Permit rt CITY OF TIGARDELECTRICALPERMIT
+ COMMUNITY DEVELOPMENT Permit#: ELC2015-00996
Date Issued: 12/21/2015
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S111 8
C04600
Jurisdiction: Tigard
Site address: 10125 SW MURDOCK ST
Project: Breen Subdivision: 1998-167 PARTITION PLAT Lot: 2
Project Description: Alteration of(1)branch circuit for additional bathroom. 1/19/16, REPRINTED to change electrical contractor from
owner to Timberline Electric.
Contractor: TIMBERLINE ELECTRICAL CONTRACTORS Owner: BREEN, HENNY 8 MURRAY E
9414 SW BARBUR BLVD,#100 10125 SW MURDOCK ST
PORTLAND, OR 97219 TIGARD, OR 97224
PHONE: 503-459-4089 PHONE: 971-344-5070
FAX 503-254-4227
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 12/21/2015 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 12/21/2015 $6.74
Type of Use: SF Electrical
Class of Work: ALT 45 Misc Administration Fee 01/19/2016 $45.00
Type of Const:
Occupancy Grp:
Total $107.92
Required Items and Reports(Conditions)
This permit is is 'act to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done accordance with app`oved plan his permit will expire R work is not started within 180 days of issuance, or it work is suspended for more the 180
days. TTE NTION: Oregon law r� uir you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-0 1-0010through OAR 952-001-009 You may fain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1.800.332.2344.
I
Iss d By: J 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' Dale:
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
fJ�CBVEQ Received
City of Tigard Date B : Permit
13125 SW Hall Bh'd.,Tigard,O Plan Reriew
Phone: 503.718.2439 Fax 503 598,1960 Date H Related Permit a'.
Inspection Line: 503.639.4175 JAN 19 2016 Ready Date'By: lads_ ® See Page 2 for
Internee www.ligard-oi.gov NotificdiMethod: Supplemental Information
TYPE Oli PLAN REVIEW
❑New construction ❑ Additi0 l V un Please check all that apply(submit l sets of plans w/items checked):
❑ Demolition E]Other: ❑Service or feeder 400 amps or more ❑Building over three stories.
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 exceed,14.000 ❑Commercial-use agricultural
amps forall other installations. buildings.
El 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: l,Ru pL/ 100HP or more. ❑"A 'E "I-T."I-Y.
Cit /State/ZIP: ❑Six or more residential units occupancy.
City/State/ZIP: ❑Health-care facilities. ❑Recreational vehicle parks.
Shite/bldg./apt.#: Project name: ❑Hazardous locations. ❑Supply voltage for more than
[I Service or feeder 600 amps or more- 600 volts noounal.
Cross street/directions-tojob site: FEE SCHEDULE
Dewrl tura I Qo. I E.eh Irata
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.R.or less 168.54 4
Tax map/parcel#: Ea.add']500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
00
(with above .Il. -
0_4� r Limited energy,multi-family 75.00 -
residential(with above sq',11.)
Renewable Energy ❑ See Pa e 2
❑ PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration and/or relocation
Name: 200 amps or less 100.70
Address: 201 amps to 400 amps 133.56 _
401 amps to 600 amps 200.33
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone: ( ) Fax:( ) Over 1,000 amps or robs 552.26
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 less59.36 I
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: 301 amps to 599 amps 1 168.53 1 -
❑ APPLICANT ❑ CONTACT PERSON Branch circuits—new,alleralion,or extensionper panel
A.Fee for branch circuits o ith
Business name: above service or feeder lee,
each branch circuit 7A2 -
Contact name: B.Fee for branch circuits trid...
Address: service or feeder ice,first 56.18
branch circuit
City/State/ZIP: Pach add'I branch circuit 742 _
Miscellaneous service or feeder not included
Phone:( ) Fax: : ( ) Fach manufactured or modular 67.83 -
dwelling,service and'or feeder
Email: Reconnect onh67,83
CONTRACTOR Pump or irrigation circle 67,83
Business name: I 16 V d-C Y' Sign or outline lighting 67.84 _
Address: P.O tl6 -1 (� panel, io
Signal circuit(s)or limited-energy g
alteration,or extensn. See Page 2
City/State/ZIP: L OS G D 70 3 Each additional inspection over allowable in any of the above
/� I�--/� Additional inspection(I hr min) 66.5/hi
Phone:(5b3) 2ol�iyq, Fax:( 57)5) .27 �e1Z Z Investigation(I hr min) 90.00/hr
Entail: AJ (e Industrial plant(I hr min) 78.18/hr
L �L t •1.d Inspections for which no f'ece is
specifically lisled '',hrmin)
90.00'hr
CCB Lic.: (Q fjU Electrical Lil:. _ G Supn'. Lic.: �q57
ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required: Subtotal:
Print name: f(� t �C Date: — ����j ❑Plan Review Required(25%of permit fee):
State surcharge 112%of permit fee):
Authorized signature:
TOTAL PERMIT FEE:
This permit application expires If a permit is not obtained within 1811
Print name: Dale: days after it has been accepted as complete.
Nwnlxr of inspections allowed per pemnit.
1 Builduc Pmnio LLC PamitApp FIR 1'Rl.dm' Ras IMI"_015 440-466TU 1 05('OM wl.B
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: $75.00 ° Qn. E..h T"t.
y Renewable electrical energy systems:
70 or less 100.
Check Type of Work Involved: 5 kva -
5.01 to U kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kc-a 301.04 2
50,01 to 100 kca 552.26 F-1 Garage Door Opener* ,100 kca(fee in accordance
n A OAR 918-309-0040)
"2'16 —
❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over^_$ 7.42 3
❑ Vacuum systems* >[00kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Bach additional inspection is 66.25/hr I
char�od at an hourh(I In min)
Inspections for which no fee is
90.00i hr
s recilically listed C!hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal 1 Enter on Page 11:
(SEE OAR 918-309-0000) Numb r of inspectiore allowed per p rnm.
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
I FenuBMp eI x earn,.- ar.u6 i„m:
CITY OF TIGARD ELECTRICAL PERMIT
�' COMMUNITY DEVELOPMENT Permit#: ELC2015-00996
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/21/2015
Parcel: 2S111 BC04600
Jurisdiction: Tigard
Site address: 10125 SW MURDOCK ST
Project: Breen Subdivision: 1998-167 PARTITION PLAT Lot: 2
Project Description: Alteration of(1)branch circuit for additional bathroom
Contractor: OWNER Owner: BREEN, HENNY&MURRAY E
HENNY& MURRAY BREEN 10125 SW MURDOCK ST
10125 SW MURDOCK ST TIGARD, OR 97224
TIGARD, OR 97224
PHONE: 971-344-5070
PHONE: 971-344-5070
FAX:
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 12/21/2015 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 12/21/2015 $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 acco nce 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. ATT TION: Ore law requires you to follow the rules adopted by"the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0 10 through OAR 95 0 - 90. ou may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1.800.332.2344.
Issued y: 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: Ia /
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 \ ��-t FOR OFFICE USLONILY'
City of Tigard �4� Received Permit tl: Si�
13125 SW Hall Blvd.,Tigard.OR 97223 CY r� Date/l3-:��
+' y' Plan Review
0 Phone: 503.718.2439 Fax: 503.598.1960 Related Permit b:
p Date/By:
a Inspection Line: 503.639.4175 "V 1 r Ready Date/By: Juris: ® See Page 2 for
Internet: www.tigat-d-or.gov l S- Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction ❑Addition/alteration/replacemc 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.
❑ 1-and 2-family dwelling ❑Commercial/industrial El Accessory building
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations, buildings.
❑ Multi-family ❑ Master builder ❑Other: [I Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
Job#: Job site address: 101
❑Addition of new motor load of system.
LS -S-3r C-1—St- 1001111 or more. ❑"A'-.-'E'-.'-1-2"."1-3
❑Six or more residential units. occupancy.
City/State/ZIP: 2 ct1 ❑health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: ❑1lazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more 600 volts nominal.
Cross street/dircctions tojob site: FEE SCHEDULE
Description I Qtv. I Each Total
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'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.It.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
PROPERTY OWNER [] TENANT Services or feeders installation,alteration,and/or relocation
Name: e P` 200 amps or less 100.70 2
Address: i,c) �� S`>J ��e�` Sh 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: ITT /L 7 ZZ 601 amps to 1,000 amps 301.04 2
Phone: (��� ) ?)� -�-7 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 1 own which is not 200 amps or less 59.36 I
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: �2CA�� Date: 12-)2 I I I 401 amps to 599 amps 168.54 2
APPLICANT Branch circuits-new,alteration,or extension,per panel
❑ ❑ CONTACT PERSON
A.Fee for branch circuits with
Business name: above service or feeder lee,
each branch circuit 7.42 2
Contact name: B.I-ee for branch circuits withom
Address:
service or feeder fee,firs) Sl branch circuit l 56.18 lP _o
City/State/ZIP: Each add]branch circuit 7.42 2
Miscellaneous service or feeder not it
Phone: ( ) Fax: :( ) Each manufactured or modular 67.84 2
dwellin ,service and/or feeder
Email: Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84
Business name: Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
❑ Sec Page 2 2
Address:
panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: Additional inspection(I hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr
Email:
Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lic.: Suprv. Lic.: s ecificalIv listed('/hr min)
ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required: Subtotal: 5"6
-117
Print natne: Date: ❑Plan Review Required(25%of permit fee):
State surcharge(12%ol'permit fee):
7v TOTAL PERMIT FEE: 'p1
Authorized signature: •
This permit application expires if a permit is not obtained within 180
Print name: 6 Y Date: 1 L Z t days after it has been accepted as complete.
' Number of inspections allowed per permit.
I\Building\Permits\EI_C_PennitApp_E_ _ERE.doe Rev 06/17/2015 440-4615T(11/09COMAVEI3
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description Qty. EachTotal
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
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind gencration 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)
❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* I-ach additional kva over 25 7.42 3
❑ Vacuum Systems* >100kva—noadditional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed('/hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter on Page I):
Fee for each commercial system: $75.00 • Number of inspections allowed per permit.
(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
I:\nuildine\Permits\IiLC_PennitApp_ELR_ERE.doc Rea06/17/2015
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
10125 SW MURDOCK ST, TIGARD, OR, 97224
Residential - Electrical
199 Electrical final
FAIL
ELC2015-00996
David Young
Bathroom outlets to be on separate 20 amp circuit GFCI protected. 210.8. Appears to be
on 15 amp bedroom and kitchen circuit. 210.11c(3)
Corrections to be made by licensed electrical contractor added to permit as house is for
sale.
Violation Summary:
Inspector Contractor
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
10125 SW MURDOCK ST, TIGARD, OR, 97224
Residential - Electrical
199 Electrical final
FAIL
ELC2015-00996
David Young
Licensed contractor to be added to permit at City of Tigard.
All else ok for bathroom.
GFCI installed at sink tied to existing bathroom.
Other plugs blanked over.
Violation Summary:
Inspector Contractor