Permit CITY O.F TIGARD
ELECTRICAL PERMIT
PERMIT #: ELC2006 -00709
COMMUNITY DEVELOPMENT DATE ISSUED: 12/14/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134BC -00403
SITE ADDRESS: 12505 SW NORTH DAKOTA ST 201 - 216 ZONING: R - 25
SUBDIVISION: MEADOW CREEK APARTMENTS LOT : JURISDICTION: TIG
Project Description: Meadow Creek Apts #203. Replace damaged meter base parts.
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:
EQR -WEYER VISTAS INC DRYER ELECTRIC INC
BY EQUITY TAX DEPT - MEADOWCREEK PO BOX 86369
PROP TAX DEPT (27118) PORTLAND, OR 97286
CHICAGO, IL 60690
Phone: Contact #: PRI 503 287 - 6764
FAX 503 - 282 -1060
FEES
Description Date Amount Reg #: ELE 26 -1142C
[ELPRMT] ELC Permit 12/14/200( $80.30 LIC 153466
[TAX] 8% State Surcharge 12/14/200( $6.42 SUP 28765
Total $86,72 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
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Issued By: � 1_.(j LLeZ7 Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE: •
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
, , •
. .
*Electrical Permit A .pi -u,,IE--tvE,Ar FOR OFFICE USE ONLY
City of Tigard - C i — 4 4 Permit No.. . ., i i - ..1 4 0 17 4"
v . — -._ l (./
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960
DEC 1 4 200 , -1 .1 Received
Date/R : Other Permit: •
Inspection Line: 503.639.4175 Date Ready/By: ism 0 See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
irk " A
:. A4:1,;;;WM , :- 'X .',-,(4,i,..tite,,,,,,KM;VV244V-rNitil kVi:OW,MF.N-Z2tiai3Oit*ti*AV$:::.‘r,:::-=,:'-v.-',-,::•;:y,
0 New construction 03AlcroitiraGib4M0111ilien% Please check all that apply:
['Service over 225 amps, comm'l EHazardous location
:r
0 Demolition 0 Other: . OService over 320 amps - rating IDBuildng over 10,000 sq. ft.,
- ,i1:'Vl"x•Y'veYektie "wo r•
rtz , : ,---,,, N
) 41LVI4i)2,11„ts,:pn of 1- and 2-family dwellings 4 or more new residential
0 I- and 2-family dwelling 0 Commercial/industrial 0 Accessory building ['System over 600 volts nominal units in one structure
0Building over three stories ElFeeders, 400 amps or more
igr Multi-family 0 Master builder - 0 Other:
, DOccupant load over 99 persons 0Manufactured structures or
' JOB ' 1 . IVIA''''':' : #01,.:,1 W 1i ..„,, Iiiisii - 0 E gres s / I i gh ti n g plan RV park
Job no.: 06717 3 Job site address: I 2.6 06 S w NOP14 DAKATA pHealth-care facility 00ther:
Submit 2 sets of plans with any of the above.
City/State/ZIP: TI&A-0.-D 0 ra The above are not applicable to temporary construction service.
.:(146..:445,4,
Suite/bldg/apt. no.: g..0 5 Project name:
Description I Qty. I Fee. I 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. addl 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map/parcel no.: Limited energy, non-residential 75.00 2
•''!';f•'-:'?!);:-RltY:::I'ff?R,ijMtfiRi5OKI*tl•C'i'Nif**j*.*:'.e:CQ'".'Ai'.:ttlaqV.'SAtAln Each manufactured or modular
dwelling, or service and/or feeder 90.90 2
RelDukt.E Dfrvvtiatte rvte BftsE PA-F2-Ts Services feeders installation, alteration, and/or relocation
200 amps or less 1 80.30 0.30 2
••.,-i0,•:',70 !;i:li op difft . tk;Y 1 :: g?-, a '4Citi■i;i",''.1";ginP6,,t,ti 201 amps to 400 amps 106.85 2
• .,.„:-..i., e: .-: : ... -% ,..,..,.... ..411.6. , T
,-,T,,,44i ,, ,
'1":-.t,ry,'•1, :;:rd;:: ,■,:.: ,%„. „, .
;'g.,,t,':,1,ItZ.V...g.,.'14'{ir;q1li 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
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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
1 $16 1 74ipti . W% . 4.t .; = . ?:1. ,. .Als:5 . , 2 1 , :;,;? ; , r m , A Fee for branch circuits with
service or feeder fee, each
6.65 2
Business name: _ branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
first branch circuit 46.85 2
Address: Each add] branch circuit 6.65 2
City/State/ZIP: 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-
- MIr 47;;;igVq4,,Aig.:.,4."17,;ccOrriAcrorv.{:1,M,,,:.4,.viqi-pgirpojio:;40 energy panel, alteration, or
extension. Describe: Page 2 2
Business name: Dryer Electric
Each additional inspection over allowable in any of the above
Address: p.0. Box 86369 Per inspection 62.50
City/State/ZIP: Portland, OR 97286 Investigation per hour (I hr min) 62.50
Phone: (503 ) 771 Fax: 03 )1774 Industrial plant per hour 73.75
'...:.J;:ia-tfi.j:,".'"iitaElleTRICALI,TERMIT4FEES,:l.::''-yq;j'.:;',i,:” ■ ;
CCB Lie.: 153466 Electrical Lie.: 26 I Suprv. Lie.: 2876s Subtotal S O. SO
Suprv. Electrician signature, required: /-- 2 \________ Plan review (25% of permit fee)
State surcharge (8% of permit fee) (0 •
Print name: Reed Gibson Date:
TOTAL PERMIT FEE /4, 72..
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.
OBuildineerrnits \ ELC-Permit App.doc 12/03 440-4615T(10/02/CON)WEB
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00709
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/14/2006
Phone: (503) 639 - 4171 Ay/ jai ;l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/11/2007 TIME: 7:03AM PAGE: 17
SITE ADDRESS: 12505 SW NORTH DAKOTA ST 201 -216 CLASS OF WORK:
SUBDIVISION: MEADOW CREEK APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: MEADOW CREEK APARTMENTS
DESCRIPTION: Meadow Creek Apts #203. Replace damaged meter base parts.
OWNER: FOR -WEYER VISTAS INC, PHONE #:
CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503.207 -6764
Inspection Request Scheduled For: Date: 1/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 042020-01 503- 590 -0990 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /— I f " O Phone #: (503) 718-