Permit n CITY OF TIGARD ELECTRICAL PERMIT
14 s COMMUNITY DEVELOPMENT Permit#: ELC2014-00335
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/19/2014
Parcel: 2S 111 AD02800
Jurisdiction: Tigard
Site address: 14600 SW 89TH AVE
Project: Maroney Subdivision: PINEBROOK TERRACE Lot: 25
Project Description: Panel upgrade&(2)branch circuits for laundry&kitchen
Contractor: PRO CIRCUIT ELECTRIC LLC Owner: MARONEY, SHARON
PO BOX 3948 MURPHY, DANIEL A
WILSONVILLE, OR 97070 14070 SW HALL BLVD
TIGARD,OR 97224
PHONE: 971-563-8211 PHONE:
FAX: 503-266-1349
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 06/19/2014 $100.70
Specifics:, amps or less
2 crt Branch Circuits w/Purchase 06/19/2014 $14.84
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 06/19/2014 $13.86
Electrical
Type of Const:
Occupancy Grp:
Total $129.40
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes an II other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 18 s o is or • work is suspended for more the 180
days. ATT ON: Orego aw requ - ∎you to follow the rules adopted by the Oregon Uti cation Cent= . Those rules are set forth in OAR
952-001--010 thro gh OAR 952-1.1-,r•0. Yo ay obtain a copy of the rules or direct questions to OUNC by calling 503.2 •.1•.7 o .800.332.2344.
/
Issu:d 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' Dates` /0 /jr
LICENSE NO. /07
�f Y // /
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
Thls 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 Applicati FOR OFFICE USE ONLY
City of Tigard Received emu= Permit#: ��C •r 1 -00
1114 - • 13125 SW Hall Blvd.,Tigard,OR 4ECEIVED Plan Review
1 9 2 01 A Related Permit#:
Phone: 503.718.2439 Fax: 503.598.1 1 i7 't Date/B
Inspection Line: 503.639.4175 Ready Date/By: Juris: ® See Page 2 for
T[GA R D Internet: www.tigard-or.gov M 1�r.p u; Notified/Method: Supplemental Information
TYPE OFD`•A4:4, t`�'' PLAN REVIEW•
El New construction Addition/alt t i replacement t` Please check all that apply(submit 2 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 CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
►--and 2-family dwelling ❑Commercial/industrial ❑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
Moan , g,� ❑Addition of new motor load of system.
Job#: Job site address: l00HP or more. ❑"A",°E","1-2","I-3
City/State/ZIP: ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: 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: 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 I
DESCRIPTION OF WORK Limited energy,residential
V 1 W + Z`-T r ' s (with above sq.ft.) 75.00 2
P� � ` 1 tV r --1',J Limited energy,multi-family
f ,P DO .1-- l !1. �(°z residential(with above sq.ft.) 75.00 2
❑ PROPERTY OWNER
I ❑ TENANT _Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less , 100.70 1 fb,10 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:( ) 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 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 to 599 amps 168.54 2
❑ APPLICANT I ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with /
Business name: above service or feeder fee, 2 7.42 l l 2
each branch circuit
Contact name: B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Address: branch circuit
City/State/ZIP: Each add'I 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: .��1�[ Sign or outline lighting 67.84 2
�� —�" -J)� Signal circuit(s)or limited-energy Page o i 3�LL,p p ❑ See Pa e 2 2
Address: 'J �7 panel,alteration,or extension.
City/State/ZIP: 14);(,0 a J j 11.4. all GI"7a7 a Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(97() .5 g t I Fax:(�� VA!) �
� qCJ Investigation(1 hr mm) 66.25/hr
Email: Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: t(p0CJ 2 Electric. • .: ', &O r C Suprv. Lic.: 35T —5 specifically listed(%2 hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: j ` Subtotal: I
I Se
Print name: Y A,,,4_, ,J&upy Date: G-i c NI ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE: I-1-1,q°
This permit application expires if a permit is not obtained thin 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
h\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 04/21/2014 440-4615T(1 l/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
•
El 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
El Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑ 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 66.25/hr
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(%hr min)
COMMERCIAL WORK ONLY: PERMIT FEES
Fee for each commercial system:• $75.00 Subtotal(Enter on Page 1):
y ' Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
El Boiler Controls
❑ Clock Systems
El Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
El Instrumentation
El Intercom and Paging Systems
❑ Landscape Irrigation Control*
El 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_ELR_ERE.doc Rev 04/21/2014
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
14600 SW 89TH AVE, TIGARD, OR, 97224
Residential - Electrical
199 Electrical final
FAIL
ELC2014-00335
Herb Stabenow
Personal property on sit an adult has to be present at the next inspection
Violation Summary:
Inspector Contractor