Permit (162) CITY OF TIGARD ELECTRICAL PERMIT
IN,•-• u
COMMUNITY DEVELOPMENT
Permit#: ELC2019 00232
TEGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/09/2019
Parcel: 25101 DC01600
Jurisdiction: Tigard
Site address: 7470 SW CHERRY DR
Project: SMALL Subdivision: ROLLING HILLS NO.2 Lot: 40
Project Description: Panel replacement:Upgrading from 100 amp service to 200 amp service.
Contractor: OWNER Owner: SMALL, LAURA&JONATHAN
LAURA&JONATHAN SMALL 7470 SW CHERRY DR
7470 SW CHERRY DRIVE PORTLAND, OR 97223
TIGARD, OR 97223
PHONE: 503-840-8216 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 04/09/2019 $100.70
Specifics: amps or less
1 ea 12%State Surcharge- 04/09/2019 $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 law requires you to follow the rules adopted by the Oregon Utility Notification Center. • - rules aret forth in OAR
952-001-0010 through OA: • -001-0090. You may obta'. .., - •- . -_ • • - •uestions to OUNC by calling 503.232.1987 or .800.332,2344. /0
Issued By: i�rr_-.-, Permittee Signature: c �._ '4111111L.
MEI
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 FOR OFFICE USE ONLY
City of Tigard r...A\IV Received
II "I 13125 SW Hall Blvd.,Tigard,OR 90r,,Ccol m Ip)la:,e:Liew COMENERIBMII
1 . 111 Phone: 503.718.2439 Fax: 503.5 Date/B : Related Permit#:
Inspection Line: 503.639.4175 e., Ready Date/By: Suns: 1Z1 See Page 2 for
T1G AR p Internet: www.tigard-or.gov 1,,IS*Ak ,...WtVi_x Notified/Method: Supplemental Information
\k'r.‘rA/34
TW'litiittUnakidin0;;IiiiN - '46-0MatI:''",k1„:10,,L, IIIIIIIIIIViatilllIME l!IIIIMIIIIIIIIF ,iir,;' ::ligilligt72110FINVEINIIII
0 New construction [E]Addition/alteratio4 ...leement Please check all that apply(submit 2 sets of plans w/items checked):
i0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition El Other: where the available fault current 0 Marinas and boatyards.
WISMAIIIESERMK: *00#Oft t to ,
,,JiitL,„,,,g,iwtitu:T.::_7,11 imgorgArejibrusu exceeds 10,000 amps at 150 volts or 0 Floating buildings.
lE] 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations, buildings.
0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
111"RMEVEN111***t1,****gWf.A.NjitiAOOOW9BiaVrygpga 0 Emergency system, larger separately derived
0 Addition of new motor load of system.
Job#: Job site address:7470 SW Cherry Drive 100HP or more.
0 Six or more residential units, occupancy.
City/State/ZIP:Tigard,OR 97223 0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Panel upgrade-Small 0 Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:50 Feet SW of intersection at 75th place NIEIIIITIAINIM liftE OrgeArtilfRIMAIR
Description I Qty. Earls I Total I *
and Cherry Drive New residential single-or multi-family dwelling unit.
Subdivision:Rolling Hills No.2 Lot#:40 Includes attached garage.
1,000 sq.ft or less 168.54 4
Tax map/parcel#:2S101DC01600 , Ea.add'I 500 sq.ft.or portion 33.92 1
nitirEMSPCNEEAIKSSOMMNIPtatIWHEi
;IV ieIIIiilailitlin.III; Limited energy,residential 75.00 2
Upgrading from 100 Amp service to 200 Amp service. Replacing main circuit (with above sq.ft)
Limited energy,multi-family 75.00 2
breaker panel residential(with above sq.ft.)
Renewable Energy 0 See Page 2
10-1P001:47ftAb8WitwlianirigitiaMO 0 INOMP ilminlIlla Ao, Services or feeders installation,alteration,and/or relocation
Name:Jonathan Small 200 amps or less 1 100.70 ht.),7C) 2
Address:7470 SW Cherry Drive 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard,OR 97223 601 amps to 1,000 amps 301.04 2
Phone:(503)840-8216 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
,- • ,
Email: C — c )4 1-n-j S 6-/ n()yyt.64 i I , cc 0/3
,....)I 1 t ' 'u - 1. relocation
Owner installation: This i tallation is nil made on property that I own which is not 200 amps or less 59.36 1
intended for sale,17c,157thar.41\71 ording to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
) - )
Owner signature: ---- , - Date: LI. i7• / 401 amps to 599 amps 168.54 2
;igan$MIEMOAOMOABMIBFIANRIEIIC"*tiAr-ONAOKklligtE Branch circuits
or extension,per
panelp.Zortlel circuits with
Business name: above service or feeder fee, 7.42 2
each branch circuit
Contact name:Jonathan Small B.Fee for branch circuits without
service or feeder fee,first
Address:7470 SW Cherry Drive branch circuit 56.18 2
City/State/ZIP:Tigard,OR 97223 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(593)840-8216 Fax::( ) Each manufactured or modular67.84 2
dwelling,service and/or feeder
Email:small.logs@gmail.com Reconnect only 67.84 2
111::Ailli5E15.511kNOMMErt diNtii-80027Alrg!::TAINUngrakg Pump or irrigation circle 67.84 2
Business name: Sign or outline lighting 67.84 2
Signal circuit(s)or limited-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 min) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:
Inspections for which no fee is
CCB Lic.: Electrical Lie.: Suprv.Lic.: specifically listed(/z hr mm) _ 90.00/hr
opmetim rtgorcAtllFT ft*sgijrna,T*
Suprv.Electrician signature,required: Subtotal: tad 7(1
Print name: I Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): 3i().,or
0/..,
Authorized signature:signature: TOTAL PERMIT FEE: //
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7470 SW CHERRY DR, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Electrical ELC2019-00232
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor