Permit • 'CITY OF Tl ELECTRICAL PERMIT
PERMIT #: ELC2006 -00700
° COMMUNITY DEVELOPMENT DATE ISSUED: 12/8/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S136CB - 11100
SITE ADDRESS: 08225 SW PFAFFLE ST ZONING: R - 4.5
SUBDIVISION: PACIFIC RIM PROP PARTITION LOT : 001 JURISDICTION: TIG
Project Description: Reground
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
ELLEN PARTAL LOCAL ELECTRIC CO INC
8225 SW PFAFFLE PO BOX 82666
TIGARD, OR 97223 PORTLAND, OR 97282
Phone: Contact #: PRI 503 - 296 -0060
FAX 503 - 771 -3584
FEES
Description Date Amount Reg #: ELE 37 -932C
[ELPRMT] ELC Permit 12/8/2006 $80.30 LIC 153034
[TAX] 8% State Surcharge 12/8/2006 $6.42 SUP 4271 S
Total $86.72 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR. Specialty Codes and all other applicable laws.
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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those rule se in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503.246. 699 or 1.800.3
Issued y: j /. & Permittee Signat rt} e' k a �-
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'N: , - /.-`--- a2 , -'�' -- DATE: / 7 t
LICENSE NO: 6 7/ 4
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
DEC -8 -2006 08:48A FROM: LOCAL ELECTRIC 5037713584 TO:5035981960 P.1
Electrical Permit A
EIVFI) I 1.1(I II l I( I I •l ()NI
Tigard of Ti
City g wed / / ,� .v�
11 a City g Date/ i r �� 9/ Penoitt4o.: fed 1,116 7C cJ
13125 SW Hall Blvd., Tigard, OR 9 Plan Review
I Phone: 503.639.4171 Fax: 5 ' 11 066 2006 Date/By: other Permit:
I It i, I Inspection Line: 503.639.4175 Date Ready/By: tares See Page 2 for
Internet: www.tigard-or. :4 , . ` , �p . • 1 t 1 f - yi j Notified/Method I ® Supplemental Information
' -4 ihnnetnT PLAN REVIEW
❑ New construction 0._. a . • -. / etntio
v n/replocement Please check all that apply (submit j sets of pleas w/iterns checked below):
❑ Service or feeder 400 amps or more Q Building over three stories.
❑ Demolition 0 Other:
where the available fadt current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or Q Floating buildings.
1 - and 2 • less to ground, or exceeds 14,000 Q Commercial - use agricultural
y dweller g ❑ Commercial/industrial ❑ Accessory buildin g amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: 0 Fire pump. 0 Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION O Emergency system_ larger separately derived system
Q Addition of new motor load of Q "A ", "B ", "1- 2 ", "1 -3 ",
Job no.: I Job site address: a, j� - IOOHP or more. occupancy.
r f !� l�i Q Six or more residential units. 0 Recreational vehicle parks.
City/ State/ZIP /�� + / �� �w 1 _ 'l ❑ Health- facilities. ❑ Supply voltage for more than
J v[/# �f-T ❑ Hazardous locations. 600 volts nominal.
Suite/bldgJapt. no.: I Project name: ['Service or feeder 600 amps or more.
job site: FEE SCHEDULE
Cross street/directions to
J Onerlptba I Qty. I Rae I Total I•
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no. Ea add'I 500 sq It or portion 33.40 1
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. It)
Limited mu .l 75.00 2
..-- Prd �� residential ntial ( (with above bove sq. R.)
Services or feeders installation, alteration, and/or relocation
I 200 amps or less I 80.30 . 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: j ( C,tj PA- 2 L- 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State/ZIP: Temporary services or feeders Installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which Is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447. 449. 670. and 701. 401 amps to 599 amps 133.75 2
Branch circuits- new, alteration, or extension; per panel
c Owner signature: Date: A. Fee for branch circuits with
.� g APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
C) Business name: ( cc..ni ale ✓1 c C ' 0 • B. Fee for branch circuits
C � • without service or feeder fee,
Contact name: ' � v. , f_ t first branch circuit 46.85 2
) Address: Ac> 1]'` �.( jp Each add'1 branch circuit 6.65 2
N, a Miscellaneous (service or feeder not included)
I City/State/ZIP: p -H r s r 0e cp.D Each manufactured or modular
y r r v� dwelling, service and/or feeder 90.90 2
Phone: 052 ),...C21 ( — ags0 Fax:: 95 Reconnect only 66.85 2
E -mail: Pump or irrigationcircle 53.40 2
V■) CONTRACTOR Sign or outline lighting 53.40 2
Business name: Signal cireuit(s) or limited-
energy panel, alteration, or
Address: extension. Describe: Page 2 2
City/State/ZIP: Each additional inspection over allowable In an of the above
I rte: Per inspection 62.50
Phone: ( )
J ( ) Investigation per hour (I hr min) 62.50
CCB Lic.: I Electrical Lic.: I Suprv. Lic.: f/7/3' Industrial plant per hour 73.75
�,� �j ELECTRICAL PERMIT FEES
1- J Suprv. Electrician signature, required: Y M Kt V/t � Subtotal: HO , N.D
Print name: \ V. to ka Jt i t Date: Plan review (25% of permit fee):
State surcharge (8% of permit fee): CO . LIQ
Authorized signature: - TOTAL PERMIT FEE:
Print name: This permit applladon expires If a permit is not elm ? ed within ISO
{ • e c, r *� B days after It has been accepted as complete.
>W Date: (c-q„
CITY OF TIGARD
- BUILDING DIVISION 1 - PERMIT #: ELC2006 -00700
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/8/2006
Phone: (503) 639 -4171 " I i lls.
Inspection Requests (24 Hrs.): (503) 639 -4175 s' -.
INSPECTION WORKSHEET FOR DATE: 2123/2Q07 TIME: 7 :01AM PAGE: 80
SITE ADDRESS: 08225 SW PFAFFLE ST CLASS OF WORK:
SUBDIVISION: PACIFIC RIM PROP PARTITION LOT #: 001 TYPE OF USE:
PROJECT NAME: PARTAL
DESCRIPTION: Reground
OWNER: PARTAL, ELLEN PHONE #:
CONTRACTOR: LOCAL ELECTRIC CO INC PHONE #: 503 -295 -0000
Inspection Request Scheduled For: Date: 2(23/2007 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 043618 -01 503 - 296 -0060 N
Corrections /Comments /Instructions:
, e 1
Aj e . 0!T
/ (>(*)
%PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CA L FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED
V Z hone Inspector: A •% I Date: #: (503) 718-
A
CITY OF TIGARD
BUILDING DIVISION ti " PERMIT #: ELC2006 -00700
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/8/2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 I
INSPECTION WORKSHEET FOR DATE: 1/12/2007 TIME: 7 :04AM PAGE: 38
SITE ADDRESS: 08225 SW PFAFFLE ST CLASS OF WORK:
SUBDIVISION: PACIFIC RIM PROP PARTITION LOT #: 001 TYPE OF USE:
PROJECT NAME: PARTAL
DESCRIPTION: Reground
OWNER: PARTAL, ELLEN PHONE #:
CONTRACTOR: LOCAL ELECTRIC CO INC tK PHONE #: 503.29E-0060
Inspection Request Scheduled For: Date: it 2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 042044 -01 503. 296 -0060 1`
Corrections /Comments /Instructions:
WMNPlo 1-1
Q(Y)
?Th
❑ PASS ❑ PARTIAL APPROVAL 1:1 CANCEL ❑ NO ACCESS
K AIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: r !/ 7'hone #: (503) 718- /t/4)