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Permit CITY OF TIGARD ELECTRICAL PERMIT g COMMUNITY DEVELOPMENT �® Permit#: ELC2014-00220 T I G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 f�i�/ Date Issued: 05/06/2014 Parcel: 2S102CD02606 Jurisdiction: Tigard Site address: 9670 SW HILLVIEW CT Project: Layton Subdivision: TWALITY HILL Lot: 6 Project Description: Replace existing panel with(1)200 amp panel and(3)branch circuits for furnace and microwave. 5/8/2014: REPRINT permit to add(2)branch circuits for family room addition taken out by previous owner that was not inspected.5/22/14,Reprint to add and additional(5)branch circuits for a total of(10)circuits. Contractor: OWNER Owner: LAYTON, RONALD 9670 SW HILLVIEW CT TIGARD, OR 97223 PHONE: PHONE: 909-568-8335 FAX: FEES Quantity Description Date Amount i 1 ea Services or Feeders-200 05/08/2014 $100.70 Specifics: amps or less 10 crt Branch Circuits w/Purchase 05/22/2014 $74.20 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 05/22/2014 $20.99 Electrical Type of Const: Occupancy Grp: Total $195.89 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: Or-.on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thro 01-0090. You i y obtain a copy of the rules or direct questions to OUNC by?Ring 503.232.1987 or 1.800.332.2344. Issued : : , / Permittee Signature: _Q.1 617Cr6'L.Q�J L 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 +CEIVEI) R Aimlicati I.(Ht 111 I It I I NI 11\I , � R„ City of Tigard Date/B Permit#: • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.59 ° Date/B : Related Permit#: Inspection Line: 503.639.4175 2 2 2014 Ready Date/By: orris: See Page 2 for T I t. \ .I) Internet: www.tigard-or.gov Notified/Method: Supplemental Information rmation , TIu') 'TYE tl PLAN REVIEW ❑New construction ❑Addltlt ,7'r C1C0 � Please check all that apply(submit a sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. . CATEGORY OF CONSTRUCII exceeds 10,000 amps at 150 volts or ❑Floating buildings. ❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived Job#: Job site address: In ^ 5 �(�,//1/62.43 f ❑Addition of new motor load of system. 9`�' �aJ C/ !TI 100HP or more. ❑..A, ..E„ .l-2„ "1-3„ Ci /State/ZIP: ❑Six or more residential units. occupancy. ty ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: I Project 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: I Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Ea.add'I 500 sq.ft.or portion 33.92 l DESCRIPTION OF WORK _ Limited energy,residential 75.00 2 1 A , , /J (with ne ge, fit) {�� LVIQL.tXJ Limited energy,sq.ft.)family �'2 residential(with above sq.ft.) 75.00 2 � c � t��t� ' t �— a0 t �� Renewable Energy ❑ See Page 2 ❑ PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 100.70 2 Address: 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:( ) I Fax:( ) 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 l 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 ❑ APPLICANT I ❑ CONTACT PERSON Branch circuits-new,alteration,or extension, 1 er panel A.Fee for branch circuits with Business name: above service or feeder fee, each branch circuit 7.42 37.1D 2 Contact name: B.Fee for branch circuits without Address: service or feeder fee,first branch circuit 56.18 2 City/State/ZIP: Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) I 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: /)�r� Sign or outline lighting I 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(I hr min) 66.25/hr Phone:( ) I Fax:( ) Investigation(1 hr min) , 66.25/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: I Electrical Lic.: I Suprv.Lie.: specifically listed(%2 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,signature,required: Subtotal: S7. /a Print name:/.LJjv AY] ' j✓ Date: 0 Plan Review Required(25%of permit fee): -- State surcharge(12%of permit fee): 4/-q c Authorized sig Ael.lir TOTAL PERMIT FEE: y/, j S ��,/� .This permit application expires if na permit is not obtained within 180 Print name i Date: days after it has been accepted as complete. ��.�� /� Number of inspections allowed per permit. t\Buildin: its\ELC_PermitApp_E " .d' 1/2014 440-4615T(I1/05/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: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 [ I 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* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) 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 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): I Fee for each commercial system: $75.00 (SEE OAR 918-309-0000) Number of inspections allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls I Clock Systems Data Telecommunication Installation n Fire Alarm Installation n HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations I:\Building'Permits\ELC_PermitApp_ELR_ERE.doe Rev 04/21/2014 CITY OF TIGARD M ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2014-00220 TI G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/06/2014 Parcel: 2S102CD02606 Jurisdiction: Tigard Site address: 9670 SW HILLVIEW CT Project: Layton Subdivision: TWALITY HILL Lot: 6 Project Description: Replace existing panel with(1)200 amp panel and(3)branch circuits for furnace and microwave. 5/8/2014: REPRINT permit to add(2)branch circuits for family room addition taken out by previous owner that was not inspected. Contractor: OWNER Owner: LAYTON, RONALD 9670 SW HILLVIEW CT TIGARD,OR 97223 PHONE: PHONE: 909-568-8335 FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-200 05/08/2014 $100.70 Specifics:, amps or less 5 crt Branch Circuits w/Purchase 05/08/2014 $37.10 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 05/08/2014 $16.54 Electrical Type of Const: Occupancy Grp: Total $154.34 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 0 9 - 90 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: OWNER INSTAL j•'s N ONLY The installation is being made on property I• is not intended for - OWNER'S SIGNATURE , Date: *NT"•CTOR 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. a CITY OF TIGARD ELECTRICAL PERMIT ''1 8. COMMUNITY DEVELOPMENT Permit#: ELC2014-00220 T f G A R)? 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/06/2014 Parcel: 2S 102CD02606 Jurisdiction: Tigard Site address: 9670 SW HILLVIEW CT Project: Layton Subdivision: TWALITY HILL Lot: 6 Project Description: Replace existing panel with(1)200 amp panel and(3)branch circuits for furnace and microwave. Contractor: OWNER Owner: LAYTON, RONALD 9670 SW HILLVIEW CT TIGARD, OR 97223 PHONE: PHONE: 909-568-8335 FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-200 05/06/2014 $100.70 Specifics: amps or less 3 crt Branch Circuits w/Purchase 05/06/2014 $22.26 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 05/06/2014 $14.76 Electrical Type of Const: Occupancy Grp: Total $137.72 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 5 •1 90. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. i Issued By: Permittee Signature: OWNER INST,r' •ON ONLY The installation is being made on propert own whi' is not intended for-,'-,lease• ;41 OWNER'S SIGNATURE / / i'lP Date: Cs,' RACTOR 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 RECEIVE FOR OFFICE USE ONLY City of Tigard Received '4'�� Permit No 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 6 2014 °an Review •_, ,may --0oa.2 0 Plan Review ` a Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: l 1 Ci A R I Inspection Line: 503.639.4175 Date Ready/By. kris: 0 See Page 2 for Internet: www.tigard-or.gov ��iiC((;�ITY OFTICAR� Notified/Method: n� Supplemental Information TYPE OF W&J !LNN6 DWISJO i PLAN REVIEW Please check all that apply(submit a sets of plans w/items checked below): ❑New construction fAddition/alteration/replacement ❑Service or feeder 400 amps or more ❑Building over three stories. CI 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`-' 1-and 2-family dwelling ❑CommerciaUindustrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑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","l-2","I-3", Job no.: Job site address: �j/ C 1 OOHP or more. occupancy. / 67� ✓ �u'V�Cr CT ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP: 776 ,0 0 ,..-7 2-23 ❑Health-care facilities. ❑Supply voltage for more than / ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: I Project name: ❑Service or feeder 600 amps or more. /� FEE SCHEDULE Cross street/directions to job site:fe 4//DN OvY( f} Description 1 Qty. I Fee. Total * //// 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 75.00 2 DESCRIPTION OF WORK (with above sq.ft.) Limited energy,multi-family 75.00 2 t)`-J)/7L /U t t-L.&l�c4Z /+/lit_ residential(with above sq.ft.) i Renewable Energy ❑ See Page 2 (_3J d4,1"/e',' cixe cl,.. I /_'- ,/2J✓,S9CE l� ri/Ceatergtwvices 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: 7/2 p/v/9L0 -trw 401 amps to 600 amps 200.34 2 Address: -7 9 yf 51,-) /L7 S c.) -� 601 amps to 1,000 amps 301.04 2 l 2-2 Over 1,000 amps or volts I 552.26 I 12 City/State/ZIP: (��{7' Q 2/L °/ ! 7 Z 7' Temporary services or feeders installation,alteration,and/or r relocation Phone:(g cr9 ) 5- 3 Fax:( ) 200 amps or less 59.36 1 Owner installation:This installation is being r ade on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,leas ,r nt,or exch. ge,a /re;'g to ORS 447,449,670, d 701. 401 amps to 599 amps 168.54 2 Owner signature: / Date: J b / Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with APPLICANT, ❑ CONTACT PERSON .above service or feeder fee, Business name: each branch circuit 7'42 2 B.Fee for branch circuits without Contact name: service or feeder fee,first 56.18 2 branch circuit Address: Each add'l branch circuit _ 7.42 _ 2 City/State/ZIP: Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 Phone:( ) I 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: 5 �� Signal circuit(s)or limited-energy See V panel,alteration,or extension. Page 2 _ 2 Address: 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:( ) I Fax:( ) Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: I Electrical Lic.: I Suprv.Lic.: specifically hr fically listed(%2 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Date: Plan review(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: `3? 7Z, 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.doe Rev 05/21/2013 440-46t5T(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 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 ❑ 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 over25 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 1• 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: (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 ❑ Audio and Stereo Systems days after it has been accepted as complete. * Number of inspections allowed per permit. El Boiler Controls El Clock Systems ❑ Data Telecommunication Installation n Fire Alarm Installation El HVAC ❑ Instrumentation El Intercom and Paging Systems El Landscape Irrigation Control* El Medical El Nurse Calls El Outdoor Landscape Lighting* ❑ Protective Signaling El Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations t\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 9670 SW HILLVIEW CT, TIGARD, OR, 97223 Residential - Electrical 199 Electrical ﬁnal PASS - No C of O July 21, 2014 at 3:12:31 PM ELC2014-00220 Jeff Grove Violation Summary: Inspector Contractor