage for level 2 charger for all electric vehicle.
Contractor: OWNER Owner: KONDOR,ANDREW JOSEPH&CARRIE A
10230 SW MCKENNA PL
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 07/08/2020 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 07/08/2020 $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: 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 OA 982.001-009 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.1.
Issued By: //r PermifteeSignature: cfrL/ e.�/el'L./C11-7/!1i"//
•
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 ADDIlea tiu C IV D FOR Oil R E 1 Si.0y1.1
City of Tigard JUN 2 0 2020 2, Peat»E�Zp , —Do3`/S
13125 SW Hail Blvd.,Tigard,OR Plan Rev ew
h ' Phone: 503.718.2439 Fax 5 �9 OFi1�� bate B : Related Permit 4:
Inspection Line: 503.639.417 21(j l( r"` . ' ' Ready Date/By: Juis Iiff See Page 2 for
11 C A R D. Internet www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK. PLAN REVIEW
❑New construction �• Addition/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 ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
Xl-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground or exceeds 14,000 ❑commercial-ose agricultural
amps for all other installations. buildings.
❑Multi-family
0 Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system larger separately derived
❑Addition of new motor load of system.
Job#: Job site address:
f02.30 .s 1,J I 'Clzr-ii-k4 1.31, 100HP or more ❑ A" "E 1.2'`t,9"
City/State/ZIP: (I6-f?./L/Q, O� 722 ❑Sixorrnore faciities.luuits. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldgJapt#: 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: J 1,1 L,DcJc7 s-7-' FEE SCHEDULE
Description I Qty. I Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: includes attached garage.
0 R.
Taxmap/parcel#:
1 S 1 3 A/=i 7 1 Ea.add.'000 0 sq. or portion 168.54 or less
33.92 1
DESCRIPTION OF WORK Limited energ
y,residential 75.00 2
L-CVe— z CIf/M-G-e"YL Fart- /-14C- —7/4-,C //4-1/![�s' (with above sq.ft.)
Limited energy,multi-family
A66residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
gi PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: r„A/z,1t f1 i)_% /42y1 rz>rti. 200 amps or less 100.70 2
Address: f 2.30 s l �'J .gel-tr,y� P— 201 amps to 400 amps 133.56 z
401 amps to 600 amps 200.34 2
City/State/ZIP: T(&A,n"oi oft. g7273 601 amps to 1,000 amps 301.04 2
Phone:(5%ri )175->3L3l y Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: Amci,is go1.40 /t e GCyA/C--. Cai"I relocation
Owner installation: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 a/xchan ,a/o�rdinggtto ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: { /
Date: /y-rii4 20' 401 amps to 599 amps 168.54 2
0
APPLICANT El CONTACT PERSON Branch circuits—new,alteration,or extension, r panel
A.Fee for branch circuits with
Business name: above service or feeder fee, ...4/ 7 42 2
each branch circuit
Contact name: B.Fee for branch circuits without
Address: service or feeder fee,first / 56.18 �(C�`P (� 2
branch circuit
City/State/ZIP: Each add'1 branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Fax::( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email. Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Sign or outline lighting 67.84 2
Address: Signal circuit(s):or limited-energy ❑ See Page 2 2
panel,alteration,or extension.
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(I 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('/:hr min)
Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES 5,,/f'
Subtotal: , ft
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
J q This permit application expires if a permit Is not obtained within 180
Print name:�/, �e:.: - // -7 Date: / / ,T(f� 42 days after it has been accepted as complete, ��
* Number of inspections allowed per permit / y .
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