Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2010 -00369
Date Issued: 07/21 /2010
?1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1 S134AB90181
Jurisdiction: TIGARD
Site address: 11341 SW SPRINGWOOD DR, UNIT# 18
Subdivision: Lot: 0
Project: Springwood
Project Description: (1) hour inspection: Change out plugs and switches; replace dishwasher, garbage disposal and
range hood.
Owner: FEES
SPRINGWOOD /MILESTONE LLC Quantity Description Date Amount
BY PRINCETON PROPERTY MANAGEMENT,
7831 SE LAKE RD STE #200 1 hr Hourly Electrical Rate 07/21/2010 $90.00
PHONE: 1 ea Hourly Electrical 12% 07/21/2010 $10.80
Surcharge
Contractor:
CONNECTIONS ELECTRIC INC
PO BOX 7136
SALEM, OR 97303 -0026
PHONE: 503 - 390 -7914
FAX: 503 - 463 -6863
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180
days. ATTENTION: Oregon law requires you to follow the 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 a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: O� // �ive.,/cr 70
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' Date:
LICENSE NO.
CaII 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.
07/15/2010 08:41 5034636863 CONNECTIONS ELECTRIC #1047 P.002/002
Electrical Permit Application RECEIVE
City of Tigard Received ,�� � /d
n •J 1 patc/B E
Permit No. Cg/ O —do ?
13125 SW Hall Blvd., Tigard, OR 97223 J .,.., 1 200 �0 Plan Review
Phone: 503.639,4171 Fax: 503,598,1960 Date/By: Outer Peim,t:
-4,1 c; A K 13 Inspection Line: 503.639.4173 CITY OF TIGARD Date ReadyBy: luri:: RI See Page 2 for —'
Internet: www.tigard -0r.g0v 0 �iJ � otlfied/Method: Supplemental Information
❑ New construction :1 Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /itc,ns chucked below):
0 Service or feeder 400 amps or more ❑ Build;
cg over throe stOrie3.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyargs.
• exceeds 10,000 amp. at 150 volts or ❑Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial-use agriculiumi
❑ t and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all oncer installations. buildings.
Ni Multi-family [] Master builder ❑ Other El Fire plunp. ❑ installation of 71 KVA ar
�� - f a.:ynergeney 35 larger' aepar'alely LIe r ;ved ayaluui
. Multi- ., ,i; b 'I' ti 4**010 ANN ! OCA'T` ..1TV ❑ Addition of new motor load of
Job no.: Job Site address: 100HP or snore. occupancy.
1 ( S I S Spr, n� Dr. ❑ Six or more residential units. CI Recreational vehicle park.
City /State /ZIP: l `q a0.1 a� Qi 2. 43 1] Health-care facilities. 1:1 Supply voltage for more than
Suite/bldg./apt. Project �r,Ja o b Hazardous locations. 6110 volts nominal
ce or feeder 600 amps or more.
CrosSst to lob sitc: Pro'ect name: ` ; , ' SGFI�.Z1'1 ; • '; •: ,::,, • .'
ion l Qty. I Fee. 1 Total 1
New residential single- or multi - fancily dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq, ft, or less 168,54 4
Ea. add'I 500 sq. IF. Or portion 33.92 1
Tax map /parcel no Limited energy, residential
- -.
Lim n
',! . ': ,> lL D O W, '' (with above sq. 0.) 67.84 2
Limited energy, multi - family 67.84 2
5e o4 fLRS f S'' frAte s — replace ettl4Rw4jL►i r, residential (with above sq. 0.)
d es ( 4� r .0 (AO?".
Services
00 amps or l ea s feeders installation, alteration, 100.70 /a • relocation
. � 201 amps to 400 amps 133.56 2
ocation
C1aal�E QR,''lT: 2 P P'
401 amps to 600 amps 200,34 �
Name: _ 601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or votes 552.26 2
City/State/ZIP: /State/LIP: Temporary services or feeders installation, alteration, and / r) •
y relocation
Phone: ( ) I Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not W --,- -- — - - --• „' - - --
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
401 amps to 599 amps 168.54 2
Branch circuits — new, atterationoor extension, per panel
Owner signature: Date, A, Fee for branch circuits with
'. r feeder fee,
above service O
Q ' A.M4CO,V,• , ,::CONIAcT <RARSON 7.42 2
each branch circuit
Business name: B. Fee for branch circuits without
• service or feeder fee, first 56.18
Contact name: branch circuit
Each add'I branch circuit 7.42 2
Address. Miscellaneous (service or feeder not included)
—
Each manufactured or modular
City/State/ZIP:
-, S _ dwelling xervice and 67 84 /nr feeder __
Phone: ( ) Fax: : ( ) Reconnect only 67 84 2
LL
Pump or irrigation circle 67,84 2
E -mail:
„ Sign outline fighting 67.84
g n f
..:. 0i.OBAC -Q , 'r: ,, :, - Sigmil circuits) or limited - energy 2
1
Business name: (�',, ,�.� r panel, alteration, or extension Page 2 2
— %t e . QS rr G e • Each additional ins ecrion over allowable in an of the above
Address: P n• te)% Additional inspection 11 hr min) 66.25/ hr ' �x Z 1 3 � v W
�
,q Investigation (I hr min) 66.25/ hr
City /Blatt /zIP; 5 4( t ore_ p Industrial plant (I hi min) 7818 /hr
Phu e: 503) 10 . 4 Fax; ( 503) -3 . bo 6 Inspections for which no fee is 90.00/ hr �j
/ is• eitican listed (/a hr min `e
0 CCR Lie.: t0$'T. `1 •Iectrical Lic.: 14,2,4 Suprv. Lie.: 367 5 .....ELECTRICAL 1RERMIT FEES•
• Suprv. Electrician signature, required: �� Baboon):
._ .._ —.��— Plan review (25% of perinit fcc): `0
Print name: / . iel i n Date: r _ .gyp State surcharge (12% of permit fee); 15
-” TOTAL PERMIT F EE:
Authorized signature: —
This permit application expires if a permit is 1101 obtained within 180
days after it bas been accepted as complete,
Print !lame; Date: • Number of inspections allowed per permit. O r ?
I \I0siidinglperroits\ LC- PennilApp.doc 10/01/09 440- 46157(11 /e5/C0MAvea / a e % j -/ / [/ Of