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Permit (155) CITY OF TIGARD ELECTRICAL PERMIT S° COMMUNITY DEVELOPMENT Permit#: ELC2018-00202 Date Issued: 03/26/2018 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 3/26/2 D07200 Jurisdiction: Tigard Site address: 11852 SW ASPEN RIDGE DR Project: Grun Subdivision: ASPEN RIDGE Lot: 44 Project Description: (4)branch circuits for cosmetic kitchen renovation-relocate and replace outlets and lights. Contractor: OLIVERS PRECISION ELECTRIC COMPANY Owner: GRUN, PAUL A&ELIZABETH U 17035 SW HIGH HILL LN 11852 SW ASPEN RIDGE DRIVE BEAVERTON, OR 97007 TIGARD, OR 97224 PHONE: PHONE: 503-579-7747 FAX: 503-579-5907 FEES Quantity Description Date Amount 4 crt Branch Circuits wo/Purchase 03/26/2018 $78.44 Specifics: Service or Feeder 1 ea 12%State Surcharge- 03/26/2018 $9.41 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $87.85 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 Issued B .through OA 5�-009��may obtain a copy of the rules or direct questions PermitteeoOUNC by Signature: callin. 03.232.1;80o: 1; -�• _:,,2344. 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. LIF 1, ..,4C, _1_ ,r ...4 ,.. Electrical Permit Application FOR OFFICE USE ONLY City of Tigard +n r\ 2 6 r'n18 Received U Date/B :3 2t' kr- 'fle-'4 III • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 1e '''4 Related Permit#: ,: 1 II U1' 3 'G is 1 D Date/B : Email: TigardBuildingPermits@Tigard or ov_ x t,u Ready Date/By: Juris: EI See Page 2 for T I v A R D Inspection Line: 503.639.4175 InIt iC ,, y,1 J eb ? ,Notified/Method: Supplemental ,y,_.,�''ct��'�-�� i'4 Information TYPE OF WORK PLAN REVIEW 0 New construction '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. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. 11/1-and 2-familyless to ground,or exceeds 14,000 0 Commercial-use agricultural dwelling 0Commercial/industrial 0Accessory building amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived I/ V 52 At5Ft,v R IDG-*T bt ❑Addition of new motor load of system. Job#: Job site address: looFlP or more. ❑"A","E","1-2","1-3", City/State/ZIP: I/ Z_, t2-14:L. g 7 2 2 ❑Six or more residential units. occupancy. 0 Health-care facilities. ❑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 I 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'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 C a s iii Eric_ K I]Z t9 g lrtlti -rte a Al Limited energy,multi-family pe-Lo 3 A-i a leer j 0�t y 7--5 ql L(deb-5 residential(with above sq.ft.) 75.00 2 pt; Renewable Energy 0 See Page 2 0 PROPERTY YY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: / �_i-C,V 200 amps or less 100.70 2 Address: 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 Phone:( ) 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 Branch circuits—new,alteration,or extension,per panel 0 APPLICANT ❑ CONTACT PERSON 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 Address: service or feeder fee,first I 56.18 ` 2 branch circuit t City/State/ZIP: Each add'I branch circuit 3 7.42 27,21C2 Miscellaneous(service or feeder not included) Phone:( ) 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: 01.4((6,1C)5 7/��s� 51 � �y"V�,� Sign or outline lighting 67.84 2 p Signal circuit(s)or limited-energy Address: /70 3S— , MI idl,6-ii- i!l L L, LA] panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: 13 ��-n y� -Y,` p-7. Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( 5) 5-7 q 7 7 y 7 Investigation(1 hr min) 90.00/hr Email: © 4- 3 y �� Ctivin Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 2.- Electrical Lic.: ` L/ specifically listed(Vs hr min) / // 3 7's"2I Suprv.Lic.: ZJ 3 9 5 ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: /t� a, Subtotal: 7 Print name: 4/i LLn/t7I1 L( 1 "l Date:3/2.Gs V 0 Plan Review Required(25%of permit fee): D V� /r State surcharge(12%of permit fee): 9*,Li( Authorized signature: Ed TOTAL PERMIT FEE: S / This permit application expires if a permit is not obtained within 180 Print name: j/1/%1.Li 01'1,I4 l) 1.�fl.._ Date:3/24:, S. days after it has been accepted as complete. ®® * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp ELR_ERE.doc Rev 10/26/2017 440-461 /COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: ry . FEEwSCH1�DULE RESIDENTIAL WORK ONLY.£ Description I Qty. I 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: n Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 n 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 n 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) I ®QM,WORX ONL _ -ELECTRICAL PERMJT FEES 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 ❑ L• andscape Irrigation Control* n Medical n N• urse Calls ❑ O• utdoor Landscape Lighting* ❑ Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELRERE.doc Rev 10/26/2017