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Permit CITY OF TIGARD ELECTRICAL PERMIT 6.; � a D };: COMMUNITY DEVELOPMENT Permit #: ELC2010 -00107 T [ G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/09/2010 Parcel: 1 S 136CA03300 Jurisdiction: Tigard Site address: 7935 SW PFAFFLE ST Subdivision: Lot: 0 Project: Loos Project Description: Service replacement. Owner: FEES LOOS, HELEN Quantity Description Date Amount 7935 SW PFAFFLE TIGARD, OR 97223 1 ea Services or Feeders - 200 03/09/2010 $100.70 amps or less PHONE: 1 ea 12% State Surcharge - 03/09/2010 $12.08 Electrical Contractor: CONTROL CONTRACTORS 5000 SE 25TH AVE PORTLAND, OR 97202 PHONE: 503 - 231 -0421 FAX: 503 - 238 -1138 Type of Use: SF 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 wit 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. ATTENTIO • law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -001 rough OAR 952 0 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued - Permittee Signature: l 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' � ��)'i 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. MAR -08 -2010 MON 11:08 AM CONTROL CONTRACTORS FAX NO, 5032381138 P, 01 Electrical Permit Application _ )''" ' i t;; 4 ,, ; cult OI'H(:I: tIti); UNi,V. . City of Tigard on;e ,3 !o A i Permit No.: &Z._ eRt)lO -- oo /6 pr ' "" 13125 SW Hall Blvd., Tigard, OR 97223 MAR 0 8 2013 Plan Review . • Phone' 503.639.4171 Fax; 503,598,1960 Dutc /l3v Other Permit; 8{ T I Ci A It h Inspection I..inc; 503.639.4175 1)ate Ready /By: lurir. m See Page 2 for Internet: www.tigard- or.gov '', 1 y - , Notified/Method: Supplemental Information . • , it TAE l 0.f :IVO r { y l:) " i . i + r11' „'! ,iPL'AIW`,.,REVIEW „ : 1 !I ❑ New construction ❑ Addition /alteration /replacements' Please cheek all Ihut apply (submit a aete of plans w /items checked helmw)' ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where Mu available fault current ❑ Miwinas and boatyards. ;, , , l ! ` 5 cxoned, 10,000 amps at 150 volts or ❑ Floating hnildinl;. „ ' I' A�l3G()'ItY! Ul Q "` loss to ground, or exceed, 14,000 ID Commercial-use agncuhurll ❑ 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations buildings. ❑ Multi family ❑ Master builder 0 Other: D Fire pump, D Installation of 75 FVA or ^ , © Emergency system. larger separately derived system. l 1( t �} iR4: ,... , NATION n)t3 ! ∎( 1:O C A l E 0�V I Ii 1 ❑ Addition o f new motor load of ❑ Job no.: Job site address: � 1001-11 or more, occupancy. 1 G / 1 P �) n`7 I� ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State/ZIP: d . ❑ I-laalth -care facilities. ❑ Supply voltage for more than [] Wazontou; locations. 600 volts nominal. Suite /bldg. /apt. no.: I Project mane: ❑ Service or feeder 600 amps or more. `•'�, .!;:rHH, Htl,ET,!!.S(IIL1D LL i ;,:::H Cross street/directions to job site: DE.crinuaa 1 Ott. i re , 1 '1'aral . I • ; / / _ 1 o'` * New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. rt. or leas 168.54 4 Ea. add'I 500 sq. ft, or portion 3392 1 Tax map /parcel no Limited energy. residential ;''DESLRIPTIOM1t 'W0[�1+r' !' , (with above sq. ft) 67.84 n Limited energy, multi- family 67.04 2 . (J \ , 2 2-( f � a - t , ��f — A � residential (with above sq ft.) J I /(" ""p, � Services or feeders Installation. alteration, and /or relocation 200 amps or less / 100.70 /OD, 70 2 !! , . PR00I",LRTY Q 'NER :;'' III , ,.II q'iTJ'>♦AI?jT.: l i,r 201 umpsto 400amps 133.56 1 401 amps 10 600 amps 200,34 2 1n NaC: - _ 601 amps to 1,000 amps 301.04 Address: Over 1,000 amps or volts 552.26 - Cit. /State /ZIP: Temporary services or feeders installation, alteration, and/or Y relocation - Phone: ( ) 1 Fax: ( ) 200 amps or less 59.36 i 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on properly that I own which is not intended for sale, lease. rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 Branch circuits - new. alteration, or extension. per panel Owner signature: Date: A, Fee for branch circuits with f : above service or feeder fee, C iT 7.4, • I . ,�' ��#rl Il' I „ • .11 : ta+fIMI;P , �1Z�Oh�I .. each branch circuit Business name: B. Fee fur branch circuits without service or feeder fcc, first 56,18 Contact name: branch circuit - Each add'I branch circuit 7,42 2 Address: Miscellaneous (service or feeder not included) Each manufactured or modular 67 R4 City /State /ZIP: dwelling, service and /or feeder - Phone: ( ) Fax:: ( ) Reconnect only 67.84 2 Pump or irrigation circle 1 67.84 2 E - mail Sign or outline lighting 67.84 l 2 „ CONIRA'C'POR , , h � rr ,•�, I mo , � signal c lrcurt(s) Or Illtllted•ollcrgy panel, olleratinn, or exunsion. PFlRe'2 _ i 2 Business name: a. e_ Each additional inspection over allowable hi any of the above Address: , ' Additional inspection (1 hr min) 1 1 66.25/ hr 1 City /State /ZIP: . L / ! 7 P Q /1 Investigation (1 ho 111111) I 66.25/ hr C d- industrial plant (1 hr min) 78.18/ hr Phone: ( 51,3 ) 033 _ 0 •. Fax: (5D 5) v''3 S- 7/ 3 inspections for which no fee is yU.UU/ hr Ipecrtrcully listed ( % hr min) al )a 11 CCB Lie.: 6 9-1 Electrical Lic.: ,/,..., I Supry Lic.: �2 7 S tucT,Mt'1;CALI r 10°11 / . 9 Subtotal: /(�U, ` Suprv. Electrician signature. required; / � ,� � / Plan rev iew (25 of erntit f cc): Print name :Sot I Y1 1 '�' ('1-'I / (.:4,... Date: rI D State surchur a (1Z of pem111. fee); �� _ Q / TOTAI- PERMIT FEE: / /., 7 8 Authorized Signature' fir: % - this permit application expires if a permit is not obtained within 180 M days after It has been accepted as complete. Print name: Q ! 1 `f .-r / GZ / Date: 3 8 / C0 _ r Number of inspections allowed per permit. l;lnuildi -. Permits /ELC- PerrotApp.doe 10/01 /09 440.4615T( /COM /WF.N