Permit CITY OF TIGARD • ELECTRICAL PERMIT
PERMIT #: ELC2006 -00374
i, DEVELOPMENT SERVICES DATE ISSUED: 7/10/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S 135DD -03300
SITE ADDRESS: 11555 SW 88TH AVE 5 -8 ZONING: R -12
SUBDIVISION: PARK PLACE GARDEN APARTMENTS LOT : JURISDICTION: TIG
Project Description: Unit B -7. Change out panel - 125 amp. Job # 71715.
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 L H MORRIS ELECTRIC INC
BY SUMMIT REAL ESTATE MANAGEME 7051 SW SANDBURG ST, #100
5320 SW MACADAM AVE TIGARD, OR 97223
PORTLAND, OR 97201
Phone: Contact #: PRI 503 - 639 -2334
FAX 503 - 620 -7405
FEES
Description Date Amount Reg #: ELE 20 - 39C
[ELPRMT] ELC Permit 7/10/2006 $80.30 LIC 1838
[TAX] 8% State Surcharge 7/10/2006 $6.42 SUP 3006S
•
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: Permittee Signature: Vs\
OWNER INSTALLATION ONLY \ p
�
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.
' Electrical Permit Application • - • FOR OFFICE I SE ONLY
•
City of Tigard Rec y / - - / L 0 O Permit No.: � � . qy
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review f
Phone: 503.639.4171 Fax: 503.598.1960 /dttir" piq",? ' l 1\ Date/By: Other Permit:
Inspection Line: 503.639.4175 ' I, Date Ready/By: 1uds: � ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: 'r ! ( Supplemental Information
E OF WORK PLAN REVIEW
❑ New construction ddition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: ❑Service over 225 amps, comm'l El Hazardous location
❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building El System over 600 volts nominal units in one structure
`'Multi- family ❑Master builder ❑Other: ❑Building over three stories OFeeders, 400 amps or more
/ ['Occupant load over 99 persons ['Manufactured structures or
JOB SITE INFORMATION AND LOCATION" ❑Egress/lighting plan RV park
El Health-care facility ['Other:
Job no.: 71715 Job site address: 11555 S W 88TH AVE Submit 2 sets of plans with any of the above.
City/State /ZIP: T IGARD 97223 The above are not applicable to temporary construction service.
FEE* SCHEDULE
Suite/bldg. /apt. no.:B -7 Project name: PARKPLACE APTS
Description I Qty. i Fee. 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 I. . 14
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion _ 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
1 2 5 A MP dwelling, service and /or feeder 90.90 2
CHANGE OUT PANEL — Services or feeders installation, alteration, and/or relocation
200 amps or less 1 80.30 80.3 C 2
201 amps to 400 amps 106.85 2
XPROPERTY OWNER , CI 'MAW , , : " 401 amps to 600 amps 160.60 2
Name: 1616 SHORELINE LLC 6ol amps to 1,000amps 240.60 2
Address: 182 HOWARD ST #6 Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State /ZIP: SAN FRANCISCO CA 94107 Temporary services or feeders installation, alteration, and/or
Phone: ( ) I F ax: ( ) 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
❑ APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: L.H. MORRIS ELECTRIC INC branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
each branch circuit 46.85 2
Address:
Each add'l branch circuit 6.65 2
City/State /ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) 639 I Fax: :( ) 620-7405 Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: L.H. MORRIS ELECTRIC INC
Address: 7051 SW SANDBURG ST #100 Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State /ZIP: TIGARD OR 97223 Investigation per hour (1 hr min) 62.50
Phone: (503) 639 -2334 I Fax: (503) 620 -7405 1 1- G Industrial plant per hour 73.75
ot ELECTRICAL PERMIT FEES*
CCB Lic.: 1838 C ` ` D Electrical - ic.: 20 -39C I Suprv. Lic.: 3006S Subtotal 80.30
Suprv. Electrician signature, require
9(i'll £ Plan review (25% of permit fee)
/ State surcharge (8% of permit fee) 6.42
Print name: GARY PEOPLES Date`l 7/ �1 TOTAL PERMIT FEE 86.72
Authorized signature: ( l This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: ■ Fee methodology set by Tri- County Building Industry Service Board
•• Number of inspections per permit allowed.
is\Building\ Permits \ELC- PemvtApp.doc 12/03 440.4615r(10/02/COM/WEB
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: ELC2006-00314
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/101 j0p f
Phone: (503) 639 -4171 7 .,�� , c, 11 16 � 1 1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 817/2005 TIME 7:02AM PAGE: 66
SITE ADDRESS: 11555 SW 88TH AVE 5-8 CLASS OF WORK:
SUBDIVISION: PARK PLACE GARDEN APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: PARK PLACE GARDEN APTS
DESCRIPTION: Unit B-7. Change out panel - 125 amp. Job # 71715.
OWNER: PARKER, JEROME 1NTRUSTEE. PHONE #:
CONTRACTOR: L H MORRIS ELECTRIC INC PHONE #: 503 - 639.2334
Inspection Request Scheduled For: Date: 8/7/2005 Pour Time:
Co. - # Inspection Description Confirm # Contact # Message
ec ical se - 034445 -01 503 - 620.0415 N
Corre '. ns /Commen' s/ nstruc ' ns:
\I:1
J S PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N 0Q c Date: %'1' Phone #: (503) 718- 'Ail_