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Permit CITY OF TIGARD ELECTRICAL PERMIT 111 13 • COMMUNITY DEVELOPMENT Permit #: ELC2012 00578 T L G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/03/2012 Parcel: 2S104DD03900 Jurisdiction: Tigard Site address: 13634 SW AERIE DR Project: Yap Subdivision: EAGLE POINTE Lot: 30 Project Description: (3) branch circuits for furnace reconnect, heat pump & exterior receptacle. Contractor: ALL PRO ELECTRIC INC Owner: YAP, DAVID L & MAI -LEE J 6327 SW CAPITOL HWY STE C #280 13634 SW AERIE DR PORTLAND, OR 97239 TIGARD, OR 97223 PHONE: 503 - 246 -0361 PHONE: FAX: 503 - 246 -0406 • • FEES Quantity Description Date Amount • 3 crt Branch Circuits wo /Purchase 10/03/2012 $71.02 Specifics: Service or Feeder 1 ea 12% State Surcharge - 10/03/2012 $8.52 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $79.54 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. ATTENTIO∎• Oregon law requires you to follow the rules adopted by the Oregon Utility Notification enter. Those rules are set forth in OAR 952 - 001 -0010 rough 0. - 95 !*1-0090. You may obtain a copy of the rules or direct questions to OUNC by callin 588 or 1.800.332.2344. / Issued By. , • I ' � Permittee Signatu • 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' , -��� o Date: f. 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. Oct 03 12 02:20p All Pro Electric 503.246.0406 p.2 Electrical Permit ApplicaticRECEIVED E. t FOR OFFICE SF. O\L1 City of Tigard • Received /' D . ::. p © M Permit No_ e4C,O/A -eV J ? II • 13I25 SW Hall Blvd., Tigard, OR 9722J)C T 0 3 2012 s Phone: 503.718.2439 Fax: 503.598 ..,:: Other Permit Ti L n 1: D Inspection Line: 503.639.4175 Cu r OF T Date Ready/Ely: 1 : 13 See Page 2 for Internet: wtivw.tignrd- or.gov Buy D / • 1 � i./ (� Notified/Method: Supplemental Informatian TYPE OF WORK � S 's+t v PLAN REVIEW ❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): Other. ❑ Service feeder � more 0 ❑ Demolition ❑ Othe and boatyards. CATEGORY OF CONSTRUCTION exceeds 1000 maps at 150 volts or ❑ Floating building. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ® I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for an other insallations. buildings. ❑ Multi- family ❑ Master builder ❑ Other. ❑ Fire pmnp. ❑ hatallarion of 75 KVA or JOB SITE INFORMATION AND LOCATION CI FAY system. larger separately derived system. ❑ Addition ar!' new motor load of ❑ "A ° E", °I- �", "1 -3 ", Job no.: 12 -7076 I Job site address: 13634 SW Aerie Dr. toolre or more.Pcomy ❑ Six or more residential units. ❑ Recreational vehicle parks City /State/ZIP: Tigard, OR 0 Healthcare fealties. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: 97223 I Project name: David Yap ❑ Service or feed= 600 amps orream. FEE SCHEDULE Cross street/directions to job site: Description I Qtr. I Fee I Tom i • ' New residential single- or multi - family dwelling unit. i Includes attached garage. Subdivision: I Lot no.: 1 1,000 sq. R orlers 168.54 4 Tax map/parcel no.: Ea add'l 500 sq. ft or portion 33.92 1 Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi- family 75.00 2 Furnace reconnect, beat pump and exterior receptacle, residential (with above sq. it) Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 ❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City/Slate/ZIP: Temporary services or feeders installation, alteration.. and/or relocation Phone: ( ) I Fax: ( ) 200 amps or less 59.36 1 Owner installation: This installation is being made on property that 1 own which is not 201 amps to400amps 125'08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits — new. alteration, or extension, per paned Owner signature: Date: A. Fee for branch circuits with • ❑ . APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 7.42 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, first I 56. 8 56.18 2 Contact name: blanch circuit • Each add'! branch circuit 2 7.42 14.84 2 Address: Miscellaneous (service ar feeder not included) City /StateJZIP: Each manufactured or modular 67.84 2 dwelling, service and/or feeder Phone: ( ) I Fax: : ( ) Reconnect only 67.84 2 E-mail: Pump or irrigation circle 67.84 2 Sign or outline lighting 67.84 2 CONTRACTOR Signalcircuit(s)orlimited-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_ Ste C #2130 Additional inspection (1 hr min) 1 City/State /ZIP: Portland, OR 97239 Investigation trina 66.25/ hr (t hr min) 66.25/ hr [ndtutris! plant (l tar min) 78.18/ hr Phone: (503) 246 -0361 Fax: (503) 246 -406 inspections for which no fee is 90.00/ hr specifically listed CA hr min) • CCB Lic.: 148108 I Electrical Lic.: 26-1099C Suprv. Lie.: 46305 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal 71.02 Plan review (25% of permit fee): Print name: Kevin Poole I Date: 10/3/12 State surcharge (12% of permit fee): 8.52 eirit Authorized signature: TOTAL PERMIT FEE: 79.54 This permit application expires if a permit Is oat obtained within Print name: I Date: days after it has been accepted as complete. Number of inspections allowed per prnnit. 1:1B iTdmgUnmlu'S]..PernitApp.dac 07/01!10 440-46L911 rfO51CO1!W®