Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00341
I
DEVELOPMENT SERVICES DATE ISSUED: 6/3/2005
' I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 115AA -OTOOA
SITE ADDRESS: 10932 SW DURHAM RD BLDG E ZONING: R -25
SUBDIVISION: OAK TREE APARTMENTS LOT : OOA JURISDICTION: TIG
Project Description: Rough - in & service for (24) units.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 1.00 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 1 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL:
MANF HM/ SVC/ FDR: 23 601 +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:
OT2 LLC SPECTRUM ELECTRIC
5437 ROSALIA WAY SUITE 100 2050 VISTA AVE. SE #100
LAKE OSWEGO, OR 97035 SALEM, OR 97302
Phone: 503 - 620 -4373 Phone: 503 - 361 -1256
FEES Reg #: ELE 24 -353C
LIP 116453
Description Date Amount
22235
SUP 225
[ELPRMT] ELC Permit 6/3/2005 $2,312.29
[ELPLCK] ELC Pin Rev 6/3/2005 $578.07 REQUIRED ITEMS AND REPORTS
[TAX] 8% State Surcharge 6/3/2005 $184.98
Total $3,075.34
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: �, j i Z/AeZf Permittee Signatur-.
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.
T
Electrical Permit Application • - •.• -..:,FOR OFFICE USE ONLY
City of Tigard
R EC
JOVE. Received/ i ;. _
DateBy: '1 ') L., }---- Permit No (I '• ••••••- ' 1 ' '
• ( ----11°.) 4.7 / •
13125 SW Hall Blvd., Tigard, OR 97223 -
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 , - 44741 4411 ti'\ Date/By:
,. Other Permit tA,V. fi'd y6.5"
Inspection Line: 503.639.4175 :ij;1. f,,,1 In ■ . • uu , ,. I I .
.,-. , . .... „., ,. u . -.... Date Ready/By: Jurist , i El See Page 2 for
___
Internet: www.ci.tigard.or.us Notified/Method: -1- I lf Supplemental Information
0..cry (-IP T ir'y A., R n
Pil, Malwg'"'''"'SwaVIMS*'"'''"'' '''. -'1.z.. •
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New construction 111 Addition/alteration/replacement Please check all that apply:
EService over 225 amps, comm'l OHazardous location
D einglition 0 Other:
oService over 320 amps - rating OBuildng over 10,000 sq. ft.,
residential
...11.1,..aatia.tensiirivreiiing 111 Commercial/industrial 0 Accessory building D System over 600 volts nominal units in one structure
OBuilding over three stories OFeeders, 400 amps or more
)4ulti . , 0 Master builder r] Other:
DOccupant load over 99 persons El Manufactured structures or
w: , 54_7--], , ...ku-v- , ,' :-- 0.12, ": • ,' , ,, , tm,
WtA 3 IDEgress/lighting plan RV. park
ElHealth-care facility ['Other:
Job no.: Job site address: 5 ze, ,* cy.../
Submit 2 sets of plans with any of the above.
City/State/ZIP: . 9 z) 6././ . /?0/96 The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: Project name: - . - MIMMANIMNIRVIME ::••••• 2- ' . '
Description I Qty. I Fee. I Total I "*
Cross street/directions to job site: ./ ' --) 5 New residential single- or multi-family dwelling unit.
.
/ - ' - AP ` Includes attached garage. • . / .
•
,,s•
6 LLL/ d.,(4. E A 1 1,000 sq. ft. or less / 145.15 PY'r .A H 6. 4.
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion / 33.40 33 -r,..H1
Limited energy, residential • 75.00 2
Tax map/parcel no.:
Limited energy, non-residential 75.00 •
WAVAAPRitliniMiinAMIMMWAYeaVAULW,IMMVOAlinn
• .-': -- _*• , .Pim.14' ANe I
E r .,,;,' iii .- 11 ' • - .1•5
' y m,411,,ri ,
zi.:. -Ii• 4.- f5t5 ,3163 2
Z - 7(77 4 7 1 /c.- /9 / - /A-/ - y - Se2(1/6/ ' er ces or 'fee. ers installation, alteration, and/or re oc%
200 amps or less / 80.30 2
VX-rw...tr,;:cAriati, 201 amps to 400 amps 106.85 2
Utiii`64C P.44-4441:_tegngSMR4WV-YASIMMIIIII 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: ( ) I 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
1 . 1'" , -W`,..' , 'N'T , RWV/.. , .. -, R-- -4 1' 4 •45,% ,, ;'
A. F for branch circuits with
gk - ee
service or feeder fee, each
6.65 2
Business name: s T ga 411 ,l::2/,5;:: 7-/ /6 . . branch circuit
B. Fee for branch circuits
Contact name: ?/..-- .DezA)/tj ,/' without service or feeder fee,
46.85 2
each branch circuit
Address: ,. 7 . 5 , 6-6) j*: ./ 5/e; ,.. 57Z - . JtZ c
Each add'l branch circuit 6.65 2
City/State/ZIP: ... 57,..2 . ‘ ,r)/n 072-- 973.%7 -2- Miscellaneous (service or feeder not included)
- Pump or irrigation circle 53.40
Phone: (So 3 )3 ./ 5 I Fax: : (Sa3 ) 36/_sy/0
Sign or outline li 2 ghting 53.40 2
E-mail: Signal circuit(s) or limited-
eitannlagallingalOMMAMISTWASSENZEMe en erg Y panel alteration ' or
extension. Describe: Page 2 2
...,..,:, Business name: 5 - t , 7 t. , 425 A67
Each additional inspection over allowable in any of the above
7.,.. Address:
s‘.. Per inspection 62.50
City/State/ZIP: . Investigation per hour (1 hi mitt) 62.50
Phone: ( ) Fax ( . ) , Industrial plant per hour 73.75 ,
Vg VEFP
,..: COB Lic.xX3:13 Electrical Lic,?V Suprv. Lic.:ge??3 Subtotal 10 / 72,
•
b
.
Suprv. Electrician signature, requirece , ./' 7 - ii - Plan review (25% of permit fee) •
State surcharge (8% of permit fee) i y 12
Print name: y 7 4/ z:)&y A j . Date: ... 9 .., 3 -
TOTAL PERMIT FEE 5071c '
Authorized signature: 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.
i: \Building \Permits \ELC-PeemitApp.doc 12J03 440-4615T(10/02/COM/WEB