Permit (156) CITY OF TIGARD ELECTRICAL PERMIT
IN..--" "'
'-- COMMUNITY DEVELOPMENT Permit#: ELC2019-00338
Tf GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/20/2019
Parcel: 15134DC01000
Jurisdiction: Tigard
Site address: 11645 SW 114TH PL
Project: CHANDLER Subdivision: 114TH PLACE Lot: 3
Project Description: (1)branch circuit for NC condenser unit disconnect.
Contractor: OWNER Owner: CHANDLER, ERIC BRADFORD
ERIC CHANDLER HULINGS, LISA
11645 SW 114TH PL 11645 SW 114TH PL
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503-886-9020 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 05/20/2019 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 05/20/2019 $6.74
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $62.92
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 She_rules adopted by the Oregon Utility Notification Center. Th• ules are set forth in OAR
952-001-0010 through OAR 952-001-0090. Y n a copy of the rules direct questions to OUNC by calli 3. 32.1987 or '•I .3
Issued By: - , >—,
� �7 Permittee Signature:
, %'..,. 7
�i3 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 my"irPd on the jnb site at the time of each ipcpertion
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard 7 eived
g DateBy: s---,00„,-/- Permit#: �i
Er 13125 SW Hall Blvd.,Tigard,OR 97223 �ec�, '� )l yl3 C.K�
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 9 Related Permit#: G— e-
q�� DateBy: C� W3O
T I GA RD Inspection Line: 503.639.4175 Py 2 o L Ready DateBy: Juris: 63 See Page 2 for
w Internet: www.tigard-or.gov M ��`GA tified/Method:
���f� Supplemental Information
, _, TYPE OF WORK,. C .E. ,,., -<.. vit PLAN REVIEW: ''
0 New construction ®Addition/alteration/replaiOnY Please check all that apply(submit I sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current
0 Marinas and boatyards.
CATEGORY OF "CONSTRUCTION '4^, exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other:
El Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION -' 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 11645 SW 114th pls 100HP or more. ❑"A",°`E",°`I-2",°`I-3",
City/State/ZIP:Tigard/OR/97223 ❑Six or more residential units. occupancy.
0 Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:home 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:tigard st/114thpl „FEE S DU1E ,_,
Description
I Qty. I Each 1 Total
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#:
1,000 sq.ft.or less 168.54 4
t Ea.add'l 500 sq.ft.or portion 33.92 1
,,,,, '-;$4,t' ` i . ""DESCRIPTION UIt.`,WOR ' • ..,',,,0'14,44-11,3;'2? Limited energy,residential
adding a new 30amp branch circuit and disconnect for AC condenser unit.
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
,PROPERTY.OWNER' • ❑ TENANT -` Services or feeders installation,alteration,and/or relocation
Name:Eric Chandler 200 amps or less 100.70 2
Address: 11645 sw 114th pl 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)886-9020 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation i . made on property that I own which is not 200 amps or less 59.36 1
intended for sale ,,rentrI� tr rding to ORS 447,449,6 dd 701> 201 amps to 400 amps 125.08 2
Owner signatu Date: ,t.-�//,, 401 amps to 599 amps 168.54 2
APPLICANT anch ircit — w, extension,per panel
❑::CONTACT PERSON A.Br.Fee focr branuchs circuits with or
Business name: above service or feeder fee, 7.42 2
each branch circuit
Contact name:Eric Chandler B.Fee for branch circuits without
Address: 11645 sw 114thI service or feeder fee,first
p branch circuit 56.18 G 1'12 2
City/State/ZIP:Tigard/OR/972323 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503-)886-9020 Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:eircbchandler@gmail.com Reconnect only 67.84 2
:COSI TRAC I OR Pump or irrigation circle 67.84 2
Business name: Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: panel,alteration,or extension. ❑ See Page 2 2
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed('h hr min) 90.00/hr
'ELECTRIC AL,,,PERMIT.,.FEES -#4,-
Suprv.Electrician signature,required: Subtotal: t P,
Print name: Date: ❑Plan Review Required(25%of permit fee): —
State surcharge(12%of permit fee): t, .71 f
Authorized signature: TOTAL PERMIT FEE: . - 47
This permit application expires if a permit is not obtained within 180
Print name: Eric Chandler Date. 5/20/19
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_Permit&,p_ELR_ERE.doc Rev 06/17/2015 440-4615T(I l/OS/COM/WEB
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
11645 SW 114TH PL, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Electrical ELC2019-00338
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor