Loading...
Permit CITY OF TIGARD ELECTRICAL PERMIT 3 ' COMMUNITY DEVELOPMENT Permit#: ELC2015 00893 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/04/2015 Parcel: 2S 109BA02000 Jurisdiction: Tigard Site address: 13917 SW LEAH TER Project: WHIPPS Subdivision: HILLSHIRE SUMMIT Lot: 5 Project Description: (7)branch circuits for kitchen remodel. Contractor: BUCKAROO ELECTRIC Owner: WHIPPS, ROBERT S&CAROLE J 31601 S WRIGHT RD 13917 SW LEAH TER MOLALLA, OR 97038 TIGARD, OR 97224 PHONE: 503-880-6326 PHONE: FAX: 503-829-5207 FEES Quantity Description Date Amount 7 crt Branch Circuits wo/Purchase 11/04/2015 $100.70 Specifics: Service or Feeder 1 ea 12%State Surcharge- 11/04/2015 $12.08 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 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 ter. Tho rules are set forth in OAR. 952-001-0010 through OAR 952-001-0090. You may obtain a copy• he rules ortfIrect questions to OUNC by calling 503. .19 or 1.8 .3 2.2344. Issued By: Permi -- -'•nature: 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 �V FOR OFFICE USE:()NIA Received City of Tigard Perm"'tY f g �� DateBy ///y ��ten-- r LG IS—C.IO�S`�j 13125 SW Hall Blvd.,Tigard,OR 97223 .)I Plan Review Phone: 503.718.2439 Fax: 503.598.196 c- Date/By: Related Permit#: Inspection Line: 503.639.4175 R ri`1 Ready Date/By: Juris Ed See Page 2 for Internet: www.tigard-or.gov r`,‘ �•fied/Method: Supplemental Information TYPE OF WORK +.��"k'�wtCh\• PLAN REVIEW V 1a Please check all that apply(submit 2 sets of plans w/items checked): ❑New construction Addition/alteration/replace lit 0 Q� G ❑Service or feeder 400 amps or more ❑Building over three stories. ❑ Demolition ❑Other: ` where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCT �� exceeds 10,000 amps at 150 volts or ❑Floating buildings. 14 I-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 ❑Addition of new motor load of system. Job#: Job site address: J 31 r ii SIB L414 'r Ana(C 100HP or more. ❑"A","E °I-z", `1-3". City/State/ZIP: r-,�ww^^ //�� [� ❑Six or more residential units. occupancy. y �t%O ©k. 1 2_3 ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: W44 I PPS k r o-4 ❑Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more 600 volts nominal. Cross street/directions to job site: 3.i,,,icavi .w 1e4AA( FEE SCHEDULE Description I Qtt-. I Each I Total I " New residential single-or multi-family dwelling unit. Subdivision: N 1l•4j41ge 5t)N1 WI I-jj Lot#: 5 Includes attached garage. Tax map/parcel#: 251 9 g gA—07.300 1,000 sq.ft.or less 168.54 4 DESCRIPTION OF WORK Ea.add.]500 sq.ft.or portion 33.92 1 Limited energy,residential IT�>J 0-06 1.. (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 ? CAD PROPERTY OWNER I 0 TENANT residential(with above sq.ft.) Name: g 05 4 ©yce. uji4i fps Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation Address: 13917 5u, U A1-! I tiutok Ll;e 200 amps or less 100.70 2 City/State/ZIP`"j(5AND ht_ 9 -7 ( Z 3 201 amps to 400 amps 133.56 2 Phone:( ) Fax:( ) Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Over 1,000 amps or volts 552.26 2 Owner signature: Date: jfirTemporary services or feeders installation,alteration,and/or APPLICANT I f$ CONTACT PERSON relocation _ Business name: C.0 Le, C0/4Ser1 611 OA) I/0 L 200 amps or less 59.36 I Contact name:_17:,, C4:,ti,. 201 amps to 400 amps 125.08 2 Address: 1 5" 5 NJ vi (Al COr.,,,D IJA 401 amps to 599 amps 168.54 2 City/State/ZIP: rr A /t�'�qn b Branch circuits-new,alteration,or extension,per panel Phone:( 503 ) 5 jb y9 3 b Fax: : ( ) A.Fee for branch circuits with � yy ,.-+ -1 above service or feeder fee, JP 0 CoLe—cr�1 �&/(i f X04 •Co w� 7.42 2 Email: each branch circuit CONTRACTOR B.Fee for branch circuits without service or feeder fee,first ' 56.18 2 Business name �' .�O Cite 1.(*� c� branch circuit SGl�8 Address: VI^ Each add'I branch circuit r 7.42 �� �] 2 / , , `ti ti 5V� � ��� C Miscellaneous(service or feeder not included) City/State/ZIP: C'mOfa Gla- 97086) Each manufactured or modular 67.84 2 p 2 p G �J dwelling,service and/or feeder Phone:( `� ) 0r-�^,3 6. Fax:(5,0.z, ) Boa/- x e / /� f� r / Reconnect only 67.84 2 fro Email: kittc6 I,�D(CIF C 1-1 1�(� ,�,.co Pump or irrigation circle 67.84 2 CCB Lic.: i Slit 750 Electrical Lic.• - Suprv.Lic.:31,64/ Sign or outline lighting 67.84 2 Suprv. Electrician signature,required. 4e.,`,:-- Signal circuit(s)or limited-energy / C panel,alteration,or extension. 0 See Page 2 2 Print nam rC'1.) �� A�►1t a y� Date: //-30- s .� Each additional inspection over allowable in any of the above Authorized signature: Additional inspection(1 hr min) 66.25/hr Print name: Date: Investigation(I hr min) 90.00/hr /,1 \Building\Permits\ELC_PermitApp_ELR_ERE.doc Ref 6/I7/2015 440-4615T(11/05/COM/WEB WO 70 P 61•- -1-- -- - --- 111). 7 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 13125 SW HALL BLVD, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical final PASS - No C of O ELC2015-00693 Jeff Grove Violation Summary: Inspector Contractor