Permit I
.', CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00276
COMMUNITY DEVELOPMENT
DATE ISSUED: 4/26/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135DD-03703
SITE ADDRESS: 11624 SW LOMITA AVE C -1 ZONING: R -12
SUBDIVISION: PLAZA GARDEN WEST APARTMENTS LOT : JURISDICTION: TIG
PROJECT: PARK PLACE APTS.
Project Description: Replace 100 amp 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: 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:
PARKER, JEROME W TRUSTEE STONER ELECTRIC
BY SUMMIT REAL ESTATE MANAGEME 1904 SE OCHOCO STREET
5320 SW MACADAM AVE MILWAUKIE, OR 97222
PORTLAND, OR 97201
Phone: Contact #: FAX 503 - 659 - 2824
PRI 503 - 462 -6500
FEES
Description Date Amount Reg #: ELE 26 -122C
[ELPRMT] ELC Permit 4/26/2007 $80.30 LIC 44823
[TAX] 8% State Surcharge 4/26/2007 $6.43 SUP 3496S
Total $86.73 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: �� �� , Permittee Signature: aL
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.
W 5 /2 007 07:30 FAX 5036592824 STONER ELECTRIC L1 001
4le`ctrical Permit Application , Fort.orrlc 1 ON1 -l • City of Ti l
%V ED Received �
Date/By .0 i �� Perr N 1�' rW 27k
Tigard 1
13125 SW, -fall Blvd., Tigard. OR 972211E � Plan Rcwiew Omer Perna
Phone: 50:1..639.4E71 Fax: 503.598.1960 t` ` "^
APR 2 5 2 00 '''" 4 Dntel0y
Inspection :,ine: 503.639.4175 oats Ready/By rvd j( E1 See page 2 for
Internet: u-aw.ci.tigard.or.us Nom-led/Method: Method: l Supplemental [nformution
crry OF
� - e FT147Ai�D `, V SION PLATY REVIEW
/�It'
[II us
Nenslruction AdditionAddition/alteration/replacement , Please check all Mar apply:
Service over 225 amps, commit El Hazardous location
❑ Demolition ❑ Other: _ ['service over 320 amps - rating ❑ Buildng over 10,000 sq. ft,.
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑Building over three storks ['Feeders_ 400 amps or more
❑ Multi- family ❑ Master builder ❑ Other: ['Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑ Egress/lighting plan RV park
['Health facility ['Other:
Job no.: I Job site address: I I (0 24 s w L o M I r Submit 2 sets of plans with any of the above.
City /Statc.ZIP: - I G A IZ), a Q c 7 2-2-3 The above ore not applicable to temporary construction service.
FEE* SCHEDULE
Suite/bldg./apt. no.: C [ ^ Project name: -PaRK pl � r•. i 'NMI - '
Description Qty.
Cross sued/directions to job site: New residential single- nr multi - family dwelling unit.
includes attached garage,
1,()U(1 sq. ft- or less 145.1$ 4
— 1 Lot no.: I n. add'I 500 sq. ft. or portion 33.40 1
Subdivision: Limited energy, residential 75.00 2 _
Tax map /ptrcel no.: Limited energy. non - residential 75 -00 2
DESCRIPTION OF WORK Each manufactured or modular
_ dwelling, service and/or feeder 90.90 2
-L IOC) +AMP P 1L L Services or feeders installation, alteration, and /or relocation
200 amps or less 1 80.30 ' 8r 3Q 2 _
•❑ PROPERTY OWNER I ❑ TENANT �^ 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps ` 240.60 2
Address; Over 1,000 amps or volts 454.65 2
- Reconnect only 66145 2
City /StateiZIP: Temporary services or feeders installation, alteration, ilnd/or
relocation
Phone: ( ) 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
attended far sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. - _
401 amps to 600 amps . 13175
Owner sig a Lure: Date: Branch circuits - new, alteration, or extension, per panel
❑ APPLICANT 1 ❑ CONTACT PERSON A. Foe for branch circuits with
service or feeder fee, each 6.65 2
Business ispite: branch circuit
B. Fee for branch circuits
Contact nniic: without service or feeder fee, 46.85 2
— - first branch circuit
Address: _ Each add'I branch circuit 6.65 _ 2
City /State/ZIP: T� Miscellaneous (service nr feeder not included)
- - - Pump or irrigation circle 53.40 2
'hone: ( ) , Fax: ( ) Sign or outline lighting T 53,40 , 2
E -mail: - Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
- extension. Describe: Page 2 2
Business mote: STONER ELECTRIC
Each additional Inspection over allowable in any of the above
Address_ 1104 SE 00 -
- Per inspection 62.50
City /Stare,ZIP: MIIL.WAUKIE, OR Investigation per hour (1 hr min) 62.50
462 -6500 Floc: (503) 659-4968 industrial plant per hour 73,75
Phone: (_ ct� 1 _ ELECTRICAL PERMIT FEES*
CCB Lie.: 14823 Electrical Lie.: 26-122C Suprv, Lie.: 3496 Subtotal '50.30
Suprv. Electrician signature, required: rn ,��,r,,,_ Plan review (25% of permit fee)
/.10-7 State Sufcharge ((;% of permit fee) W e43
Print name: MICHAEL FALCONER Date: 4 2 C ++ TOTAL PERMIT FEE St .73
Authorized signature: This permit application expires if a permit Is not obtained within 180
da after it has been accepted as complete
Print name- Date • Pit mrlhnrinlnw .•.`r Iw 'fri -tnunry Raildi *n I„A Servir', R■ari
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00276
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/26/2007
Phone: (503) 639- 4171A
Inspection Requests (24 Hrs.): (503) 639 -4175 d ' 'fL
INSPECTION WORKSHEET FOR DATE: 5/16/2007 TIME: 7:00AM PAGE: 73
SITE ADDRESS: 11624 SW LOMITA AVE C-1 CLASS OF WORK:
SUBDIVISION: PLAZA GARDEN WEST APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: PARK PLACE APTS.
DESCRIPTION: Replace 100 amp panel.
OWNER: PARKER, JEROME W TRUSTEE, PHONE #:
CONTRACTOR: STONER ELECTRIC PHONE #: 503 - 462 -6500
Inspection Request Scheduled For: Date: 5/16/2007 Pour Time:
Code # Inspection Description nfi`rm\ Contact kAessage
• 181 Electrical final 048345 -0 503-347-5238 Y
Corrections /Comments /Instructions:
•
V PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: N Date: 611 f o'i Phone #: (503) 718- 14