Permit (168) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2017-00124
ALAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2017
Parcel: 2S 102CA02200
Jurisdiction: Tigard
Site address: 13408 SW BARNUM DR
Project: NIEMI Subdivision: ASHWOOD
Project Description: Modifying(1)branch circuit for additional outlets in bonus room. Lot: 9
Contractor: OWNER Owner: NIEMI,ALLAN CHARLES&DANIELLE
ALLAN& DANIELLE NIEMI 13408 SW BARNUM DR
13408 SW BARNUM DR TIGARD, OR 97223
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Quantity Description Date Amount
Specifics: 1 crt Branch Circuits wo/Purchase 02/27/2017 $56.18
Service or Feeder
1 ea 12%State Surcharge- 02/27/2017 $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 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 Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You ma obtain a co of the rules or direct questions to OUNC by calling 503 or .800.332. 44.
Issued By:
Permittee Signature: a7 OPP' --4-.
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 , t" FOR UI FIC I I SI OM.\
' Received
°'.- k �/1
City of Tigard t, ,. Date/B :
13125 SW Hall Blvd.,Tigard,OR 97 F ' ��� Plan Review Related Permit#: C }
_ ,
Phone: 503.718.2439 Fax: 503.598. 960 c� i t.� Date/B : Juris: ® See Page 2 for
Inspection Line: 503.639.4175 �-- -9' Ready Date/By:
, otified/Method: - Supplemental Information
T WAR" Internet: www.tigard-or.gov
TYPE OF woRCO
tet( ` l" PLAN REVIEW
1Addition/alteratit*t i` 1 utement Please check all that apply(submit 2 sets of plans w/items checked):
O New construction ❑Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION" exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
jgL1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder0 Other: 0 Fire pump. 0 Installation of 150 KVA or
0 Emergency system. larger separately derived
JOB SITE'INFORMATION AND LOCATION system.
❑Addition of new motor load of Y
Job#: l Job site address: I �Q g sW e f V!s.A"\> tr 1001WP or more. 0
occupancy.
����,3 ❑Health-careSix omore residentialie. units. 0 Recreational vehicle parks.
City/State/ZIP: ` t ❑ facilities.
i ❑Hazardous locations. 0 Supply voltage for more than
Suite/bldg./apt.#: Project name: 1 amps600 volts nominal.
c og�I ❑Service or feeder 600 or more.
•
Cross street/directions to job site: FreuJ ,,,,...5 FEE SCHEDULE
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Lot#: Includes attached garage.
Subdivision: l.W n� /�A-a --���``'�� I 1,000 sq.ft.or less 168.54 4
CAc
Tax map/parcel#: IS 104- "1-1.0 1) Ea.add'I 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
A )�� ".1A htk (with above sq. lti
+ .)
` S �� _\
�� G` V U�V� Limited energy,multi-family 75.00 2
vl residential(with above sq.ft.)
Renewable Energy 0 See Page 2
g PROPERTY OWNER I ❑ TENANT Services or feeders installation,alteration,and/or relocation
1 r • 200 amps or less 100.70 2
Name: �\ y` �- taln\Q,�l� N ,e�\ 133.56 2
\ e y� 201 amps to 400 amps
Address: 13 y 0 l� S W R t v, j, t c- 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
City/State/ZIP: �+ a,e� O'� � A�..�-� 2
($ 3 Q OS 4",14102 51 I Fax: ) Over 1,000 amps or volts 552.26
Phone: Q ) ( Temporary services or feeders installation,alteration,and/or
Email: 01,1/4 4 in iawl A f cam relocation
or less 59.36 1 s
Owner installation:This insta ation is bel g made on property that I own which is not 200 amps 125.08 2
intended for sale,lease, , c e, mg to ORS 447,449,670, nd 7 1. 201 amps to 400 amps2
Owner signature: Date:
k, 401 amps to 599 amps 168.54
Branch circuits-new,alteration,or extension,per panel
0 APPLICANT 1 0 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 5-6 ,y 2
Address: branch circuit
Each add'I branch circuit 7.42 2
City/State/ZIP: Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
Phone:( ) Fax: :( ) dwelling,service and/or feeder 67 84 2
Email: Reconnect only
CONTRACTOR Pump or irrigation circle 67.84 2
Sign or outline lighting 67.84 2
Business name: Signal circuit(s)or limited-energy
0 See Page 2 2
Address: panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: Additional inspection(1 hr min) 66.25/hr
Phone:( ) I Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr
Email: Inspections for which no fee is 90.00/hr
CCB Lic.: I Electrical Lic.: I Suprv.Lic.: specifically listed(' hr min)
p ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: c. li
Print name:
I Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
TOTAL PERMIT FEE: 6,,j ,4)
Authorized signature: I This permit application expires if a permit is not obtained within 180
Date: days after it has been accepted as complete.
Print name: * Number of inspections allowed per permit.
I:\Buiding\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
Electrical Permit mrt 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 Each I Total
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
1:1 Burglar Alarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
11] Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance
IDwith OAR 918-309-0040) 552.26 2
Heating,Ventilation and Air Conditioning
System* Solar generation systems in excess of 25 kva:
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
charged at an hourly(1 hr min) 66.25/hr 1
Inspections for which no fee is
specifically listed(V hr min)
90.00/hr
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): I
(SEE OAR 918-309-0000) * Number of inspections allowed per permit.
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
n Intercom and Paging Systems
n 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:\Building\Permits\ELC_PerrnaApp_ELR_ERE.doc Rev 06/17/2015
CITY OF TIGARD MASTER PERMIT
2. COMMUNITY DEVELOPMENT II
Permit#: MST2017-00067
R
RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2017
�" 9 Parcel: 2S102CA02200
Jurisdiction: Tigard
Site address: 13408 SW BARNUM DR
Subdivision: ASHWOOD Lot: 9
Project: NIEMI
Project Description: Finishing 363 sq. ft.space above garage.
BUILDING
Floor Areas Required Setbacks Required
Stories: 3 Bedrooms: 0 First: 0 sf Basement: 0 sf Left 0 Parking Spaces: 0
Height: 32 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 1 Third: 363 sf Right: 0
Detectors: Yes
Total: 363 sf Value: $6,000.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Drains: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description:
Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 363
Owner: Contractor:
NIEMI,ALLAN CHARLES&DANIELLE Required Items and Reports(Conditions)
13408 SW BARNUM DR
TIGARD,OR 97223
PHONE: PHONE:
FAX:
Total Fees: $741.47
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 issuanc- ' if work is su.pended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Those r es are set forth in OAR
952-001-0010 through OAR 952-001-0090. You i- •.tain a copy of the rules or direct questions to OUNC by calling 50 J .,r 1.800.33..2344.
Ale, 1111111b
Issued By: Xi/re .✓4i--. •• - -• ignature: .1. L i
Call r-.9.4175 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.
I
,. Building Permit Application
Residential FOR OFFICE USE ONLY
City of Tigard „:-:„1C,,,, - ' f RDateBy: ref r / /377,_
Permit No.: Y8rdo i 7 —age
13125 SW Hall Blvd.,Tigar¢,, $ 224 Plan Review / `^”"e
2 ' Phone: 503.718.2439 Fax:' :1960 �1 Date/By: o�'s� — )7 Other Permit:
T 1 G A R D Inspection Line: 503.639"41 -•;".",C), to,' Date Ready/By: / J .runs: ® See Page 2 for
Internet: www.tigard-or.gov \c' -- 'e'''''-°,..,-,-. Notified/Method: ,/- )1 /1 ,p)—. 7.0 I Supplemental Information
sf
+ L • 9u L rt. M '@b yY`�3"'t' . :L 4 # x$65".4.,-. ".R TP ,4 Ale- *&:�
-6'4'',4'1::':::::::::"'"''
New construction ,:4:',;1-''b'emolition
Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
Valuation: $ / (�
1-and 2-family dwelling 0 Commercial/industrial i v ""
Number of bedrooms: fe-
❑Accessory building 0 Multi-family
0 Master builder ❑Other: Number of bathrooms:
£� ® t s # tom$ * « .. gY�q 'V"§ Total number of floors:
ti9 A +.1--+[ §...��A, • d-, .
Job site address: 3 L i, -,„,,,j .4'i . i >i ,, k"1, , ,1,---
,
' New dwelling area: square feet 3(„3
City/State/ZIP: ' * ..-1,,,,, `, Garage/carport area: V square feet
, t t, : i L,„.
Suite/bldg./apt.no.: .'' I Project name: ; as-\ Covered porch area: square feet
Cross street/directions to job site: T 6r/ , ,fit;'t „e Deck area: square feet
Other structure area: square feet
,*:x.�xn
, aelf (04*KIA" '
Subdivision: a °;" s Lot no.: q
Permit fees*are based on the value of the work performed.
Tax map/parcel no.: '?74rIndicate the value(rounded to the nearest dollar)of all
�. (� s equipment,materials,labor,overhead,and the profit for the
, v f`" ,. g. 'rte€r a s f tos4.° work indicated on this application.
iti 5 Valuation: $
Vxt ^. Existing building area: square feet
New building area: square feet
rs R® ® sows,- 1 ''" '' +r•r :14si�I ' Number of stories:
Name: t' i` I"'' L Type of construction:
Pit = r ; : ..
Address: ' 1; 0 '` ti: ' x,j p 2 Occupancy groups:
City/State/ZIP: "' x' z �I� ' 1 ,,,,, _ Existing:
Phone:( . ) g c- G / 1.1 Fax:( ) New:
v
,.. '(+�lear�reJex ofee�sci�i"u e�$���. �.""�
Business name:
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application: `o'7 I-),
City/State/ZIP:
Amount received:
Phone:( ) Fax: :( )
( '; E-mail: c� , �� ¢' IT. 9 *: ' r, ,7. 7 41*,, A
�w' , t14:1, Commercial and residential prescriptive installation of
P
® ��S :n : , ,, r , j-44•0,---1•4i7.„ , roof-top mounted Photo Voltaic Solar Panel System.
Business name: ,,,, // + / Submit two(2)sets of roof plan with connection details
�v�S�.� s�t �/'^�� -rN �,�ls �,�v and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: —7/0 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Ak
Date: *Fee methodology set by Tri-County Building Industry
��.1N�� ��{�1�7 Service Board.I:\Building\Permiitts\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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Insulation and drywall for room above garage
Date: 219/2017
Attention: Danielle Niemi
Address: 13408 Sw Barnim dr
City,State&Zip: Tigard,OR
Phone&Fax: 503-753-7500
Please verify the above information and make the needed corrections before signing proposal.
We are pleased to submit the following cost estimate:Provide labor&materials to complete the following:
DESCRIPTION OF SERVICES PROVIDED
Insulation for room above garage
Install R-21 kraft faced fiberglass insulation in exterior walls
Install R-38 fiberglass insulation in flat ceiling area
Install 4"of rigid foam board in sloped ceiling areas $2 284.32
Blow in loose fiberglass insulation under floor boards for floor insulation
Drywall for room above garage
Mask off floor in work area
Install 112"drywall on walls and ceiling
Mud and tape all joints and nails and leave with a level 3 finish ready for texture
On flat and sloped ceiling areas leave with a fire tpae finish
Spray a primer sealer on all new drywall
Spray a orange peel texture on knee walls,exterior walls
Spray a knock down texture on ceilings in dormers only
Scrap out all drywall debris $3,560.00
Clean up all masking and any mess made
*Westside Drywall Inc.will not be responsible for any incorrect framing or defect in framing material.
Westside Drywall Inc.will not be responsible for clean up of dust which may enter areas adjacent to remodel.
Westside Drywall Inc.will not be responsible for any finished products installed or left in
* house during production.
50%is due before work can be started
Plus Tax In Washington
Terms Of Acceptance Of Proposal
CONDITIONS:Stocking through clear and adequate access is waived by supplier.However,any stocking fee assessed by supplier will be an addition to the total amount due to W.D.I.
Owner-contractor is responsible for providing permanent heat to structure and any needed expansion joints. Final clean is defined as 100%completion. All patch work due to other trade damage
will be billed at 568.50 per man hour plus materials.
PAYMENT TERMS:Net due by the 10th of month following completion.Them will be a finance charge of 1.5 percent per month for all amounts not paid on time.If a lien is filed,a$500 lien fee will
be assessed along with any prep and recording fees.If an attorney is hired,to collect or enforce this proposal ora lien,there will be assessed attorney fees associated with the enforcement
of this proposal.No retain age to be whhheld.50%of total amount due at time of Mocking for materials.No back charges will be accepted without prior written approval from W.D.I.This proposal
terminates if not accepted within thirty days,unless extended in writing.In fulfilling its warranty obligation,Wal shall not be responsible for moving any fixtures,equipment,furniture or the like.
All material is guaranteed an specified. Except as otherwise specified in writing herein there are NO WARRANTIES,express or implied including the warranty of MERCHANTABILITY
and FITNESS for PARTICULAR PURPOSE,FITNESS for HABITABILITY and WORKMANLIKE PERFORMANCE.All work to be completed per specifications.Any alternation or deviation from
specifications involving extra costs,as determined by W.D.I,will only be preformed upon execution of a written change order.W.D.I may terminate this agreement upon strikes,accidents,force
majeure,or events(price increase of 10%or more)and delays beyond W.D.l's reasonable control.W.D.I's liability of any nature and of any type,to the owner and/or contractor,is expressly limited
to an amount not to exceed the base bid amount Additional insured requirements will be at the contractors expense.
DA List Sign
Prior W.D.I Signature: Enrique Sanchez 503 899 8359 Pr® ®Sal
T® S°t®CRing
DATE: T.STOCK DATE:
SIGNATURE
(503)620-7036*FAX(503)624-0599*CCB#71044
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13408 SW BARNUM DR, TIGARD, OR, 97223 May 7, 2018 at 8:44:52 AM
Record Type: Record ID:
Residential - Electrical ELC2017-00124
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor