Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00438
Z v i I DEVELOPMENT SERVICES DATE ISSUED: 8/7/2006
° �J I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S136CB-01900
SITE ADDRESS: 08225 SW PFAFFLE ST ZONING: R -4.5
SUBDIVISION: PACIFIC RIM PROP PARTITION LOT : 001 JURISDICTION: TIG
Project Description: Re- ground.
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 PARTEL LOCAL ELECTRIC CO INC
8225 SW PFAFFLE PO BOX 508
TIGARD, OR 97223 FAIRVIEW, OR 97024
Phone: Contact #: PRI 503 - 296 -0060
FAX 503 - 771 -3584
FEES
Description Date Amount Reg #: ELE 37 - 932C
[ELPRMT] ELC Permit 8/7/2006 $80.30 LIC 153034
[TAX] 8% State Surcharge 8/7/2006 $6.42 SUP 4271S
Total $86,72 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal 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 rules are set
forth 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 -6699 or
1- 800 - 332 -2344.
Issued By: - � � � Permittee Signature: & P xc
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: DATE:
LICENSE NO:
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.
Ataa -7 -2006 10:42A FROM: LOCAL ELECTRIC 5037713584 TO : 5035981960 P.2
Electrical Permit Application I t It i I it t ,t ,) \ I ,
City of Tigard n r -�` n ' '
13125 SW Hall Blvd., Tigard, OR 97223 Man RN I V 6 y li Permil No.: L. /Q �� 0
Phone: 503.639.4171 Fax: 503.598.1960 Day. Other Permit:
Inspection Line: 503.639.4175 I3. r J.. Date RcadyBy: ( /� R See Page 2 for
Internet www.ci.tigard.or.us Notifed/Method: � V Supplemental laformanoa
TYPE OF WORK PLAN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply:
❑ Demolition Other: Ye Ypu \ti ❑Vice over 225 amps, comm'I 0 Hazardous location
❑Service over 320 amps - rating ['Bulking over 10,000 sq. ft.,
� CATEGORY OF CON UCTION of 1- and 2- family dwellings 4 or more new residential
ria 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
El Multi - family ❑ Master builder 'Other ['Building over three stories ['Feeders, 400 amps or more
❑meant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION r r ❑Egress/lighting plan RV park
Job no.: J Job site address: PT��JI.. IPA ❑HeaItIi -care facility DO��
• � Submit 1 sets of plans with any of the above.
City /State/ZIP: TJo (I ))Q ^ F ` , �c The above are not applicable to temporary construction service.
' `ter I FEE* SCHEDULE
Suite/bldg./apt no.: Project name: [ a «dptIoo 1 Qty. Poe. 1 Toil 1 -.
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
• 1,000 sq. R or less 145.15 4
Subdivision: I Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.: Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
�'f? . - you,..)--1 d dwelling, service and/or feeder 90.90. 2
Services or feeders Installation, alteration, and/or !orina
200 amps or less , ,/,‘ l 80.30 $ 30 2
❑ PROPERTY OWNER ' ❑ TENANT ' 201 amps to 400 amps 106.85 2
Name: e t kor. TCu "r .. I 601 amps to 1, 0 1,000 amps (40.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/ State/ZIP: Reconnect only 66.85 2
- Temporary services or feeders installation, alteration, and/or
Phone: ( ) I Fax: ( ) _ relocation
200 amps or less 66.85 I
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 600 amps 133.75 2
Owner signature: Date: Branch circuits- new, alteration, or extension, per panel
❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with -
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
46.85 2
Address: first branch circuit
Each ade branch circuit 6.65 _ 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle ' 53.40 2
Phone:
( ) I Fax : :( )
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
�
Business name: extension. Describe: Page 2 2
• G . - -
Address: O ' Acr2 G (a Each additional Inspection over allowable la any of the above
Per inspection 62.50
City/State/ZIP: I - r1 l/l �L CV1 • .. , Investigation per hour (1 In min) 62.50
Phone: 6 ACS ,- ( Q O I Fax: )11 i -35'6 Industrial plant per hour 73.75
�+ ELECTRICAL PERMIT FEES'
CCB Lic.: lb3 c>3 Electrical Lic.:33 -32C Suprv. Lic.IL.f'� I J Subtotal gn
Suprv. Electrician signature, required: / Re d 6 Plan review (25% of permit fee)
Print name: 6 1 1► P ,a /■ Date: i -- 01...0 State surcharge (8% of permit fee) Co , D.
TOTAL PERMIT FEE S . -73.
Authorized signature: `ta g: A 1 `1 . . . I , .. ` �� `a nis permit applicant** expires if a permit b not obtained within ISO
1 r . days alter It eau been accepted as complete
Print name: • d . • _ ' `I� / • • . • Fee me hodology set by Tri.Camty Building Industry Service Board
.. u. .o i.... ..1 ..- .... Tri- - or s .n _.._..+
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006.00438
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/2006
Phone: (503) 639 -4171 � °
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' p'I �..
INSPECTION WORKSHEET FOR DATE: 8/8/2006 TIME: 7 :06AM PAGE: 74
SITE ADDRESS: 08225 SW PFAFFLE ST CLASS OF WORK:
SUBDIVISION: PACIFIC RIM PROP PARTITION LOT #: 001 TYPE OF USE:
PROJECT NAME: NORTHSKY
DESCRIPTION: Re- ground.
OWNER: PARTEL, ELLEN PHONE #:
CONTRACTOR: LOCAL ELECTRIC CO INC PHONE #: 503- 296.0060
Inspection Request Scheduled For: Date: 8/8/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 034539 -01 503-296-0060 N
Corrections /Comments /Instructions:
CI,, CrS pLINA 2 ZS �- -- .Q03 5% \,
4 1K' if-N_;06,)\
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
%-- WI &SL.11 1.41.(%
Inspector: Date: Phone #: (503) 718- 21 IL
_ _
CITY OF TIGARD
BUILDING DIVISION PERMIT #: L.GZ'O06' 0O'-t3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ELS 9 2 314
Phone: (503) 639 -4171 I :� `1
Inspection Requests (24 Hrs.): (503) 639 -4175 .,.!..$. IL .
INSPECTION WORKSHEET FOR DATE: B - 8 - Q b TIME: PAGE:
SITE ADDRESS: $'1,Z s w P F kefL"E s7 • CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: Kt p tootZ
OWNER: ----L— PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections/Comments/Instructions:
N PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 0" ■ Ntg Date: V4 06 Phone #: (503) 718-1-440"