Permit . --,,, „ CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00380
° COMMUNITY DEVELOPMENT DATE ISSUED: 6/7/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135DD-03300
SITE ADDRESS: 11555 SW 88TH AVE li ZONING: R -12
SUBDIVISION: PARK PLACE GARDEN APARTMENTS LOT : JURISDICTION: TIG
PROJECT: PARK PLACE APTS
Project Description: 100 amp panel change in unit A -7.
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: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
PARKER, JEROME W TRUSTEE STONER ELECTRIC
BY SUMMIT REAL ESTATE MANAGEME 1904 SE OCHOCO STREET
5320 SW MACADAM AVE MILWAUKIE, OR 97222
PORTLAND, OR 97201
Phone: Contact #: FAX 503 - 659 -2824
PRI 503 - 462 -6500
FEES
Description Date Amount Reg #: ELE 26 -122C
[ELPRMT] ELC Permit 6/7/2007 $80.30 LIC 44823
[TAX] 8% State Surcharge 6/7/2007 $6.42 SUP 3496S
Total $86.72 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 are 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 503.246.6699 or 1.800.332.2344.
Issued By: # f/ ii, �,1 Permittee Signature: jadid71
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'N: 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.
06 /r '/2007 06:33 FAX 5036592824 STONER ELECTRIC 0001
trical Permit Applicationf,�V H r. 01-1.1(.1 i m. ()NI.,
City of Tigard r(---,',,,9 � �/ R L>,ceB (O • ■ Permit No.: Lc, • - AI ;0
13125 SW Hall Blvd., Tigard, OR 97 ,
Phone: 503.639.4171 Fax 503.598i96�. ®�. � ��® `" ,'' ' ' "N I ` i' Da Renew Ott Permit
Inspection Line: 503.639.4175 , " � � DateReady/ey: 1'i'. ® ScePage2for
Internet www.ci.tigard.or.ua , ^ , -- Notifed/A9el it & Supplemental Information
:, WQAK PLAN,REtt1E�V.. ,. ,
0 New construction Additie cration/replacement Please check all that apply;
❑ Demolition ❑ Other: ❑Service over 225 amps, comm'l ❑Hazardous location
❑Service over 320 turps – rating ❑13uildng over 10,000 sq. it..
CATEGORY "OF CONSTRUCTION' of l- 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
�'IGtulti- family ❑Master builder Other: ❑�Oding over three stories ❑Feedera, 400 amps or more
❑Occupant load over 99 persons ❑Maaufnctured structures or
' • JOB SITE•`11NFORMATION AND LOCATION • . ' . • , ['Egress/lighting plan RV park
Job no.: S5 82.1 Job site address: 11555 5 w sib 4%16 ❑Health -care facility ❑
Submit ? sets of plans with any of the above.
City /State/ZIP: — 1 4 Ae.D r , o K q, 22 3 The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: I P r, A } FEE' SCDUE •R.e A y ' I D eQipiioo ' Qty. i Fee. I Tow " I ,
Cross street/directions to job site: New residential singly- or multi-family dwelling unit.
Includes attached garage.
1,000 sq. ft or loss - _ 145.15 4
Subdivision: I Lot no.: Ea. add'l 500 sq. 8. or portion 33.40 1 _
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
, •. ' . DESCRIPTION' OF: WORKS • • • ' Each manufactured or modular -
,� /t 9t1�1 dwelling. service and/or feeder 90.90 2
6() Aryl a /2/klubry 1i1 , services or feeders Installation. awe tion, and/or relocation
200 amps or Icss / 80.30 pil,3 2
❑ PROPERTY OWNER , ' a TENANT
201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 601 amps to 1.000 amps 240.60 2
Address: Over 1,000 amps or volts _ 454.65 2
Reconnect only 66.85 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
I Fax: ( ) reloeation _ _ -
Phone: ( ) 200 amps or less 66.85 1 _
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 an 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
. CI. APP,LLCANT .... , . .. 1 1 • ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fce, cacti 6.65 2
Business name: branch circuit
B. Fcc for branch circuits
Contact name: without service or feeder fee,
46'85 2
first branch circuit
Address: _ Each add'I branch circuit 6.65 2
City/State/ZTP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax:. ( ) Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limitcd-
CONTRACTOR energy panel, alteration, or
- extension. Describe: Page 2 2
Business name: STONER ELECTRIC - _
Address: 1904 SE OCHOCO Each additional Inspection over allowable in any of the above
Per inspection - 62.50
City/State /ZIP: MILWAUKIE, OR investigation perhour(1 hr min) 6250
Phone: (503) 4624500 I Fax: (503) 659 industrial plant per hour 93.75
ELECTRICAL' °PERMI•I;' FEF9 *; ' • -' : •'
CCB Lic.: 44823 Electrical Lic.: 26 -122C I Suprv. Lic.: 3496 Subtotal I 30
Suprv. Electrician signature, required: tn �,,„„... Plan review (25% of permit fee)
State surcharge (8% of permit fee) 6 • 4)1.
Print name: MICHAEL FALCONER Dare: 60/-7/20477
TOTAL PERMIT FEE w • 7/1.
Authorized signature: Thlr permit application expires its permit is rat obtained within 180
- days oiler it burr been 'Detepeed as complete
Print name: I Date: • Prat mnbnrinlnvv del by Tn-f r,mro Ainl twl.rde. Re -eY∎n' 13nnrd
CITY OF TIGARD
BUILDING DIVISION PERMIT #: F_LC2007- 00330
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2007
Phone: (503) 639 - 4171 4,
Inspection Requests (24 Hrs.): (503) 639 -4175 °'! � 1
INSPECTION WORKSHEET FOR DATE: /2120/2007 TIME: 7:01AM PAGE: 10
SITE ADDRESS: 11 555 SW L3BTH AVE 4 CLASS OF WORK:
SUBDIVISION: PARK PLACE GARDEN APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: PARK PLACE APTS
DESCRIPTION: 100 amp panel change in unit D4
OWNER: PARKER, JEROME W TRUSTEE, PHONE #:
CONTRACTOR: STONER ELECTRIC PHONE #: 503.462 -6500
Inspection Request Scheduled For: Date: 12/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 06195 0' 503.347 -5238 Y
Corrections /Comments /Instructions:
1.. PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G". N (Lk12) Date: jO1 Phone #: (503) 718- 2., •