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Permit (56) CITY OF TIGARD ELECTRICAL PERMIT -11 COMMUNITY DEVELOPMENT Permit#: ELC2019-00390 t;A It,n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/10/2019 Tl 9 Parcel: 2S 104AC00500 Jurisdiction: Tigard Site address: 12885 SW 132ND AVE Project: SPANU Subdivision: None Lot: None Project Description: Replacing(1)200 amp panel. Contractor: POWER PLUS ELECTRIC LLC Owner: SPANU FAMILY TRUST 17675 SW FARMINGTON ROAD 256 BY SPANU, SUZANNE T TR ALOHA, OR 97007 12885 SW 132ND AVE TIGARD, OR 97223 PHONE: 971-808-9038 PHONE: 503-313-0074 FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-200 06/10/2019 $100.70 Specifics: amps or less 1 ea 12%State Surcharge- 06/10/2019 $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 • follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 95.+•,r 1-0090. •u mat btain a copy ,f the rule,irect questions to OUNC.by_calling 503.23 .1987 or 1.800.332. 44. r Issued By: i _L /.�. .ft � °'� 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. Electrical Permit Application FUR 0111( 1 1 S1 0v1.1 City of Tigard ReceivedDaII L��\ Permit# ...‘,,e' — '_, 7� Plan B : 1111 • 13125 SW Hall Blvd.,Tigard,OR 97223 j'". _ 4, a' 'y Plan Review Phone: 503.718.2439 Related Permit#: Date/B Email: TigardBuildingPermits@Tigard-or.goti Ready Date/By: Juris: H See Page 2 for l ( A D Inspection Line: 503.639.4175 Intemeti-'vww.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW 0 New construction Addition/alteration/replacement Please check all that apply(submit 12 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other; 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-familyless to ground,or exceeds 14,000 0 Commercial-use agricultural dwelling 0Commercial/industrial 0Accessory building amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived '. �,(, 0 Addition of new motor load of system. Job#: Job site address: I t? 8 s S� • l3 L�i 100HP or more. ❑"A","E","l-2","1-3", G*. ❑Six or moreresidential units. occupancy. City/State/ZIP:' '• 4-rd dl�. 7 0Recreationalvehicle parks. 0 Health-care facilities. S•/�g rk 0Hazardous locations. ❑Supply voltage for more than Suite/bldg./apt.#: Project name' �t' ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. 1 Each 1 Total 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'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential Ak,A42.—J Cke. ig (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) PROPERTY OWNER I ❑ TENANT Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name: Sys Silt .f,P0.yk -1 200 amps or less 100.70 2 Address/2-6$s S,ln/, ).3 Z 4{�e- 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: "-rid El rd 0 t& q 6 7 Z'Z 3 601 amps to 1,000 amps 301.04 2 Phone:(V v.3 /.2 op 7 Y Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: 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,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 0 APPLICANT CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name: above service or feeder fee, 7.42 2 each branch circuit Contact name: B.Fee for branch circuits without service or feeder fee,first Address: branch circuit 56.18 2 City/State/ZIP: Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(.412)3 ,. J 2 00 7 cf r Each manufactured or modular 67.84 2 Email: G I^Q,N,i' ttll�jJJppll�L 1 K-e... /0 f` , (......o04 dwelling,service and/or feeder Reconnect only 67.84 2 C NTRACTORPump or irrigation circle 67.84 2 Business name: PO w� P(14-5- C�G i.o d-7-( G Sign or outline lighting ! 67.84 2 Signal circuit(s)or limited-energy Address:l 76 2...s—s-til/ rz,4- vt l,4)74,h 44 4 G S panel,alteration,or extension. 0 See Page 2 2 City/State/ZIPI71� Qe„ ei7©Q ? Each additional inspection over allowable in any of the above �����O 0 7 � _ Additional inspection(1 hr min) 66.25/hr Phone: Investigation(1 hr min) 90.00/hr Email:6�`ayL'14- L..7 kJ_. PPS, vt Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr p CCB Lic.:2. g-G 70 Electrical Lic. Suprv.Lic.2.33J's specifically listed('Y hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: e 1(72. 7 f!/�..v Subtotal: Print name:©.2.q-.,vl t 4 a/1;2 Date: 6 ^'/b"! ? 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: //J� j 0 / This permit application expires if a permit is not obtained within 180 Pr*ti^'**1r'- 1' ` L/ ire...- Datc: 6—t �l days after it herr ix--....,,,.vt..1,.....,...Nkte. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_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: RFS.'1Q11 .Y FEE SCHEDULE 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 with OAR 918-309-0040) 552.26 2 ❑ 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* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: I-1 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(1/2 hr min) CU „r '4 a...,._ LE&RIC�I� iy�4 �, O Y, Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): y * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 10/26/2017 City of Tigard Tel: 503.718.2439 Location: Inspection Date: 12885 SW 132ND AVE, TIGARD, OR, 97223 June 18, 2019 at 9:32:41 AM Record Type: Record ID: Residential - Electrical ELC2019-00390 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor