Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2012 -00028
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/18/2012
Parcel: 2S110AD08801
Jurisdiction: TIGARD
Site address: 10695 SW MURDOCK ST 8
Project: Pacific Crest Apartments Subdivision: LANG HILL NO.2 Lot: 77G
Project Description: Panel replacement in unit D8.
Contractor: STONER ELECTRIC Owner: PACIFIC CREST INVESTORS LLC
1904 SE OCHOCO PO BOX 62
MILWAUKIE, OR 97222 KENTFIELD, CA 94914
PHONE: 503 - 462 -6500 PHONE:
FAX: 503 -659 -4968
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 01/18/2012 $100.70
Specifics: amps or less
1 ea 12% State Surcharge - 01/18/2012 $12.08
Type of Use: MF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $112.78
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180
days ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952- 001 -0090. You may obtain a cosy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. .
1 1111b 11•
/.-- --
Issued By: - _ / �!- !s��' •e�m ittee Signature: i I
�� 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' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
Jan, 16. 2012 2:27PM Stoner Electric Group No. 1047 P. 1
Electrical Permit A • l lycat> � " roltou'Fi r I / L OiN
rx City of Tigard ,. J Deceived i
V 13125 S W Hall Blvd., Tigard, OR 9722 y ry Plan Aoview r ■
' 1 I Phone: 503,639.4171 Fax: 503.598. J N 17 1 2 012 Da1C/13 :
Other Pcrm;e
' I I c; q h II Inspection Lino: 503,639.4175 Dale Ready/By: tans: - 4 See Page 2 far
Internet: www.tigard•or.gov TY OF TIGAR D Notified/Method: '�Co Supplemental Information
lei: M „T._ ' ' �, TOE 0 `t 0.L 001 a �1 t i r r” " ; PLAl�'rtla , .u�oav '' a #1
El New construction �!J Addition /alteration/replacement Pkaao check all that apply (submit 2 sets of plans w /items checked below):
[]S mire or feeder A00 amps ormoro ❑ Building over three stories.
El Demolition ■ a Cher' where the evoileble fault anent ❑ Marieas and boatyards.
.∎,,, ] smelt - famil dwelling E - Cornmercta �',f �tfidi(ea ti.. , ; = less to exceeds ground, or c eels 150 14,000 or ❑ C ,nm buildings.
. . TEC o t 1 1 (i
:7. i - "'` " tors to ound, or exceeds 14,000 ❑ Commercial -use agricultural
El y g l/induslrial ❑ Accessory building amps for ell other inatellolionu. buildings.
i` ulti- family Li Master builder CI Other: CI Fire pump, n hioralladon of 73 KVA or
P / ,I,tr,v n ' r t s' r' [� Jw1 ,am t f 1,7 f • l .. , it4A (3� "y El Emergency system. larger sepamuly derived system. • `t1li':.�y., d i 4_ ,,,_ • yd !x,1 n -.. .?; r', . .. ❑Additionofnew motor load of 0 - A ",'1 "1.2 ", "1.3 ",
Job no.: I ig .$ Yob site address: /D 096- S C' �,�/fu !`� dJ el) � 100HPormore. occupancy.
❑
/� F �G- _
El or more residential units. Recreational vehicle parks.
City/State/ZIP: , ,4,, I,. d 4 72 ❑ Health -care facilities. ❑ Supply voltage for more than
/ � El Hazardous locations. 600 volts nominal
Suitefbld' ∎.: D Project name: � riciric /P 1/1 0- n ❑Serviccor feeder 600 amps orinore.
Cross street /directions to job site: "215: DIDI� e e. 4' ' 4 � 11 I t s
,i Dru g I 9tz, 1 red, I Total •
New residential single or mulll- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less _ _ 168,54 4
Ea. add'1500 sq. R. or portion 33.92 1
Tax amp/parcel no.:
Limited energy, residential
, `;; DE 1PTION' OF WORK . " )4rterr 'A's" ith ove sq. R.) 75.00 2
Lim en multi- family 75.00 2
is l 04 ,4Lam_ ‘_.../4) uvr-7 -- residential (with above sq. R.)
Services or feeders ins fallation ahem lion, and/or relocation
200 amps or less ( 100.70 /t7/j- ` 2
�_ l 1 , l 4 6.12441 1 Q TEN . ; A ` q 201 amps to 400 amps 133.56 2
Name: 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps _ 301.04 2
Address: Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and /or
..ity /State/Z1P: relocation
Phone: ( ) Fax: ( ) 200 anfps /or less 59.36 1
201 amps to 400 amps 125.05 2
Owner installation: This installation is being made on properly that I own which is not 401 amps to 599 amps 168.34 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
• Branch circuits — new, alien Hon, Or eXtension, per panel
Owner signature: Date: 'A, Pea for branch circuits with
y above service or feeder fee,
> C�N A e ..• : ' i'. ; : ;- mc h b ranc h circuit 7A2 2
Business name: B. Fee for branch circuits without
service or feeder fee, first 56.16 2
Contact name: branch circuit
Each add'l branch circuit 7.42 2
Address: Miscellaneous (service or feeder not included)
City / State/ZIP: Each manufactured or modular 67.84 2
dwelling, servico and/or feeder
Phone: ( ) Fax: ; ( ) Reconmect only 67.84 2
E-mail: Pump or Irrigation circle 67.84 2
t , , Signor outline lighting 67.84 2
: : -, �. : +;., . .. teiNTRACTOIt . .,.. :' ,;'„ "Valli Signal envoi t (s)orlintited•energy
Business name: STONER ELECTRIC, INC. panel, alteration, or extension. Pate 2
Each addlllanal inspection over allowable in any of the above
Address: 1904 SE OCHOCO Additional inspection (1 hr rain) l 66.25/hr
In pa hr min) 66.25/ hr
City / State/ZIP: MILWAUKIE, OR 97222
Industrial plant (1 hr min) 78.181 hr
Phone: ( 503) Fax: ( 503 659 -4968 Inspections for which no fee is 90.00 hr
Electric Lie.: 26-122C Su rv. Lie.: '. `;, :'' . i i ;
specifically y istt % min)
CCB Lie.: •
44823 26 122C p 3496S Ill`: ....
Subtotal: /00, 70
Suprv. Electrician signature, required: , 1 1 r'` , .... Plan review (25% of permit fee): -
Print name: MICHAEL FALCONER Date: I / ltd / Z, State surcharge (12% of permit fee): /Z,
Authorized signature: TOTAL PERMIT FEE: / /Z 7E3
'This permit pppliteGUn expires if permit Is not obtained within ISO
Print name: hate: days after it has been accepted as complete.
N um b er of inspections allowed per permit.
1: 1BuddioglPermi tat_C- Pemiir.pp,doc 01/01/10 440.4615T(II/05 /COM/WEB