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Permit " CITY OF TIGARD,. ELECTRICAL PERMIT PERMIT #: ELC2006 -00575 DEVELOPMENT SERVICES DATE ISSUED: 10/11/2006 * 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135DD -03703 SITE ADDRESS: 11624 SW LOMITA AVE A -13 ZONING: R -12 SUBDIVISION: PLAZA GARDEN WEST APARTMENTS LOT : JURISDICTION: TIG Project Description: Install 1 100amp service. 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 10/11/2001 $80.30 LIC 1838 [TAX] 8% State Surcharge 10/11/2001 $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: ea7 ) 1Q 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. tp {�, ; , ; °l5 Electrical Permit Applica-tion1� p ._ ._ ® ,."' - ' '- -- • FOR OFFICE USE ONLY I� L r LC J Received r l j City of T' and Pemut No 13125 SW Hall Blvd., Tigard, OR 9722 1 1 DteBy. 111 t t /0 6 1 e,.. 01)6 --t) 675 g AC 0 2006 [ DateBy: Permit: Plan Review Phone: 503.639.4171 Fax: 503.598.1960 h Other Per 1 r� � I �� Inspection Line: 503.639.4175 CITY OF TIGARD ' " Lh Date Ready /By: Juris. / p See Page 2 for Internet: www.ci.tigard.or.us BUILDING DIVISION Notified/Method. 1 Supplemental Information ;I' 'PE OE , ;WRK" H � ; ; ',y,z, f : ° ,� ; ;t I'LAN::R W` °= EVIE ['New construction ❑ Addition /alteration /replacement Please check all that apply: ❑ Demolition Other: over ['Hazardous w:t- rwu:`i ;,a -, .. .. ... - .,._,..&�'tf,,::.. :,. -r> Y...�,.,e'abw'1 . .v,•`, ?' §�; b ft., Service r 225 amps, comm'l Hazard location ['Service over 320 amps rating EBuildng over 10 000 sq. ft. '' '.:, QAffEGORY� ;AF CONSTRUCTI9N ':.' k�- a . p ,� ` , }c Ml�: gy ,� , �� • _� {9 , o r _ s ` of 1- and 2- family dwellings 4 or more new residential ' - �,. ;�'i ; .�,��: ,.� .�. --� , fir; �� %'• ' - �� ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ['Building over three stories ['Feeders, 400 amps or more XMulti ❑ Master builder ❑Other: ❑Occupant load over 99 persons ['Manufactured structures or 'a ° JOB SITE ; ? , INFORMATION ; %AND': ; LOCi� TION:' ❑E /li plan RV park Job site address: ['Health facility ['Other: Job no.: 71895 11624 SW Lomita Submit 2 sets of plans with any of the above. City /State /ZiP: The above are not applicable to temporary construction service. Ti gar d , O R R, : ,ia *, .- ,•w x• .. .�...,:. FEE,.SCHEDIJLE ° " ;, ; ;;. ;��. `... W' � r /p� je name: Park Place Apartments t t. :: Suite/bldg. /apt. no.: r�� Project p • � Descripti°n Qry�. Fee. Total ** �� Cross street /directions to job site: New residential single- or multi - family dwelling unit. -- - - - - -- Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'1 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: 1 „ l s4 DESCRIPTI ©h Limited energy, non- residential 75.00 2 ; °,WORK manufactured modular . , , _. �, - �,'� ° -�'�." . -. , x ,..,,_. �..�,.< "„ �>f, >�,�...., . .. _:.,.,.__ - .. �;��: Each mamfachrcd or dwelling, service and /or feeder 90.90 2 Change out 100 amp panel Services or feeders installation, alteration, and /or relocation 200 amps or less I 80.30 00,3C 2 '� <.:. ,� „•'':`•- ,�,:'.. - 201 amps to 400 amps 106.85 2 : °OWNER'S,. , ..v,,,,, .`'.;.. , ❑ PROPERTY ... ;; ❑ x ,T E N r 1NT; q. ;... .. ' ' 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 ter. i'44',” ' - . Fee for branch circuits with �' ❑'A:PPLICAIVT •��. �' "� �CONT'ACT ]'ErRS®N� =''" r =� A �� ` ..,P•,•, .,._ service or feeder fee, each Business name: L.H. MORRIS ELECTRIC INC branch circuit 6.65 2 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 - ;? ;" : ;" ;; �l�,h ONT ° -- : ;�, `�..� "?�' k.; . -; ;:'....'.':!i energy panel, alteration, or Describe: Page 2 2 Pa e 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 (I hr min) 62.50 Phone: (503) 639 -2334 Fax: (503) 620 -7405 Industrial plant per hour 73.75 °"_ �EIEGT12]C:AI. PERIViITIF'EES ::.•,2> MR CCB Lie.: 1838 Electrical Lie.: 0 -39C Suprv. Lie.: 3006S Subtotal SO • 30 Suprv. Electrician signature, required: 0. Plan review (25% of permit fee) Print name: _ Y - Date: 1 State surcharge (8% of permit fee) � . 2. Gar Pe opl es ' l� a� TOTAL PERMIT FEE ,12 1( 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 pemit allowed. i:\ Building \Permits \ELC -Pet mitApp doe 12/03 440- 4615t(10/02/COM /WEB • CITY OF TIGARD ._ , - BUILDING DIVISION PERMIT #: ELC2006.00575 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2006 Phone: (503) 639 -4171 A � lmli j l i t� Inspection Requests (24 Hrs.): (503) 639 -4175 ....-14- INSPECTION WORKSHEET FOR DATE: 10/25/2006 TIME: 7:03AM PAGE: 21 SITE ADDRESS: 11624 SW LOMITA .AV A - CLASS OF WORK: SUBDIVISION: PLAZA GARDEN WEST A TMENTS LOT #: TYPE OF USE: PROJECT NAME: PARK PLACE APARTMENTS DESCRIPTION: Install 1 1 OOamp service. OWNER: PARKER, JEROME W TRUSTEE, PHONE #: CONTRACTOR: L H MORRIS ELECTRIC INC PHONE #: 503 - 639-233 Inspection Request Scheduled For: Date: 10/25/2006 Pour Time: Code :. • • - 'o Description Confirm # Contact # Message 199 Electrical final 038820 -01 503 -816-1 Y • rections /Comments /Ins .•- s: ,(� (U! ' ,•--, PASS Li PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: G N tQ Date: % Phone #: (503) 718- ti