Permit (101) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT
Permit#: ELC2017-00549
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/25/2017
TIGARD Parcel: 2S112CC03601
Jurisdiction: Tigard
Site address: 8030 SW CHURCHILL CT
Project: Smirnov Subdivision: BOND PARK NO.3 Lot: 64
Project Description: Modification of(6)branch circuits
Contractor: OWNER Owner: SMIRNOV,ALEXANDER
ALEXANDER SMIRNOV 8030 SW CHURCHILL CT
8030 SW CHURCHILL CT TIGARD, OR 97224
TIGARD, 97224
PHONE: 503-770-0130
PHONE: 503-770-0130
FAX:
FEES
Quantity Description Date Amount
6 crt Branch Circuits wo/Purchase 07/25/2017 $93.28
Specifics: Service or Feeder
1 ea 12%State Surcharge- 07/25/2017 $11.19
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $104.47
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. ATT ION: 0 -•on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-•4 10 through OAR•• .61 0090 You may obtain a cop of the rules or direct questions to OUNC by calling 503.232%9: -4,daWit4p 32.2344.
Issued:y: _ �'�I / Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own
- •for sa leesrCr rent., • :-
OWNER'S SIGNATURE Date: 74"1//7
//7
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 �C FOR of i ici. I L 0y,.I
City of Tigard RECEIVE Date/B d 7 O`'�mm Permit#: £��1,—coSq
;, li 13125 SW Hall Blvd.,Tigard,OR 97223 111���rr��� Plan Review
■ Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
Inspection Line: 503.639.4175 J U L 2 6 2017 Ready Date/By: Juris: ® See Page 2 for
T I G A R D Internet: www.tigard-or.gov -�-�J Notified/Method: Supplemental Information
TYPE OF
CITY i OF-( I I`GHdRI^�r` PLAN REVIEW
❑ E ®i 1 `^ ��tl IS t✓f Please check all that apply(submit 2 sets of plans w/items checked):
New constructionAddition/alteratio r acemen
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 10 3 I '-Ju.' ( '/4 eui' C II i ti(i (zt I00HP or more. ❑"A","E","1-2",°°1-3",
Ci /State/ZIP: I p, ) 0 Six or more residential units. occupancy.
City/State/ZIP: r (,1 a 6-a V (, 0 Recreational vehicle parks.
J � ���"t ❑Health-care facilities.
Suite/bldg./apt.#: Project name: 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
75.00 2
`7 �I (with above sq.ft.)
t— ;� 14 L 1 fi (`(.4 T 5 k 6'�2& i /.... d cz .S Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
2? . td �J G7 Renewable Energy 0 See Page 2
[/PROPERTY OWER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: � e e. t C1 e d" S/4 �t 1�2
,.-Z-t !r ;id, t/
200 amps or less 100.70 2
n J /t 201 amps to 400 amps 133.56 2
Address: C-3 C v'i,V e(IGt (--c' 2( (1( 1
401 amps to 600 amps 200.34 2
City/State/ZIP: 09 '-'
t, oft d L Cj
IT t, 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: Cj e c.(>i kick 1` .r _5U,1,1 ;1,-14 fJV 0 q Lel C41(-6'0.0 relocation
Owner installation:This installation is being made on'pfoperty 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: 7j
401 amps to 599 amps 168.54 2
0 APPLICANT1 ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: above service or feeder fee,
each branch circuit 7'42 2
Contact name: B.Fee for branch circuits without
Address: service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Each add'l branch circuit —5 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
•
Business name: Sign or outline lighting 67.84 2
Signal circuit(s)
ited-energy
Address: panel, or
alteration,or exextension. 0 See Page 2 2
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(1 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.Lie.: specifically listed(V2 hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: 9'3,as
Print name: Date: 0 Plan Review Required(25%of permit fee): '
State surcharge(12%of permit fee): I/. /?
Authorized signature: TOTAL PERMIT FEE: /t7'/•if 7
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-46151(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description I Qty. I Each 7 Total
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 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
with OAR 918-309-0040) 552.26 2
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
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 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed('/z hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
* 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:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8030 SW CHURCHILL CT, TIGARD, OR, 97224 September 13, 2017 at
10:37:25 AM
Record Type: Record ID:
Residential - Electrical ELC2017-00549
Inspection Type: Inspector:
199 Electrical final David Young
Result:
FA I L
Comments:
Provide proper wire size for breakers used.
Garage circuits to feed only the garage.
Protect Romex under plywood floor.
Lights in new shower area to be wet location rated.
Expose concealed splice in garage ceiling or splice with listed devise.
Re schedule as rough in inspection when ready.
Note: provide permit for sauna installed over ceiling joists.
Provide mechanical permit for bath fan and venting of sauna.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8030 SW CHURCHILL CT, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Electrical ELC2017-00549
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor