Permit a CITY OF TIGARD ELECTRICAL PERMIT
71 COMMUNITY DEVELOPMENT Permit #: ELC2010 00417
T t G P R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/12/2010
Parcel: 1S134AB90141
Jurisdiction: TIGARD
Site address: 11287 SW SPRINGWOOD DR, UNIT# 14
Subdivision: Lot: 0
Project: SPRINGWOOD VILLAGE CONDOS
Project Description: (1) hour inspection: Change out plugs and switches, replace dishwasher, garbage disposal and
range hood in kitchen.
Owner: FEES
SPRINGWOOD /MILESTONE LLC Quantity Description Date Amount
BY PRINCETON PROPERTY MANAGEMENT,
7831 SE LAKE RD STE #200 1 hr Hourly Electrical Rate 08/12/2010 $90.00
PHONE: 1 ea Hourly Electrical 12% 08/12/2010 $10.80
Surcharge
Contractor:
CONNECTIONS ELECTRIC INC
PO BOX 7136
SALEM, OR 97303 -0026
PHONE: 503 - 390 -7914
FAX: 503 - 463 -6863
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OA • 2- 001 -0100. You m • • -;$ a co. • • _ •r direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: � ■.: &"" / 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:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' 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.
08/10/2010 15:52 5034638883 CONNECTIONS ELECTRIC #1179 P.001 /002
• E1 ieetricai l �
Permit .
m>It Applycaf><Q>ili ,�,, �-° a, o F 7, , : i � ; Milt OFF Ic rc u5�;�UNL�r ..
City of Tigard ° r / 1l Ree e° , �e
g f � ' I � L 1 0 Permit No.
Date .: ' / �
13125 SW Hall B lv d ., Tigard. OR 97223 Other Permit:
t � " Alan Review
'. Phone: 503.639.4171 Fax: 503.598.19 J G 1 0 2010 DateB
TIG D ; Inspection Line 503,639,4175 Date Ready /By: SI See Page? fur • Internet: www.tigard•ar.gov „., . ° ° t , + - Notified/Method: Supptemennmi information
(IN YY RTt :'O.F }K' 1i tt*,lis `' • i'tl'11it:' r ; +; . , • . PLAN. REVIEW
❑ New construction ° Addition /alteration /replacemenf ` ' ' Please cheek all that apply (submit 3 seta of plans w'nems checked below t
❑ Service ae feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: • where tlhe available fault ei n•em Q Marinas and boatyards.
CATEGORY OF CONSTRUCTION . ' • exceeds 10.000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14000 ❑ Commercial•uze agriculrural
❑ • and 2- family dwelling ❑ ContmerciaVindustrial ❑ Accessory building amps for all other installations. buildings.
[ ❑
lei- family 0 0 ❑ Firepump. Installationof7iKVAdr
0 Emergency system. larger separately derived system
JOB SITE INFORMATION • AND LOCATION • q Addirion of new motor load of ❑ A ' E ° I.2' i•3”.
Job no.: ,fob site address: I( ? – t 1(� IOONP or more. occupancy
C�( t O S,x or mor units. 0 Recreational vehicle pmts
City' /State /ZIP: ^�� [] r] iii ," ❑ Health-car ❑ Supply voltage for more than
' lG�{ � 1 l ��� ❑ ttaeardous locatioits. 600 volts nominal
• Suite/bIclgJapt. no.: j� /Li Project name: SirSC i. Sovt Cowed ° c ['Service or fe eder 600 amps or moro.
FEE SCHEDULE
Crass strcet/dircc1iOns 10 jOb Site: Dnn ripti00 01v. Fee. . Totai "
New residential single- or multi - family dwelling unit.
• Includes attached garage. __
' Subdivision: Lot no.:
1.000 sq. ft or less 168.54 1
Ea. add'l 500 sq. ft, or onion 33,92 I
Tax map /parcel no.; Limited energy. residential 67.84
(with above s )
DESCRIPTION OF WORXC q. ft.
Limited energy. multi family
G
�� v Af t residential (with above sq. 1 67.84
l y � r / � - ref/ace d65>� be�yC�P.r, Services or feeders instalation, alteration. andror relocation
a 0 i 4' ra.-tq& 1 200 amps or less 100.70 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2
— 401 amps to 600 amps 200.34 2 I
f
Name' 601 amps to 1,000 amps _ 3 01.04 2
Address: Over 1.000 amps or volts 552.26
Temporary services or feeders installation, alteration. rand /or `
• City /State/ZIP: relocation i
Phone: ( ) Fax:t 1
200 amps or less 59 36 ' 11
201 amps to 400 amps 125 08 3
Owner installation: This installation is being made on property 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 If
Branch circuits– new, alteration, or extension, et' Qanel
Ovm Signature; . Date; A. Fee tar branch circuits with
El APPI.1CANT El CONTACT PERSON • above service Or feeder tee, 7 42
each branch circuit
• Business name: B. Fee for branch circuits hvirlraur ,
_ service or feeder tee. first 56 18 ''
Contact name: branch circuit
"
' --• • ---- -- - – Each add'I branch circuit 7.42J _
• .Address: Miscellaneous (service or feeder not included)
Each manufactured or modular 67.84 - 1
C ity' /State /ZIP: dwelling. service and /or feeder -
Phone: ( ) 1 Fax:: ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
• E Sign or outline lighting 67.84
• CONTRACTOR - Signal circait(s) or limited energy
_panel, alteration. or extension. Page 2 _
13u >inzss name: I is a 1 . a` . _A I Each additional inspection over allowable in any of the 4b0 e
Address: ',0 X 113( additional inspection (1 hr min) 66 251 hr
Investigation (1 hr min) 66.25/ hr
City/State/ZIP: 54,(e I C 11 Ind ustrial pla nt (1 hr min) 78.18i hr
Phone: (r..) ) 3610 -1 1 Fax: (5 t ,„3 _‘,,T03 inspections for which no tee is 90 001 hr (a�
• specifically listed (A hr min) - la 00
CCB Lic. :b5 Electrical Lie,: �,..f._ _ ?; Su rv. Lic,: 36 ELECTRICAL PERMIT FEES '
Subtotal: 4 1o,09
Suprv, Electrician signature- required, Plan review (25% of permit tee):c
• Print name; , r Date. (0-10 State surcharge (12 %ot' permit l'ee): (c.Qv,
. — TOTAL PERMIT FEE: /pp.€r)
. AirhorizCd signature: This Ikralir application expired if a permit i5 nut obtained within 1511 w
-- - days after it has been accepted as complete.
Print name: Date: • Nuinber of inspections allowed per permit.
' 1 9.nlding .Perroli EL- C-PerpitAppd 04 oc IW01� a40.4615T11 t105/CONUwBa
•