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Permit lig CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT i Permit #: ELC2013 -00701 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Wm T [ 4;,� IT h g Date Issued: 11/25/2013 Parcel: 2S103DD00424 Jurisdiction: Tigard Site address: 10945 SW FAIRHAVEN WAY Project: KELLY Subdivision: FAIRHAVEN COURT Lot: 9 Project Description: Replacing service, and installing sub -panel and (2) branch circuits in garage. 12/11/13: Reprinted permit to include (3) branch circuits. Contractor: CHEROKEE ELECTRIC CO Owner: KELLY, JOHN D & DEVON 18270 SW TIMBREL LN 10945 SW FAIRHAVEN WAY SHERWOOD, OR 97140 TIGARD, OR 97223 PHONE: 503 - 209 -9039 PHONE: FAX: FEES Quantity Description Date Amount 2 ea Services or Feeders - 200 11/25/2013 $201.40 Specifics:, amps or less 5 crt Branch Circuits w /Purchase 12/11/2013 $37.10 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12% State Surcharge - 12/11/2013 $28.62 Electrical Type of Const: Occupancy Grp: Total $267.12 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 - • • • e rule • direct questions to OUNC by calling 50987 or 1 00.332. . Issued By: —......0- / Permittee Signature: re 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. CITY OF TIGARD ELECTRICAL PERMIT 111:: COMMUNITY DEVELOPMENT Permit#: ELC2013-00701 Date Issued: 11/25/2013 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103DD00424 Jurisdiction: Tigard Site address: 10945 SW FAIRHAVEN WAY Project: KELLY Subdivision: FAIRHAVEN COURT Lot: 9 Project Description: Replacing service,and installing sub-panel and(2)branch circuits in garage. Contractor: CHEROKEE ELECTRIC CO Owner: KELLY,JOHN D& DEVON 18270 SW TIMBREL LN 10945 SW FAIRHAVEN WAY SHERWOOD, OR 97140 TIGARD,OR 97223 PHONE: 503-209-9039 PHONE: FAX: FEES Quantity Description Date Amount 2 ea Services or Feeders-200 11/25/2013 $201.40 Specifics: amps or less 2 crt Branch Circuit's w/Purchase 11/25/2013 $14.84 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 11/25/2013 $25.95 Electrical Type of Const: Occupancy Grp: Total $242.19 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. T ose rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma o. . • le = ect questions to OUNC by calling 503.2i•87 or 1.8 .332.2/. Issued By: _ ermittee Signature: �, ► 41110 411. 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 F012 OFFICE ISF ON I.) City Tigard of TI and C. Received Permit No.: . .�(y�/� 7V �1 1 r 13125 SW Hall Blvd., Tigard, OR � P �X II 3 / T /=r c (9'J t `-� lig Date/By: I Phone: 503.718.2439 Fax: 503. 01 Other Permit: `1 {� Date/By: : I I . i:1 \) t-‘1 Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for ) Internet: www.tigard- or.gov 0 ' � \G�`g /l � Notified/Method: Supplemental Information TYPE OF WO J PLAN REVIEW ❑ New construction ❑ Addition/alterati�(I(I� lent Please check all that apply (submit 7 sets of plans w /items checked below): V�" ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑Demolition ❑Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION - \ exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ A i ry buil I _ amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Oth. : 0 Fire pump. ❑ Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", 100HP or more. occupancy. Job no.: Job site address: F '' ', f J, -- /Q � � � 0.t1Cn� �"�Y 0 Six or more residential units. 0 Recreational vehicle parks. City/State /ZIP: !/ ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qtv. I Fee. I Total I New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4 Ea. add'l 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 Limited energy, multi- family 75.00 2 a d . o l 1 N . ) N ( ; .r U., ;13 / J i / I/,) residential (with above sq. ft.) d Renewable Energy ❑ See Page 2 Services or feeders installation, alteration, and/or relocation ❑ PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name: 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 Phone: ( ) Fax: ( ) relocation 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps 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 extension, per panel ❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with above service or feeder fee, 7.42 2 Business name: each branch circuit B. Fee for branch circuits without Contact name: service or feeder fee, first 56.18 2 branch circuit _ Address: Each add'I branch circuit 5 7.42 ■ l4, 2 City/State /ZIP: Miscellaneous (service or feeder not included) Each manufactured or modular 67.84 2 Phone: ( ) Fax: : ( ) dwelling, service and/or feeder Reconnect only 67.84 2 E - mail: Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name: /' Signal circuit(s) or limited- energy See (_ G LCi✓0 t°� _ !� c C C { y - 2 ! 1 r Ct , Wq I panel, alteration, or extension. Page 2 2 Address: V j Each additional inspection over allowable in any of the above Additional inspection (1 hr min) 66.25/ hr City/State /ZIP: Investigation (1 hr min) 66.25/ hr Phone: ( ) Fax: ( ) 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) ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: �y Subtotal: .2.-.2 . k, Print name: Date: Plan review (25% of permit fee): State surcharge (12% of permit fee): ; , ( P Authorized signature: TOTAL PERMIT FEE: . . 4 3 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:\ BuildingW ermits \ELC_PermitApp_ELR_ERE.doe Rev 05 /21/2013 440- 4615T(t1/05 /COM/WEB Electrical Permit Application �® r:Olz OFFICE. USE ONLY City Of Tigard `� Received Permit No.: ° 13125 SW Hall Blvd.,Tigard, Date/B : 1 �y� - C • g O�� Plan Review Other Permit: Phone: 503.718.2439 Fax: s, .^ .1 �, D.teBy: T I G A R D Inspection Line: 503.639.417 O� Q �• ReadyBy: El See Page 2 for Internet: www.tigard-or.gov \� t, \ te�� Notified/Method: Supplemental Information TYPE OF WORK c.,\�c'`��G ` PLAN REVIEW ❑New construction Addition/alteratio`V/i1CCiftent 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: Q where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural g,1-and 2-family dwelling ❑CommerciaUindustrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. 0 Addition of new motor load of ❑"A","E","1-2","1-3", 1 P or more. occupancy. Job no.: Job site address:/O 7 ys S w / r 1t item b 0 or more residential units. 0 Recreationa l vehicle parks. 77'1, ❑Health-care facilities. ❑Supply voltage for more than -r- City/State/ZIP: t q✓ ei ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: Ke I ty ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Tu r,,, r.tt/ t f- off C7 cccZ e C,r,A Description I Qtr. I Fee. I Total I • 1"� � t New residential single-or multi-family dwelling unit. //n 'fO f tt r kettle-el 0ir-. Includes attached garage. ' Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4 Ea.add'I 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 2 DESCRIPTION OF WORK . ' ' (with above sq.ft.) n t Limited energy,multi-family 75.00 2 _/Ve t.[> 2.0. a /o s_'�V I Ce_, su A_pcut el t't1 Qet e— residential(with above sq.ft.) ,,j_II �l Services or feeders installation,alteration,and/or relocation , , -- �1(-c.o..t IT-5 200 amps or less .2 100.70 AI.'(J. 2_ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2 Name: p '�f? /� 401 amps to 600 amps 200.34 2 e'tf0 K 601 amps to 1,000 amps 301.04 2 Address: /0?t/s s") gat irhQue.,, be.... Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or City/State/ZIP: / Q'ct✓--ce ©A- relocation Phone:(,503) .ZbD - 722.4/ Fax:( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation:This installation is being made on property that I own which is not - intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits with el. a-APPLICANT I ❑ CONTACT PERSON above service or feeder fee, Z 7.42 w- � 2 each branch circuit Business name: Cdt.teiro kee Flee.•,- B.Fee for branch circuits without service or feeder fee,first 56.18 2 Contact name: Ro branch circuit v1 SG[r I t/dl Each add'I branch circuit 7.42 2 Address: /30/cT six) & ,`adle Miscellaneous(service or feeder not included) `� Each manufactured or modular 67.84 2 City/State/ZIP: 7'a`oe Qk. `l7.2-Z`( dwelling,service and/or feeder Phone:C5-03 ) 2.0?- c/0 er Fax: :( ) Reconnect only 67.84 2 E-mail: 1 Pump or irrigation circle 67.84 2 Sc.i tvv►e rrcopt (ii) c20/• C.- Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s)or limited-energy Business name: panel,alteration,or extension. Page 2 2 t°_t/��2 /Pc'. /C- Each additional inspection over allowable in any of the above Address: /301 ei s Qtr e,, t? L-vl Additional inspection(1 hr min) 66.25/hr City/State/ZIP: ^ Investigation(1 hr min) 66.25/hr /r Q y'(At ©� � Z Y Industrial plant(I hr min) 78.18/hr Phone: 0' ) p Fax:( ) Inspections for which no fee is 3 z �� �Dt specifically listed(%2 hr min) 90.00/hr CCB Lic.: 3S-b��' (Electrical Lic.: 3 -/27e, Suprv.Lic.:2616, S ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: "...‘,,_ f oSubtotal: 021(,,)41 Plan review(25%of permit fee): Print name: Rt,wa S"Gr i vel ex- Date: //,2s_/3 State surcharge(12%of permit fee): 9_s-, ci 5-- TOTAL PERMIT FEE: ti,i1a.i CI Authorized signature: ie..__ This permit application expires if a permit is not obtained within 180 c days after it has been accepted as complete. Print name: Rey •, .J C./ ✓n er'- Date: • Number of inspections allowed per permit. 4 1\BuildingTermitstELC-PermitApp.doc 07/01/10 440-4615TQ 1/OS/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 Fee I Total I • Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 El Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 E l Burglar Alarm Wind generation systems in excess of 25 kva: _ 25.01 to 50 kva 301.04 2 El Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva (fee in accordance with 552.26 2 El Heating, Ventilation and Air Conditioning OAR 918- 309 -0040) System* Solar generation systems in excess of 25 kva: Each additional kva over 25 7.42 3 El Vacuum Systems* >100 kva— no additional charge 0.0 3 E l Other: additional inspection over allowable in any of the above: Other: Each additional inspection is 6625/ hr charged at an hourly (1 hr min) Inspections for which no fee is 90.00/ hr specifically listed ('1 hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system $75.00 subtotal: (SEE OAR 918- 309 -0000) Plan review, if required (25% of permit fee): State surcharge (12% of permit fee): Check Type of Work Involved: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 El Audio and Stereo Systems days after it has been accepted as complete. Number of inspections allowed per permit. El Boiler Controls El Clock Systems El Data Telecommunication Installation El Fire Alarm Installation ❑ HVAC El Instrumentation El Intercom and Paging Systems El Landscape Irrigation Control* El Medical El Nurse Calls El Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\ Building\ Permi ts\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 Electrical Permit Application - City of Tigard Page 2- Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating,Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (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 1:\Building\Permits\ELC-PermitApp.doc 07/01/10 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10945 SW FAIRHAVEN WAY, TIGARD, OR, 97223 Residential - Electrical 199 Electrical final 2013-12-13 00:00:00 ELC2013-00701 FAIL Nobody there at 2:45 pm please re-schedule after 12-16 and arrange for access Violation Summary: Inspector Contractor