Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00275
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 A -10 ZONING: R -12
SUBDIVISION: PLAZA GARDEN WEST APARTMENTS LOT : JURISDICTION: TIG
PROJECT: PARK PLACE APTS.
Project Description: Replace 100amp 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 $86.73 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
107 07:32 FAX 5036592824 STONER ELECTRIC X001
)
E 'ctr, cal Permit Application , FOR MK I:: ( ONLY .
/ 1 /J
City of Tigard • . C Map�� � // D Permit N r `^' "//� `
o 9
,;°' r , Received %-
13125 SW ;lull Blvd., Tigard, OR ;7. a Plan Re ,, Other Permit:
Phone: S51.13 : 639.4171 Fax; 50J.54$.19G0 a i'ti Receive Daid13): d _
(n5 „
ction m A PR 2 5 2007 I e: 503.639.4175 " '� =� Dare Readyl3y. ii.,,
interact: uww,er.tigard.or us
Notified /Mcnioa: d RI See Page 2 for
^ Supplemented lit torniation
• 4 C. t!� PLAN REVIEW
Q New construction I Al Ilion alteration replacement
['lea•sc check all that apply:
['service over 225 amps, comm ❑ Hazardous location
❑ Demolition ❑ Other: , .. ElService over 320 amps - rating ❑Boildng over 10,000 so. ft..
CATEGORY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential
❑S over 600 volts nominal units in one structure
Q 1 - and 3- family dwelling ❑Commercial /industrial El Accessory building ❑fluilding over three stories El Feeders, 400 amps or more
❑ Multi - arnily ❑ Master builder ❑ Other: )]Occupant load over 99 persons El Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress /lighting plan RV park
['Health-care facility ❑Outer;
Job no.: Job site address: (( 6714 5 w L O M 17 / Submit 2 sets of plans with any of the above.
C: ir,' /StatcrZIP: . 1 ICI ��9, U Q O' 72-2-3 The above are not applicable to temporary construction service,
FEE* SCHEDULE
Suite/bldg •apt_ no.: A `b Project name: ID A02..{4. pL QpTS prPtripdao I QTY. l Ftn Total "
Cross strc7fdirections to job site: New residential single- or multifamily dwelling unit.
lacludes attached garage.
1,000 sq. ft. or less 145,15 4
Subdivisim: Lot no.: Ea add 500 sq, ft, or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.: Limited e nergy, non - res _ 75,00 2
DESCRIPTION OF WORK Each manufactured or modular
dwelling, service and /or feeder 90.90 2
- L.}>r rCE I PIMP 1 D aN�-: _ L Services or feeders installation, alteration, and/or relocation
200 ,imps or less 80.30 +'o.3.0_ 2
TENANT 201 amps to 400 amps 106.85 2
., g PROPERTY OWNER I 401 amps to 600 amps 160.60 2
Name: 601 amps to 1.000 amps 240.60 2
Over 1,000 amps or vale 454.65 2
Address
. - Reconnect only 66.85 2
City /State'ZIP: Temporary services or feeders installation, alteration, and/ur
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.35 1
Owner iinctallatiou: This installation is being made on property that I own which is not 201 amps to 400 amps I00.30 2 _
intended fee sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. '401 amps to 600 amps 133.75 2
Owner suture: Date: Branch circuits- new, alteration, or extension, Jr" panel
` •`, • • ❑ APPLICANT l [1 CONTACT PERSON A. Fee for branch circuits with
- __ service or feeder fcc, each 6.65 2
Business znme: branch circuit
• B, Fee for branch circuits
Contact n xie: without service or feeder fee. 46.85 2
first branch circuit
Address: - -
Each add'I brunch circuit 6.65 _ 2
City /StateTIP: Miscellaneous (service or feeder not included)
Pump Or irrigation circle 53.40 2
- Phonc: ( ) 1 Fax: : ( ) Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business twnc: STONER ELECTRIC
Each additional inspection over allowable in any of the above
Address: Ls04 SE OCHOCO _ Per inspection 62.50
Cites• /State,ZIP: MILWAUKIE, OR Investigation per hour (1 he nun) 02.50
659 -4968 ~ _ _Industrial plant per hour _ 73.75
Phone: (se) 462-6500 Fax: ( 503 ) ELECTRICAL PERMIT FEES*
r
CCR Lie..: 14823 I Electrical Lie.: 26 -122C Suprv, Lie_: 3496 _ Subtotal 5030
Suprv. Electrician signature, required: pl a 2rti1 Plan review (25% of permit fee)
-
/�7 State surcharge (R% of permit fee) Print nac MICHAEL FALCONER Date: 4/2 5 - 3
TOTAL PERMIT FEE •7
Aut oriZ-ed signature: This permit a pplication expires if a permit Is not o btained within 180
days atter It has been accepted as complete
Print name l Date: • Frn metfindnlnw wi by 'i'ri -Mnnty Rui1,1ine lnductry Ceti +e`r Rnard
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00275
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/26/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/16/2007 TIME: 7:00AM PAGE: 72
SITE ADDRESS: 11624 SW LOMITA AVE A__- CLASS OF WORK:
SUBDIVISION: PLAZA GARDEN WEST APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: PARK PLACE APT S.
DESCRIPTION: Replace 100amp 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 / enfirm- #- Contact # Message •
199 Electrical final 048345.02 503- 34.7 -5238 \ Y
Corrections /Comments /Instructions:
1 ,c PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Q Nv� Date: 6114101 Phone #: (503) 718- TVA,