Permit 4111., CITY OF TIGARD' ELECTRICAL PERMIT
PERMIT #: ELC2007 -00386
' COMMUNITY DEVELOPMENT DATE ISSUED: 6/15/2007
T A 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AA-OSCO1
SITE ADDRESS: 08934 SW ELENA LN ZONING: R -4.5
SUBDIVISION: OAK STREET CONDOMINIUMS LOT : JURISDICTION: TIG
PROJECT: OAK STREET CONDOMINIUMS
Project Description: Ganged meters over 22K. Includes units 8918, 8922, 8926, 8930 & 8934; MST2006 -201, 200, 199, 198 & 197.
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: 5 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1 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:
OAK STREET TOWNHOMES, LLC ROSS ELECTRIC INC
12670 SW 68TH AVE # 400 2870 SE 75TH AVE #203
TIGARD, OR 97223 HILLSBORO, OR 97123
Phone: 503 - 639 - 3104 Contact #: PRI 503 - 642 - 2800
FAX 503 - 642 -5815
FEES
Description Date Amount Reg #: ELE 34 - 436C
[ELPRMT] ELC Permit 6/15/2007 $508.35 LIC 157891
[TAX] 8% State Surcharge 6/15/2007 $40.67 SUP 4232S
Total $549.02 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Co. -s 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 day: of issuance, or if work is suspended for
more tha :• .a• . • TTENTION: •regon law requires you to follow rules adopted by the Oregon Utility Notif ation Center. T • e rules :re set forth in
OAR 9 - 001 -0010 thro• _h OA' •52 -141 -0100. You may obtain copies of these rules or direct questions to •U at 503.2%:. •9 • 1 ;$0.332.2344.
Issues By: - y � i $ / 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: � "°0 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 Application FOR OFFICE USE ONLY
114 City of Tigard , �, Received .6 / P No.
a 13125 SW Hall Blvd., Ti ard, OR 97223 � Dace/B : (p / �� ,_ J -0� 6, g L� ( Plan Review
' Other Permit:
� Phone: 503.639.4171 Fax: 503.598.191�;;� 0 � ij Date/B
T I G R D Inspection Line: 503.639.4175 Date Ready /By: ® See Page 2 for
Internet: www.tigard - or.gov r; , , :•:,._1 Notified/Method: Supplemental Information
TYPE OF WORT( • PLAN REVIEW
Please check all that apply (submit 2 sets of plans w /items checked below):
® New construction ❑ Addition /alteration /replacement
❑ Service or feeder 400 amps or more ID Building over three stories.
❑ Demolition ❑ Other:
where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground or exceeds 14,000 ❑ Commercial -use agricultural
❑ I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
® Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFOR' ' VON AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
•
Job no.: Job site addre.,se93 J/ V Elena Ln 100HP or more. occupancy.
f ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Tigard, Or €?p3c) g9„i �o �9a� �9/ f� 0 He facilities. 0 Supply voltage for more than
J , - ! - / U ❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: 1 I 1 r6ject name: d ak Street Townhomes 0 Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: G� Description 1 Qty. 1 Fee. Total 1
/ ' a'93 , 6 93 0 Y -6 ) a7 aa, � j� New residential single - or multi - family dwelling unit.
L j - 2 OO � — QQ /9 � /9g /99 c20Q „LQ / Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
meters Limited energy, multi - family 75.00 2
ganged / - residential (with above sq. ft.)
K Services or feeders installation, alteration, and/or rf location
U cco _ G 200 amps or less 5 80.30 I 7d I. 70 2
® PROPERTY OWNER LJ TENANT 201 amps to 400 amps 1 106.85 106.85 2
Name: Oak Street Townhomes LLC 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 12670 SW 68 Ave Over 1,000 amps or volts 454.65 2
City/State /ZIP: Tigard, Or 97223 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (503)639 -3104 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 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee,
first branch circuit 46.85 2
Address: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E - mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: Ross Electric, Inc Signal circuit(s) or limited -
energy panel, alteration, or
Address: 2870 SE 75 Ave, # 203 extension. Describe: Page 2 2
City /State /ZIP: Hillsboro, Or 97123 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 642 - 2800 Fax: (503 - 642 - 5815 Investigation per hour (1 hr min) 62.50
CCB Lic.: 157891 Electrical Lic.: 34 -436C Suprv. Lic.: 4232S Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES n S
Suprv. Electrician signature, required: Subtotal: 496,55 5615
Print name: Stephen Ross Date: 5 - - Plan review (25% of permit fee):
State surcharge (8% of permit fee): 8754 yi.61
Authorized signature: TOTAL PERMIT FEE: ..1.44 .
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
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Electrical Permit Application :. , v 01: lcE ustl'ot 1:1 . ' '''1' F `' '
' ; MT* i CI Of Ti ceived
, ip i r ' ` Bard �EC�i C9 te/B Permit No.:�j l� i 1-
13125 SW Hall Blvd., T OR 97223 Plan Review , ;. C Phone: 503.639.4171 Fax: 503.598.1960 APR 2 0 0/ Date /By: Other Permit.
fi G n�K t Inspection Line: 503.639 V Date Ready /By: to s: El See Page 2 for
Internet: www.tigard- or.gov Supplemental Information
C ITr ®F TI Notified/Me
/9 r1
- _ - TYPE ,OF WO ® U '�•DI NCF UIUt 9 SI ® f iJ PLAN REVIEW
® New construction ❑ Addition/alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
0 Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition 0 Other:
where the available fault current ❑ Marinas and boatyards.
' -' CATEGORY OF CONSTRUCTION -
exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
® Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE, INFORMATION AND. LOCATION w motor load of ar1 derived y em.
Emergency system larger sep system.
.. ❑ A ddition of new
Job no.: Job site address: 8934 SW Elena Ln l00HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: Tigard, Or ❑ Health -care facilities. ❑ Supply voltage for more than
' ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: Oak Street Condo's ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description ) Qty. 1 Fee. 1 Total 1 •
' New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Oak Street Townhomes Lot no.: 1 -5 1,000 sq. ft. or less 1 145.15 145.15 4
Ea. add'l 500 sq. ft. or portion 12 33.40 400.80 1
Tax map /parcel no.: Limited energy, residential 75.00 2
- DESCRIPTION OF WORK (with above sq. ft.)
5- lex Limited energy, multi - family 75.00 2
P residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
• 200 amps or less 80.30 2
® PROPERTY ; OWNER . - -1 ❑ TENANT 201 amps to 400 amps 106.85 2
Name: Touchstone Townhomes 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 12670 SW 68 Ave, # 400 Over 1,000 amps or volts 454.65 2
City/State /ZIP: Tigard, Oregon 97223 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (503)639 -3104 Fax: (503)598 -9081 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 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
.❑ A PPLICANT _' ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: B. Fee 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
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
_ : ` • CONTRACTOR •.. Sign or outline lighting 53.40 2
. _ r outlin
Business name: Ross Electric, Inc Signal circuit(s) or limited -
energy panel, alteration, or
Address: 2870 SE 75 Ave, # 203 extension. Describe: Page 2 2
City /State /ZIP: Hillsboro, Or 97123 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 642 -2800 Fax: (503) 642 -5815 Investigation per hour (1 hr min) 62.50
CCB Lic.: 157891 Electrical Lic.: 34 -436C Suprv. Lic.: 4232S Industrial plant per hour 73.75
� j,� ,�/�] ELECTRICAL. PERMIT FEES
Suprv. Electrician signature, required_ V" I� J- _ Subtotal: 545.95
Print name: Stephen Ross Date: 4 -17 -2007 Plan review (25% of permit fee): 136.49
State surcharge (8% of permit fee): 43.68
Authorized signature: TOTAL PERMIT FEE: 726.12
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
0 Number of inspections allowed per permit.
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