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Permit
CITY OF TIGARD ELECTRICAL PERMIT I COMMUNITY DEVELOPMENT Permit#: ELC2013-00463 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/06/2013 Parcel: 25110DA04000 Jurisdiction: Tigard Site address: 10888 SW KABLE ST Project: MARCELLA Subdivision: ERICKSON HEIGHTS Lot: 1 Project Description: (1)branch circuit for car charger installation. Contractor: MR ELECTRIC OF CLARK COUNTY Owner: MARCELLA,CHRISTOPHER PATRICK& 418 NE REPASS RD B-5 STEPHANIE MARIE FAMILY TRUST VANCOUVER,WA 98665 10888 SW KABLE ST TIGARD,OR 97224 PHONE: 360-574-7200 PHONE: FAX: 360-546-2158 FEES Quantity Description Date Amount 1 crt Branch Circuits wo/Purchase 08/06/2013 $56.18 Specifics: Service or Feeder 1 ea 12%State Surcharge- 08/06/2013 $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 OAR 952-001-0090. You may ob:'• - •• • the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 1 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. 1 Aug.; 3. 2013 3: 33AM No. 0044 P. 1 Electrical Permit Applicl l,,i ¢ hOR(ll/IFICi USE ONLY City of Tigard IVE() Dale B d p :e Pemtit No.: -(��-. 1 — C5 if, a W Hall Blvd. Tigard,OR 13125 S g 9 Plan Review ' 0 Phone: 503.718.2439 Pax: 503.590 5 2013 Date/By; Other Permit: T I<:A u I> Inspection Lino: 503,639.4175 3 Dare Ready/13y: it ris7 HI See Page 2 for • Internet: www.tigard-or.gov CITY Notified/Method: ' - Supplemental Information BOARD . 'PLAN REVIEW ❑Now construction Add ition/alteration/repla Please check all that apply(submit 2 sets of plans w/items checked below)! ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: whom the available fault current ❑Marines and boatyards. • CATEGORY tyP'.CONSTRUCTION. exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14.000 0 Commercial-use agricultural E 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all otherinslalletions. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Piro pump. ❑Installation of 150 KVA Or ['Emergency syatem. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑"A"."E"."1-2"."1-3", Job no.: Job site address:10888 SW Kable St 100IIP or more. occupancy. ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP:Tigard,OR 97224 • ❑Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: iru,(Ct,t ❑Service or feeder 600 amps or more. PEE SCHEDULE: Cross street/directions to job site:from SW Naeve St.go North on SW Royalty noscrtarron I Ow. i Fie. i Total I • New residential single-or multi-family dwelling unit. Pkwy.Turn right on SW]Cable St.Destination will be on the right Includes attached garage. Subdivision; 1 Lot no.: 1,000 sq.ft.or lees _ 168.54 4 Ea.add'I 500 sq.R.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential DESCRIPTION OF.WORK (with above sq.0.) 75.00 2 Limited energy,multi-family 75.00 2 1 100 amp circuit for car charger installation residential(with above sq.R.) Renewable Energy ❑ See Page 2 Services or feeders instellntiouzalteration,and/or relocation • ® PROPERT3('OWNER' ❑ TENANT 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name:Christopher Marcella 401 amps to 600 amps 200.34 2 Address: 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Temporary services or feeders installation,alteration,and/or Fax:( ) relocation Phone:( ) 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 slops to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: Branch circuits--new,alteration,or ex_tension,rarer panel • ®.APPLICANT` ❑rCONTACT PERSON. A.Fee for branch circuits with above service or feeder fee, 7.42 2 Business name;Advanced Electrical Concepts DBA Mr.Electric each branch circuit B.Pee for branch circuits without Contact name:James Kleiser service or feeder fee,first l 56.18 $56.18 2 - branch circuit ' Address:418 NE Repass Rd Each add'I branch circuit 7.42 2 City/State/ZIP;Vancouver,WA 98665 Miscellaneous(service or feeder not included) ry Each manufactured or modular Phone;(360)574-7200 Fax::(360)546-2158 dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 E-mail:esr©mrelectriccc.com Pump or irrigation circle 67.84 2 CONTRACTOR • Sign or outline lighting 67.84 2 Business name: A / Z Signal circuit(s)or limited-energy Sec pane),alteration,or extension, _ Page 2 2 Address: Each additional inspection over allowable in any of the above Additional inspection(1 hr train) 66.25/hr City/State/ZIP: _ _ _Investigation(1 hr min) 66.25/hr Phone:( ) Fax:( ) z. Industrial plant(1 hr min) 78.18/hr �/ Inspections for which no fee is 90.00/hr CCB Lie.: /0 rj ecnical Lie.: 0 3 4 Suprv.Lie.: il S6 b l. specifically listed(.6 hr min) _ - .EIiECTRICAL.:PERMiT REES . Suprv.Electrician signature,required: Subtotal: $56.18 Print name: James Kleiser Date: 08/02/2013 Plan review(25%of permit fee): . State surcharge(12%of permit fee): $6.74 Authori2ed signature: TOTAL PERMIT PEE:_ $62.92 This permit application expires If a permit Is not obtained within 180 Print name: James Kleiser Date: 08/02/2013 days after It has been accepted as complete. . Number of inspections allowed per permit. 1:1 13eilditle\PennilARl-C_PermilApp_let tRE.doc Rev 05/21/2015 440-46151111/05/COMAVEB