Permit •
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00463
DEVELOPMENT SERVICES DATE ISSUED: 8/17/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 1S135DD
SITE ADDRESS: 11624 SW LOMITA AVE C -7 ZONING: R -12
SUBDIVISION: PLAZA GARDEN WEST APARTMENTS LOT : JURISDICTION: TIG
Project Description: Change out 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 L H MORRIS ELECTRIC INC
BY SUMMIT REAL ESTATE MANAGEME 7051 SW SANDBURG ST, #100
5320 SW MACADAM AVE TIGARD, OR 97223
PORTLAND, OR 97201
Phone: Contact #: PRI 503 -639 -2334
FAX 503 -620 -7405
FEES
Description Date Amount Reg #: ELE 20 -39C
[ELPRMT] ELC Permit 8/17/2006 $80.30 LIC 1838
[TAX] 8% State Surcharge 8/17/2006 $6.42 SUP 3006S
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 By: Permittee Signature: ;, fc>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.
t ii „ .:� RECEIVED t - I
Electrical Permit Apn1Ic � 1 U�6 , '.. FOR OFFICEU ._
USE ONLY
R � � ...., `. . -
Rece
City of Tigard TTvV Date/By: d _ . /L j PernutNo:' ■ 4, (/ /
13125 SW Hall Blvd., Tigard, O10�Y2¢3Of TIGARD Plan Review
Phone: 503.639.4171 Fax. 4'G DIVF,1ON 1 ' i h'1l+ Date/By: Other Permit:
Inspection Line: 503.639.4175 - 6 1 ll ' Date Ready /By: Juris 0 See Page 2 for
Internet: www.ci. tigard.or.us Notified/Method: 1) V Supplemental Information
�.� <�, c _ _ f s�� ' ° 1'L'`'ArY ,. R EV_IE1_i' -r� z,� '.'
�.. `� < .,�� , , ,TYPE O - �? ,
?vt .<,._ ; ��` � ��.,4^;,y�x.„.';,.:,a�,., ; �� ,... �s,. < .. Y . _,.,. .�ss�. .. ; "<;, . ,� ....,a\ ...,. ., - ca.•��- �"�..�a :., %.z<;.:� ._
❑ New construction Addition /alteration /replacement Please check all that apply:
EService over 225 amps, comm'l ['Hazardous location
❑ Demolition 111 Other:
['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
4: -•.:3 = -' C ITEGORYazOFCONSTRUCTION ° <,''•s`':s :' :i 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 EFeeders, 400 amps or more
z ^ .
['Occupant load over 99 persons ❑Manufactured structures or
-"
JOB SITE INFORMATION ,AND�LOCATION�' "' ,
n•;„; '
O s,,� .; r: "� �.., ._e ,., �'3,,, - �:_;�.�.. �
:. ❑ Egress /lighting plan RV park
❑Health -care of ['Other:
Job no.: Job site address: 1 1 6 24 SW LOMITA AVE
Submit 2 sets of plans with any of the above.
City /State /ZIP: T IGARD 97223 The above are not applicable to temporary construction service.
i1I FEEx ^;SCHE;DULE.;.;- %:;«', ' -,.�.x
Suite/bldg. /apt. no.: Project name: LOMITA WEST APTS �```:` . ' <
Description ;�� s °.__: � ;` iption I Qty. Fee. Total **
Cross street /directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
CHANGE OUT PANEL — C -7 1,000 s4 ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 I
Tax map /parcel no.: Limited energy, residential 75.00 2
L energy, non - residential 75.00
',ice., < -'S ,DESCRIRTItON OF %� ' N" %' :«
-; �.; - �» c�,: ..,..:��,,,,._.. �..<«�;:,; : ,.�:z ;= �..�,:,,__ . 74 ;. ..,: ,f Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 1 80.30 80.3C 2
,, ;roy ,_,. .. ;;,... 201 amps to 400 amps 106.85 2
,�� • ® °�;tPROPEIZTY ;O.WNER , " � ®= TENANT
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
T ?' ' ""'"' .. ig , ` ''a'y A. Fee for branch circuits with
` >� � ®` "APPLICANT -- ,,,�� � , �� - �'ECON ' TACT .- PERSON ;: ' 3';
service or feeder fee, each 6.65 2
Business name: L.H. MORRIS ELECTRIC INC branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
each branch circuit 46.85 2
Address:
Each add'I branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone: (503) 639 - 2334 Fax: : (503) 620 - 7405 Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited -
?;r•Fb "a': .. _;r ;1.: 1: _. �• ..x,: <:.. °� energy panel, alteration, or
�:;�,� ���� «. �CONTRACrI`OR' �'��� .. �':�� . «. ., „ ,.:s
extension. Describe: Page 2 2
Business name: L.H. MORRIS ELECTRIC INC
Address: 7051 SW SANDBURG ST #100 Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State /ZIP: TIGARD OR 97223 Investigation per hour (1 hr min) 62.50
Phone: (503) 639 -2334 Fax: (503) 620 -7405 Industrial plant per hour 73.75
ii = \`?, ELECTRICAL PERMTT: ,FEES .s�':. f:,.., 4,
CCB Lie.: 1838 Electrical Lic.: 20 -39C Suprv. Lie.: 3006S Subtotal 80.30
Suprv. Electrician signature, required: Plan review (25% of permit fee).
Print name: Date: State surcharge (8% of permit fee) 6.42
GARY PEOPL S 8 —1 6— 0 6 TOTAL PERMIT FEE 86.72
��
Authorized signature: �, This permit application expires if a permit is not obtained within 180
li �� 1,1„:„..,..1,1„:„..,..L....._ 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.
is \Building \Permits \ELC- PermitApp.doc 12/03 440 -46 15T( 10 /02 /COM /WEB
CITY OF TIGARD
- .
BUILDING DIVISION PERMIT #: ELC200 &-00463
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/13f2006 TIME: 7 :02AM PAGE: 4
SITE ADDRESS: 11624 SW LOMITA AVE G7 CLASS OF WORK:
SUBDIVISION :. PLAZA GARDEN WEST APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: PLAZA GARDEN WEST APTS
DESCRIPTION: Change out panel.
OWNER: PARKER, JEROME W TRUSTEE, PHONE #:
CONTRACTOR: L H MORRIS ELECTRIC INC PHONE #: 503 -639-2334
Inspection Request Scheduled For: Date: 9/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
109 Electrical final 036465 -01 503.81E -1283 N
Corrections /Comments /Instructions:
•
PASS PARTIAL APPROVAL I l CANCEL n NO ACCESS
AIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G N v U L.C. Date: `1' ) 3-06 Phone #: (503) 718-14410