Permit CITY OF TIGARD ELECTRICAL PERMIT
• '. COMMUNITY DEVELOPMENT Permit #: ELC2009 -00154
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/08/2009
Parcel: 2S110AC00400
Jurisdiction: Tigard
Site address: 14729 SW 109TH AVE 1 -4
Subdivision: TIMBERLINE APARTMENTS Lot: 0
Project: Timberline Apartments
Project Description: Reattach meter base.
Owner: FEES
TIMBERLINE APARTMENTS LLC Quantity Description Date Amount
5335 SW MEADOWS RD STE 190 1 ea Services or Feeders - 200 04/08/2009 $80.30
LAKE OSWEGO, OR 97035 amps or less
PHONE: 1 ea 12% State Surcharge - 04/08/2009 $9.64
Electrical
Contractor:
WEST SIDE ELECTRIC CO INC
1834 SE 8TH AVE
PORTLAND, OR 97214
PHONE: 503 - 231 -1548
FAX: 503 - 736 -0677
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $89.94
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 0 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344
Issued By: L� l CZ l 1 �� L h Q Permittee Signature: _ Vita e' /
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.
•
Electrical Permit Applica \ \JE® FOR OFFICE USE ONLY
City of Tigard .. �( 1° _ I atcrny: ( )� Prrmil No.: ♦ 2C\ l 1 �/tJ
" 131'25 SW !tall Blvd., Tigard, OR 972 ` man Review
!'belle; 503,639,4171 R:Ix; 503.598.1W/ R p _I)ahIIt : Ul6crI'cnuit:
TIGARD Inspection Line: 5(3.6.49.4175 o 11G Dail: talc RcLJy /1ty: Juris:_ —_ nine 2 fur
it11Cr71 {`i; WW W,ti,!:1fd- nr.,��W Gt e`G,p�V�,7�pN Nuli ` - ( , Fd Si e Nupplcincnla I Gdurutatiun
r...1 f'� 1 a ..
TYPF. OF .. ... .. PLAN 3tICVIT +,W
0 New construction 1 I'Iosso owe', ell lhhl Apply (u,bmil '2 sots of phus whteos checked i,cltnv):
t Add lit)n /aht,'rlttion/R.pltu:cmcn(
0 S r Viee or (te jer 400 amps ur note ❑ Itioldilly, Over Ibreo stories.
® I)en)olitinu ❑ Other: where the available Paull carrell. ❑ Marina,: anti boatyards.
CATEGORY OF CONSTRUCTION
nxcrtals 10,000 amps at 150 volts or ❑kpryiin buildings,
�� loss to gri,und, or ,:nooxls t4,600 0 t'oml reial -use aNri:.uhurul
L
y II I- and 2 -t mily dweliing ❑ Commercial /industrial ❑ Accessory building mops 1 }ua(I oilier install:Mom. buildiofx.
L'LL Multi- ttlmily 0 Master builder 0 Other: ❑ Fire pump, in b,sudlatiuu all KVA ur
T - -- ❑ IImurlh7ne) system. Iwo sep;val dorivett system.
JOB SITU INFORMATION AND LOCATION ❑ Addition ul' motor' loud of ❑ "A" "1:' ' 1 -t" "I -
Job no.: [( r Job tiitt. address: 7 �f / f �. _ 1 t „.,1' or mom occupancy.
� f J:? ` ! z' ( `} / L/ ` _ ❑tits or away n'si(lonti;,( elite. ❑ l4o e- tiun tl vehicle. pucks.
� �� ❑ 156:11111 -eltR. 1ilGilili.l, ❑ Supply vuhagc liar twat Man
City/State./ZIP: ( / c am. L . ”" t .._ . ❑ lia/.u'duus IuC:11i ll7s. (41(1 volts irooiird.
Suite /bid};. /apt. no.! ' name: J�� ! 0&crv:ee of fcrdci 66(l:mnpu or moue.
_� ._.. I Protect n
. .., 't'r J (. v�.__..� q _- -� FEE St" IIEDULE
C'Imiu street/directions to job site: a _„ j.rw, L _no. I ''rout I •
New residential single- or tnulli- family llweniog await.
Includes attached garage.
Subdivision: Lot no.: 1.000 sq. rl, or less 1 145.15 - 4
Tax map/parcel no.: Ea. add'I 500 sy. 0. or portion 33,40 1
i,imitct( energy, residential 75.(10 2
l mSCRtP'IION OF WORK (wail above se. ft.)
'rip +A'n (r Limited energy, umlti-lami(y 5 {)ll
Y ` Kt rV`c r Oa ._.. > /C � `.V�o v +/J v resident i:f1(wiih . q.IL}
\ 7.
� Services Or fellers installation, alteration, and /or relocation
f1l + ,' G� v r.' rei . ..,.... 200 amps or lean li().3U r 3i) 2
PROPERTY O eat w
Q TENANT ? { }l amps to 4t1(i amps 1 116. t5 7
Minter �,I r 401 mops to (100 amps 160.60 2
• ' + ,� "'- , • ` 601 amps to 1,I00 amps 240.60 2
Atltlre.sx: 5 `../ lL cr y �,& * 1 q 6 Over I,tN)0 amps or volts 454.65 — 2
('ity /Slafd %iP; ir+w� 6 [� � ? Fti Temporary services or feeders inslatla(iOU, ;alteration, and /or
/4 Phone: ( ) ?b: 'Y etoo tax; ( /UU amps ur tees 66.85 I
2
Owner instillation: This installation is being made on propvtty that t own which is not 201 arttl, to 400 am l00 .30 y
intended for sale, lease, rent, or exchange, according to (/RS 447, 449, 670, and 701. 401 amps to 599 amps (11.75 2
- -- _-- s new, alteration, or extension. )er I:rr141_„
OWnersi,nalllre:
unmet. circuits .._-
,.,,,, ,,,, I }ate;
...._,__._.__ . A. rest Iir branch circuits with
❑ APPLICANT I ❑ CONTACT PERSON shove service or feeder fee, 6,65 2
.. _. ° _each branch circuit
131ISP1ess nail ; ti FCC ler branch circuits _ ..
^ -- - -- tvilI mil service or feeder foe,
C'unlat t n'lnw
lirst branch circuit 46.85 2
Address: Hach add'l branch circuit 6.65 2
- - -.... - -- -- -.— Miscellaneous wervice or feeder not included)
City /State / %I P: t:aclr maim laeturedormodular 90.90
dwelling, service and /or feeder
Phone; ( ) Fax: ( ) Reconnect only 66.85 — 2
E-mail: Pump or irri(;;rtipn circle 5340 2
CONTRAC'I'Olt SiI!n or outline lighting _ 53.40 2
Signal cireuit(s) or limited .
e; WE, SIDE ELEC"IRIC CO:
Business neat T .._ _ -... .., energy panel, alteration, or
Address: 1834 SF 8' AVE. extension. Describe: Page 2 2
city/state/ /,1P; PORTLAND, OR 97214 Each additionnl inspection over allowable in any of the above
_.., _ -- • PO' inspection 62.50
Phone; (503) 231 -1548 Fax: (503) 736 -0677 _,.
t _... galiun per buur (l hr rain) 62.10
CCU Lie.: I3306 Electrical Lie.: 2G- tie Suprv. 1,ic..: 465¢S !\ ` iftcla,4trial plant per hour 73.75 ,_
--• e L-l' l . i t i j n ' t-' 1U EI. X l'RICAL PERMIT FICE -
r
Saiprv. iilectrictan signature, required; / "`� - ,, .4,....,. `e 'c ?(. ( . / / L l = - -- Subtotal: a�. 30
— P ion review (2'1.4 of pull) fee):
Print note: RANIlALL itt)1t1 ?R'TS Dale; C'i ; tri,,'p, ' - /�� -
Statesurvharl ;c:(12 % ofpermitIce): L
Authorized signature_ L/ l TOTAL. PERMIT Irbil:: '( ( , Qf -
i' - flits permit apptiration expires if a permit Is not obtained within Intl
Print name:
— Date: day. race it has ecru accepted as compbetr.
• Nether or inspw:NM :mowed filer permit.
I:tl.viktinorc.. rt'- ucvn,itnpp.d.'c U5/23tt1n 440-44 I •rr(ttsutr 1trsrwtut
Z LL90 -9EL (E0S) '00 PT-4 0ai3 aPTS '4sa0 aL2 80 60 L0 -led