Permit CITY OF TIGARD ELECTRICAL PERMIT
3 COMMUNITY DEVELOPMENTyk., Permit#: ELC2019-00696
Till G A R.o 13125 SW Hall Blvd.,Tigard OR 97223 503.718.243 Date Issued: 10/14/2019
I �1/ "O Parcel: 1S136CB02900
Jurisdiction: Tigard
Site address: 8355 SW PFAFFLE ST
Project: Bradea Subdivision: STEVE&HUGHIE'S PLACE Lot: 1
Project Description: Panel replacement in existing house. 10/28/19:REPRINT to add(14)branch circuits.
Contractor: CRAINIC ELECTRIC CO Owner: BRADEA, BENJAMIN
15812 SE BROOKLYN ST 8355 SW PFAFFLE ST
PORTLAND, OR 97236 TIGARD, OR 97223
PHONE: 503-913-8005 PHONE: 971-506-5592
FAX: 503-760-1787
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 10/11/2019 $100.70
Specifics: amps or less
1 ea 12%State Surcharge- 10/11/2019 $12.08
Type of Use: SF Electrical
Class of Work: ALT 14 crt Branch Circuits w/Purchase 10/28/2019 $103.88
Service or Feeder
Type of Const: 0 ea 12%State Surcharge- 10/28/2019 $12.47
Occupancy Grp: Electrical
Total $229.13
Required Items and Reports(Conditions)
r'
/
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty C.•-s and all other applicable -w. `All work will
be done in accordance with approved plans. T 's permit will expire if work is not started within 180 days of ', uanc , or if work s,suspende'. fo more the 180
days. ATTENTION: Oregon -w req 'es yo/to follow e rules adopted by the Oregon Utility Notifi -tion -nter. Th. a rules ar --t forth in OAR
952-001-0010 through OAR00�. You • obtain i opy of the rules or direct questions to OUNC by calling '03.2 .1987 or 1.88 a. 2.2344.
riiipe
it y� —
Issued By: I� /i .or - Permittee Signature: / C "�
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.
Electrical Permit Application RECEIVE I olz OI 11( 1 I `1 (1\1 1
City Of Tigard Received Pe
■ 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: �p20`�f+CO�S�-
■ g OCT 2 8 2019 Plan Review
Phone: 503.718.2439 Date/By: Related Permit#:
Email: TigardBuildingPermits@Tigard-or.gov , - ,- Ready D.* ;+- ® See Page 2 for
T I G A R i) I ARD et Supplemental Information
Inspection Linc: 503.639.4175 Internet: wviw.fi o _ pp
UiLUiL I SI• 't
TYPE OF WORD u PLAN REVIEW
❑New construction w/ - 'dition/alteration/replacement • Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
El Demolition ❑Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
;A -and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
• Multi-family ❑Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SiTE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
�--�1 ', 1 ., 0 Addition of new motor load of system.
Job#: Job site address: t >- , ....ii .r�ft-4E E y 100HP or more. ❑"A","E
❑Six or more residential units. occupancy.
City/State/ZIP: f7ffVv//ja�-d c ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: l Lot#: includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
Ea.add'I 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
/ r`, (with above sq.ft.)
a 4 et i t � it ( k\ Pak ' Limited energy,multi-family 75.00 2
4 `(� ,- ,,-,,� n /� ( residential(with above sq.ft.)
� ,�i`� �� 1 "'�� Renewable Energy ❑ See Page 2
LJ PROPERTY OWNER �❑ TENANT Services or feeders installation,alteration,and/or relocation_
Name: 200 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:
relocation
Owner installation:This installation is being made on property that 1 own which is not 200 amps or less _ 59.36 1_
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2.
Owner signature: Date: 401 amps to 599 amps 168.54 2
❑ APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
— A.Fee for branch circuits with
Business name: above service or feeder fee, /it
each branch circuit 7.42 2
-Contact name: B.Fee for branch circuits without
Address: service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: G-R.l N\c i_�1✓ f( Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: /�/0 tz C •k.v'Q C` fir- panel,alteration,or extension. ❑ See Page 2 2
City/State/ZIP: ( jj��,,,, 2 Each additional ins.ection over allowable in an of the above
®d Irl/\J\ ` / 61 7Z 7‘ Additional inspection(I hr min) Ell 66.25/hr
Phone:(r'(� 3 ,.._2(90 �� investigation(I hr min) Mill90.00/
' _
Email: co c e gee 1 v,(L._ ( Cj ryV„f0 , c_�,� Industrial plant(I hr min) 78.18/hr
C v _ Inspections for which no fee is 90.00/hr
CCB Lie.: /51 56 Z Electrical Lie.: 6:— `6 1 ' Suprv.Lie.: ({i8 3o ci specifically listed('V hr min)
11 1 ELECTRICAL PERMIT FEES
Suprv.Electrics signature,required:
Subtotal:
Print name: ) ,k y'i'c 0 u 0 Dater r 2 (q 0 Plan Review Required(25%of permit fee):
1 State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
Print name: Date: I
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:'Building!'ermitsELC_PermitApp_ELR_ERE.doc Rev 10/262017 440-4615T(11/05./COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description 1 Qty. 1 Each I Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
n Garage Door Opener*
>100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
n Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.251 hr
charged at an hourly(1 hr min)
Inspections for which no fee is
90.00!hr
specifically listed(1/2 hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
y * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
n L• andscape Irrigation Control*
❑ Medical
Fl N• urse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1:\Building\Permits.ELC_PermitApp_ELR_ERE.doc Rev 1012612017
CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENTIN
Permit#: ELC2019 00696
Date Issued: 10/14/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1S136CB02900
Jurisdiction: Tigard
Site address: 8355 SW PFAFFLE ST
Project: Bradea Subdivision: STEVE&HUGHIE'S PLACE Lot: 1
Project Description: Panel replacement in existing house.
Contractor: CRAINIC ELECTRIC CO Owner: BRADEA, BENJAMIN
15812 SE BROOKLYN ST 8355 SW PFAFFLE ST
PORTLAND, OR 97236 TIGARD, OR 97223
PHONE: 503-913-8005
PHONE: 971-506-5592
FAX: 503-760-1787
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 10/11/2019 $100.70
Specifics: amps or less
1 ea 12%State Surcharge- 10/11/2019 $12.08
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $112.78
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of,the rules o---rdirectquestions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: -:;,c--::- :-.,.-20,---- Permittee Signature: L—t'r r,d2
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical
Permit Application {��+'[/'1.(�"'" �/ to o i i i fJ l,1
City o Ttard Ir.V f+.� Y L;:eiRRy'vedmeDatee:i4Sy:
d 7.:444d4S271t::*,Penn.,„..„7;:
' I312S a S1vd TigFctci,()12 X7223 Pn r �� » , 9& lCT 10 2019D .ra" b,.Inspection Line.. 503.63c9.4i75 R2 r1) -,'''Irarat ; rr�r. �arsvggg99 gam, � o __ __ 'ssw) At. k 11V + {#4°+$ , $ i s f`k'u " "'.^,t
fl New construe ien d tic /shat tion/reap en2 P� t+ an that
t (submit s
0 1tttvlilcsn s 0 Service or t'eeder 400 amps or more ''( ` i art stones.
where the available fast.current ®tvtarma amd
a . 6 u t •x r Exceeds 1a,( = at€5th Yobs°f. F[ tuz l'irt:sl
l Zafarraily dwelling
v�eliir: C«rnrre retallic€t *id 0 Accessory building . _
toss t a uixt or exccKfs i4,000 [»nae cured 3
amps fnr all other ixaaltaticanc. laniltlings.
0 Mttilia 0 h 1(rster la trllci l tt pattata, 0 installation of t 30 KVA or
gi py
,a, �r�ri . JO dak ,, •T�t rLoc r ? ' r 0Ad ', Gyb ti # tC3 (lensed
Job'' : II‘j ®'r , ,. tsfaew motor a, n' system.-L
10011P or mare. ® c ."tr "1- ,"t" ,
C'ityt trtt rliP: (� n °ar cam res decrtiut snits octan ncg.
e ' g D 0� .. 1? (/�� j cane facititzc Re ra[ s.
ur�bld epi. pct name'/ EI Dors U Sem>antt m
�>,_„,,,,,,,., . - st 600 volts
muutuat
C rosy sttc tfdtre l otts io Site: _ ♦ r,c; , 14 w v
_
istogie_
1tutifdnet
1tt�rtd
d t taeal d1�� � 6i unit
_-____ Lot Subdivision:
ax tl aptp l mil
l#: 1 eta sq.it,car less 168 54
. .n1111111111
,t $'i S€ sq, ,or portio. 33.32
WORK Lunt#. �rttl
`t'itlaabcs a 1k» 75.(X.
�✓ft G ».» __ l,,imited
-f - Y� y,multi-latrtil ail 75 00 2
residential with above IL)
111
'"` �_ r Renewablet of fcedees instal ® alio ni „e 2
'�� , ,IiCC't''it i3'4fi .....i �"� ' , a � "' s,F alteration ancldar r+clraeuticaxa"
'Name: {. h C.i 200 amps or less 100 70 rl4 2'
Address: �-7 -7C)
C 1 c traps to 133.50 1 2
7 t f c�. ... " v1 0.7..- - 401 amps to .imps "'-. 2
City/State/ZIP: mums
y a-,/- o 1 97 7-2-t7..: ..... .,. hp amiss re 1,000 am itD1 t)4 r
Phone:(' ) p b_55. g Zr IX:
tiv t,cx�tl Or omits 55226
2
/............ Temporary or biers i tall ttotis esti sa and/or
`moi{: � Y"1 L� - b� S�'L' (� 11Q� relocation i
Owner installation:Ibis stailation isbeings tact ga per t t that I own which€s not nr less 5936 immiiini
intended for sale,lease,cc o��ex a e,accordingto ORS447,449,670,and 701. t tc+ las,
Owner suture L! L)ale: a 4{lT n 5 S 168 54
phut '--fir , �„ arextc r net
:td .,7 ,� m- s P lei ; " ..
A,p twat zlcir is
Business name: ,above service tar t' r fen,
rash branch circuit 7 42 2
Contact name'. ,Ere for branch:circuits ithout
lice or feeder fee,first
Address: hca€cch cnxmit 56,18
City/State/ZIP: Each ald'l branch circuit" �Ol 2
iseeliatt us(seat Ofr Of*�udr
Phone:( l;a ':( ) Esel.maiiiiitaineti or modular 67 84
dicelliilt service adter feeder
f?rnail: ,:.
mm mmm.. Reconnect only 67,84
."=; 1 ',',<r Pumporirri envie 67.84
IIIIIIIIIIIIIIII
Businessn sae: ((% FC Sign orourmel #,a,�, fa7.f
,.rt
,. gignalcsrt,tt` tl orgy
dre; / = e� � coxion seepage 2 2
atiel,alta,ra a. q� maseun
h uddl i+,s�y a a`r c�vrr able in stn°of tSfte atxrvve
City/State/ZIP:` I 1 f .!�- l,7
.-_ _uis (1 lar min) C*t"a 2Sihx
phone, ) j . .. 5 I "alt:( ) 'nivelti� �.,:•:(1 iw €a) 78 ivSarall
Industrial (1'�r in) 78:38Ihcall
ail: ) t i t .. C� r»for which fee a
mm 9t1.?t11 sermei
OCT).l: Ele tarir cal ltic.: � 3il5 recall $ 1tt tnirt
Su rv,i:lectrictan signature.reelntred: ar otal-
int name: + /i to) (Y Date:
ICJ '-'7C1
.°-/ ( 0 loan Review
uired'( %of Q er t ):
Stat (12%of ")-
/Authorized i Hatt AfOr `f ..e..,.., TOTAL P RhIIT FEE: Inrifirn
c u h - m__ , _-- . This permit a�ttmr�ifs*permit is ant e:ro to In 180
I'ffiitn.a e 1 � is tt + as *Ate it tmenae prectsasea t4
a s€utser c f it cr€ ettoi pec Porno
L:'tilettl tIteaTcrm"ti,EL(:PeraehAPP ELR EU deo Rev fruit?775. 440 ,t ST(I ai StcowWr3S3I
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description
Fee for all residential systems combined: $75.00 Renewable
I Qty. I Each I Total
)' electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
n Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
n Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
n Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
n Other: Each additional inspection is 66.25/hr
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(A hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
3 • Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
n Audio and Stereo Systems
❑ Boiler Controls
n Clock Systems
❑ Data Telecommunication Installation
n Fire Alarm Installation
n HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
n M• edical
n N• urse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 10/26/2017