Permit 1_ :, CITY OF TIGARD
ELECTRICAL PERMIT
PERMIT #: ELC2007 -00819
°. .. COMMUNITY DEVELOPMENT DATE ISSUED: 12/5/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S110AD 08806
SrrE ADDRESS: 10770 SW MURDOCK ST E1 - ZONING: R -12
SUBDIVISION: PACIFIC CREST APARTMENTS LOT : JURISDICTION: TIG
PROJECT: PACIFIC CREST APARTMENTS
Project Description: (1) branch circuit for remodeled carport/garage labeled "PD ".
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: SIGNAUPANEL:
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: 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:
PACIFIC CREST APARTMENTS PARKIN ELECTRIC INC
10695 SW MURDOCK ST 14001 FIR STREET
TIGARD, OR 97224 OREGON CITY, OR 97045
Phone: Contact #: PRI 503 - 657 -4958
FAX 503 - 557 -1059
FEES
Description Date Amount Reg #: ELE 34 -4C
[ELPRMTJ ELC Permit 12/5/2007 $46.85 LIC 35151
[TAXI 8% State Surcharge 12/5/2007 $3.75 SUP 42415
Total $50.60 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 ar 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
503.246.6 9 or 1.8Q0.33 . 344.
Issued B • ) 0 Permittee Signature
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:
C • • TRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: --...ri 44rii ,c/ ,- ---- 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.
12/04/2007 TUE 14:48 FAX 2001/003
� . EI ctrial Permit pp caton 1 rFOR OFFICE USE ONLY
City g of Tigard Litt. U 4 2007 Received '/ O �yt� /O
Datc/B l/Z V d y Permit No.: E je � 7...er [ 5
13125 SW Hall Blvd., Tigard, OR 97223 l; / Plan Rev
Phone: 503.639.4171 Fax: i8j ur , . t( r '; DateBy:
Other Permit:
Inspection Line: 503 .639.41 ax ill] t _ ,,, s y, ' Date Ready/By: Fa See Page 2 for
Internet: www.ci.tigard.o ; T i V Notified/Method: fra Supplemental Information II LANG
r
,t1 ' kt-A? ' w::. ' i : 0, � .strr 4) 14 Wr ��•t`it ° al s- . G,ai . y . , t. 'ta , " .. :. E.. N " , ' ••" 7'''''' ,.'7',..:';
....L .<'+ 4! . L, t' � .. � rv.. h P .- .e +'V.trN�N..S.r �t?1 .. ... .1.. �.. ti'I -•_', I . ., yL � Cy >). - ., ..... ..
❑ New construction JR& Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: ❑Service over 225 amps, comm'I DHazardous location
;' �:� �`}� ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. 0.
*taw, "�1, t vF� e k, i w' 2 +
. �„ j .,CS' "1t +ti y t G � : ko, l t IT0 qi, t 4 c rar ^+ ti of 1- and 2- family dwellings 4 or more new residential
❑ 1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
Multi - family ❑Master builder CI Other: ['Building over three stories ['Feeders, 400 amps or more
� _ �., {�,� to o ; , , wn ry , ;y ,,, �, P , P , , y ❑Occupant load over 99 persons DManufactured structures or
f,,1:� '�3 >.ldi F + t b�:=s. .; e , `K :�• t3 ❑Egres /lighting plan RV park
Job no.: Job site address: 0 0 sl.Ll U i e )c S s lQ?i/ [Wealth-care facility ❑Other:
� Submit 2 sets of plans with any of the above.
City/State /ZIP: C/0 V g i'7?? 51 The above are not applicable to temporary construction service.
K .. 1
Suite/bldg. /apt. no.: Project name: a'' �" ` " ` iOtti N.
Description I Qty. I Fce. I Total I ..
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1 ,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add') 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
iry,, r f �`o r ,,, t ,,, �..�.,, ,. ., ` „�_ �,,f s�YY¢tt; Limited energy, non- residential 75.00 2
d' �- J °� F,., �0 tQ ® Rd .�ri .. , .n e ' 1
e , „r. L .Ar.— • 1Y .,, °` ..�-..r ..- •,,.:,. , a,.dr Each manufactured or modular
/� ^� 1476 `
dwelling, service and /or feeder 90.90 2
.?
/�h /f Y Ot'/ ) Services or feeders installation, alteration, and /or relocation
. 200 amps or less 80.30 2
'l /• > '^1 4 106.05 2
a �9P �, R t �� Yr , �, e, Y y .� •� ti ,,, 20t amps to 00 amps
L ar t . � , .-,.. , : -0, . " `�>' `-;4 C A e I � ?.c
401 amps to 600 amps 160.60 2
Name: P °i- CI /e - 601 amps to 1,000 amps 240.60 2
�-Cr -. � trU”` /�1J,
Address: / 0 6 9 �' `5 L c ?fi , j _ _ _ _tZ- Over 1,000 amps or volts 454.65 t 2
5 t C v'L Reconnect only 66.85 2
City/State /ZIP: T c ,,2. _ 7 2 / D £ G 1 7 (/ Temporary services or feeders installation, alteration, and/or
Phone: ( ) t/ Fax: ( ) relocation
200 amps or less 66.85 1
Owner installation: This installation is being made on property that I 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 600 amps 133.75 _ 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
ti .: �< � t ; �. "c '' i c p �a , ?§4, A. Fee for branch circuits with •
Business name: service or feeder fee, each 6.65 2
branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
each branch circuit < f 46.85 �l 2
Address: I `
Each add'1 branch circuit 6.65 2
City/State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Pax:: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
.3,.`t i li % energy panel, alteration, or
Parkin Electric, Inc. 14001 Fir Street extension. Describe: Page 2 2
Oregon City, OR 97045 Ph: 503- 657 -4958 Fax: 503 -557 -1059
Contractors License #: 34 -4C Exp. 07 -01 -08 Each additional inspection over allowable in any of the above
Supervisor: 4241 -S Exp. 07 -01 -07 Per inspection 62.50
Contractors Board Reg #: 35151 Exp. 10 -12 -08 Investigation per hour (1 hr nun) 62.50
Metro # 2416 Exp. 11-01-07 Industrial plant per hour 73.75
Owner: s i$,N 3' :s, .% ''?fi t( Off* `
Subtotal 1-16, !
S u p rv. Electrician sign requir Plan review (25% of permit fee) ek
Print name: Date: State surcharge (8% of permit fee) 3.75
TOTAL PERMIT FEE 50.(6
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Q9Vi.4t ,g, Date: • Fee methodology set by Tri- County Building Industry Service Board
•• Number of inspections per permit allowed.
r10uilding\P rmits\ELC- PermitApp.doc 12/03 440- 4615T(10/02/COM/WEB
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