Permit C ITY OF TIGARD ELECTRICAL PERMIT
oi PERMIT #: ELC2007 -00277
COMMUNITY DEVELOPMENT DATE ISSUED: 4/26/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135DD-03703
SITE ADDRESS: 11624 SW LOMITA AVE A -5 ZONING: R -12
SUBDIVISION: PLAZA GARDEN WEST APARTMENTS LOT : JURISDICTION: TIG
PROJECT: PARK PLACE APTS.
Project Description: Replace 100 amp panel.
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 STONER ELECTRIC
BY SUMMIT REAL ESTATE MANAGEME 1904 SE OCHOCO STREET
5320 SW MACADAM AVE MILWAUKIE, OR 97222
PORTLAND, OR 97201
Phone: Contact #: FAX 503 - 659 -2824
PRI 503 - 462 -6500
FEES
Description Date Amount Reg #: ELE 26 -122C
[ELPRMT] ELC Permit 4/26/2007 $80.30 LIC 44823
[TAX] 8% State Surcharge 4/26/2007 $6.43 SUP 3496S
Total $86.73 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:,1 __A
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.
._/2007 07:34 FAX 5036592824 STONER ELECTRIC al 001
Electrical Permit
Received P No.. _ — - ( , ' City of Tigard Receive / /' 7
1 J 125 S`1' Hall Blvd., Tigard, OR 9 108R 2 5 2007 Plan Review/ Other Pormit: • Phone: 5tii 639.4171 Fax: 503.51 19 ° � i111 DacdB
C ITY OF TIGARD ."�1; nt Ready/ay. Jun 0 Sec Page 2 For
In tcrne %o ).lac: 5 .4175 ' gard. ASR- v Su pp Inform :diem
Notified/Method � pD -
in u-a+w.ci,aigard.Ur.us B , _ 1 '1, I "' '' tt _,,,
XPE OF WORK PLAN REVIEW
A ddition /alteration /replacement Please check all that apply:
❑ �lev� vnstruction ❑Service over 225 amps, comm'1 El Hazardous location
0 DemoEbon ❑ Other: ❑Service over 320 amps - rating ❑ Buildng over 10.000 sq. IL.
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑System over 600 volts nominal units in one strucrurc
El 1- and 2-family dwelling ❑ Commercial /indvslriitl El Accessory buildinL ['Building over three atones El Feeders, 400 amps Or more
' ❑ Multi_imily El Master builder ❑ Other: ❑Occapant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑£gress/lighdng plan RV park
❑Health -care futility DOther: ___ _
Job no.: Job site address: (I (p Z 4 SW I_ G N1 i Y P - Submit 2 sets of plans with any of the above.
The above are not applicable to temporary construction service.
cr /staz< - le O SZ �l 7 12-3
I j� . � J� FEE` SCHEDULE Suiiefbldg apt. no.: A .5 Project name: ��R�!, fT t. 1� Dt,cri I Qg_ I Fee. L . Toms 1 ••
Cross Strett/directions to job site: _ New residenil l single- or multi- family dwelling unit.
Includes attached garage. _
1,000 sq. ft. or less 145.15 _ 4
Subdivisitn:
1,o[ no.: Ea, add'i 500 5 . It or portion 33.40 1
Limited energy, residential 75,00 2
Tax map /}vetch no.: -
Limited energy, non - residential 7 5.00 2
DESCRIPTION OF WORK Each manufactured or modular
dwelling, service and/or feeder 90.90 _ 2
f i. t..A(� I CO A F'AN _ L _ Services of reeder8 installation, alteratlout an d/or relocation
200 amps or less I 80,30 80 .361 2
201 amps to 400 amps 106.85 2
II PROPERTY OWNER 0 TENANT 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454,65 2
Address_ Reconnect only fib -RS 2
City /StatelZUA : Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner insallation: 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 Epp amps L33.75 2
Owner siEnafure: Date: Branch circuits- new, alteration, or extension, per panel
El APPLICANT
l ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each '
G,65 2
Business mme: branch circuit
Q. Fec for branch circuits
Contact name: - without service or feeder fee- 46.85 2
_ first branch circuit
Address' _Each add'I branch circuit 6.65 2
-
City /State/ZIP: J - Miscellaneous (Service or feeder not included)
Pump or irrigation circle 53.40 _ 2
Phone: ( ) Fax: ( ) Sign or outline lighting - 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACrOR energy panel, alteration, or 2
extension. Describe: Page 2
Business tame: STONER ELECTRIC
Each additional inspection over allowable in any of the above
Address: If04 SE OCROCO per inspection 62.50
City /State?IP: MILWAlJKIE, OR Investigation per hour ( 1 hr min) 62 .50
Industrial plant per hour 73,75
Phone: (51K9 462-6500 l Fax: (503) 659 - 4968 ELECTRICAL PERMIT FEES*
CCI3 Lie.: 44821 1 Electrical Lic-: 26 -122C r Suprv. Lie.: 3496 Subtotal ISO '3
11,-..-.- Plan review (25% of permit fee)
- State Ele i icirtn signature. required: � � x.43
r /�7 State surcharge (8% of permit toe)
Print name MICHAEL FALCONER Date: 4! 2 S TOTAL PERMIT FEE tO.7
Authoribac signature: This permit application aspires if a permlt Is not obtained within 180
days after it has been accepted as complete
Print name I Date: - Fen meth` dolnev cr•I No Tri -r nunry Rnil■ In1,.ct F:rrviee Roarrl
CITY OF TIGARD '.
BUILDING DIVISION PERMIT #: ELC2007 -00277
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/26/2007
Phone: (503) 639 -4171 10 111#
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/14/2007 TIME: 7 :00AM PAGE: 76
SITE ADDRESS: 11624 SW LOMITA AVE A - CLASS OF WORK:
SUBDIVISION: PLAZA GARDEN WEST APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: PARK PLACE APTS.
DESCRIPTION: Replace 100 amp panel.
OWNER: PARKER, JEROME WTRUSTEE, PHONE #:
CONTRACTOR: STONER ELECTRIC PHONE #: 503 - 462-6500
Inspection Request Scheduled For: Date: 8/14/2007 Pour Time:
Code # Inspection Description onfirm - # Contact # Message
199 Electrical final �osa942 -01 503- 347 -5238 N Y
Corrections /Comments/ Instructions:
n PARTIAL APPROVAL CANC n NO ACCESS
FAIL CALL FOR INSPECTION I j ADDITIONAL FEES ASSESSED
Inspector: �. �U Date: D 14( 01 Phone #: (503) 718 - 1AVO
CITY ������U��������
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r BUILDING DIVISION PERMIT #: ELC2007'00277
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4K26/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/16/2007 TIME: 7:00AK4 PAGE: 38
SITE ADDRESS: 11624 SVVUOhd|TA AVE 4,5 CLASS OF WORK:
SUBDIVISION: PLAZA GARDEN WEST APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: PARK PLACE APTS.
DESCRIPTION: Replace 100 amp panel.
OWNER: PARKER, JERgN1EVVTRUSTEE, PHONE #:
CONTRACTOR: STONER ELECTRIC PHONE #: 603-462'6500
Inspection Request Scheduled For: Date: 8K15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 054026-01 503-347-5238 N
Corrections/Comments/Instructions:
•
R1 PASS PARTIAL APPROVAL I |CANCEL NO ACCESS
El FAIL CALL FOR INSPECTION | 1 ADDITIONAL FEES ASSESSED
Inspector: Cr'n- ^ °-*4 Date: 8(16 0�� Phone #: (503) 718-