Permit C ITY OF T I GARD. ELECTRICAL PERMIT
44)■ PERMIT #: ELC2005 -00394
DEVELOPMENT SERVICES DATE ISSUED: 6/8/2005
r'f II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S126DC-00902
SITE ADDRESS: 09500 SW GREENBURG RD ZONING: R - 25
SUBDIVISION: LEHMANN ACRE TRACT LOT : 005 JURISDICTION: TIG
Project Description: Replace meter base for units 13 and 14.
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: SIGNAL /PANEL:
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:
CARPENTER, WESCOTT G WILSONVILLE ELECTRIC INC
2023 NE 42ND AVE PO BOX 845
PORTLAND, OR 97213 WILSONVILLE, OR 97070
Phone: Phone: 503 - 638 - 5353
. FEES Reg #: SUP 3854S
LIC
Description Date Amount
EL E 3 --307307
3
3-307C
[ELPRMT] ELC Permit 6/8/2005 $80.30
[TAX] 8% State Surcharge 6/8/2005 $6.42 REQUIRED ITEMS AND REPORTS
Total $86.72
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 i .: i. -, or if wo
suspende• • more - 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the °ribbon Uti . No ' ication ter Those
rules a set forth in OAR 953-00 rough OAR 952 - 001 -0100. You may obtain copies of these rules . dlr . ions to 0 C
503 -2 • •-669 or 1- 800 -332 -2 4.
Issu :d By: c Permittee Signature: _. �/7L=
lv
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:
CO Vii.. - O -TA, . ATION ONLY
SIGNATURE OF SUPR. ELEC'N: 4�. "�t�4-ii a � DATE: � ��
LICENSE NO: ,Z659/ J
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.
Electrical -- Permit Application ' .. ' FOR OFFICE USE ONLY
City of Tigard Received
DateB : i j7 e, Permit No.: /L .., , /ii ..... a) g
13 125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit:
Phone: 503 639.4171 Fax: 503.598.1960 4 _ ,1 4�q' 1 � 1'' (
' '� Date/By:
Inspection Line: 503.639.4175 s; p k ..J Date Ready/By: 1 - ` ® See Page 2 for
Internet: www.ci.tigard.or.us
Notified/Method: tO Supplemental Information
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:�'' ` °t; r .v ��° `ar=*�:,N�'�rt, y ,��u,�«TYPE`�OF. «�'bRT�,. , �.�'�,n�l�:�;;.�ku =�E �es,:..r,� �t.� „a.z,y����,,.�... � -t
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❑ New construction (Addition /alteration /replacement pp y:
OService over 225 amps, comm'l ❑Hazardous location
❑ Demolition ❑ Other: ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.
- .. .:nk+s +: .i^•t^ • yr. nmfi -ctrat�ow".;'aa:irr+;s�it +u ,�A,� <,' =e'er, i�'�'�! �,5y: {e� "? t;- ^.- =''_':!- ,r'n;'�'a;kF`;,I';: 4 or more new residential
,., , 4-- ,, ,;+ fii:iN't� f ;. , 'Z.: : . , .:' ° ='' t s N ,fif`t`h ++ , ,. i r �.- =,, of 1 and 2 - family dwellings
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❑ System over 600 volts nominal units in one structure
❑ 1 -and 2-family dwelling ❑Commercial /industrial ❑ Accessory building ['Building over three stories ['Feeders, 400 amps or more
l.r4 Multi- family ❑ Master builder ❑ Other: ['Occupant load over 99 persons Manufactured structures of
w = ",,Y x,:. ,s, • s'. .,,; ,, ;,,,, > 4 ; , ; �,b, -. , , , ,•;;t , d; 3 ; P r : a +s' f'! park
I ��Pp aI �)`' �O igiiEtINFORMIffe Aii Lt talon i „''. .°. ,. Ir w,�� ❑ RV Egress /lighting plan p
,,-r, ,. ,-.,.,k,,..�, r�:,c.. ,,, w, -.,,, k,,i -- ,�.. ,. _ o .:,,„4 .
❑Health -care facility ['Other:
Job no.: Job site address: ,95-b.,-, St,v .2A 1 RL t,,.6 ly ubmit 2 sets of plans with any of the above.
City /State /ZIP: c-rt � The above are not applicable to temporary construction service.
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Suite /bldg. /apt. no.: Pri ect name: G R ® , SDescrlption I Qty. I Fee. Total "
Cross street /directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: E a . add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: ,, energy, non - residential 75.00 2
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a lz t ��,�t ' '� f i r S CrRI P T S I®N ei ' ' a ra ; 1t' / r F t t, . ; ` , r
pp 7y a „ Each manufactured or modular
' s 9S:�s s', .., �rt ^�.:�i,'temn'1 »1e'�d& .v�? „s.._.,w ..ar r.,t S.,Y. rs�tk .a�Msr ,A <- 1:ff�.. ^X�. , f ,,.hd .,c.+Y«,, .�Ja F.,wQ'a,'y,'. +. "af�ii,
dwelling, service and /or feeder _ 90.90 2
R aituk eo, Q L c IAA e Services or feeders installation, alteration, and /or relocation
200 amps or less I 80.30 craap2
:s: - ,,.,�.���� „r,: -. , u� +,�. >•,. >,v�,- r� :�:,:., r.�su�' ��iks,.: ��.:�,,,::,, ;• °.�„ ,y �,, >n:vv;,: ;�,y�s;' „ t't�i;;`;t , �s , ',,s�sr 201 amps to 400 amps 106.85 e 2
, •r. = .� 4 ,,. ; i;,..: _ �. -.1, .s 4 ,h',„; a,. � is , P' l ci xi ,.+:.r_:. t' c „y
1. ®PRO$ER�TY, OWN,SR �a ” :1a , W er r' �,' E1 AN m �, 160.60 2
.. , . ,, .,.� ,r�� � � r���> _ +. �..., <t�..��= 401 amps to 600 amps
Name: 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
Address:
Reconnect only 66.85 2
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I 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 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
a,.. R,� v.�.,, s- ,•,;;.. �;., ta + ��.•A:l ,,K�,i�,h<: .7:. , .�,. , ' '�'�
, , 'ps :i .V tr . 9u4 � Sa .❑oM,,,tITA 0 ;. "t;
Y A'PP , IC A N , 1 ° , 1,� ,,,,. s.,- ,:,rctr. =us:;J <�a serv or f ee d e r fee each
- � 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
each branch circuit
Address: Each add'I branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax:: ( ) Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
;,,�_. =.. �i�r� � :�;,; •�r� � ; .- , �_�s- _,� , " "7�1s':�w� „ Y, _y r+�✓'��` ;�",�) energy Panel, alteratton, or
e2 2
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;4;rh ,;'.`'<' tyt;.,«::.: te% i. i'; ?ii .�krsa`c4'rY'= „ks'.a':i:.a.:r.n �.�- ,.. „�,.,t:.ctr. .;..,.,,_.,,, �E,,. tir- ,t,�k"; ' s�4.'•. r.,. u... l`- atC ..,�,i,- 7!a.!�..�,.,.•,..�'aui Pa
='u � '° ���� extension. Describe: g
Business name: 4) / t ,.rc,AJVp,4 ` L-+” -J e
Each additional inspection over allowable in any of the above
Address: p,,,, Q b6 Per inspection 62.50
City /State /ZIP: W / Li sn e..) dim � i . • j CP -7,6 Investigation per hour (1 hr min) 62.50
Industrial plant per hour 73.75
Phone: (5/23) ' : ►' 3 ) , r e$ !7 7' �/ lli:r=,”) ity„°. =:?s: <ELECT'oR±1GA Ptk}R1V1IT ' FEES,* °' ` -
CCB Lie.: 75%71. Electrical 1 .: ` g I S •rv. Lip'.: Subtotal 43Z2 3v
��� /�
Suprv. Electrician signature, �aui . I � . , /
� �� / ��� Plan review (25% of permit fee)
State surcharge (8% of permit fee)
Print name: J A ��r Da �� ��° TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board
** Number of inspections per permit allowed.
is \Build,ne \Permits \ELC- PemnlAns doc 12/03 440- 4615Ti 10 /02 /COM /WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00394
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/8/2006
Phone: (503) 639 -4171 �o'o���r���il���yp���� C1\
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/10/2005 TIME: 7:14AM PAGE: 98
SITE ADDRESS: 09500 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT #: 005 TYPE OF USE:
PROJECT NAME: CROWN OAK APARTMENTS
DESCRIPTION: Replace meter base for units 13 and 14.
OWNER: CARPENTER, WESCOTT G, PHONE #:
CONTRACTOR: WILSONVILLE ELECTRIC INC PHONE #: 503. 638 -5353
Inspection Request Scheduled For: Date: 6/10/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 = .ervice/reconnect 008889 -01 503 - 638 -5353 N
co -- '• is /Come - is /Ins ctions:
•
•
h ry
(-•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: - / e x- �� Phone #: (503) 718 -