Permit CITY O F TIGARD ELECTRICAL PERMIT
11 ° PERMIT #: ELC2007 -00831
COMMUNITY DEVELOPMENT DATE ISSUED: 12/11/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135DD-03300
SITE ADDRESS: 11555 SW 88TH AVE 1 -4 ZONING: R -12
SUBDIVISION: PARK PLACE GARDEN APARTMENTS LOT : JURISDICTION: TIG
PROJECT: PARK PLACE APARTMENTS
Project Description: (1) service with (2) branch circuits for trash compactor.
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: SIGNAUPANEL:
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: 2 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 RAINIER PACIFIC ELECTRIC INC
BY SUMMIT REAL ESTATE MANAGEME 7402 NE 189TH AVENUE
5320 SW MACADAM AVE PO BOX 823070
PORTLAND, OR 97201 VANCOUVER, WA 98682
Phone: Contact #: PRI 360 896 - 2451
FAX 360 - 892 -4914
• FEES
Description Date Amount Reg #: ELE 37 -938C
IELPRMT] ELC Permit 12/11/200' $93.60 LIC 148459
TAXI 8% State Surcharge 12/11/200' $7.49 SUP 1625S
Total $101.09 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: iit,L 46 / Permittee Signature: � 4 fie rim
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.
strical Permit A t ,,, `.t • FOR OFFICE USE ONLY
City of Tigard Received Date/B : I Z i t D Permit No.: A A. , 49/13(
II I el ° 13125 SW Hall Blvd., Tigard, OR, 9723 , . Plan Review
Phone: 503.639.4171 Fax: 503 96d. 2001 7 Date/B : Other Permit:
T I G A R D Inspection Line: 503.63 75 Date Ready /By: IIIM B1 See Page 2 for
Internet: www.tigard -o .I Y uI' 1 lUf1RD Notified/Method: Supplemental Information
BI S 1 DIVISION PLAN REVIEW
❑ New construction ❑ Ad • ion/alteration/replacement DIVISION
V Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ther: 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 ❑ Acc wry building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder Cher: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
Job no.: I Job site address: /J 553— SLc) b' 71-7 100HP or more. occupancy.
❑
n /� A ) Q
0 Six or more residential units. Recreational vehicle parks.
City/ State/ZIP: 77 / 2 , g6 .o' �/ / 7 Z Z� ❑ Health -care facilities. ❑ Supply voltage for more than
/ ❑Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: / -L I Project name: PCl -- leQ . e_g__ ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description 1 Qty. 1 Fee. 1 Total 1 •
New residential single- or multi - family dwelling unit.
.5t0 CC-pilf,92._ 57' -4' s J 96 .111 /716 Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
Limited energy, multi - family
-:4) 75 00 2
�) 5 (v'• -( 1 /4 A) 3 24J1 GEL (-c f� residential (with above sq. ft.)
�
� Services or feeders installation, alteration, and/or relocation
.
1 (� (-v 200 amps or less 1 80.30 gJ 34 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
� ' 401 amps to 600 amps 160.60 2
Name: ��L o ✓v� t'C i 2-
-
601 amps to 1,000 amps 240.60 2
Address: S -3 2. 5 (ti /` I 4-6/4- 1) � � Over 1,000 amps or volts 454.65 2
City/State/ZIP: l q17.9--o � ( Temporary services or feeders installation, alteration, and/or
11 `' �), relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 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 1 ❑ CONTACT PERSON above service or feeder fee, • 6.65 3 V 2
each branch circuit 1
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 90.90 2
• - dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: • Pump or irrigation circle 53.40 2
CONTRACTOR n Sign or outline lighting 53.40 2
Business name: 1 f AQ et/j.
Signal panel, alteration, or li or
`�� energy panel, alteration, or
Address: ) 0 6 $ Q. -, extension. Describe: Page 2 2
City/State/ZIP: 1 )041 Imo( - iA- g� $ a- Each additional inspection over allowable in any of the above
QQ
Phone��) D f a O (f' (Fax: ( � ( g 9p1 -Wit/ Per inspection 62.50
Investigation per hour (t hr min) 62.50
CCB Lic.:, gfgy59 Electrical L' ! /1 93 Suprv. Lic.: tbc26 _7 L Industrial plan per hour 73.75
yt
7 / . ELECTRICAL PERMIT FEES
Z %
Suprv. Electrician t nd r , required: e cc� ../ �O• /. /U Subtotal: y 3 (00
- Print name: oa � 4 E,,) w 5 Date: 1 ,j ( 7/0) Plan review (25% of permit fee):
State surcharge (8% of permit fee): 7-'1,
Authorized signature: TOTAL PERMIT FEE: /0 1 O
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.
l:\ BuildingWermits \ELC- PermitApp.doc 05/23/06 440- 4615T(11 /05 /COM/WEB
/•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EEG2007 0083'1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12!11/2007
Phone: (503) 639 -4171 4 . 1 1
Inspection Requests (24 Hrs.): (503) 639 -4175 � ' ! !� 'I L .
INSPECTION WORKSHEET FOR DATE: 12/14/2007 TIME: 7 :01AM PAGE: 38
SITE ADDRESS: 11655 SW 88TH AVE 1 -4 CLASS OF WORK:
SUBDIVISION: PARK PLACE GARDEN APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: PARK PLACE APARTMENTS
DESCRIPTION: (1) service with (2) branch circuits for trash compactor.
OWNER: PARKER, JEROME W TRUSTEE, PHONE #:
CONTRACTOR: RAINIER PACIFIC ELECTRIC INC PHONE #: 360.896-2451
Inspection Request Scheduled For: Date: 12/14/2007 Pour Time:
Code # Inspection Description onf : Contact # Message
115 Electrical service 061541 -01 503-283-4290
Corrections /Comments /Instructions: �� 07
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'PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CT 1`� 6 � L- Date: \�` fl Phone #: (503) 718- 1441°