The URL can be used to link to this page

Permit (59) CITY OF TIGARD ELECTRICAL PERMIT '� l COMMUNITY DEVELOPMENT Permit#: ELC2019-00529 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/05/2019 Parcel: 2S 111 BA01600 Jurisdiction: Tigard Site address: 9744 SW VIEW TER Project: Adamamy Terrace Subdivision: Lot: Project Description: Relocating(1)meter and upgrading(1)panel. Contractor: OWNER Owner: MITCHELL, PATRICIA& MICHAEL 14325 SW 97TH AVE TIGARD, OR 97224 PHONE: PHONE: 971-774-4043 FAX: FEES Quantity Description Date Amount Specifics: 1 ea Services or Feeders-200 08/05/2019 $100.70 amps or less 1 ea Services or Feeders-201 to 08/05/2019 $133.56 Type of Use: SF 400 amps Class of Work: ALT 1 ea 12%State Surcharge- 08/05/2019 $28.11 Type of Const: Electrical Occupancy Grp: Total $262.37 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rul are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain - -- • the rules or direct questions to OUNC by calling 503. 32.1987 or 1.800.332. Issued By: .,.. ,,ePermittee Signature: V / / .t OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until Completion of the project. Approved plans are required on the job site at the time of each inspection. I Electrical Permit Application i OR O 1 1 1( 1 l s► ()NI.I City of Tigard r v`� Received - 1111 • 13125 SW Hall Blvd.,Tigard,OR �'' a k Date/B : _ j J� _ Plan Review Phone: 503.718.2439 ,*,,, `p':\. Date/B : Related Permit#: 9>1 I 1 ^R I Email: TigardBuildingPelmits aTigard or.gov )7 Ready Date/By: ® See Page 2 for ) Inspection Line: 503.639.4175 Inters 4w w.tigard;dr,gova,-.,. Notified/Method: IIIIM Supplemental Information TYPE OF WO;; (�mt ,---‘'N$ i" PLAN REVIEW ❑New construction ❑Addition/altell ment Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ❑Other: ,' =' 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 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 `� ❑Addition of new motor load of system. Job#: I Job site address: IV/4i r`y �t2._1 i/1"6„,.., 7��`L 100HP or more. ❑"A","E","1-z","1-3", 4; y j►—T - I �� ❑Six or more residential units. occupancy. Recreational vehicle ' 0Health-care facilities. 0 parks. L' Suite/bldg./apt.#: t M, �, ❑Service or feeder 600 am ps or more. 0 Hazardous locations. 0 Supply voltage for more than "��+' Gj/ / y�G 600 volts nominal. 19 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: I Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Ea.add'I 500 sqftor portion 33.92 1 Limited energy,residential ■ 75.00 _© with above s..ft. 4/C.)‘-‘11 71)�� ' I 49 r�d/1411 4 Limited energy,multi-family J residential(with above sq.ft.) 75.00 i ROPERTY OWNER Renewable Ener ■ See Pale 2 ❑ TENANTServices or feeders installation alteration and/or relocation Name: /tel oitil/L_ t,d dm,-- 7TH ty-i i i . , 100.70 Address: 9< tf'aT !�/�Fi4/Ti( '/t/e _�^ i • 'I t • 133.56 7 © 401 amps to 'm City/State/ZIP: //0 C)J D/ 4 7 Z Z.. 601 , • itt amps 200. , ;4 � Phone:(g'7/) 7 77 �' 2 • 1,000. 552.26 H Temporary services or feeders installation,alteration,and/or Email: G e!Nk I ":, c w1.A._ relocation Owner installation:This installatio• is being made on property that I own which is not 200 amps or less intended for sale,1-,. e,rent,or ex /i: g- according to ORS 447,449,670,an 701. t ,400, ' t 8 2 Owner signature:, , .A _-1,,,A_ Date: f /� 401 amps to 599 amps Mil 168.54 —© 0 APPLIC I 0 CONTACT PE ON B t — :It• .t t !1i11lF:11t 1' 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:( ) Each manufactured or modular dwelling,service and/or feeder Email: 67.84 2 Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 _ . � ..or buliinelm tm __._ _ ___. gn � g 67.84� 2 _ U3 11VJJ IIQIIIV./[W ... Address: �J Signal circuit(s)or limited-energy 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.Lie.: specifically listed(%hr min) - ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: 2.311. Print name: Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): j Authorized signature: TOTAL PERMIT FE E ,3i This permit application expires if a permit is not obtain within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELCPermitApp_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: FEE SCHEDULE Description I Qtr. I Each I Total I * Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less 100.70 2 Check Type of Work Involved: 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: n 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) n Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 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 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(1/2 hr nfin) '"SLE AL �� Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): • Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls n Clock Systems n 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 C\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 10/26/2017