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Permit (110) CITY OF TIGARD ELECTRICAL PERMIT 31. COMMUNITY DEVELOPMENT Permit#: ELC2017 00654 z- frRI Date Issued: 09/06/2017 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 , Parcel: 2S103CA03300 0/Y /7 Jurisdiction: Tigard Site address: 11545 SW TERRACE TRAILS DR Project: CLEWS Subdivision: TERRACE TRAILS Lot: 5 Project Description: (7)branch circuits for accessory structure. 10/12/17:REPRINTED permit to include(1)additional branch circuit. Contractor: OWNER Owner: CLEWS, OLIVER&ELEANOR J CLEWS OLIVER&ELEANOR CLEWS REVOCABLE LIVING TRUST 11545 SW TERRACE TRAILS DRIVE 11545 SW TERRACE TRAILS DR TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 971-283-6684 PHONE: FAX: FEES Quantity Description Date Amount 8 crt Branch Circuits wo/Purchase 10/12/2017 $108.12 Specifics: Service or Feeder 1 ea 12%State Surcharge- 10/12/2017 $12.97 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $121.09 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 Center. Those rules are set forth in OAR 952-001-0010 throw R 952-001-0090. Yuma btain a co tbe-utas ger direct questions to OUNC by calling 503.232 87 00.332.2344. Issued By. c,.---- Permittee Signature: ' / , _- 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 ApplicationPOR 01•1 1( 1. 1 Sil 0yl.1 City of Tigard RECEIVED Received 1111111 n 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review C Phone: 503.718.2439 Fax: 503.598.196 E P Q 6 ?O i7 Date/B Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: Jur's: El See Page 2 for I I GA R C) Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OF TIGARD TYPE °PertOINDING DIVISION PLAN REVIEW ❑New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ❑Other: 0 Service or feeder 400 amps or more 0 Building over three stories. lilt g S C where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION 11;';', "'' ' exceeds 10,000 amps at 150 volts or 0 Floating buildings. ID 1-and 2-family dwelling 0 Commercial/industrial 0 Accesso i a ing less to ground,or exceeds 14,000 0Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: I Job site address: I S 11•5 S(A`-E E--"F ys El Addition of new motor load of system. t !Q{ (2A� in or more. ❑"A> "E"`1-2""1-3" City/State/ZIP: 'Fr G k'v, / ©2 / Ci-2'2-23 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: I Project name: CO ea k$Kor I�t,C C C� 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 I • New residential single-or multi-family dwelling unit. Subdivision: I 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 'D�I OI 'OE �'2'' Limited energy,residential 75.00 2 . with above ft. 1 rn+S T A-i--L A-TiO to io e2 t. -G/4-27A-)G- ( i Limited energy,multi-family (� n r (,/ / residential(with above ft.) 75.00 2 `' �� C'� G$ �vl i 7 `''I Ci)Gt)/G1hf Renewable Energy ❑ See Page 2 ( PROPERTY OWNER ' d"TENANT f-7 Services or feeders installation,alteration,and/or relocation Name: ©t Vl L ( t.._t'1.0.5 200 amps or less \ 100.70 2 Address: (,t S t.�S' S Do XYZ 2/"-Cc 2 t r,S 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: err.A_2) / O2 / CI"k-.2._2_3 601 amps to 1,000 amps 301.04 2 Phone:(e:4-t t,) 3 ('6 21r, I Fax:( ) Over 1,000 amps or volts 552.26 2 L' Temporary services or feeders installation,alteration,and/or Email: O (.L L L C'.L.�S 3 ( cWit l„ C©kvi relocation Owner installation:This install• '• is being ma a on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,renpor ,' ange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: ,,..,--./' Date: //612-01-? 401 amps to 599 amps 168.54 2 0'APPLICANT I C],CONTACT PERSON Branch circuits—new,alteration,or extension, >er 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 service or feeder fee,first Address: branch circuit ( 56.18, �,L' 2 City/State/ZIP: Each add'l branch circuit , Veil 7.42 / kw.2_, Miscellaneous(service or feel er not included) —1 Phone:( ) I 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 Address: Signal circuit(s)or limited-energy ❑ See Page 2 2 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:( ) 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.: I Electrical Lic.: I Suprv.Lic.: specifically listed(%hrmin) Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES Subtotal: RA) .?tJ Print name: Date: 0 Plan Review Required(25%of permit fee): 1 - State surcharge(12%of permit fee): /.1,, Qi Authorized signature: TOTAL PERMIT FEE: 1/4 70 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— t®• (3r 16/147 BIBuilding\Pamirs\ELC_PemitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I 1/05/COM/WEB CITY OF TIGARD ELECTRICAL PERMIT 7,1 { COMMUNITY DEVELOPMENT Permit#: ELC2017 00654 Tc GARn 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/06/2017 Parcel: 2S 103CA03300 Jurisdiction: Tigard Site address: 11545 SW TERRACE TRAILS DR Project: CLEWS Subdivision: TERRACE TRAILS Lot: 5 Project Description: (7)branch circuits for accessory structure. Contractor: OWNER Owner: CLEWS, OLIVER& ELEANOR J CLEWS OLIVER&ELEANOR CLEWS REVOCABLE LIVING TRUST 11545 SW TERRACE TRAILS DRIVE 11545 SW TERRACE TRAILS DR TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 971-283-6684 PHONE: FAX: FEES Quantity Description Date Amount 7 crt Branch Circuits wo/Purchase 09/06/2017 $100.70 Specifics: Service or Feeder 1 ea 12%State Surcharge- 09/06/2017 $12.08 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 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: Or on law requires ypu to follow the rul s adopted by the Oregon Utility Notification Center. Thos rules are set forth in OAR 952-001-0010 through 0 952iii.-0 < 090. Y Vma obtai a copy of a rules or direct questions to OUNC by calling 503.232.1987 or 1.8 . 2.2344. Issued By: � /—-/(OL'I � `d1° T'' Permittee Signature: i OWNER INSTALLATION ONLY 0 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 1:012 01:1 1( 1.. I. e OyI.v City of Tigard RECEIVED Received g DateB : Permit#: IN u 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review C Phone: 503.718.2439 Fax: 503.598.1960 E P 0 6 ?017 Date/B : Related Permit#: l RInspection Line: 503.639.4175 Ready Date/By: Axis: ® See Page 2 for D Internet: www.tigard-or.gov CITY OF rIGARD Notified Method: Supplemental Information TYPE OFLING DIVISION PLAN REVIEW 0 New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 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 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived r [I Addition of new motor load of system. Job#: Job site address: I �j its S W r e-2/C AE-E !2A374,5b2 1001-IP or more. ❑.<A„«E„ °.1.2„ «l_s„ Clty/StatO/ZIP: l ❑Six or more residential units. occupancy. GA ( © !L / 81223 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: (A..),ea K S 1.-tor -L�c i etc 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: FEE SCHEDULE Description I Qty. I Each I 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 o� 1�_ Limited energy,residential TN S i�-t-L I-T-1©1 ) ®- ' 1`n p-1,J e-2 { 6 1.11510r (with above sq.ft.) 75.00 2 Limited energy,multi-family a 2 No e C r 5.S. residential(with above sq.ft.) 75.00 2 ( PROPERT Y OWNER 0 TENANT Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name: )La va i C 1._, 'las 200 amps or less `' 100.70 2 Address: (..k 5-t� ' fCO - g ACE -FR A-1-LS /� 201 amps to 400 amps 133.56 2 �\ 401 amps to 600 amps 200.34 2 City/State/ZIP: 1-Tr(. A-'0 / Oi ' / o k 2 2--3 601 amps to 1,000 amps 301.04 2 Phone:((Ilk) 2 `� G 6 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: ( L L L ( .LAS S 3 � L Temporary services or feeders installation,alteration,and/or � _ l R co� relocation Owner installation:This install. '• is being ma e on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,renlorr ange,according to ORS 447,449,670,and 701.1 . 201 amps to 400 amps 125.08 2 Owner signature: 4/'X1/ Date: 1/&/2e1 7 401 amps to 599 amps 168.54 2 APPLICANT 0 CONTACT PERSON Branch circuits-c new,alteration,or extension,per panel A.Fee for branch circuits with Business name: above service or feeder fee, 7.42 2 each branch circuit Contact name: B.Fee for branch circuits without service or feeder fee,first Address: branch circuit 1 56.18, tc 2 City/State/ZIP: Each add'l branch circuit G 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular dwelling,service and/or feeder Email: 67.84 2 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)or limited-energy Address: panel,alteration,or extension. 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.Lic.: specifically listed(A hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: ICX .-70 Print name: Date: ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): i)W (S/ Authorized signature: TOTAL PERMIT FEE: i i,g.70p 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 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: FEE scimiimrt RESIDENTIAL' V t . °6 It' . . Description 1 Qty. r Each I Total I Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less 100.70 2 Check Type of Work Involved: 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('/hr min) CO ER.0 Alf w o . ` to > 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: ❑ 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: 11545 SW TERRACE TRAILS DR, TIGARD, OR, 97223 Record Type: Record ID: Residential - Electrical ELC2017-00654 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor