Permit •
CITY OF TIGARD ELECTRICAL PERMIT
IN II
PERMIT #: ELC2008 -00024
COMMUNITY DEVELOPMENT DATE ISSUED: 1/11/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102 D B -00301
SITE ADDRESS: 13070 SW ASH AVE 7 ZONING: R -12
SUBDIVISION: ALDERBROOK APARTMENTS LOT : 008 JURISDICTION: TIG
PROJECT: ALDERBROOK APARTMENTS
Project Description: Install a 100amp main breaker panel.
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: 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:
CARNEY, GEORGE V + GWENDOLYN J ABC ELECTRIC
BY NORRIS + STEVENS REALTORS 135 NE 9TH AVE
520 SW 6TH #400 PORTLAND, OR 97232
PORTLAND, OR 97204
Phone: Contact #: PRI 503 - 233 -7551
FAX 503 - 233 -7552
FEES
Description Date Amount Reg #: ELE 161501
[ELPRMT] ELC Permit 1/11/2008 $80.30 LIC 26-1226C
[TAX] 12% State Surchar 1/11/2008 $9.64 SUP 5096S
Total $89.94 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: � / /
14 // Permittee Signature: S / p pJi rad la)
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.
,.. JRi /, 7- 9 -2008 12:14P FROM: TO:81P5035981960 P.1
Electrical Permit ApplicaRECEIVED FOR OFFICE USE ONLY
IN - City of Tigard j� 0 p Received
13125 SW Hall Blvd., Tigard, OR 973 l 2008 Date /B ; I / %' /
Ins
Plan Review
Phone: 503.639.4171 Fax: 503. Other Permit:
) oF riGAR® Date /B :
Ti G A R D
Inspection Line: 503.639.4175 a w g p Date Ready /By: BI See Page 2 for
Internet: www.tigard or.gov BUILDING O'6VtSION Notified /Method: L r Supplemental Information
,
,.s*,. �. �: Trl' .Q�F Oy2K � -, 1 �‘ ',,yJ (�a? ,f4. v,. , y 0, N 0,80, ..{� - a" mt
e�x vJ�1� ] P- .Y.- i . - ..4.. {r "Y' ✓R .F:. -...4. ,. � . :,( ^/ .^C!��T'�.s;��`J
❑ New construction O Addition /alteration /replacement Please check all that apply (submit 1 sets of plans w /items checked below):
❑ Service or Reder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other:
where the available fault current ❑ Marinas and boatyards.
i . s` {TM ;?„`'' 6C l IO t' d ? " 1'16 • q "r , x exceeds 10.000 amps 1 50 v olts or ❑ Floating b uildin s.
' t d
�� P g g
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑I - and 2- family dwelling ❑ Commercial /industrial 0 Accessory building amps for all other installations. buildings.
►\ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
0
acR 3 -�^:ar x .n, yin- -> , T.. , ,, ,-- d ❑Emergency system. larger separately derived system.
t a.1.y.' ,)' -r QRu Ie D Q ATl x,
:.ac C,. -• 1149411 _,... � _ �- .,�1 ,. �.. "�. _� M:'. ��.�� ��v_ `�a -'� ❑ Addition of new motor load of ❑ "A" `E" "I - ' -
Job no.: Job site address: • r7 - ♦ 100HP or more. occupancy.
�— ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: , / - ❑ Health-care facilities. ❑ Supply voltage for more than
cx ❑ Hazardous locations, 600 volts nominal.
w. Suite/bldg. /apt, no.: Project name: / � / , • `. /I ❑ Service or feeder 600 amps or more.
Cross street/directions to job site: t
r
] ppedpdon Qty. Fee. Total •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: Ea. Mtn
500 sq. ft. or portion 33.40 1
F � 13,.:.7t Limited energy, residential
-, -T: 1 S irk s r , ' t , .. e i1t1 tfi t . ,.10g ; , . s withabove s . ft. 75.00 2
•�� Limited energy, multi - family 75.00 2
residential (with above sq. ft.)
Services or feeders installation and/or relocation
200 amps or less 1 80.30 2
tr.37"* , i, QP1FRT z i 1, - £7 -'? °'. x r 77r2. t 201 amps to 400 amps 106.85 2
■iii�fs.� I �J 401 amps to 600 amps 1 60.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 I
Owner Installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 I 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps i 1 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date:
,'r t.^ n' "� 1 ,r "ei i r . t ' 5w" r ,•
A. Fee for branch circuits with
Ens
g,Z Y� ti , ' : .w i . i , ; o� above service or feeder fee, 6.65 2
each branch circuit
Business name: lit r B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
t , / 1,„%d, 1 t lL first branch circuit
Address: A3,.... _ �, , Each add'I blanch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State/ZIP: A ' /, J ` r r Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: (563 07 mviggigicimpagmsm Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
t m .v Romf ```, .; s 7:01 a 2 T ° rF` r ,,-r� Sign ar outline lighting 53.40 2
Business name: Signal circuit(s) or limited -
t energy panel, alteration, or
Address: s'' - ♦ extension. Describe: Page 2 2
'
City/State/ZIP: ,, / • / /� Each additional Inspection over allowable in an of the above
Per inspection 62.50
Phone: (5.3 2 Investigation per hour (I hr min 62.50
CCB Lie.: EIMENIM Suprv. Lic.: 0 Industrial phalli per hour 73.75
� s " xr ° ..�_ C�dF('A RI EItMTs1H I E. 'i' y i r 8
Suprv. Electrician signature, required: � � Th0 Subtotal: ' 4 y)
Print name: �I Date: ) Plan review (25% of permit fee):
/. / • State surcharge (12% of permit fcc): 9, I N
Authorized signature: �� , This p e rmit TOTAL PERMIT FEE: 9
application expires If a permit Is not obtained withi6 1
Print name: a A ` • r , e Date: 9 . days after It has been accepted as complete.
• Number of inspections allowed per permit
i;\ Building \Permits\ELC- PermitApp.doe 05/23/06 440 - 4615T(11 /05 /COM/WEB