Permit (31) CITY OF TIGARD ELECTRICAL PERMIT
IN11.. ''
COMMUNITY DEVELOPMENT Permit#: ELC2017-00246
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/10/2017
Parcel: 2S110DA04300
Jurisdiction: Tigard
Site address: 10810 SW KABLE ST
Project: Meehl Subdivision: ERICKSON HEIGHTS Lot: 4
Project Description: (1)sink for basement remodel.
Contractor: BARNSON ELECTRIC INC Owner: MEEHL, ROBERT C&
17057 SW 123RD AVE GUERTIN, MARY M
TIGARD, OR 97224 10810 SW KABLE ST
TIGARD, OR 97224
PHONE: 503-312-9093
503-620-6891
FAX:
FEES
Quantity Description Date Amount
4 crt Branch Circuits wo/Purchase 04/10/2017 $78.44
Specifics: Service or Feeder
1 ea 12%State Surcharge- 04/10/2017 $9.41
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $87.85
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 oth- .pplicable 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 wo is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. os: rules are set forth in OAR
952-001-0010 through O'R 952-001-0090. Yo copy of 141100or direct questions to OUNC by calling 503.232.1987 or 1 '00.32.2344.
i
Issued By: .11111(....../. _d-,t1.......•'• .�— Permittee Signature: i.3/i
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 FOR OFFICE ISE oyl.v
City of Tigard Received 11
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 '' Date/13 : Related Permit#: /7 " „4 /7._- , _ ;
Inspection Line: 503.639.4175 ,� Ready Date/By: EMI El See Page 2 for
T I G AR D Internet: www.tigard-or.gov ` 1 Notified/Method: Supplemental Information
a*
CI New construction ®Addition/alteration/replace ll( . w( Please check all that apply(submit 2 sets of plans w/items checked):
ElDemolition CIOther: G! 0\115° ❑Service or feeder 400 amps or more ❑Building over three stories.
v)Arp
where the available fault current Marinas and boatyards.
s.
; � y � „ y ,,,,,,:(07* � � � ��6 � / �
exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling CI Commercial/industrial 1:1 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑Multi-family El Master builder 0 Other: ampsireform all other installations. butngs.
❑Fire pump. Installation❑ of 150 KVA or
1 Y = ;tom A ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: I Job site address: 10810 SW KABLE
1001IP or more. ❑"A","E","1-2","1-3",
City/State/ZIP:TIGARD,OR 97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.4: Project name: ❑Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: ,;;AlatarsiiTqi;INEWriiCalli
Description I Qty. I Each 1 Notal
New residential single-or multi-family dwelling unit.
Subdivision: Lot 4: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel 4:
Ea.add'I 500 sq.ft.or portion 33.92 1
i.... »», Limited energy,residential
sq. 75.00 2
ADD 4 CIRCUITS (with above ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
7 , r/ . � a N. , Renewable Energy 0 See Page 2
..,3 _ t. •," 1-1--.;,„',',`„, .•- • .,
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:( ) 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
. _frAdoiti4k: e alp, :orscrAcrBranch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:BARNSON ELECTRIC INC above service or feeder fee, 7.42 2
each branch circuit
Contact name:DAVID LISTER B.Fee for branch circuits without
service or feeder fee,first I 56.18
Address: 17057 SW 123RD AVE branch circuit 56.18 2
City/State/ZIP:TIGARD,OR 97224 Each add'l branch circuit 3 7.42 . 2
Miscellaneous(service or feeder not included) )..,
Phone:(503)747-9067 Fax: :(503)512-5140 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:barnsonelectrlc@gmail.com
Reconnect only 67.84 2
r/
,;'y.- COI CTOR * ,-k:i. Pump or irrigation circle 67.84 2
Business name:BARNSON ELECTRIC INC Sign or outline lighting 67.84 2
Address: 17057 SW 123RD AVE
Signal alcteration,
tions)or limited-energyxens0 See Page 2 2
_ panel,alteration,or extension.
City/State/ZIP:TIGARD,OR 97224 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)747-9067 Fax:(503)512-5140 Investigation(1 hr min) 90.00/hr
Email:barnsonelectrlc@gmaiLCom Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee 1s
90.00/hr
CCB Lic.: 206781 4,41 Electrical Lic.: c1121 '7/(11, u rv.Lic.: 4754s specific al),listed(1/hr,min
Suprv.Electrician signature,required: �/� "I 7. �'
t% Subtotal: I-,yIK
Print name: DAVID LISTER I Date: 4/5/2017 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): .,...94-2—1,k 1
Authorized signature: TOTAL PERMIT FEE: 8789
This permit application expires if a permit is not obtained✓wtn \
Print name: DAVID LISTER Date: 4/5/17 days after it has been accepted as complet - 1-
* Number of inspections allowed per permit.
I:�Building�Permits�ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10810 SW KABLE ST, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Electrical ELC2017-00246
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor