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Permit
` CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006-10041 3/13/2006 • I DEVELOPMENT SERVICES DATE IS 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 115AA -00100 SITE ADDRESS: 16106 SW 108TH AVE 1 ZONING: R -25 SUBDIVISION: DURHAM PARK APARTMENTS LOT : 036 JURISDICTION: TIG 1 Project Description: POOL BRANCH CIRCUIT 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: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 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: DURHAM PARK LTD PTNRSHP ALL PRO ELECTRIC INC 1525 SW PARK AVE SUITE 200 5224 SW DOSCH ROAD PORTLAND, OR 97205 PORTLAND, OR 97201 -1255 Phone: Contact #: PRI 503 - 246 -0361 FEES Description Date Amount Reg #: ELE 26 -1099C [ELPRMT] ELC Permit 4/3/2006 $46.85 LIC 148108 [TAX] 8% State Surcharge 4/3/2006 $3.75 SUP 4630S Total $50.60 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: Ji_a ji.AL Permittee Signature: Y A. CC.t.. - ( — ``_ 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. Mo lay, March 13, 2006 10:58 AM All Pro Electric, Inc. 503 - 246 -0406 p.02 Electrical Permit I V r Et FOR OFFICE USE ONLY City of Tigard s nos _ / Ga. Permit No _ �� . *709/ 13125 SW Hall Blvd., Tigard, OR 97223 n�+ Plan Phone: 503.639.4171 Fax: 503.598.1960MAR 13 2006 ,, ilh , , "• D � ; . Other Permit: Inspection Line: 503.639.4175 - ‘, I, Date Ready/By: IMII H See Page 2 for Internet: www.ci.tigard.or.us CITY ()F 1-1ll '' / Notified/Method: Supplemental information N /1Si PLAN REVIEW I ❑ New construction § 1 to alteration/replacement Please check all that apply: ❑ Demolition ❑ Other ❑Service over 225 amps, comm'l ['Hazardous location • ['Service over 320 amps -- rating ❑liuildng 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 ['System over 600 volts nominal units in one structure ® Multi- family ❑ Master builder ❑ Other: ❑Building over three stories ❑Feeders, 400 amps or more ['Egress/lighting SITE INFORMATION AND p A170N ❑Occupant load over 99 persons ❑RV park structures or / Egress/lighting plan Job no.: I Job site address: � t / 08A C ❑Health can facility ❑tether: / r Submit 2 sets of plans with any of the above. City /State/ZIP; "n th 0` OA q 7 22-c1 The above are not applicable to temporary construction service. Suite/bldg./apt. no.: Project name : /L. ��,,,�, FEE* SCHEDULE _ Description I Qty. I Rea I Total I .. Cross stieel/directions to job site: New reside tial single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft or less 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion _ 33.40 1 Limited energy, residential 75.00 2 Tax map/parcel no.: Limited energy, non residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular Rebonding of swimming pool dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 200 linps or less 80.30 2 ❑ PROPERTY OWNER I ❑ 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 relocation Phone: ( ) Fax: ( ) 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 0 APPLICANT r ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit Contact name: B. Fee for branch circuits without service or feeder fee, J 46.85 W i3 2 Address: first branch circuit / 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: ( ) l Fax: :( ) 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: All Pro Electric, Inc. Address: PMB 280, 6327 -C SW Capitol Highway Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: Portland OR 97239 Investigation per hour (1 hr min) 62.50 Phone: (503) 246 - 0361 Fax: (503) 246 - 0406 Industrial plant per hour 73.75 �/� ELECTRICAL PERMIT FEES* CCB Lie.: 148108 Electrical Lic.: 26 -1099 Suprv. Lic.: S Subtotal 46 '85 Suprv. Electrician signature, required: '"' Plan review (25% of permit fee) .� ` State surcharge (8% of permit fee) 3 , 1 5 Print name: KeJ ) N .E.,- o©c Date: (3/ X 3 TOTAL PERMIT FEE 51y Q Authorized signature: � 4- �s� This permit application expires if a permit is not obtained whin ISO days after it bas been accepted as complete Print name: 1-� L,2_ie-i 0 , ©5 Date: c 3// 3 h23 + Fee methodology set by Tri -County Building Industry Service Board " Number of inspections per permit allowed. i;\ Building \1'amitstELC- PermitApp.doc 12/03 440- 4615T00/O2 /COM/WEB CITY OF TIGARD c BUILDING DIVISION PERMIT # : 2 _ 0 0 - 7CO'¢/ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 "'N11i41i�+4I� "�� Inspection Requests (24 Hrs.): (503) 639 -4175 �+� INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / (p (00 / O CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: P,� -a4 PHONE #: CONTRACTOR: p k PHONE #: Inspection Request Scheduled For: Date: 3.- /6,-.0(0 Pour Time: Code # Inspection Description / Confirm # Contact # Message • 1 SU // 1 -f�'� 576-7(03S" Ctctions /Comments / Instructions: a ON NNK6 6\- Y N Tf . �o� 1 � -hry s ► ckl st_ RA cskt_ 0.��L • • -1\ti c5-, t4,06S c -� PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (eAl , i 11 66 Date: 3/' bb Phone #: (503) 718- 2�'7�