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Permit (73) 'PiCITY OF TIGARD ELECTRICAL PERMIT 1 COMMUNITY DEVELOPMENT Permit#: ELC2017 00689 T[ 3ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/20/2017 Parcel: 2S104CB03900 Jurisdiction: Tigard Site address: 13300 SW ASCENSION DR Project: Afra Subdivision: HILLSHIRE WOODS Lot: 85 Project Description: (1)sub panel and(1)branch circuit for hot tub. Contractor: OWNER Owner: RAHAL-ARABI, TAWIFIK& TAWFIK RAHAL-ARABI AFRA, SOUHARIR 13300 SW ASCENSION DR 13300 SW ASCENSION DR TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503-358-6627 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-200 09/20/2017 $100.70 Specifics: amps or less 1 crt Branch Circuits w/Purchase 09/20/2017 $7.42 Type of Use: Service or Feeder Class of Work: 1 ea 12%State Surcharge- 09/20/2017 $12.97 Electrical 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 .-nter. Those ules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may ' ycpy of the rules or direct questions to OUNC by calling 50 .232. •87 or 1.800.332.:344. ' i Issued By:,-1-c., ......., Permittee Signature: 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 603.639.4175 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 ; , City of Tigard �J-4 ejl /d_l ..Permit#: � ,i 7,-lzx- -f iA 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review °: S Phone: 503.718.2439 Fax: 503.598.1960 , n " ,i)1 Date/By: Related Permit#: /1/11,20i 7-GL' '?g p ! 6 I Ready Date/By: Juris: ® See Page 2 for Inspection Line: 503.639.4175 _,i.. T I GA R D Internet: www.tigard-or.gov Notified/Method: `/-�*. -��- Supplemental Information TYPE OF WORK 'l I ty Uf�t� PLAN REVIEW ❑New construction Addition/alteration/r x� X¢�f.,7; ' i 1 r i+ j t') 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. n 1-and 2-family dwelling D 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 I ❑Addition of new motor load of system. Job#: Job site address: 3 Asc /s.0n) 0l• 100HP or more. ❑«A" "E" "1-2" "1-3" City/State/ZIP: / `C d777 ❑Six or more residential units. occupancy. t jtt v / 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: xotU4 W A k r 1\�" 2q te r S ❑Hazardous locations. 0 600vlolts nominal. y voltage for more than ❑Service or feeder 600 amps or more. 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: 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 t (with above sq.ft.) 75.00 2 -- -- - -- �"�"- Limited energy,multi-family residential(with above sq.ft.) 75.00 2 ( 1•` "-(✓ '1 /A f rdlk` Renewable Energy 0 See Page 2 111/0 PROPERTY OWNER J 0 TENANT Services or feeders installation,alteration,and/or relocation Name: �GeW�: i 4 12e, 1,‘,‘ - A ecz 6 l„ 200 amps or less 100.70 © 1{} 2 ' L� 201 amps to 400 amps 133.56 2 Address: / 7 3 a „ L6,,) A cj cr.1,-)< 1 ,,,,,.„.1 D r i,,i::-- 401 amps to 600 amps 200.34 2 City/State/ZIP: 7;:lef_ rr i - ( Wil_t1�_ co} 601 amps to 1,000 amps 301.04 2 Phone: -� _ —Eax4---- EaT'�'_— ) Over 1,000 amps or volts 552.26 2 -3sg Temporary services or feeders installation,alteration,and/or Email: Sc Li f ti:i 1104. tev‘tkt L Etp.,yy1 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 *.exc/han:e,; cording to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: ,,,,,�, -.. Date: €j7-lj"1c:i 7 401 amps to 599 amps 168.54 2 APPLICANT 0 CONTACT PERSON 0 Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name: above service or feeder fee, 1 each branch circuit 7.42 7 i1, 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'I branch circuit 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: U t4.1 b,,s"f^ Sign or outline lighting 67.84 2 �"` Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: panel,alteration,or extension. g 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 Industrial plant(1 hr min) 78.18/hr Email: Inspections for which no fee is 90.00/hr CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed('Vs hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: /Q r,j j, Print name: Date: 0 Plan Review Required(25%of permit fee): ,.)` State surcharge(12%of permit fee): ' /1,17 Authorized signatur- - _ TOTAL PERMIT FEE. ��J_ (�� This permit application expires if a permit is not obtained within 180 Print name: '77-4.44.) 14h41_ ,..y- hi' Date: <t—,/S' - iL t) 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: FE REDULE .. DescriptionFee for all residential systems combined: $75.00 (Qty. I Each f Total .,.I`* �' 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 552.26 2 with OAR 918-309-0040) 7= Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 Ell Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: 111 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 specificallzy,listed(''A hr min) ELECTS . . COMMERCIAL*Ail(ONLY: 4 . Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): y * 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: 13300 SW ASCENSION DR, TIGARD, OR, 97223 October 19, 2017 at 7:47:14 AM Record Type: Record ID: Residential - Electrical ELC2017-00689 Inspection Type: Inspector: 115 Electrical service David Young Result: FA I L Comments: Licensed electrical contractor not added to permit for work not done by owner. Licensed electrical contractor to be added to permit and review and accept responsibility for work done. Re inspection not to be scheduled prior to correction being complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13300 SW ASCENSION DR, TIGARD, OR, 97223 October 19, 2017 at 7:52:28 AM Record Type: Record ID: Residential - Electrical ELC2017-00689 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: See corrections from previous inspection. Licensed electrical contractor to be added to permit, review and take responsibility for Work permitted but not installed by owner. Re inspection to be scheduled after corrections are complete. Violation Summary: Inspector Contractor