Permit CITY OF TIGARD ELECTRICAL PERMIT
Per
COMMUNITY DEVELOPMENT
Permit #: ELC2012 -00167
T [GA R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/23/2012
Parcel: 1 S136CB11100
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Jurisdiction: Tigard
Site address: 8225 SW PFAFFLE ST
Project: PARTAL Subdivision: 2006 -016 PARTITION PLAT Lot: 1
Project Description: (1) branch circuit for bathroom fan.
Contractor: ALL PRO ELECTRIC INC Owner: PARTAL, ELLEN
PO BOX 280 8225 SW PFAFFLE ST
6327 -C SW CAPITOL HWY TIGARD, OR 97223
PORTLAND, OR 97239
PHONE: 503 - 246 -0361 PHONE:
FAX: 503 - 246 -0406
FEES•
Quantity Description Date Amount
1 crt Branch Circuits wo /Purchase 03/23/2012 $56.18
Specifics: Service or Feeder
1 ea 12% State Surcharge - 03/23/2012 $6.74
Type of Use: SF Electrical
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Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $62.92
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 rules are set forth in OAR
952- 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.23444. -
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Issued By: — - ,� • . Permittee Signature:
_i �
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.
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Mar 23 12 12:45p All Pro Electric 503.246.0406 p.1
Electrical Permit A licati Er IVE FOR OFFICE l SF ON L_1
City of Tigard e/B ® ' 7/4111 = .
II Is 13125 SW Hall Blvd., Tigard, OR 97223�A R 2 3 2012 Platt Review over Permit I
Phone 503.718.2439 Fax: 503.598.19 Ds�
.r I GA R D Inspection line: 3.63 54175 C ITY O TIGARD Date Ready/By: I I ® Page 2 for
Internet: www..tigard-or.gov ov Neitiedmetbod: . I Supplemental lnformation
• • TYPE OF WING !NG DI /i�ION PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please clack all that apply (bobtail 2 sets of plans whims checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition El Other:
where the available fault comsat ❑ Marinas and boatyards.
• CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ Floating buildings.
less to ground, or crowds 14,000 0 Commercialise agricultural
® 1- and 2- family dwelling E] Commercial/industrial ❑ Accessory building amps for all other inst:diallor's. buildings.
❑ Multi - family ❑ Master builder ❑ Other. ❑Fire pump. ❑ installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
['Addition of new motor load of ❑ "A ", "E ". "1 -2 ".' 1 -3 ",
Job no.: 12-6548 Job site address: 8225 SW PFAFFLE ST. toDHP ormore. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: TIGARD, OR 972.23 ❑ H®Itb-carc facilities ❑ Supply voltage for more than
❑Hazardous locations. 600 watts nominal.
Suite/bldg. /apt. no.: Project name: PARTAL ❑ Smite or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Demotptioa I an. I Fee. I Total I •
New residential single- or multi- family dwelling unit
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. It or lam 16E154 4
Ea add'] 500 sq. ft or portion 33.92 1
Tax map/parcel no.:
Limited energy, residential, 75.00 2
• • DESCRIPTION OF WORK • (with above sq. R.)
Limited energy, multi - family 75.00 2
CIRCUIT FOR BATH FANS. residential (with above sq. ti.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 13356 2
401 amps to 600 amps 200.34 2
Name:
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 55226 2
City/StateJZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 59.36 l
201 amps to 400 amps 125.08 2
Owner installation: This installation is being rnade on property that I own which is not 401 amps to 599 amps 168.54 2
intended for sale, lease, rent or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT I 0 CONTACT PERSON above service or feeder fee,
7.42 2
each branch circuit
Business name: I B. Fee for branch circuits without
service or feeder fee, first I 56.18 SlpiC6 2
Contact name: ■ branch circuit
Each add'I branch circuit 7.42 2
Address: Miscellaneous (service or feeder not included)
City/Slate/ZIP: Each manufactured or modular 67.84 2
dwelling. service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
E-mail: Pump or inigation circle 67.84 2
Signor outline lighting 67.84 2
• CONTRACTOR Signal circuits) or limited- energy
Business name: ALL PRO ELECTRIC, INC. panel, alteration. or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 6327 SW CAPITOL HWY. SLITE C #280 ' Additional inspection (1 hr rein) 6615/ br
City /State/ZIP: PORTLAND, OR 97239 Investigation (1 hr min) 66.25/ hr
Industrie] plant (1 br min) 78.18/hr
P tie: (503) 246 -0361 I Fax: (503)
inspections for which fee is 90.00/ hr
i hr min
CCB Lie.: 148108 - I Electrical Lic.: 26 -1099C Suprv. Lic.: 46305 %/".(- specifically lsted is ELECTRCAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: �.��p
�� Plan review (25% of permit fee):
Print name: KEVIN POOLE . Date: State surcharge (12% of permit fee): 1/.14
Authorized signature: TOTAL PERMIT FEE: �a, q�
This permit appUcatioo eepires if a permit Is not obtained within 180
Print name: SHERRI POOLE I Date: after it bus been accepted as complete.
• Number of inspections allowed per permit.
LIBuildiag '.PcrmotELC- PermitApp.doc 07/01/10 440.4 6 1 5 711 1/05 /COMIWEB