Permit (181) CITY OF TIGARD ELECTRICAL PERMIT
14-•' COMMUNITY DEVELOPMENT Permit#: ELC2018-00617
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/19/2018
TIGARD g Parcel: 1S125DB00400
Jurisdiction: Tigard
Site address: 9305 SW 70TH AVE
Project: HIPPLER Subdivision: SHADY DELL Lot: 4
Project Description: Adding(6)branch circuits and limited energy for speaker system and lights.
Contractor: OWNER Owner: HIPPLER, JARED P
JARED HIPPLER GEMMET,TAYLOR R
9305 SW 70TH 9305 SW 70TH AVE
TIGAR, OR 97223 TIGARD, OR 97223
PHONE: 503-758-8201 PHONE: 503-758-8201
FAX:
FEES
Quantity Description Date Amount
1 ea Limited Energy 09/19/2018 $75.00
Specifics:
6 crt Branch Circuits wo/Purchase 09/19/2018 $93.28
Service or Feeder
Type of Use: SF 1 ea 12%State Surcharge- 09/19/2018 $20.19
Class of Work: ALT Electrical
Type of Const:
Occupancy Grp:
Total $188.47
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 OA 2-001-0090. Yo may obtai -cop/ of the rules or direct questions to OUNC by calling 503.232.191.800.332.2 .
fi
\ —
Issued By: ...of /� � ��b 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.
ECF". 'F
- Electrical Permit Application SEP 1 9
Cl ofTigard Received
INa 13125rS SW Blvd.,Tigard,OR 97223C1TY SEP 1 4D. 41'a /`=41 �� ''
IPhone: 503.718.2439 Fax: 503.598.B LD s` , .t_ Related Permit#:
CITY OF
T 1 G A R D Inspection Line: 503.639.4175 i t By: loris: lii See Page 2 for
Internet: www.tigard-or.gov BUILDING D M radOk od: Supplemental Information
II New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Demolition • Other: ❑ Service or feeder 400 ❑
1 i am s or more Buildin over three
1a:?. -.'Af a ,, a . 'oNST tt L e ?u `.m214:-.:
1 P g
where the available fault current stories.
® 1-and 2-family dwelling ❑Commercial/industrial • Accessory building exceeds 10,000 amps at 150 volts ❑
Marinas
❑Multi famill ❑Master builder • Other: or and boatyards.
less to ground,or exceeds 14,000
�Ik i. :: ": },s.r ITE`INF t,, ti i, ®N AND Intl e. a t ❑ Floating
. �,�.�� °� `��„ amps for all other installations.
buildings.
Job#: I Job site address:9305 SW 70th Ave ❑ Fire pump.
❑
City/State/ZIP:Tigard 97223 ❑ Emergency system. Commercial-use
Addition of new motor agricultural
Suite/bldg./apt.#: J Project name:Hippler Residence load of buildings.
Cross street/directions to job site: 100HP or more. EI
❑ Six or more residential Installation of 150
units. KVA or
larger separately derived
Subdivision: I Lot#: ❑ Health-care facilities. system.
ElTax map/parcel#: Hazardous locations. ,
t„ !TiVia,®t Y - V I E a t ,1,,,,,,,,,,,,„,,,„ ❑ Service or feeder 600 E„ "1.2 <l_3„ occupancy.
„,A,..„.,:*,,,,,,,,,,,or=
- amps or more. ❑
Rewire basement Cee(d '..5 a- cif c-.45 LLAc4 l.,%Ari�. � Recreational vehicle
-Corr l parks.
ti
r::.` P' i ,;"''''-`,'9,.'
5 � r J—> ❑ Supply
i1i9�� �� • '` '1 't a< i',-47%,,,,,i,,,,,-4,24- voila a for more than
ss ��•• aag
69�E .e (h °�.. ., ..n.l�°.. '''✓.A :-v.
_ 600 volts nominal.
Name:Jared Hippler ) Vi� r .h , 9
V -
Address:9305 SW 70th Uescrlpnoo Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
City/State/ZIP:Tigard Or 97223 Includes attached garage.
Phone:(503)7588201 Fax:( )
1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 1
Email: Limited energy,residential
(with above sq.ft.) 75.00 2
Owner installation:This installation is being made on property that I own which is not Limited energy,multi-family
intended for sale,lease,rent,or ex .-..e,according to ORS 447,449,670,and 701. residential(with above sq.ft.) 75.00 2
Owner signature: Ni.E- Date: �����p Renewable Energy ❑ See Page
414:: r.'"'"' -i'-'3411''' �t1 " 0 t #
""; a, 2
Services or feeders installations alteration,and/or relocation
Business name: 200 amps or less 100.70 2
Contact name:Jared Hippler 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Address:9305 SW 70th 601 amps to 1,000 amps 301.04 2
City/State/ZIP:Tigard Or 97223 Over 1,000 amps or volts 552.26 2
Phone:(503)7588201 Temporary services or feeders installation,alteration,
Fax: :( ) and/or relocation
Email:J 1p �++++•412m J p I;f T l ere)exp tM au/ Ct t41 200 amps or less 59.36 1
T� § 1 N to C .: 201 amps to 400 amps 125.08 2
``"""` N d , ."' ( °' . 401 amps to 599 amps 168.54 2
Business name: Branch circuits—new,alteration,or extension,per panel
Address: A.Fee for branch circuits with
above service or feeder fee, 7.42 2
City/State/ZIP: each branch circuit
B.Fee for branch circuits
Phone: without service or feeder fee, 1 56.18
( ) Fax:( ) first branch circuit 56.18 2
Email: Each add'l branch circuit 5 7.42 37.10 2
Miscellaneous(service or feeder not included)
CCB Lic.: Electrical Lie.: Suprv.Lic.: Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Suprv.Electrician signature,required: Reconnect only 67.84 2
Print name: I Date: Pump or irrigation circle 67.84 2
Sign or outline lighting 67.84 2
Authorized signature: Signal circuit(s)or limited- ® See Page energy panel,alteration,or g 75 2
extension. 2
Print name: Date: Each additional inspection over allowable in any of the above
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
Additional inspection(1 hr min) .0 66.25/hr
Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
specifically listed(%hr min
,sti iaq I.T'..FEES , a:.'.<, :'
Subtotal: 168.28
n Plan Review Required(25%of permit
fee): State surcharge(12%of permit fee): 20.19
TOTAL PERMIT FEE: 188.47
This permit application expires if a permit is not obtained within 180 days after it has been accepted as
complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
' Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Description Qty. Each �t Total
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* 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
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>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* >100ch kva—no additional 0.0 3
ekar e
Each additional inspection over allowable in an 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(Ya hr min)
ttlWRCIALVO a �H . .�����m7M - �k';
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
O Data Telecommunication Installation
O Fire Alarm Installation
❑ HVAC
O 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.doe Rev 06/17/2015