Permit (37) � ai
CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2018-00413
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/20/2018
TIGARD
g Parcel: 2S103DB03100
Jurisdiction: Tigard
Site address: 11315 SW NOVA CT
Project: Vantage Homes LLC Subdivision: GENESIS Lot: 7
Project Description: Reconnect only.
Contractor: OWNER Owner: VANTAGE HOMES LLC
1761 THIRD ST, SUITE 103
NORCO, CA 92860
PHONE: PHONE: 951-444-7861
FAX:
FEES
Quantity Description Date Amount
1 ea Reconnect Only 06/20/2018 $67.84
Specifics:
1 ea 12%State Surcharge- 06/20/2018 $8.14
Electrical
Type of Use: SF
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $75.98
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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Z/.r7-£ Permittee Signature: ZA7 )/7 /C41- G1
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.
06/18/18 11 : 53AM PDT Vantage Homes LLC -> 5035981960 Pg 1/2
RECEIVEDFOR OFFICE USEONLYElectrical Permit Application JUN (�O qQ
City of Tigard V J 2�IU - ReceivDatetBv , A9 AT eirm Permit'[:ilC /i -ed 9/3
IN I j w 13125 SW Hall Blvd„Tigard,OR 9,j4 (� P►an Reviei
Phone: 503.718.2439 Fax: 503.5
r 1 M� Datelit Related Permit
Inspection Line: 503.639.4175 BUILDING DIVISION' Ready Date By: SIMSecPage 2for
I I CARL) Internet: v,ww tigard-oi gov Noshed Method Sr- Supplemental information
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0 New construction 0 Addition/alteration/replacement
Please check all that apply(submit b sets of plans w.iitems checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition 0 Other: where the available fault current ❑Marinas and boatyards.
vtinygo gtwm taytor a X exceeds 10.000 amps at 150 volts or 0 Floating
buildings.
less to ground-or exceeds 14,000 ❑Commercial-use agricuilural
El1 and 2-family dwelling ❑Commercial/industrial 0 Accessory building -Amps{g all other installations. buildings.
❑Multi family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of I50 KVA or
:. s �.: w _ O ., a# 0 "gen system. larger separately
derived
0 Addition Of newmotor load of system.
Job It: Job
site address:11315 SW Nova St. 1001iP or more. ❑`A"`E" "1 2""i-3"
❑Six or more residential units.
occupancy.
City/State/ZIP:Tigard,OR 972230 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: 1,Project name: 0 Hazardous locations. ❑Supply voltage for more than
0 Service or feeder 600 amps or more. 1
600 volts nominal. 1
r �, s i t, -. lir ,. # y p,:
Cross street/directions to job site: �`,s;xi'.¢ 1'`. :,tNns ,�"'..:.�".,.� ? ..p�i 1a,. :.i'`'�:j 3 ,i f s.t
•
Descriptio 1 Qts. I Such Tuta1
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# EL add't 500 sq.R.or portion 33,92 l
a a3g } aa4t0 . l. , aRP> �_ ' Limited ever,residential.
75.00 • 2
(with above sq.ft.)
Ve,a)vii y\e.j;;j (,,y1•01 Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
v Xa t wA f4 Renewable Energy ❑ See Page 2
�, 1 4 f : ,, t it r'k ,it .,::� � NAW ,.::. '. ._,- Services or feeders installation alteration,and/or relocation
Name:Vantage Homes LLC 200 amps or less 100.70 2
201 amps to 400 amps 133.56 • _2
Address: 1761 Third St.Suite 103 401 amps to 600 amps 200.34 2
'City/State/ZIP:Norco,CA 92860 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
Phone:(951)444-7861 Fax ) Temporary services or feeders installation,alteration,and/or
Email: 6R ti i!e-r 1, CJtvtt l •utv t relocation
Owner installation:This-iiista"hl id'-iib tmade ern property that T own which is not 200 amps or less 59.36 1
.intended for sale,lcgsb,rent o'ex413 ,ac`50,rt it e RS 447,449;670,and 701.- 201 amps to 400 amps 125.08 2
Owner signature r 1/ ' ( )' 401 amps to 599 amps 168.54 2
t Date.
r ,, ,, ;,x� Branch circuits—new,alteration,or extension,per panel
< . , - >...dF`z .. Y: ' f r.'t,,,' ..!.mt i: A.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
service or feeder fee,first
56.18 2
Address: branch circuit
Each add'/branch circuit 7.42 2
City/State/ZIP: Miscellaneous(service or feeder not included)
Phone:( ) f Fax::( ) Each manufactured or modular 67.84 2
I dwelling,service and/or feeder
Email: Recomsoet only X 67.84 67.84 2
Y
z S : .: ., t::.,,;: Pump or irrigation circle
�, 67.84 2
Business
,_.. e:a., .. Sign or outline lighting 67.84 2
name:
Signal circuit(s)or timitcxl-energy 0 See Page 2 2
Address: panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: Additional inspection(1 hr mm) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.181 hr
Email: Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lie.: I pspecifically listed('/hr rim)
Supry,Lie.: ) , z�,1•0 ;'P>r 7L' i0"
Suprv.,Electrician signature,required: Subtotal:
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): 8.14
TOTAL PERMIT FEE: 75.98 1✓
Authorized signature: This permit application expires if a permit is not obtained within IAO
Date: days after it has been accepted as complete.
Print name: * Number of inspections allowed per permit.
Vigilding'•,Pennies,ELC_PamitApp_ELR_ERE.doe Rev 06,1712015 44e.4615TtI I/05,COMR+Ta
06/18/18 11 :53AM PDT Vantage Homes LLC —> 5035981960 Pg 2/2
Electrical Permit Application-City of Tigard
Page 2-Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
y t Lit ,`„ 4 . AVia.,,a iOri i:.d, .fl® 0tK 140,'-s-' .Xis`'
De„,„„ � .Qty. Txdt 1 Tots! � *.,
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100 70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15A1 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
El Burglar Alarm 25.01 to so kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva fee in accordance
with OAR 918-309-0040) 552.26 2 �
O Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System's Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in anv of the above:
❑ Other: Each additional inspection is 66.25;hr
charged at an hourly(1 hr min)
Inspections for which no-fee is
90.00/hr
s citicaliy listed(''/hr min)
s z a t lrf' �.y 4gEt
4$'.r-,'.Y'�:Nx`.-?�. -•,el ".�'�..'A�,•.'4r ,$ 4 s S .s:�.�.",iS
?�„K� ����.����� •r�-,�ds'�„tx�,°5��,��`;':��c{CSX'� y,. �..��,..
Fee for each commercial s stem: $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
El Fire Alarm Installation
❑ IIVAC
❑ Instrumentation
n Intercom and Paging Systems
C Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
Li Protective Signaling
❑ Other:
Total number of commercial systems'
*No licenses are required. Licenses are required for all
other installations •
IdBuiLdi5t Pcrmils\ELC_PermitApp_CI.R_ERE.doc Rev 06/17!2015
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11315 SW NOVA CT, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Electrical ELC2018-00413
Inspection Type: Inspector:
115 Electrical service Jeff Grove
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor