Permit CITY OF TIGARD ELECTRICAL PERMIT
1 — COMMUNITY DEVELOPMENT Permit #: ELC2011 -00030
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/12/2011
Parcel: 1 S134BC00403
Jurisdiction: Tigard
Site address: 12505 SW NORTH DAKOTA ST 1908
Project: Meadow Creek Apartments Subdivision: Lot: 0
Project Description: (1) 200 amp panel
Contractor: VANGUARD ELECTRIC INC. Owner: BEL -EQR III LIMITED PARTNERSHIP
3800 MORRIS ST BY EQR -REAL ESTATE DEPT
NEWBERG, OR 97132 PO BOX 87407
CHICAGO, IL 60680
PHONE: 503 - 537 -5006 PHONE:
FAX: 503 - 537 -5019 •
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 01/12/2011 $100.70
Specifics: amps or less
1 ea 12% State Surcharge - 01/12/2011 $12.08
Type of Use: MF 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 - 00100 '. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
,�/_/
Issued By: I/ ■.rlll! /1 Permittee Signature: vN ��G � d
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.
Jan 10 11 05:13p Vanguard Electric 5035375019 p.2
i 'P Electrical Permit Application E `• ` FOR OFFICE I ONLY
City of Tigard JAN 1 2011 Datte/Bv: i �i�Jl CLCo?d / v
P ermit No ,_ ►
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 ®F TIG / * p8f Other Permit:
T I G A R D Inspection Line: 503.639.4175 TTY to ReadylBy: &! See Page 2 for
Internet: www.tigard-or.gov BUILDING
t tvletltod
' Supplemental Information
TYPE OF WORK I PLAN REVIEW
❑ New construction ® Addition /alteration /replacement Please check all that 'apply (submit 2 sets of plans wlitems checked below):
❑ Demolition Other; ❑ Service or fecder 1400 amps or more ID Building over three stories.
where the available Paull current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 mops at 150 volts or ❑ Floating buildings.
less to ground, orlexceeds 14.000 0 Commercial -use agricultural
❑ 1 - and 2- family dwelling 0 Commercial/industrial 0 Accessory building amps for all othe installations. buildings.
® Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. P- � ❑Installation of 75 K V.4 or
JOB SITE INFORMATION AND LOCATION
0 Emergency system. larger separately derived system.
❑Addition of new motor load of
Job no.: 11 MEAD22 Job site address: .12505 SW North Dakota tooxP ormore. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: Tigard • ' 223 /f (A 1�- 9 54 .,..... .,.. :76 . k. ' � " �� J 7 .�' ea h -care faciliies. ❑ Supply voltage for more an
�� rdous locations. than 600 volts nominal,
Suite/b1dg. /a 1 '. no.: 1908 1 Project name: Panel repair ❑ Service or feeder 600 amps or more.
Cross street/al . - • job site: Scholls Ferry and SW North Dakota D FEE SCHEDULE
Description I 1 Qty. I pee, I Total I"
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less I 168.54 4
Tax map /parcel no.: /" y� yob Ea. 500 sq. !d residential
DESCRIPTION OF WORK (with above sq. fl.) 75.00 2
Limited energy, multi - family
Replace burt panel parts. residential (with above sq. It.) ; 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less ! I i 100.70 100.70 2
® PROPERTY OWNER I 0 TENANT 201 amps to 400 amps 133.56 2
Name: Essex Property Management 401 amps to 600 amps 200.34 2
601 amps to 1,000 ainps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
City %State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503)590 0990 Fax: ( ) 200 amps or less 1 59.36 I
Owner installs tion: This installation is being made on property' that I own which is not 201 amps to 400 amp: 125.08 2
2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168 54
Branch circuits — new, alteration, or extension, Per panel
Owner signature: Date: A. Fee for branch circuits with
l CI PERSON above service or feeder fee,
l APPLICANT
each branch circuit 7.42 2
Business name. Vanguard Electric, Inc. B. Fee for branch circuits without
service or feeder fee, first
Contact name: kris Strange j q •
branch circuit ; 56.18 2
v� � l Each add'l branch circuit 7.42 2
Address: 3800 • orris St. Miscellaneous (service or feeder not included)
City /State /ZIP: ewberg, Or 97132 Each manufactured or modular 67 84 2
dwelling, service and/or feeder
Phone: (503) t 7 5006 Fax: : (503) 537 5019 - Reconnect only 1 67.84 2
E -mail: vangu ..rdelectric @gmail.com
Pump or irrigation title 67.84 2
Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s) or limited energy
Business name: Vanguard Electric, Inc. panel, alteration, or extension. Page 2 l 2
Each additional inspection over allowable in any of the above
Address: 3800 orris St. Additional inspection (1 hr min) 6625/hr
City /State /ZIP: ewberg, Or 97132 __ Investigation (I hr min) 66.25i hr
Industrial plant (1 hr inin) 78.18 / hr
one: (_503) 53 5006 min) 90.00 / hr
ELECTRICAL PERMIT FEES
136F-11-;(0:4(c5413) 537 . 4'14 Inspections for which no fee is
specifically listed CAM
CCB Lic.: 16' :65 Electrical Lie.: t Suprv. Lic.: 4880s
Suprv. Electrici: signature, required: • /�� 40,-401P I � f , �" o Subtotal: 100.70
�,�-��. _ _� Plan review (25 /v of permit fee):
Print name: Ch 's Strange �-1'ri State sur4harge (12% of permit fee): 12.08 /
Authorized signature: TOTAL PERMIT FEE: I12.78 '✓
This permit application expires if a permit is not obtained within 130
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
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