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Permit (80) ELECTRICAL PERMIT CITY OF TIGARD COMMUNITY DEVELOPMENT74 Permit#: ELC2018-00225 T(G RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/05/2018 Parcel: 1 S 134AD02000 Jurisdiction: Tigard Site address: 11367 SW LAKEWOOD CT Project: AJ INVESTMENTS LLC Subdivision: ENGLEWOOD Lot: 60 Project Description: Replacing(1)200 amp service panel. Contractor: MCCAMMON ELECTRIC CORP Owner: AJ INVESTMENTS LLC 5086 IKE MOONEY RD 416 SE HAWTHORNE BLVD#446 SILVERTON, OR 97381 PORTLAND, OR 97214 PHONE: 503-559-8466 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-200 04/05/2018 $100.70 Specifics: amps or less 1 ea 12%State Surcharge- 04/05/2018 $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 issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon requires you to follow the rules adopted by the Oregon Utility Notificati Center. Those rules are set forth in OAR 952-001-0010 through OAR 9,r1-0090,•1-0090. ou m obtain a copy.' the rules of,erect questions to OUNC by calling 5 .232 1987 0 9'800.332.234 >; ; (A-1/.1r C ----- Issued By: , � 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 A licati CEIVEr) FOR OFFICE OSI.ONLY .� City of Tigard Received • 13125 SW Hall Blvd.,Tigard,OR 9722 Date/B : / = Phone: 503.718.2439 P R o Plan Review _ Email: TigardBuildingPermits Ti Date/B : Related Permit#: I I G A K D @ , Q�`}� r Ready Date/By: Juris: Inspection Line: 503.639.4175 t Au• w1- ® See Page 2 for s i ilia. .. i Notified Method: TYPE OF WORK Supplemental Information 0 New construction ,—g-ityddition/alteration/replacement PLAN REVIEW 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 ❑Other: CATEGORY OF CONSTRUCTION where the available fault current exceeds 10,000 amps at 150 volts or 0 Marinas and boatyards. • . d 2-family dwelling 0 Commercial/industrial0 Floating buildings.uea 0 Accessory building less to ground,or exceeds 14,000 ❑Multi-family ❑Commercial-use agricultural ❑Master builderamps for all other installations. 0 Other: buildings. 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION Job#; 0 Emergency system. larger separately derived Job site address: 1 3 ❑Addition of new motor load of system. City/State/ZIP: (( ec' ]ooHP nr more. ❑°°A","E",°°l-z",°°1-3", T r c� �� 0 Six or more residential units. occupancy. Suite/bldg./apt.#: ❑Health-care facilities. ❑Recreational vehicle parks. Project name: 0 Hazardous locations. 0 Supply voltage for more than Cross street/directions to job site: _ / _ _ ❑Service or feeder 600 amps or more. 600 volts nominal. iniuminniml FEE SCHEDULE Descri.tionIn - Each New residential single-or multi-family dwelling unit Total. Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less - 168 54 -al DESCRIPTION OF WORK Ea.add'1500 sq.ft.or portion 33.92 _� Limited energy,residential ■ (with as. ft75.00 © Limited energybove,mult. .i-family ■ residential with above s..ft. 75.00 © ❑ PROPERTY OWNER (] TENANT Renewable EnerS 0 See Pale 2 -. Services or feeders installation alteration and/or relocation 200 amps or less 100.70 -© Address: 201 amps to 400 amps City/State/ZIP: 1111 133.56 _© 401 amps to 600 amps 1111 -© 200.34 Phone:( 601 amps to 1,000 amps _© 301.04 Over 1,000 amps or volts - 552.26 -© Temporary services or feeders installation,alteration,and/or relocatin Owner installation:This installation is being made on property that I own which is not 200 amps or less 1111 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 2 .0 —El Owner signature: 201 amps to 400 amps 1255.088 © Date: 401 amps to 599 amps 1111 168.54 -© ® 0 CONTACT PERSON Branch circuits-new alteration or extension ,er .anel Business name: 4 6A.Fee for branch circuits with 4 t -C --1✓c- above service or feeder fee, c each branch circuit Contact name: 7.42 ILG'tJ r� r'IVttC B.Fee for branch circuits without Address: `1.'0, --•-K service or feeder fee,first City/State/ZIP: C'-� branch circuit III 56.18 .© Ute'- Uw ✓ e7 Each add'l branch circuit 111111 7 42 -© Phone:( �= ) c' Miscellaneous service or feeder not included 51=1.111111111111111111.1111111111111111111111111Each manufactured or modular ■ dwellin,,service and/or feeder 67.84 -© CONTRACTOR Reconnect only 1111 67.84 _© Pump or irrigation circle 67.84 © Business name: //t e. Gvt - C !t/i Sign or outline lighting 67.84 -© Address: 5,-/d- . .---- Signal circuit(s)or limited-energy City/State/ZIP: -5> itzv anel,alteration,or extension. 0 See Page 2 -© Each additional ins 1 ection over allowable in an of the above Phone: O ) �y j Additional inspection(1 hr min) 11111 66.25/66.25/hr Jr 1 ., Investigation(1 hr min) - 78.18/hr =: CM/IIIIIIIIIIIIIIIIIIEM _ Industrial plant(1 hr min) mi 78 18/hr CCB Lic.: ! Inspections for which no fee is ' Suprv.Lic.: 4-0415 s. eificall listed %hr min 90.00/hr � Suprv.Electrician signature,required: lia IIIIIIIIIIIE Print name: 1,-„,_ i {1YLS Date: Subtotal: 5-- 0Plan Review Required(25%of permit fee): - Authorized signature: ` "r_ State surcharge(12%of pennit fee): e' TOTAL PERMIT FEE: WM Print name: This permit application expires if a permit is not obtained within 180 ti,,, ,, -AIIIIIIIM Date: - !e J days after it has been accepted as complete. t:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 10/26/2017 * Number of inspections allowed per permit. 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: F E'SCHEDULE - n in Descri,Hon ma Each Total $75.00 Renewable electrical energy systems:Fee for all residential systems combined: 100.70 _ 5 kva or less 13 Check Type of Work Involved: 5.01 to 15 kva IIII 133.56 © 15.01 to 25 kva III 200.34 _© Audio and Stereo Systems* Wind veneration s stems in excess 25 kva: 25.01 to 50 kva 301.04 Burglar Alarm 552.26 _13 13 50.01 to 100 kva III 0 Garage Door Opener* >100 kva(fee in accordance ■ 552.26 - 111 with OAR 918-309-0040 ❑ Solar generation systems in excess of 25 kva: Heating,Ventilation and Air Conditioning 7.42 _ System* Each additional kva over 25 13 >100 kva-no additional chargeIII 0.0 _ Vacuum Systems* 111 Each additional ins.ection over allowable in an ofthe Each additional inspection is 66.25/hr 111 Other: char led at an (1 min) Inspepections forr which no fee is III 90.00/hr 111 s.ecificall listed %hr min) ELEC 'RICA( � .o FEE6s Ys a . Subtotal(Enter on Page 1): CQ1� �IAI��'���,.;� _. s $75.00 * Number of inspections allowed per permit. Fee for each commercial system: (SEE OAR 918-309-0000) Check Type of Work Involved: 0 Audio and Stereo Systems O Boiler Controls O Clock Systems O Data Telecommunication Installation ❑ Fire Alarm Installation [] HVAC El Instrumentation ❑ Intercom and Paging Systems O Landscape Irrigation Control* [] M• edical ❑ N• urse Calls 0 Outdoor Landscape Lighting* O Protective Signaling O Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\Building\Permits\ELC_PermitAPP_ELR_ERE.doc Rev 10/26/2017 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11367 SW LAKEWOOD CT, TIGARD, OR, 97223 Record Type: Record ID: Residential - Electrical ELC2018-00225 Inspection Type: Inspector: 115 Electrical service David Young Result: PASS Comments: Panel replacement ok. Supplemental grounding installed. Note: schedule electrical final to close permit. Violation Summary: Inspector Contractor