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Permit (189) re CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT �I1F ► -� Permit#: ELC2018-00156 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 {9 ll Date Issued: 03/05/2018 TfCa"``" g ' Parcel: 2S103AB02400 Jurisdiction: Tigard Site address: 11340 SW WALNUT ST Project: MCLEOD Subdivision: None Lot: None Project Description: (6)branch circuits for dryer vent fan,bathroom,and kitchen remodel. 9/17/18:REPRINTED permit to include(5) branch circuits. Contractor: OWNER Owner: MCLEOD, MIKAYLA A&STUART J STUART MCLEOD 11340 SW WALNUT ST 11340 SW WALNUT TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 971-246-1516 PHONE: FAX: FEES Quantity Description Date Amount 11 crt Branch Circuits wo/Purchase 09/17/2018 $130.38 Specifics: Service or Feeder 1 ea 12%State Surcharge- 09/17/2018 $15.65 Type of Use: SF Electrical Class of Work: ALT 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 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow th- - --+•ted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 952-001-0090. Yo .•- •• .•- - ... of the rules• direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: tOV - Permiffee 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 City of Tigard Received /�...,.. Permit#: �j, y j Date/BY: S f i"v1 ©� 1 U-.( )V-ro 13125 SW Hall Blvd.,Tigard,OR 97223 g Plan Review Phone: 503.718.2439 Fax: 503.598.1 Al ' )' Date/By: Related Permit#:P`�v'1d!i j }( -..- Inspection Line: 503.639.4175 _.a1` ReadyDate/By: Juris: ec '""� T I c.ARD '' -f-�-�` to See Page 2 for Internet: www.tigard-or.gov ...'1 Notified/Method: (y Supplemental Information TYPE OF WORK 5 2n18 PLAN REVIEW I_. 0 New construction J r+ddition/alteratio ' laeement y[ Please check all that apply(submit 2 sets of plans w/items checked): Demolition ��#, ; 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Other: ' 1 "3 t (� where the available fault current DIVISIOIt'4 0 Marinasnand boatyards. la-t'Y CATEGORY OF CO _ '' . � i 1 exceeds 10,000 amps at 150 volts or ❑Floating buildings. la-1.- 2-familydwelling ❑Commercial/ l l r 1 Ai Accessory building less to ground,or exceeds 14,000 ❑Commercial-use and c agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder 0 Other: El Fire pump. ❑Installation of 150 K VA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: [( ) 0 Addition of new motor load of system. �/ G SCS cr��/lint- S ILI00HP or more. ❑"A","E","]-2""1-3" 0 Six or more residential units. occupancy. City/State/ZIP: ( U/Z /ti�'�� 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: (Project name: .,,, t 7Iii n To, , IDHazardouslocations. 0 Supply voltage for more than as ' s 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE 7 /r,r 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'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 11/60 2-- (, /7'T�i 't p f e j 4. 41 1t l-, I( 1L-/?�✓\ 6,etre. (with above sq.ft.) l J �} l Limited energy,multi-family 75.00 2 e 0j 6,r- 11y)(,,Q,A u.,—i f /� g V ! ei-aey)' c,--) ( v,,,I residential(with above sq,ft.) l f � ' ✓ Renewable Energy 0 See Page 2 ('PROPERTY OWNER ❑ TENANT Services or feeders installation alteration,and/or relocation Name: e-.f-. -(- ('V AAl �G42 ' 200 amps or less 1 100.70 2 Address: I 3/16-.) L :.t let5 201 amps to 400 amps 133.56 2 ( S�1% 401 amps to 600 amps 200.34 2 City/State/ZIP: r v{^ 0 jZ 601 amps to 1,000 amps 301.04 2 Phone:(rJ?( ) 276 1,,--(6--, I Fax:( ) Over 1,000 amps or volts 552.26 i 2 Temporary services or feeders installation,alteration,and/or Email: t, , 1�, ,„. () �j ,,rcc), . relocation Owner installau1on:This installatiotfds 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: :.e, -'�-c--,. Date: 36-1('40 401 amps to 599 amps 168.54 2 • Branch circuits-new,alteration,or extension,per panel 0 APPLICANT 0 CONTACT PERSON A.Fee for branch circuits with Business name: above service or feeder fee, 742 2 each branch circuit Contact name: B.Fee for branch circuits without Address: service or feeder fee,first 51.branch circuit 56.18 � 2 City/State/ZIP: Each add'l branch circuit 7.42 32 1 u 2, I Miscellaneous(service or feeder not included) _ Phone:( ) Fax::( ) Each manufactured or modular 67.84 2 Email: dwelling,service and/or feeder 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. ❑ 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:( ) I 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 Lie.: I Electrical Lie.: I Suprv.Lie.: specifically listed('h hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: (f 3 Print name: Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): I/, I 1 Authorized signature: TOTAL PERMIT FEE: NH.4.17 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. l:\BuildiugTermits1ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2018-00156 13125 SW Hai+Blvd.,Ti and OR 97223 503.718.2439 Date Issued: 03/05/2018 TIGARD9 Parcel: 2S 103AB02400 Jurisdiction: Tigard Site address: 11340 SW WALNUT ST Project: MCLEOD Subdivision: None Lot: None Project Description: (6)branch circuits for dryer vent fan,bathroom,and kitchen remodel. Contractor: OWNER Owner: MCLEOD, MIKAYLA A&STUART J STUART MCLEOD 11340 SW WALNUT ST 11340 SW WALNUT TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 971-246-1516 PHONE: FAX: FEES Quantity Description Date Amount Specifics: 6 crt Branch Circuits wo/Purchase 03/05/2018 $93.28 Service or Feeder 1 ea 12%State Surcharge- 03/05/2018 $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. 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 through 52-001-0090 : .a copyi of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344 Issued By: i/�' .�. � •-rmittee 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 Application FOR orr1CL: t.si oy1.1 City of Tigard Received f Date/By: S f 0 Permit 4: .&-L JL, 1 ) 111 11 13125 SW Hall Blvd.,Tigard,OR 97223 Irv/ Jc [�-rJlf jY�(;� � t � Plan Review . Phone: 503.718.2439 Fax: 503.598.1 1 Date/By: Related Permit#: j y, ,1= ' y Inspection Line: 503.639.4175 ReadyDate/By: Atria' "���� T I( A R ll rl ? Supplemental e Page 2 nr Internet: www.tigard-or.gov Notified/Method: Information TYPE OF WORK 5 2018 PLAN REVIEW El New construction E Ad dition/alteratioTlX lacement Please check all that apply(submit 2 sets of plans w/items checked): f t 0Service or feeder 400 amps or more 0 Demolition ❑Other: OV 1 6 Ard.rP 0 Building over three stories. A y �5� 9� �1 1( where the available fault current 0 Marinas and boatyards. EH': CATEGORY OF CO Ilow. exceeds 10,000 amps at 150 volts or 0 Floating buildings. less 2-familydwellingCommercial/ il less to ground,or exceeds 14,000Commercial-use ❑ Accessory building 0 agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: // `� , )� 0 Addition of new motor load of system. I bqo �(,�/ f1Qyb',`— J 1 100HP or more. ❑«A» E» I.2» «l_3„ City/State/ZIP: (r` ( ❑Six or more residential units. occupancy. <.✓< U« 0 Health-care facilities. 0 Recreational vehicle parks. 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 1 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 Ea.add'l 500 sq.ft.or portion 33.92 1 qq��,,�� / L DESCRIPTION OF/WORK Limited energy,residential I v1'il e: !.c'/�,1 r ''i- '(C s ; ✓t 4.,IA 1" K K:16-176_,0 {/6 (with above sq.ft.) 75.00 2 `/ r !� L i�1 r`��I^� Limited energy,multi-family t f(14 Nr ., -(- /A residential(with above sq.ft.) 75.00 2 (`PROPERTY OWNER 0 TENANT Renewable Energy 0 See Page 2 1� Services or feeders installation,alteration,and/or relocation Name: S, It _--j— 114‘.:7%f��... '.( 200 amps or less 100.70 2 Address: (./3(7[6 -'() U�c"t'.1,1,,,b-- c f- 201 amps to 400 amps 133.56 2 City/State/ZIP: ''r' 401 amps to 600 amps 200.34 2 `�'c (' 601 amps to 1,000 amps 301.04 2 Phone:(j?( ) 7U ',,-`6 Fax:( ) Over 1,000 amps or volts 552.26 2 r�� '-‘14,,,_._,LTemporary services or feeders installation,alteration,and/or Email: 1t,L ) ,i ..-./1_,,,c„l c�>f,, relocation Owner installati<i'on:This installation4s 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: .-- --/ -.,;,..72-4.-,-;,„7-1 - Date: .3(. /l& 401 amps to 599 amps 168.54 2 0 APPLICANT 0 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 1 56.18 ,V 2 branch circuit ,1 City/State/ZIP: Each add'I branch circuit 7.42 3? It3 2 Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular Email: dwelling,service and/or feeder 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 CCB Lic.: Electrical Lic.: Suprv.Lie.: specifically listed('/hr min) 90.00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: el3 :..,",y, Print name: Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): 1/, /q Authorized signature: TOTAL PERMIT FEE: /OH,047 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_PennitApp_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: (RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Qty. Each I 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 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 ❑ 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('A hr min) C VOItK'OIvYi ELEC. CAL PFEES ES .. �+ _ 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 Fl Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC n 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: 11340 SW WALNUT ST, TIGARD, OR, 97223 February 21 , 2019 at 10:45:45 AM Record Type: Record ID: Residential - Electrical ELC2018-00156 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS - NoCofO Comments: Final for homeowner installed branch circuits on this permit ok. Violation Summary: Inspector Contractor