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Permit (91) CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2017-00356 T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/17/2017 Parcel: 2S 102CA00301 Jurisdiction: Tigard Site address: 9780 SW FREWING ST Project: O'Leary Subdivision: FREWING'S ORCHARD TRACTS Lot: 18 Project Description: (1)service and(4)branch circuits for house remodel. Contractor: SYNCHRO SOLAR LLC Owner: SAXONY-PACIFIC LLC 1339 SE 8TH AVE, STE B BY FINKE, HANS&SUSAN PORTLAND, OR 97214 PO BOX 1565 WILSONVILLE, OR 97070 PHONE: 503-208-4786 PHONE: FAX: 503-290-1507 FEES Quantity Description Date Amount 1 ea Services or Feeders-200 05/17/2017 $100.70 Specifics: amps or less 4 crt Branch Circuits w/Purchase 05/17/2017 $29.68 Type of Use: Service or Feeder Class of Work: 1 ea 12%State Surcharge- 05/17/2017 $15.65 Electrical Type of Const: Occupancy Grp: Total $146.03 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 181 •ays of issuance, or if work is suspended for more the 1;L. days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utili of ication Center. Those rules are .et fo . ' OAR 952-001-0010 through OAR 52-001-0090. You may o , of the rules or direct questions to OUNC by cal03.232.1987 or 1.... Issued By: AO" •[mittee Signature: ��•,�l 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 USE ONLY City of TigardReceived 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 DateB Related Permit#: IA. Inspection Line: 503.639.4175 TIGARD Readyfieri/M ho H See Page 2 for Internet www.tigard-or.gov Notified/MethodSupplemental Information (��1 a ton ... r At r -R OF WORK �« :, :° ` , s °rv" �" ,", :PI,AN'`RE4YI�j�W � ,.; " .. r ❑New construction Addition/alteration/replaceMent y Please check all that apply(submit 2 sets of plans w/items checked). ❑Demolition Other:`� �� t'� �. where�l� 0Service or feeder 400 amps or more 0Building over three stories. " r 'e. - "_ 8; ,TECO X. O,E' CONS`IRUCT1 I i�,..s� w 6h exceedsi10 000 e ampble s att150 volts or 0 Floating current 0 buildings.nas boatyards. 411-and 2-family dwelling 0 Commercial/industrial R -ccessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑Multi-family ['Master builder ['Otheramps for all other installations. buildings. Fire pump. 0 Installation of 150 KVA or At ' : OBF.k�EM:0.R.'1 4tT.*4: €LO:" `I'I? l ` ,*a, ❑Emergency system. larger separately derived Job#: Job site address: �, a S ❑Addition of new motor load of system. -�` �✓, .ti 100HP or more. 0"A","E","1-2","1-3", City/State/ZIP: / / f•,9/1 32) ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle pazks. Suite/bldg./apt.#: Project name: 0 �,< ,� ❑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: '.,.,.,.a°I?EE. :so:tIItt re f..:. 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 *... :;tiD'1;SGRJPTZt �O WQRRK Ea.add'l 500 sq.ft.or portion 33.92 1 .::.. tt ... "rt. �F �* Limited energy,residential � 2{,4 " C41/410•1A iq- r (with above s ft. 75.00 2 t'i7 e fir,,rcr`7✓Z r�' .,�)6 q ) ,/ A , Limited energy,multi-family 49'7//4-c�'*/''I /4 .J),ds /-1©49 .,„1,,,,-e.. residential with above sft.) 75.00 2 * .❑ = ENYr Renwable Energy 0 See Page 2 PRPRfiO R � r�'"`` `� ❑ AT; _ ° .- ` Services or feeders installation,alteration,and/or relocation Name: 200 amps or less • f 100.70 JJ0 7c 2 Address: 201 amps to 400 amps 133.56 2 City/State/ZIP: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or 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 w f ., ....,,„t r 0"APEL'IGAWA : _., ) J.0*.'ACT PERSONr°°. Branch circuits—new,alteration,or extension,per panel " A.Fee for branch circuits with Business name: S .�i/G 0a ;� 6",„G t> 4,A. above service or feeder fee, if each'branch circuit 7.42 '`t/ 2 Contact name: O B.dols^' B.Fee for branch circuits without Address: / 3 G Q7 f� service or feeder fee,first 5-' f✓ , t') CT A branch circuit 56.18 2 City/State/ZIP: /c..'20 ,j c,4,,,,,,,i 7_ 5-� 6 / Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(97/) 3 )3 9 -L Fax: :( ) Each manufactured or modular Email: (J 4,,,i,-4J / , dwelling,service and/or feeder 67.84 2 D d� if / / ii„MV,, S � LY„0„1 ` '` � , i Reconnect only 67.84 2 i ..:: y#.;.: ..... .., x ., ....,.. . .. ... ...... .. y . ,: ....:I Pump or irrigation circle 67.84 2 Business name: .c 4_�,r/c,,,A., 5— Sign or outline lighting 67.84 2 Address: i3 7 t— r .�f/ s--7,-„,.-:-.: Signal Meru t(s)or limited-energy •.S - . �,. panel,alteration,or extension. ❑ See Page 2 2 City/State/ZIP: 9v� Each additional inspection over allowable in any of the above V i( 92 L/y Additional inspection(1 hr min) 66.25/hr Phone: a3 ) 49)/_] ) Fax:( ) Investigation(1 hr min �� ) 90.00/hr Email: ,..0,L� 4 Do X3^-3// W. ofiz, fe �,�.,� Industrial plant(1 hr min) 78.18/hr / �/ / Inspections for which no fee is CCB Lic.: /If', . Electrical Lic.:C l/ L/ Suprv.Lie.: V-S p ( specifically listed(h hr mm) 90 00/hr Suprv.Electrician signature,required: kri� �d , v` i _�f� «..° y�!� Subtotal: /J , Print name: i, ,a n'tie ,� J�, ,.>- Date:S/tr--/, 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): /S; 6 5.- Authorized Authorized signature: /1-7-/-1-7--c-9 .1/4-(,11,q/ TOTAL PERMIT FEE: IY‘ 403 This permit application expires if a permit is not obtained within 180 Print name: j� 3 Date: Jif' Ito /L,�,• / (J, !IV�✓�jFi >� f', # days after it has been accepted as complete. Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.dos Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: R1 SIDE AL WCC O Des a. �.�. ..:.�:'.'„:.e,. �. , r 1+. Qh'. Each Total „� .. ,r&,maa ... Description Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less 100.70 2 Check Type of Work Involved: 133.56 2 5.01 to 15 kva ❑ 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 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* Each additional kva over 25 7.42 3 El Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: Each additional inspection is 66.25/hr 1 Other: charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(%hr min) C Com:WORK Ol�TL 3 �. _ ttik0 ICa1 PE SEs. . .. ... < ...... .. Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: n Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems n Data Telecommunication Installation ❑ Fire Alarm Installation n HVAC n Instrumentation n Intercom and Paging Systems Landscape Irrigation Control* n Medical n 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_PermitApp_ELR_ERE.doe Rev 06/17/2015 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9780 SW FREWING ST, TIGARD, OR, 97223 Record Type: Record ID: Residential - Electrical ELC2017-00356 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Supplemental grounding not found. Appears to be 1 existing ground rod at new service. 250.54 Timer or de humidistat not installed for new bath fan. M1507.4 Violation Summary: Inspector Contractor