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Permit
„I CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2019-00375 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/05/2019 Parcel: 2S103CB10500 Jurisdiction: Tigard Site address: 12186 SW QUAIL CREEK LN Project: KRIEGEL Subdivision: QUAIL HOLLOW-EAST Lot: 63 Project Description: (2)branch circuits for furnace and heat pump. Contractor: OWNER Owner: KRIEGEL,JESS A& ROSEMARY A JESS &ROSEMARY KRIEGEL 12186 SW QUAIL CREEK LN 12186 SW QUAIL CREEK LN TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503-590-3933 PHONE: FAX: FEES Quantity Description Date Amount 2 crt Branch Circuits wo/Purchase 06/05/2019 $63.60 Specifics: Service or Feeder 1 ea 12%State Surcharge- 06/05/2019 $7.63 Type of Use: SF Electrical Class of Work: ALT 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 .- af{es..adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 952-001-0090. You in-copy of the rul- or direct questions to OUNC by calling 5 .23 1987 or 1.800.332.2344. Issued By: 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 plana are required on the job site at the time of each inspection. Electrical Permit Application rtl►z OH R I I. S►: OyLI City of TigardReceived Date/B : to %I' i� 111 1111 . 13125 SW Hall Blvd.,Tigard,OR 9722 C dl Plan Review Phone: 503.718.2439 Date/B : Related Permit#: Email: TigardBuildingPermits@Tig .gov 2018 Ready Date/By: 10 See Page 2 for 1 I G A K D Inspection Line: 503.639.4175 Internet:04,.1• pyQ p tg d-or.g 1�� Notified/Method: Iii� ' Supplemental Information TYPE OF WORK(� e_`Fr,41.05)\-'` Ptr �� PLAN REVIEW ❑New construction ❑Addition/alteratioliC,p� 7Citt Please check all that apply(submit jr sets of plans w/items checked): 0 Demolition ❑Other: w 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ngs. ❑Multi-family ❑Master builder 0 Other: 0 ampsiefor all other installations. Inbustallation pump. ❑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: 2' sw ,j creekl7 100HP or more. ❑"A","E","l-z","l-3", City/State/ZIP. a ❑Six or more residential units. occupancy. Ti i?,,,,,,,, ?q' d ©l I/c) 3 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: a Project name: Kr- I'e J`I�l a / 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: FEE SCHEDULE Description I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 Cr?) pp "� (with above sq.ft.) 67.4/1r6=4G, )j,re41 liY iwiri-t L2- onfe l Limited energy,multi-family 75.00 2 residential(with above sq.ft.) PROPERTY 6 ERRenewable Energy 0 See Page 2 0 TENANT Services or feeders installation,alteration,and/or relocation Name: gO S ei,fl I RQ-1 el 200 amps or less 100.70 2 Address: 01q6 201 amps to 400 amps 133.56 2 ) q['t!l �'PeiC Lane., 401 amps to 600 amps 200.34 2 City/State/ZIP: -7-1' a YC 0�J (i'7 ,,23 601 amps to 1,000 amps 301.04 2 Phone:(604 2c9 ) - :313 3 Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: Vo`X15 /12-2 _Jg= MS() . corn relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,1 se,r nt,or exchange, cot i g to O 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Az 06-C.6 /� 401 amps to 599 amps 168.54 2 Owner signature- ' 0 APPL CANT 0 CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name: above service or feeder fee, each branch circuit 7.42 2 Contact name: B.Fee for branch circuits without service or feeder fee,first Address: i 56.18 2 branch circuit I ,{� City/State/ZIP: Each add'►branch circuit i 7.42 7 ya. 2 Miscellaneous(service or feeder not included) Phone:( ) Each manufactured or modular Email: dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 CONTRACTOR 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. 0 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:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed('/z hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: /,- 3. 6„I N. name: Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%Of permit fee): / Authorized signature: TOTAL PERMIT FEE: -7 j , This permit application expires if a permit is not obtained within 180 P..nt name: Datc. days Ayr it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitAppELR_ERE.doc Rev 10/26/2017 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY .. FEE SC IFIDULIr Description I Qty. I Each I 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 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >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 n Vacuum Systems* >l00 kva—no additional charge 0.0 3 Each additional inspection over allowable in any 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 specificaly listed(Vs hr min) qk4 ELEx CALF PE '.FE'S .-.,; COMMERCIALWOR ONLY: ,. r t ,. Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): 3' * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems n 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_PermitAppELR_ERE.doc Rev 10/26/2017 City of Tigard Tel: 503.718.2439 Location: Inspection Date: 12186 SW QUAIL CREEK LN, TIGARD, OR, 97223 Record Type: Record ID: Residential - Electrical ELC2019-00375 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS - NoCofO Comments: One leg of 2 pole 60 amp breaker to ac disconnect. Ac to follow. Violation Summary: Inspector Contractor