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Permit IIIII CITY OF TIGARD ELECTRICAL PERMIT ° PER ELC ° COMMUNITY DEVELOPMENT DATE ISSUED: MIT #: 5/9/2008 2008 - 00268 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 111 AD - 04600 SITE ADDRESS: 09020 SW PINEBROOK ST ZONING: R -4.5 SUBDIVISION: PINEBROOK TERRACE LOT : 069 JURISDICTION: TIG PROJECT: TARASAWA Project Description: Installing (3) branch circuits in family room and bathroom. 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: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 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: FRED & CONNIE TARASAWA ALL PRO ELECTRIC INC CONSTANCE J PO BOX 280 9020 SW PINEBROOK ST 6327 -C SW CAPITOL HWY TIGARD, OR 97223 PORTLAND, OR 97239 Phone: Contact #: PRI 503 - 246 - 0361 FAX 503 - 246 -0406 FEES Description Date Amount Reg #: ELE 26 - 1099C [ELPRMT] ELC Permit 5/9/2008 $60.15 LIC 148108 [TAX] 12% State Surchar 5/9/2008 $7.22 SUP 46305 Total $67.37 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: Q 1 ?fA / 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. May 09 08 09:54a All Pro Electric 503- 246 -0406 p.1 • '' Electrical Pei fnit Acpplic q � q p E ,V FOR OFFICE USE. ONLY • Y rt City of Tigard f rs Permit \o: 13125 SW' Hall Blvd., Tigard, OR 97iil ( 9 q( U V ©� �, i �O "" ' d Plan Review Phone: 503.639.4171 Fax: 503.598.1960 r Dateiily; Oihcr R emit lay)" UC T I G A R D Inspection Line: 503.639.4175 j i ,, Da Read B}•; lurk 0 1' /+ Scr agc2far Internet: wwvt.iigtrd er.gov C• i�� Guilt � notited!\9etho ; Supplemental Information . TYPE OF WO e� ih11 )419 C PLAN REVIEW ❑ New construction .. Additionnalteration/replacement Please check all that apply (submit _sets of plans a• /items ohetLce below): ❑ Stxviee or feeder 400 amps or more ❑ Building over three , El Demolition ❑ Other w:iere the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10.0tq:: amps at 150 volts or ❑ Floating buildings. �i - and 2- [amity dwelling ❑ Commercial/industrial less to ground. nr csceeds 14,000 ❑ C -use agricultural ❑ Accessory building amps fur all other installations. but !dings ❑ Multi-family ❑ blaster builder ❑ 011ler. ❑ Fire pump. ❑ Installation rl 75 K V A or JOB SITE INFORMATION AND LOCATION ❑ 3tnergcncysys:em system la g<r separately dcriv . - ❑ Addition of new motor load of ❑ °iV'. "E" "I 2' "1 ;•• Job 110.. - y 2t" Job site address: i „t 1 It %)HP or more. Deco n _ �� � I N G� �1 ❑ Six or more resideraMl units. 01 R.xn:miona1 vehicle r pas. City. tate21Y: /_ / �, r. D `^ � „L 01-care fnc:liucs. El Supply voltage for more than Gl l ^ ~T 1 A ^ ❑ locations. 600 volts nominal. Suite/bldg. /apt, no.: Project n / name: �-I / / 'l I 1 /G)- .//'il , K. \ J rL14- ❑ sert7rx or tccdaair GOO amps or more. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Fee. 1 Taal I. New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft or less 145.15 4 Tax map/parcel no.: Ea. add'l 500 sq. It or portion -33.40 1 Limited tatcrgy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 4 �✓ t `', Y - limited merg ' multi - family q R" -c C L t (`1 ("U -! I ? , A - � e residential (wi h above sq. it.) 75.00 I 2 Vt. I.) 4 - ( . . C l(-.1-, - Services or feeders installation, ahem lion, undJor relocation 200 amps or less 80.30 2 ' • PROPERTY OWNER ❑TENANT 201 amps to 400 amps 106.85 2 Name: r (• fs)i B F I ,,,_ ' Sa LA I 401 ampsl0600 amps 160.G0 2 Address: 601 amps to 1,000 amps 240.60 �UZ v �('�' �l �v 12)4..13.04_ S I . Over 1,000 amps or volts 454.65 CitylState.'7jP: / feet, 2 14777.0 t / \� C1'? relocation Phone: ( ) Temporary altcrafinn,nndor lJ I ! Fax: ( ) 200 -amps or less 66.85 1 Owner installation: This installation is being Made on property that 1 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 599 133.75 2 Owner signature: ]]ranch circuits - new, alteration, or extension.. r panel Date: A. Fec for branch circuits with I ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, Business name: each branch circuit G.65 2 8 Fec for branch circuits Contact name: n7fhatrr Bence or feeder fax , i . first branch circuit 46.85 2 Address: _ Each add'1 branch circuit - 6.65 1 xj - 2 LIlscellaneudm (service or feeder not included) City/State/ZIP: Each manufactured or modular dwelling, service and.or feeder 90.<X) 2 Phone: ( ) I Fax: : ( ) Reconnect only 66.85 2 E Pump or irrigtdinn circle • 53.40 2 CONTRACTOR Sign-or outline lighting 53.40 ; 2 Business name: a tL Signal circuit(s) or limited - usiness �r D (-• L L t F -(C- t / energy pastel, alteration; or ' Address: pp,f1 - Jan 1 ` extension. Describe: Page 2' 2 t ,32: G I �L F -t City /State/ZIP: ebC , LI' O 411 •7 37 Each ins Ion over-allowable U �' - G - pover-allowable to on }•.ot the above Phone: ( b 1 . Per inspection I 62.50 I 7 3 • LA b . L3 l Fax: (S ) ZN t . 04 ()LP � r /� Investigrtlionp.:r (I hrmin) 62.50 CCB Lic.: i�( 1 r Electrical Lic.: Ztp_ ibcl 3 LI Suprv. Lic.: q 0305 _ Industrial plant per hour 1 73.75 - Suprv. Electrician signature, required: / /./...,2___ ELECTRICAL PERMIT FEES /� �� - '� Subtotal: (vo. c Print name: k.�� IN . t- ›OG( .e. Date: `7 joe,ke, Plan review (25 °0 of permit tae): State surcharge (12% of permil fee): 1, ] Authorized signature:. " ( 7 ; (0 y1 TOTAL PERMIT FEE:. , 7•""/ ) Print name: G. D ate: � This permit application expires if a permit is not obtained within 180 "� ' � a /? G lr' 1OD a� days after It has been accepted as complete. CITY OF TIGARD tIC grti#41 $°'`' BUILDING DIVISION ' PERMIT #: ELC2008- 00268 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/200B Phone: (503) 639 -4171 ,,,iA Inspection Requests (24 Hrs.): (503) 639 -4175 ` __ INSPECTION WORKSHEET FOR DATE: 5/14/2008 TIME: 7:04A1N PAGE: 14 SITE ADDRESS: 09020 SW PINEBROOK ST CLASS OF WORK: SUBDIVISION: PINEBROOK 1 ERRACE LOT #: 069 TYPE OF USE: PROJECT NAME: TARASAWA DESCRIPTION: Installing (3) branch circuits in family room and bathroom. OWNER: TARASAWA, FRED & CONNIE PHONE #: CONTRACTOR: ALL PRO ELECTRIC INC PHONE #: 503-246-0361 Inspection Request Scheduled For: Date: 5/14/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 069879.01 503 - 516 -7635 N Corrections /Comments/ Instructions: 1 i ` . ' 4 i , . i / / .1 /_ / ,. , A . A _ l . II /I4 to itI/ - A l , og ef / ? 0 1 _ 4 4.14 d 4 `g f. ! 1 ,. 1, ! � / • ' .vi t, _ 7 (LAA y e ) hi ' ■ _ ! V■-O■ /C) iq ki 05k gAitf-el - 5 14/tcm4 111/0 14 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL El CAL FOR INSPECTION ❑ ADDITI •NAL FEES ' SSESSED Inspector: Date: 6 A 0 ■ Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION "' PERMIT #: CI_C2008 00268 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2008 Phone: (503) 639 - 4171 / �aua.m R' I�I�A Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/23/2008 TIME: 7:01AM PAGE: 29 SITE ADDRESS: 09020 SW PINEBROOK ST CLASS OF WORK: SUBDIVISION: PINEBROOK TERRACE LOT #: 069 TYPE OF USE: PROJECT NAME: TARASAWA DESCRIPTION: Installing (3) branch circuits in family room and bathroom. OWNER: TARASAWA, FRED & CONNIE PHONE #: CONTRACTOR: ALL PRO ELECTRIC INC PHONE #: 503 - 246-0361 Inspection Request Scheduled For: Date: 6/23/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 071735-01 503 - 516 -7635 N Corrections /Comments /Instructions: E L� c A - A-4 4 D 14 .6 ❑ PASS ❑ PARTIAL APPROVAL CAN ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • " N60 Date: 6 • . • v v Phone #: (503) 718- 14 CITY OF TIGARD .. BUILDING DIVISION ` i i PERMIT #: ELC2008 -00268 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2008 Phone: (503) 639 -4171 It Inspection Requests (24 Hrs.): (503) 639 -4175 „-. INSPECTION WORKSHEET FOR DATE: 6/24/2008 TIME: 7:03AM PAGE: 35 SITE ADDRESS: 09020 SW PINEBROOK ST CLASS OF WORK: SUBDIVISION: PINEBROOK TERRACE LOT #: 069 TYPE OF USE: PROJECT NAME: TARASAWA DESCRIPTION: Installing (3) branch circuits in family room and bathroom_ OWNER: TARASAWA, FRED & CONNIE PHONE #: CONTRACTOR: ALL PRO ELECTRIC INC PHONE #: 503246 -0361 Inspection Request Scheduled For: Date: 6/24/2008 Pour Time: Code # Inspection Description ` • n irm # Contact # Message 199 Electrical final 07178 197- 156 -3196 N Corrections /Comments /Instructions: o Smarts 0 SF Lir Yy VIA_ ‘ii, 4 ). \ R-IC 01 .i? }. C.J \.—Lst • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1XFAIL t CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Co" 4 t i b Le Date: 6 1'1 Phone #: (503) 718 -Z4 • -r 1 CITY OF TIGARD I BUILDING DIVISION I f PERMIT #: ELC2008 -00288 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 1 L. INSPECTION WORKSHEET FOR DATE: 7/10/2008 TIME: 7:00AM PAGE: 28 SITE ADDRESS: 09020 SW PINEBROOK ST CLASS OF WORK: SUBDIVISION: PINEBROOK TERRACE. LOT #: 069 TYPE OF USE: PROJECT NAME: TARASAWA DESCRIPTION: Installing (3) branch circuits in family room and bathroom. OWNER: TARASAWA, FRED & CONNIE PHONE #: CONTRACTOR: ALL PRO ELECTRIC INC PHONE #: 503-246-0361 Inspection Request Scheduled For: Date: Pour Time: P 4 l! 1012008 Code # Inspection Description Confirm # Contact # Message 1 99 Electrical final 072426 -01 503. 246 -0361 N Corrections /Comments /Instructions: \ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CY 0 to l- Date: 1 . 4 h Phone #: (503) 718- VILA