Permit il _ ' CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2007 -00781
COMMUNITY DEVELOPMENT
-• DATE ISSUED: 11/19/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S135DD -03300
SITE ADDRESS: 11555 SW 88TH AVE 1 ZONING: R -12
SUBDIVISION:.. PARK PLACE GARDEN APARTMENTS LOT : JURISDICTION: TIG
PROJECT: LOMITA WEST
Project Description: Replace existing 100A panel.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADO'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: 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:
AFFINITY PROPERTY MGMT. STONER ELECTRIC
421 SW 6TH 1904 SE OCHOCO STREET
PORTLAND, OR 97204 MILWAUKIE, OR 97222
Phone: 503 - 892 -0099 Contact #: FAX 503 - 659 -2824
PRI 503 -462 -6500
FEES
Description Date Amount Reg #: ELE 26 -I22C
IILPRMT] ELC Permit 11/19/200" $80.30 LIC 44823
'TAX] 8% State Surcharge 11/19/200" $6.42 SUP 3496S
Total $86.72 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: / �o �1/ r.C�tt�,Lii ,A/1 Permittee Signature: WI , I _ 1 ►.
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
•
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
11/19/2007 07:55 FAX Q001
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Cat, of Tigard 0/ • ; Pintail Ne.: F,/,_ e xf
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.
13125 SW Ran Blvd.,Tigaol, OR 97/110 . - . . ..,....
U _. -I . Other Pantie
111626: Inepoetlet t roo: 4 50 " 3 1 .65 1 974175 5D1 M OFTIGARD,.4' -1:' D.... .'
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laNew oonetructioa A 1 Plaza dwelt all dot split,.
U ndumoithun 0 . • ElSorrico ova 225 esp. ocental 011etardeu location
ervioe over an p
sas - rating C113alidar over 10,000 wa5L. .
.; .$ ; ' , g: i:),I.!: ; ' • • ' '- *: ". .• '!!;'' L': :'- of 1 - and Mangy dwc1Ih 4 of mete IN ., ,,,Aki i
01- and 2-fainey dWellieg 0 Coolmatviallisdttabial DI Aotecuory Welding 05Ystuto over 600 vela nominal aV la it coo attacteor
Eilkoldhso aver dna daft% CIFOCIMM 400 Anwar sox
7. lahlti-foodly 0 Mutat builder El Mem ClOmmpant Riad ova 99 panne Ott‘twohatwed etraragnee or
, . ^ .10) 410))04•01 ,- 1: . 44."4 11 J. : 13SpeerAightias plaa RV padt
Job ao_:665rirri flab site address: p 55- ,....% gir DThallipeare 04* 1:10tha:
SubmIti, me ((plan with aoy of the shove.
City/StataraP; '7"1 al A-5111, I , 0 12 9 12.2.3 The oboveune not Whale to nuarenotycemonakai wevico.
. ''r: ' .;;'. "7 7:7- ,:•V ... . '%,. ... . - :,' . : ' i • ' : ..; ' ! . ' .'"*.., .
Pi 022 In e : La ifvt.L.-nit - T- MARIO= yer. In, TM "
Coma atnad/cfitections to job cite: New rosideattal !In d& ett oialdelunily dwdllag n att
beaks attached maga
1,000 eq. ft or late 145.15 4
St thtiTiliell: 1 Lot am: Ea. add'i 500 c3 ft orpation 334 D 1
Limited este:1y, teddamial .,... 75.00 2
Too mact/pateal no.!
Limited anon nowtaideotial 75.00 !'. 2
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!i'..?i?..:V;•. ::',"'•.! 1. : :.' ...!:!9:*Itik*Iteliti1 V:'.:.''.'f_ r gu ,,b c km 0 ,,,,,,bd a .
dwellotr, amine eadknfoadot 90.90
cE rN<bc._kPAg SC * tletvicei or seeder% kshinatkut sadist relneadon
200 marl ar lan I' 11030 ' ¶o3 2
Arit00.410110(Cr'. ?...5 ,....:.: r .-1:05 . 44 1 :* '....: ..' ' ;:!t : .:- 40 21 1 = t r ° 600 .
160.60 2
NsliTheK "FR hi i Ty ea.fee 601 --'- ' 240.60 2
Addlcu 42-1 (.4D j] IMO mop re volts _ 454.69 2
Roamed only 66.85 2
a y /u 4 - - R1 () g 9 7 2 - 41 / Tan pray widen or Sadao Inetafteloa, dteradoe, eadier
relocation
Phone: 002%0099 11 ( ) 200 men or Ion '-- r 1
Owner 1=W:teem Mc uumillaten is being made en property Vial oWit which 15 not 201 t 400 10030 2
incaded for sale, Ism, tent, OT exchange, neennIng to ORS 447, 449, 670, and 701. 401 amps to 600 imps 133.75 2
Ownto signature: Data Brandi dradtt - ow duradas, er ottension, per panel
t
• 1. :'"* '*:.;,.,':''..'* ..' A.Perfor lamas eltecna with
' ' ' same or feeder fee, aide 6.65 2
Businen0 name: bread Octal
. D. Pea Re handl amain —
Contact name: wohaterarideo orfaada Pa,
4625 3
•"' inebomeh Mutat
Addle=
" - Each oda haat diet* 6.65 2
_
City/Stair/22n ' bescallmteatm ,,, , • -. • or feeder put Indid•to
• Phnom ( ) I Frac : ( ) ' PaMP or irritation cicala 53.40 2
• rejm or outSmo fightlall 53.40 2
E-121,11: SOW citcaks) oe limited.
..,!•'.. 7 .' 4 . i . ii:L . a.::.• .. :* . , ..:.'; ' .Si..:%:'.101I1 7 10.ACIOX6 :..".' ... . "■ : *.T $.:.:.:'''': f. ' 2.L'L,..': li llattP o n i l;: 11 " 2462 .. m
•
Page 2 2
Business mane: STONER ELECTRIC
Ackinno: 1904 OCROCO Each additteftal Inspection over allewahlo le a the above
Po iorpeetioo 6150
City/State/ZIP: MILWAIRCLEI OR lovastiption perhea (I la telo) - 1 1 6150
I
Phone: <503) 4121-6500 I Fa= (503) 659-49611 larhatclalplani item . 73,75 ..
Z: JP681241F .3126E1 •, `ti.... • '-:"';.,'...,
CCB Lk.: 44823 I Electrical Lk.: 26-122C Sum. Lk.: 3496
• Subtotal I 180, Z 0
Sum. Elealitinan inglignitat mi ll i ird: PLe4Le Plea (_. 2”(_ff fea)tevlow -IQ..
Not =ow MICHAEL FALCONER I Date: diii‘ /CI Rate enretnage (Weir rank 64
=MAL PERDU! FEE ta4. 7
Autborized algoattne: — Vide pawn toolasona meta Sororatt b us obtained Adult Ale
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Print omen -- T Dee • Fee mathedalcoy witty TA-County Robing /rfinery Swim Seem
"Number dew:Aim perpamit Wowed.
KbilitserredtalaPeositAgiAloo 11/03 441marrossamsvonts
. .
CITY OF TIGARD
I i BUILDING DIVISION PERMIT #: ELC2007 -00781
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/19/2007
Phone: (503) 639 -4171 o1 i rl
Inspection Requests (24 Hrs.): (503) 639 -4175 R'' ..
INSPECTION WORKSHEET FOR DATE: 12/20/200 TIME: 7:01AM PAGE: 9
-SITE ADDRESS: 11655 SW BOTH AVE '1 CLASS OF WORK:
SUBDIVISION: PARK PLACE GARDEN APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: LOMITA WEST
DESCRIPTION: Replace existing 100A panel.
OWNER: AFFINITY PROPERTY MGMT., PHONE #: 503892 -0099
CONTRACTOR: STONER ELECTRIC PHONE #: 603 -462-6500
Inspection Request Scheduled For: Date: 12/2.0/2007 Pour Time:
Code # Inspection Description onfirm # Contact # Message
199 Electrical final 61953 2 503 - 347 -5238 N Y
Corrections /Comments /Instructions:
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, PAS` El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr ' w °4 Date: 1 Phone #: (503) 718- vi'1'6