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Permit (69) CITY OF TIGARD ELECTRICAL PERMIT III ' COMMUNITY DEVELOPMENT Permit#: ELC2018-00091 T i( ;til:l) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/07/2018 Parcel: 2S 103AA01702 Jurisdiction: Tigard Site address: 10770 SW WALNUT ST Project: BRADEA Subdivision: ECHO HEIGHTS Lot: 2 Project Description: Adding 200 amp service to residential adult care facility. Contractor: ABS ELECTRIC LLC Owner: BENJAMIN BRADEA 752 DIVISION ST 10770 SW WALNUT ST OREGON CITY, OR 97045 TIGARD, OR 97223 PHONE: 503-888-7676 PHONE: FAX: 503-257-6168 FEES Quantity Description Date Amount Specifics: 1 ea Services or Feeders-200 02/07/2018 $100.70 amps or less 1 ea 12%State Surcharge- 02/07/2018 $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 issu- •-, or if work is suspended for more the 180 days. ATTENTION: Oregon aw requires you to follow the rules adopted by the Oregon Utility Notificatio •-nter. Those rules are set forth in OAR 952-001-0010 through OAR -001-0090.�.0 may obtain a copy of the rules or direct questions to OUNC by calling 50 . . .. or .801 . Issued By: �C ii 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 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 Tigard `a.>12eceived •� III p ' �` DateBy: pL 7 Jrj"::441- Permit#:�/�v 1 U 8.-'6 y.("71 13125 SW Hall Blvd.,Tigard,OR 97223 L.E� t d.� t' Plan Review Phone: 503.718.2439 Fax: 503.598 1960,n r" Related Permit#: ry j 1 7 }�,cp - Date/By: M�' a; W!�! Inspection Line: 503.639.4175 t` 0. Ready Date/By: Juris: I H See Page 2 for T1GARD Internet www.tigard-or.gov tal Information ., s N d/Method men fe Supple •.' :':: -,,i‘•:''1*itr.,:ox'',,,iri.t.,',or--•= :',,;ify**::„0:**iik:1":.-,;1.:::.ewivilkoot...ati.iit.% ;:,:7,:-..:;A,...4,„.,,,,i;:z„A:414x 4.,,,, ,,,,c,,,,:„.0.,,,:,,,,t.3„,,,,„,,,,,,,, ❑New construction ®Addition/alteration/replai3et ent Please check all that apply(submit 2 sets of plans whtems checked): 0 Demolition Other: ❑Service or feeder 400 amps or more ❑Building over three stories. where the available fault current zi �+�" 3� . �� ❑Marinas and boatyards. +1!c tS` tU ., 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 ❑MUltl famtl amps for all other installations. buildings. Y ❑Master builder ❑Other ❑ � Fire pump. 0 Installation of 150 KVA or ,` .Its"Sl"T'Et ',� � ,I, ,R 't)1? 1 � 4(JCA:1'i°N � ^, �;* 6' ❑Emergency system. larger separately derived Job#: Job site address: 10770 SW Walnut St ❑Addition of new motor load of system. 100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP:Tigard OR,97223 ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:Bradea 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:Tiedeman and Walnut - Description r Qty. I Each I Total i * New residential single-or multi-family dwelling unit. Subdivision:Echo Heights Lot#:2 Includes attached garage. Tax map/parcel#:2S103AA01702 1,000 sq.ft.or less 168.54 4 ,,, Ea.add'l 500 sq.ft.or portion 33.92 1 " -••" :�. Limited energy,residential Single story addition for a residential adult care facility. (with above sq.ft.) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable g►4 ttOpEI2TY U R Energy ❑ See Page 2 " *,V Services or feeders installation,alteration,and/or relocation Name:Benjamin Bradea 200 amps or less 1,,,_ 100.70 2 Address: 10770 SW Walnut St 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Tigard OR,97223 601 amps to 1,000 amps 301.04 2 Phone:(971)5065592 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 *pP 4'= C 4 ,,, r Branch circuits—new,alteration,or extension,per panel CNT 3� �� A.Fee for branch circuits with Business name: above service or feeder fee, each branch circuit 7.42 2 Contact name:Benjamin Bradea B.Fee for branch circuits without • Address: 10770 SW Walnut St service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Tigard OR,97223 Each add'l branch circuit 7.42 2 Phone:(971)5065592 Fax: : Miscellaneous(service or feeder not included) ( ) Each manufactured or modular 67.84 2 Email:djbready@gmail.com dwelling,service and/or feeder �� Reconnect only 67.84 2 .': C 1�'i')GKACT R E Y: • �ti �� Pump or irrigation circle 67.84 2 Business name: 5 e er j`t r i f — —C Sign or outline lighting 67.84 2(( Signal circuit(s)or limited-energy Address: 7;2. t �r:Si Ell panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: 1, 4-,.:)(:).7071 t. ( ��. 41":„9 Each additional inspection over allowable in any of the above 1 d Additional inspection(1 hr min) 66.25/hr Phone:( ._ 6. 7c, Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email:_5 677 ___ ..5e(1-0--C. A\-10 i .Z:*Ce1y1 Inspections for which no fee is CCB Lic.: SE 744 Electrical Lic.: r' e,� s cificall listed ' ) 90.00/hr 1� j2 f Suprv.Lie.: Pe (/z hr min Suprv.Electrician signature,required: ', { ' 241, 'CA E 1tE j �.; •",` . Subtotal: Print name:(::,....,f'i�l t,`—c C14145,---;_ [ Date: 0 Plan Review Required(25%of permit fee): ( ' State surcharge(12%of permit fee): Authorized signature: c "��'c� �'�� TOTAL PERMIT FEE: j�,Z, 7 7 r 3 ' ,' This permit application expires if a permit is not obtained within 180 Print name: 04 I t t /'� �/ p' Date: days after it has been accepted as complete. IW ! 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 I City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10770 SW WALNUT ST, TIGARD, OR, 97223 June 19, 2018 at 11 :04:09 AM Record Type: Record ID: Residential - Electrical ELC2018-00091 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Provide permit for second ac installed without permit. Remove smoke detector covers for testing. No access to plug by entry to test. Wiring appears buried in wall left of fridge. Appears to be extra dedicated circuit to serve a range and hood vent not on approved plans. Second permanent cooking facilities not allowed unless approved by planning for ADU. Not ready for Inspection, Work not complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10770 SW WALNUT ST, TIGARD, OR, 97223 June 20, 2018 at 9:56:11 AM Record Type: Record ID: Residential - Electrical ELC2018-00091 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Smoke detectors hanging from ceiling. Romex in wall by fridge covered, not terminated in box or plug. Cannot be wire nutted and terminated in wall per owner with no access. Not ready for Inspection, Work not complete. R109 Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10770 SW WALNUT ST, TIGARD, OR, 97223 June 22, 2018 at 3:40:03 PM Record Type: Record ID: Residential - Electrical ELC2018-00091 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor