Permit II 311 1 .,. CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00201
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/18/2007
PARCEL: 1 S126DC -CC012
SITE ADDRESS: 09376 SW CORAL ST ZONING: R -
SUBDIVISION: CORAL COMMONS LOT: JURISDICTION: TIG
PROJECT: CORAL COMMONS
Project Description: All encompassing low voltage.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: LL ENCOMP : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
CORAL COMMONS LLC SCHROEDER & SONS ELECTRIC
1905 SW 257TH AVE PO BOX 748
TROUTDALE, OR 97060 BORING, OR 97009
Phone: 503- 666 -4240 Contact #: PRI 503- 658 -3369
Reg #: ELE 3 -385C
FEES LIC 49027
Description Date Amount SUP 4152S
[ELPRMT] ELR Permit 6/18/2007 $75.00
[TAX] 8% State Surcha 6/18/2007 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
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.
.. --.'" j/ r
Issued By: Aei Permittee Signature: S i g . 42
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.
Jun 15 07 02:41p CEDAR RIDGE HOMES 503 666 2408 p.8
c a 's
Electrical Permit Application FOR OFFICE 'USE ONI.V
E Ef lE ° Received. 61 . 0 j 4"' - ()Ow l
City of Tigard I Permit Nn
D�elB
13125 SW Hal Blvd., Ti:. rd, OR 972 Plat Review
1 f O U Other Permit. �C_� CO '� I
T 1 Ci h K co
Phone: 503.639.4171 Fax: 503.598,19644 iI V ^I 1 ?DV D�dBv
Inspection Line: 503.639.4175 'JUN Date Ready /By.
Noti Eed'Method: "'
Internet: vrwve tigard -a.gov CITY OF TICIA
. 67h
TYPE OF eVitn. 1AIil 1!9 S N PLAN REVIEW
. 9�j.� Please check all thatapply (subnit2 sets of plans w /items checked belew
Z New ccastruction El Add tion /alteration/feplaCement ❑ Service or feeder 400 apps or mace ❑ Building ova three stories_
❑ Demolition ❑ Other where the available fault current ❑ Marinas acd b oatyards.
exceeds 10.000 amps a 150 volts or ❑ Floating buildings.
CATEGORY OF CONSTRIICTiON less to ground. or exceeds 14,000 0 Cmnmercial- useagriarltual
❑ 1- and 2-family dwelling ❑ Cocnmercial/industrial tl Accessory building amps for on ather installations ❑1 i oE7s KVA or
❑ Fire pump.
❑ Multi-family 0 Master builder ❑ � ❑Emergency system. larger separately derived sysxm
JOB SITE INFORMATION AND LOCATION ❑ Addition of new maDxloadoE ❑"A.'E',"1 -Z", "t -3 ".
1 DDHP or mare. occupancy.
Job no.: I Job site address 9376 SW Coral Street ❑ Six or more residential units. O Recreational vehicle pales.
❑ Health-care facilities. ❑ Supply voltage Eormore than
City/State/73P: Tigm dlOR/97223 ❑ Hazardous locations 600 volts nominal.
ect name. Coral Commons ❑ Service or feeder 600 amps err more.
Suizelbldglapt. no.: of FEE SCEEDULrs
Cross street/diredianstojob site • Dee* m 1 Otn l Fee. 1 Tsui. 1 `
New residential single- or multi- family dwellingunat.
Includes attached garage.
1,000 sq. L. or less
Ea. add'I500 sq. $ orpertion 145.15 4
SubdivisiorL I Lot no.: 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft)
Limited me'gy, multi - family
75.00 2
New Single Funnily Construction residential (with above sq. ft)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 ` 2
® PROPERTY OWNER. f
1 ❑ TENANT 201 arms to 400 amps 106.85 2 401 atop s to 500 amps 160.60 2
Name: Coral Commons, LLC 601 a:npsto 1,000 amps 240.60 2
Address 1905 SW 257 Ave. Over 7,000 amps or volts 454.65 2
Temporary services or feeders installation, alteration, and/or
City/State/ZIP: Trout dalo/OR/97060
Phone: (503)666-4240 Fax: ( ) relncatim
503 666 2408 200 amps or less 66.85 I 1
207 amps to 400 amps 100.30 2
Owen inttatlalion: 1Lis installation is being made on property that i own which its not 401 amps to 599 amps 133.75 2
intended for sale, Tease, rent, or exchange, according to ORS 447, 449, 670, and 701. 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, 6.65 . 2
each branch circuit
Business name: Coral Commons, LLC • B. Fee for branch circuits
without service or feeder fee,
86.85 2.
Contact name: Dean Grey 5rstbranch circuit
Each acid'] branch circuit 6.65 2
Address 1905 SW 257 Ave. Miscellaneous (service or feeder not incbded)
City/State/ /ZIP:Troutdae/OR /97060 Each manufactured ormodular 90.90 2
dwelling, service and/or feeder
Phone (503) 666 -4240 1 Fax:: (503) 666 -2408 Reconnect only 66.85 _ 2
Furry? a UT- .gatroncircle 53.40 2
E -mail: 53.40 2
CONTRACTOR Sign or outline lighting ,
Signal circuit(s) or limited -
Business name: Schroeder & Sons Electric _ 'energy panel, alteration, or 1
extension. Describe: Page 2 l 2
Address Pa Box 748 all inc. law voltage k
Each additional inspection over allowable in an of the above
City /State /ZIP: Boring/OP./97009 Per inspection 62.50
Phone: (503) 655 -3369 1 Fax: ( ) Investigation p er hour (1 hr man) 62.50
Industrial plant per hots 73.75 1
CCB Lis.: 49027 I Electrical Lic�3 /38dld"� 7 5C ,�Suprv. Lic.: 41525 ELECTRICAL PERMIT k.:p:S
Suprv. Electrici an signature, required os f :, • Subtotal: 1 ? on
Plan review as% o_`permit fee):
Print name: Donald Schroeder Date: 6/15/07 State surcharge (816 of permit fee): CO. (
Authorized signature: TOTAL PERMIT r1'= u
.: I V " 1. On
Tldsp era& application expires if a penult Is nut obtained within 180
Print name: Date: days after it has been accepted as complete.
' Number afirspecti DOS allowed pap =nit
1:1BmIdingtPermits 7@LC- PermitApp.doe 1521(06 410-4615a t uarfC?CM'WPB