Loading...
Permit (92) CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2019-00077 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/12/2019 T f�''�j,_ g Parcel: 2S112CA01600 Jurisdiction: Tigard Site address: 7735 SW GENTLE WOODS DR Project: Gentle Woods Subdivision: GENTLE WOODS Lot: 8 Project Description: Adding circuits,no feeders Contractor: WHITE LIGHTNING ELECTRIC CO. Owner: LEAKE,JEAN M 2310 NE 82ND AVE 7735 SW GENTLE WOODS DR PORTLAND, OR 97220 TIGARD, OR 97224 PHONE: 503-772-3009 PHONE: FAX: 503-772-4008 FEES Quantity Description Date Amount 2 crt Branch Circuits wo/Purchase 02/13/2019 $63.60 Specifics: Service or Feeder 1 ea 12%State Surcharge- 02/13/2019 $7.63 Type of Use: SF Electrical Class of Work: ADD Type of Const: Occupancy Grp: Total $71.23 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: ) ZL _. Permittee Signature: ©/V G /N E 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 RECEIVE _ City of Tigard.11FEB 1 3 2019 MEriffig;j1 - I*: Li 201q - 000-77 1111 14 13125 SW Hall Blvd.,Tigard,OR 97223 ' ' II. • Phone: 503.7182439 Fax: 503.598.1960 CITY OF TIGARD lirilli..:. :, Related Permit 4: Inspection Line: 503.639.4175 brim T I SA RD Internet www.tigard_orsov BlJILDING DIVISIO 1,4:11YDate/BYod :. EREEMNI MA,V0,:-A0Mgamfg,00:000x*FOkiglaWCmimme00s014.-810 pgawaxgrARRE5S0.10.:VgaiRing.:W In New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 seas of plane whims checked): 0 ['Service or feeder 400 amps or more [IBuilding over three stories. Demolition 0 Other: where the amiable fault current 0 Marinas and boatyards. Iry9RICAOF. ..7....-.' • ,.. ......:',IPNWA4V4gaeggagi exceeds 10,000 amps at 150 volts 0 Medoff buildings. Di-and 2-family dwelling 0 Commercial/industrial Accessory building or In Commercial-use agricultural less to ground,or mcceeds 14,000 buildings. 0 Multi-family 0 Master builder 0 Other: amps for all other installations. 0 Installation of 150 KVA or -P;04,V.E.;g4".04.1ZVe43.0013MegfgE00103:0...,:.' '. .v.c'a,,.1-:$401-M6t-5..04MM. ]Fire Pin"11 holler cePulltalY derived 0 EmergencY crtlem. system. Job#: Job site addres2a5 OAddition of DCW motor load of C:I"A","E”,"I-27,"1-3", i0011P or more. occupancy. City/State/ZIP.- 77,54,d, O( , q--722.2-1 12 Six or more residential units. 0 Recreational vehicle parks. SuiteibldgJapt.#: Project name: El Health-care facilities. ['Supply voltage for more than ['Hazardous locations. 600 volts nominal. Cross street/directions to job site: - ['Service or feeder 600 amps or more. Z.V.170%10,00000/5,104WW:',.00110, Subdivision: Lot#: Deseripdon Qtr Emelt Total I . Tax map/parcel#: New residential single-or multi-family dwelling unit .,, Includes attached garage. Vio:;,-,?g.,i,i,;,A7.1.,t4:;,:0::.•iNNVe.IFAIBESC-RIBT40f410009,0.RICAK,'W-WAF.24WIagig:::Met1t4' 1,000 sq.ift or loss 168.54 4 , . . 2. Ccur1-5 wi-l-tArn)-1- Rsch.r - pe}rvint 4- ev iti Ci Ea.oder'500 sq.ft or portion 33.92 1 Limited energy,residential 75.00 2 on liv-18 E L C 20,tCt - 0-trb.1-.1 (with above sq.ft.) .:".,:.:4, ttll'ittatirOl/VRODRO:44.5-WWW.MraiRiaTENWitAlg.:%Wift Limited energy,multi-family 75.00 2 residential(with above sa.ft.) Name: ,--T(T-C. Sp.'e c 12 See Page Renewable Energy O2 Address: 7-75S- SW ('-, 0 4,14f-e Mirinesig -7>(-1re_ Services or feeders installation,alteration,and/or relocation City/ShIte/Z1P:-7-75-,,,c) , (- (2 q 1 2.214 200 amps or less 100.70 2 phone:(au o) 6-2,1_ kc--I ke.1 , Fax:( ) 201 amps to 400 amps 133.56 2 401 snips to 600 amps 200.34 2 Email: fi a 4-Pu-cons-Fn.,ci-iort ) 07 m_0(rs 1 . (o n.,.... 601 amps to 1,000 amps 301.04 2 Owner installation:This installation is being madevon property that I own which is not , Over 1,000 amps or volts 552.26 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Temporary services or feeders installation,alteration, Owner signature: Date: and/or relocation 200 amps or less 59.36 1 ;A .-AVEWBEtIsCANTMR']g,..FAM:ntACIZVOICIThera*ERS0119$,?:40-W- 201 amps to 400 amps 125.08 2 Business name: 401 amps to 599 amps 168.54 2 Branch circuits-new,alteration,or extension,per panel Contact name: A.Fee for branch circuits with Address: above service or feeder fee, 742 2 each branch circuit City/State/ZIP: B.Fee for branch circuits wiz/rout service or feeder fee, 1 56. ,18 5k,oIt 2 Phone:( ) Fax::( ) first branch circuit Each addl branch circuit I 7.42 '1.42- 2 Email: . Miscellaneous(service or feeder not included) 0. ,,,..zXON17044tO*V3MifAigilfenfti,:VA':',:aWsT:01-kt; Each manufactured(RID:41114r 67.84 2 dwelling,service and/or feeder Business name: c.'.4-e_ 1 l'olkkr).1 rt 9' Eue_chn't . k vl Reconnect only 67.84 2 Address: 23 t o m E 92 rt-gd ,e ‘ Pump or irrigation circle 67.84 2 Sign or outline lighting 67,84 2 City/State/ZIP: 0 r+1 et rk ol , og . cri 2/0 Signakeircuias)or limited- 0 see page , Phone:(93)-7 7 2-30-09 Fax ( ) energy panel,alteration,or extension. 2 2 Each additional inspection over allowable in'toy of the above Email: Wt.\1.k.A; V\-1-141,-) pckx 2. .a,.i • 6:31-1— Additional inspection(1 hr min) 66.25/hr CCB Lic.:/53?1,,.-7 Electrical Lie.:3-7 c.. 1--7 c Suprv.Lie.: II qi GS Investigation(1 hr min) 90.00/hr 0=1(1 hr min) 78.18/hrrial Suprv.Electrician signature,required: Indust Inspections for which no fee is 90.00/hr Print name:-1-6;—/c/ rei>t I Date: 2 1/3// specifically listed eh hr min) ::, •.:,. ::*:..'i-•MBLECTRICA1.4,MIR1911Tiy.:FEES ....':•:y.::,,,fE,..e..;..,..;,1,:•:: :q.i Subtotal: 1p • kin) Authorized signature: . 0 Plan Review Required(25%of permit Print name: Date: tee): State surcharge(12%of permit fee): /.103 T:1BuildingTenvioNELC_PornitApp_ELR_EKidos Rev 06/17)2015 440.461 ST(1 1/C5/comn/E0 • p- . CITY OF TIGARD FEE AND PAYMENT HISTORY ■ 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD ELC2019-00077 - 7735 SW GENTLE WOODS DR, TIGARD, OR 97224 Gentle Woods Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due 12%State Surcharge-Electrical 100-0000-24001 $7.63 $7.63 $1.78 2/13/2019 Credit Card 421499 $5.85 Branch Circuits wo/Purchase Service or 220-0000-43103 $63.60 $63.60 $14.84 2/13/2019 Credit Card 421499 $48.76 Feeder Totals for Fees $71.23 $71.23 $16.62 $54.61 Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount 421499 Credit Card Todd Turpin 02/12/2019 $16.62 Total Payments: $16.62 Balance Due: $54.61 City of Tigard Tel: 503.718.2439 Location: Inspection Date: 7735 SW GENTLE WOODS DR, TIGARD, OR, 97224 Record Type: Record ID: Residential - Electrical ELC2019-00077 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor