Permit CITY OF TIGARD ELECTRICAL PERMIT
311 7
PER #: ELC2007 -00249
COMMUNITY DEVELOPMENT DATE IS 4/18/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112BA - 00300
SITE ADDRESS: 07645 SW BONITA RD 3 ZONING: R -12
SUBDIVISION: MARCIENE TERRACE APARTMENTS LOT : JURISDICTION: TIG
PROJECT: PACIFIC NORTHWEST ELECTRIC
Project Description: Replace damaged meter base.
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: 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:
TOM ROGERS LURMANN LLC PACIFIC NORTHWEST ELECTRIC INC
PO BOX 1185 PO BOX 310
LAKE OSWEGO, OR 97035 OREGON CITY, OR 97045
Phone: (503) 704 - 0000 Contact #: PRl 503 -657 -1188
FAX 503 - 722 -9058
FEES
Description Date Amount Reg #: ELE C6
[ELPRMT] ELC Permit 4/18/2007 $80.30 LIC 162893
[TAX] 8% State Surcharge 4/18/2007 $6.42 SUP 5089S
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 Bye ,4 w C
4 / � ` ' f� Permittee Signature: S I l o-�1 o r
C 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.
04 ::/17!2007 • 00:30 5037229058
te PACIFIC NW ELECTRIC PAGE 01102
r _ =... -�.
FOR OFFICE, USE ONLY
]Electrical Permit A. Received Permit NO. : 2001 - c02 -4
City of Tigard f]atc /fay:
Plan Review
Phone: 503, Other Permit:
13125 SW Halt ,4171 Tigard, Fax: 5 03 '.5° FE, . ',1 A t C E W ED Y 4,,, ' ,,,I. ,W { +\ Date /f3 : ?una: See Page 2 for
�, r +1 l
(f39,4l71 03 i ''.4 Date Ready gyt g „pp)emeatal Ihfnrmnl.inn
in Liner 503,6i:i9.417 ' Notified /Method; _
Intcmct www.ci.tigard.or.us APR - • • . . , :>;1, ; REVIIEW
• ■,.. WORK ', . .
ilb :a, tri - ep1aCECtICn
Please check all that apply:
❑ New constriction Cq 1 ' • SION ❑Service over 225 amps, comm'l ❑1laz.ardous location
❑ Demolition 0 Other; ❑Scrvicc over 320 amps - rating dBuildng over 10.000 sq. ft.,
CATEGORY OF CONST,RUCTiON' . , of I • and 2 - family dwellings 4 or more now residential
['System in one structure
System over 600 volts nominal units in
amps or more
0 I - and 2 - family dwelling ❑ Commercial/industrial ❑ Accessory building ['Building over three stories
❑ Multi ❑ Master builder ❑ Other: Occu ant load over 99 persons ❑Manufactured structures or
❑ p RV park
❑Egress /lighting plan ❑Other:
JOB Si .1NF01?MA TION AND :LOCATION ? ❑Health -care facility
Joh no.: .fob site address: /9 t' . (s) by ' At 1 - • •v Submit ? sets of plans with any of the about.
The above are not applicable to temporary construction service.
Cit /St / LIP: OR- ' F ;E* SC.k -.
u�ttrsrti
Pro ect name: _ m, ty. i Fee. 7 Total I `”
Suite /bldg. /apt, no.: ] — ._
New residential single - or multi - family dwelling unit.
Cross street/directions -
to job site: Includes attached garage.
1 , 000 sq, ft, or less 145.15 4
Ea, add'l 500 sq. B. or portion 33,40 1 _
Subdivision: Lot no.: Limited energy, residential 75.0 2
Tax map /parcel no.:
_ Limited energy, non- residential 75,00 2
DESCRIPTION OF WORK Each manufactured or modular 90,90 2
dwelling. service and /or feeder
G - „�, � � , qt/) 0. ' _ Services nr [el dt rs Installation, alteration. and /or rehrcntion
I �I� �lW�! J 200 amps or less 80.30 90t0,, 2
201 amps to 400 amps 106.85 2
�~ ❑ TENANT 160.60 2
❑ PROPERTY OWNER - 401 amps to 600 amps _
t 601 amps to 1,000 amps 240.60 - 2
Name: O ver 1,000 amps or volts 454,65 2 _ •
Address: R econnect only 66.85 2 _
Temporary services or feeders installation, alteration, and /or
City/State/ZIP: relocation
Phone` j 3) t 4rD a b0 i Fax: ( ) 200 amps or less 66.85 I
made on roe that I own which is not 201 amps to 400 amps 100.30 2
Owner installation: This installation is being property - 133.75 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, sand 701. 401 amps to 600 amps . —
Date: Branch circui alteration or extension, per panel
Owner signature: ❑ APPLICANT 0 CONTACT PERSON A. Fcc for branch circuits with
service or feeder fee, each 2
}� -Q�,� branch circuit
- B ,
Business name: 0�i �'-' 6'` �7 --� F G Fcc for branch circuits
h` - 0 without service or feeder fee, 46.85 2
. Contact name: r�// each branch circuit - mil i� 6.65 2
Address: i Ea ch add'l branch circuit _
MisCellaneotrs (service or feeder not included)
City /State /7_1P: -. - Pump or irrigation circle 53.40 2 -
Phone: ( )
`,! Fax : : ( ) Sign or outline lighting 53.40 2
_ _/ ,G Ur) Si circuit(4) or limited -
E -mail 1' ,/ d� . a i _ ` 0 A C 1 S - energy panel, alteration; or
1 CONTRACTOR ' n extension. Describe: Page 2 2
Business name: G � (� Q( IeG ,G�t�LV)( - Each additional inspection aver allowable in any of the above
Address; 6 1.0,315 P — Per inspection 62'50
62.50
C (� - . C Investi per hour (1 hr min)
City /State /7_1P: � �"� �� l u Q,, `(( "t 73.75
Industrial plant per hour
..rr���� n 93 ) 12 $ .. ELECTRICAL PERMIT FEES*
Phone (�tJ�) 4.51-- 7� —_-.I Fax:
Lie.: h 2 V Su rv, Lie,; c Subtotal
CC.B Lic.: � ( _I J E lccl:rical T ic.: c,( I P _ �g� t,.)
Plan review (25%n ofpermil fee)
Sup Electrician signature, required: _
State surcharge (8 °/" of permit fcc) �t
r
ate: ��� 1 - 0 - 7 T tj � ('AI, PERMIT FEE �j�Q- •
Print name: calf 1 r4 Q
Thla permit application expires If a permit fa not ohtnined within 180
Authorized signature: after It has been accepted ns complete
t D aPe: �'� " " fcc methodology net by Tn•Cnunty Building lndu.atry Service Board
Printname:�� yy3t " Number af inapcctioMe per permit allowed,
44o.an I ill I o /o2!ct )M /wCa
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00249
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/18/2007
Phone: (503) 639 -4171 /uaupPi�� •
Inspection Requests (24 Hrs.): (503) 639 -4175 - A_..
INSPECTION WORKSHEET FOR DATE: 4/19/2007 TIME: 7:01AM PAGE: 35
SITE ADDRESS: 07645 SW BONITA RD 3 CLASS OF WORK:
SUBDIVISION: MARCIENE TERRACE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: PACIFIC NORTHWEST ELECTRIC
DESCRIPTION: Replace damaged meterbase,
OWNER: LURMANN LLC, TOM ROGERS PHONE #: (603) 704 -0000
CONTRACTOR: PACIFIC NORTHWEST ELECTRIC INC ‹ p\ PHONE #: 503-657-1180
Inspection Request Scheduled For: Date: 4/19/2007 Pour Time:
Code # Inspection Description Confirm Contact # Message
199 Electrical final 046789.01 503 -6557 -1188 Y
Corrections /Comments /Instructions:
•
1 PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
•
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 68 L6.. Date: 4, I If (1) Phone #: (503) 718- Z4410