Permit , CITY OF TIGARD ELECTRICAL PERMIT
n
"I 2 COMMUNITY DEVELOPMENT Permit #: ELC2009 -00245
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/11/2009
Parcel: 1S135ACLC006
Jurisdiction:
Site address: 9428 SW MANDAMUS CT
Subdivision: Lot:
Project: LONGSTAFF CONDOMINIUMS
Project Description: Building 1 - Exterior service, wiring and low voltage. 7/16/09, adding low voltage for fire alarm.
Owner: FEES
LONGSTAFF LLC Quantity Description Date Amount
7050 SW CLINTON
TIGARD, OR 97223 6 ea Services or Feeders - 200 08/11/2009 $481.80
amps or less
PHONE: 503 - 598 -7565 1 ea Plan Review Electricial 08/11/2009 $120.45
1 ea 12% State Surcharge - 08/11/2009 $57.82
Electrical
Contractor: 1 ea Limited Energy 08/11/2009 $75.00
DMS ELECTRIC INC 9 da 12% State Surcharge - 08/11/2009 $9.00
8504 SE STARK ST Electrical (manual)
PORTLAND, OR 97216
PHONE: 503 - 516 -8393
FAX: 503- 252 -6611
Type of Use: SFA
Class of Work: NEW Type of Const:
Occupancy Grp: •
•
Total $744.07
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. ' ork ill
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 / X180
days. A ION: Ore! • law - quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rule- are s= • - n OAR
952 -0 -0010 through OAR 9 • • i 41-010 ou may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6. • 9 or 1.800.332... .
/1 .4 �I / , / Ar
Is�ued By: _ i ,�� 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' �J �� 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.
1
.4 .
RECEIVED
Electrical Permit Application F(Ht OFFICE t SE ONI,1
City of Tigard MAY 2 7 2009 Al!' p ' Permit t o eke- aa `'.."-.
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ��/��
' e Phone: 503.639.4171 Fax: 503.598.1561 � OF TIGARD Date/B : / !r`[ 0 ILIv SM Other Permit:
t 1 i n It 1 Inspection Line: 503.639 Date Ready/By: / Ju El See Page 2 for
Internet: www.tigard or BUILDING DIVISI Notified/Method: i /d O' maw, " 'f i x Supplemental Information
ME OF WORK - { . .(✓�/t/1' - i(0 / B EAN REVIEW j
® New construction ❑ Addition/alteration/replacement Please c eck all that apply (submit ,3 sets of plans wlitems checked below):
0 Service or feeder 400 amps or more ❑ Building over three stories.
ID Demolition ❑ Other: Where the available fault current ❑ Marinas and boatyards.
CATEGOR>' OF C ONEICRIICTIO i r '' exceeds 10,000 amps at 150 volts or ❑ Floating buildings,
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
® Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFO T101V AND LOCATION ❑ Emergtmry system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 - 2 ", "1 - 3 ",
Job no.: I Job site address 94/2g SW Mandamus Ct 1001W or more. occupancy.
0 Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: Tigard, OR 97223 ❑ Healthcare facilities. ❑ Supply voltage for more than
❑ Hazardous locations, 600 volts nominaL
Suite/bldg. /apt. no.: 1 I Project name: Longstaff Condos ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Deuriptloa I Clay. I Pee. I Tow I •
New residential single- or multi- family dwelling unit.
includes attached garage.
Subdivision: Lol no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 I
Limited energy, residential
75.00 2
DESCROPIION OF WORE{ . (with above sq. ft.)
Limited energy, multi - family 75.00 2
Electrical Service, wiring and low voltage residential (with above sq. ft.)
MST2008-00176 Services or feeders installation, alteration, and/or relocation
200 amps or less 6 80.30 ygGEo 2
.. ® PROPERTY OWNER ' ' 0 TENANT - - 201 amps to 400 amps 106.85 2
Name: Brownstone at Lincoln Park, LLC 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 7050 SW Clinton Street Over 1,000 amps or volts 454.65 2
City /State /ZIP: Portland, OR 97223 Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 1 66.85 I
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 599 amps 133.75 2
Owner signature: Date: Branch circuits— new, alteration, or extension, r panel
A. Fee for branch circuits with
0 APPLICANT I - ta CONTACT PERSON ' above service or feeder fee, 6.65 2
each branch circuit
Business name: RCM Homes, Inc. B. Fee for branch circuits
Contact name: Ron Lightner without service or feeder fee, 46.85 2
first branch circuit
Address: 7050 SW Clinton Street Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Portland, OR 97223 Each manufactured or modular 90.90 2
dwelling,
Phone: (503) 598 - 7565 x 101 Fax: : ( ) Reconnee ct t only and/or feeder
Reconnect 66.85 2
E -mail: rlightner@brownstonehomes.net Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: Dms Electric, Inc. Signal circuit(s) or limited-
energy panel, alteration, or
Address: 8504 SE Stark ST extension. Describe: Page 2 2
City /State/ZIP: Portland, OR 97216 Each additional inspection over allowable in an of the above
Per inspection 62.50
/ Phone: (503) 209 -9298 I Fax: (503) 252 -6611 Investigation per hour (1 hr min) 62.50
CCB Lic.: 118073 I Electrical Lic.* 37 -742C Su rv. Lic.: 4542 S Industrial plant per hour 73.75
EI TCrRICAL PERMIT FEES Electrician signature, required: / / o Subtotal: 7`81- ift
Plan review (25% of permit fee): /AO. Y
Print name: Vacile Petrila Date: 5/26/2009 /t
State surcharge (12% of permit fee): 57. ' 2
Authorized signature: TOTAL PERMIT FEE: 64, 07
Print name: Paul Grushevskiy �� J Date: 5/26/2009 This permit application expires if a permit is not obtained within 180
y days after it has been accepted as complete.
• Number of inspections allowed per permit.
I. lawldiag \l'ermns\ELC•PermltApp.doc 0/23/06 440461ST(11105/COM/WBa
JUL-16-2009 12:08 From: A., ; • To:5035981960 P.1'7
.. . ..
Electrical Permit Application RECEN ' • II 1..(1H (')1 VICE I.1SE ONI,A.
. .
, Citv offigard i 6 zo% 1 : . : : ;;,.e_t i v ,,.. 1
Ponlx N.!) . ae09'00 i l S "-'-
: • . l_112 AV S 1.ialf Illy N
'd . ed. OR 97223
1,
., -, , p
Ph9FIC.: 5 ii I`UX: ^I i3 :WS 190 JUt x Nall RUI•TeN%
N
CM/ OF TIGP$RW"' ..... ,..,,,,-, .,...
T I
C. AR F) 'asp:cilia' 1.4no 503.6:i 41 75 Awthf.,0• , . lurk t 55 Cote P 1 !Or
Internci www.rigartl-INI.epy r. C81000,Af.Mcitual
...1__ _ i Supp4ftiellenilnrorm4tum ... _i
14 1, U - -, -
,,,„..,,,,,,.-.7*.x,-7=0.'-' • - -,
i • . ' ''''•:,''' i,:i • ...!;:,..ki . - : r't • :'.-,': 7 7 ' 7:: . -77 T - 77 fAIT - 14 - WTRW, ikiko . .,._::%:. . =:7 ' • •
1......z'..,...,,..1 ,gt,,...0' • .-Ltitliflja.mia...:+ • •WY1I...::, ... ,,,,,,,,,, •: ' . ' :* -...!:' •.' • .,.......•..i.f,.... •:„1.__! . 4--.:i.4:1,-.., ••■••.:::.:•__ •:-• •••••,•-• 4 • ' -' '''•'- ' el' . ., •1,11.,;.,_,,;2e.,.._,4
, El N.tv,• ,;onstroetion 0 Addition/alterationaeplavt' 414' . ! ! Pluto dui .11 that app ytRubilai Z.SCIE tt pan i y;risums LimAc(li vicw) 1
, ;
SVI VI1A: I - I'X'Jilt 4 CM 8111.1a: ,:r !luxe: 0 fIttl.k/Intv r.», duet
0 04M0 1114.M 0 Other: . .
. , • . !UM. IN avida14c faait titricul 0 ktutilas ! lad Froart,okL,
--- '.. ,) 77..77„; e iettitt ., • , i': .,. , . - - . -- 2;.:: - .:.. 1 ! .:•.,..c.c:1:( ;.).,v9(, ; a mps' i t I .53! ,,,IIIN, or 0 P I ■uamp bmItImiii.
0• '. I . ...1 .' ncl . :." W Flin'i;-. . b t:n rn q'ti ad a . :a
•
Itisli.gr mid rethCfua 14 'AV qCo.mitivitial-vie imi Pam at .
, Amp,. an 11!,alta• dm ' Hatt *A 111)11(111W
I ESI •illd-faillitv 0 !vlai (Iti i Icier D 4,11kr: ILI I PIIIII • CI .4/11Hilillit ..1 KVA di •
r-7 : 1 _745 -77 , --7 ,7 . )717 4i , 7 ,.,,,T1 .,?7 rriai....77 -. : - . -7-;• 0 OrgIrgrn• y •■••■7•431 Inger Acr8rugly dcrtved
- ‚- -- _. ....' I t T. 4 134 .11;Itt'T,1 ?.. ...,;. .... .' 0 Adthemt , I Iwn .),4:4?. I bat! ■;.1 EI - A (:•:• - I. , 1.• - .. •
_
b
i fl r in nbnv .N,us,.....,
i .11'.■ no
Tlob .7;i1e, address !44S2 SW Mandamus C I
1, : , oz , 0 R.:( . tniltneet - ,01aLla 'wit% .
- ..
Clly ' •• • • . •.' 9 : 1 0 thz,10,.u; 'a hviipica 0 SIII31 cdtaVe 10 titift: that
- .1 ' 0 l'itIzIld'h '' lt.i.alitatt GOO .. all n at atom!
--- • ---- .
■
•/15 n - l11.! itIpt 330 : 1 ' -. .. . . LotogstalT Condos
Prolt.ui name. : 0 :•..::-:,: I. • iwata GlAainps ,:sr More
--" • •---.-- •• • ---------- _._______ . ' ----- ,,,,, '''' - H - . -7 .:; .. i., -7 ,., 1 : 7-77 : 7 ,:;eiit:',4brignitifitl : :::::,,,,77.:: 77 : 7 7. - 71:1
(.. ros .3 str ee tid ire • ' N to job s it e,
t Pei. tIon ......_ I . , 11c1.
' ----- .--*----- --- ------------- - -- ----- ■ Nen rd tidal .tirtile- or intilli•romily dwelling unit.
laeludo, tt Inched no ags.
_ ..i __-.... __r___I
s.;ulxiil i,sfsm I i L1. Nq It In iI;SS i HS I !
I - - --- • ••••••-- . •-•1 ! LI 171 5 if.i 571 - it c,. nonmo 1.. - . : .F.C46 "-- - -
I- - ax i oup(parcel no.:
7 1 tinitdit iin ry.. rtmldritial
.,-....- -
I 1 3 00 ; 2 i.
. - -...::,..:. : ., .. , ..... .. . .__..gy•. ti ?I, _................_ . .....__..... ...,.
1 ..nnd ca. rey. insilitrrn6 1
1
! Elertriral Service. wiring and low voittige hop Ft es_ ,q 7c.
tonidart it 1.1111 air. c 41 it ) : I ' ' : • - •
......h.-___-_/..
I . ' - -
. • -........-.‘
Service. •il fiCafri installMinn, ulicritt,lo it, outlaw relocation
NIS I
i .... (.4 &L ..,
6
200 ampm ,, - km
- '''' .3" ' '1115616* .0...WP* : T : c. 1:77 1 77-..1 ' , ... . 61 " 1..-.: - 1
I •.: ,--: - . • ' • ..' :' - . - .. :' . ; 4 i.,' .... ...:.C . , ; .''.' .. - ., • - . -- : .W I ilnlivi l , 400 106 8 •
i -10 t amps r $ NI° nairi , i ,5n idi I -----
'Vatne. Brownslonc pi 1,Incola Pat • . tic
• - ,
• • -1 1;01 arnni t , I .{.410 an165 24 (0)
Address. lop S' Clinton Street I i ..-.-- • •-•-•',„ tri
;-,------ t - 4 1 £ ', -- ------- --- i . :4 ----
1 St/it:VIA I ----- -4 - +,
.■ ;p:: ,., 16 1 .1.. 1 .1. 1 . 2 ... . 1
-.„ .....„ _ Ovvr I ho
remPlbrIlt ' wmfeci ihr li.144 010411200n, 9 Ittration il,t)1. '
CH> ': . Portland, OR 9722 3 I
i _________•-- - _____ ... ________ i , relowitlinn, .. ;
( i J Vitsi. ( ) I I Nizips c - k.-: . - - 1 6ii Sc5 7 1 :
: Owner instaliniion: Thin inStAillawn i± lning made on pro4 Ilati. 1 t1'A1l l'.I(111 S 111.)L 1 ir • ()1 "1 I 4° `In" • 1.90.30 I ■ ?
attencled for ,t1,.1, lease. rent or eu.hange, Pecon:lirig. to ORS 447, 449. 67(I. and 701 ! ! 1°1 amp% t.. mop - 13:' ri I I 1
. - I
i i Branch cji or exicasioa, per Oath .....
t )witer ig115mirr.r ..,
....... ... . . _ _ Datc: ......__
----- " A 1.cc rot 1 cm.diis with 7
I I ;
7 ... •':::. .41/40 it A E.. ,...:,1 .. .T 411 ' ' IEK WO C. V":0 eltR50/ 14 4.... ! above AC SI! !elder fcc_
; 6 iv; ;
W ilair - - ,- 0 - ----- • - - • -.- • ..--a-r-:'".- ' ' . - ' ' -... . -- 1 1 Vadt but di ,:aLun L .. 1. .. : ____,; ____.1.,.. .;
BMS:. pr. RCM Mme hi
s. Inc.
H.
I ; 1 11.4 I' ouch Luratis
-
na
. ! ), rai sr.trs-kc LI avkli.,-t rev. i ,
' Conlact me: Ron Lghtner i i : ; ilo
.. ■
_ _ rs
iio 1 ;111.1Ruil i '
.1ddrevi: 7050 SW Clinton Street
i 1 Loch add I tr(Itt(11 (arc it . • (... ix!. !
. . • - ----------- .. _____------ ..... -- • -..- i 1 mkt:bac ius,(servIer or freder notitititmletl . i
i ( i\ Slate/AP. Portland, OR 97223
1 rf.aolinantoLlarr :
d or nodular ! ,),, ofj i •
!-- ••-----•--- -- , thivainu, s NV
v■ me :I( r feeder . .• .
, -
i l'hone t SO) 598-7565 x 1.01 Firk: 1 I I
Kt:011mm ta:,
• tk.Si 3
1--....------..._..... ..--1.- -- t -------- • ' '"
E-Mail . rlightnerq;bruwnstonehom6.net. Puma A. in Lill), 1 n cIrt t! i h 1 .411 I 2
..-- .
1 .
t
I •• : ..• 1.):!"-; . :: ',21L__:- ...- 4,1 .a -:-04:-.-.... .,.:: -:.,..., - 1. ...Sig l'gi'!"!, 411 .. ; .. 5 - -- i
sigma cmcat(:,■ 0 nrn r
; I 2 --i -1
i I
f ftwincgA name Drills F,lectrie, Inc,
i -- .._ . caelli:y ram. , ullvr:st it or
I i • 1
■Ar.asian. I e.:,erihe: . "1 ' hi Je ' ' :. .',. 1
' Atilires:. 8504 SE Stark ST
• • ------------ -- ,.. r-traicimAt• .. . • ,
t ityt3IciZIP: Portland, OR 97216 tach 1131dii! mat imcn lino dyer ullowa in,ad.• t or Ihe Pipti1:e
f ------- ....... - • ---- --- ----- -------- • - ....... - ml
1 r'Cf intaccu , n •
62. rib
i Plium. (5031209-919U Nix. f SIM 25L-6611 -1- -- - 1 .,...,,
CCU i•-• -
1).;, pu i ! by- mit) ... Ion [ j i. ,..
- -,---- ,
--_
I Soprv. Li:.: 4.54 . lu
...
1,i.,: I tri
Elecc:a l Lic. 37-742c dorrial rt1 on Km Ion ! 1 774.75
,- • 1 --7 -7 1W4leititikt '14 ' • .
Supri. l'icetriciaii si ruquilvd. 444A C't. - 0) 1 { ' t. su l
tota. I I
1 ---
Phm kw It I'-';.3 of nova fcei. ! i
Prim name: V ;toile Pelrila .__ g . flote.• .5/26/2009
Z
-4, _ ..___ S me. iorcha . tre t I ',.?" of perMk fix
, t)
• -.. ..._
r.,,, iliori 4q1 signaLtAre.. ..... •L torm II-RN.Irr 11-r .
..,...,..... „60 „..i.o. ...... .. 1
.---• -•••-••••• -.-- . - ..--
I Mit KM it Olipill awn' expirm al! perinli L4 NW ofillsintd Withla 11(11 ! Print rtainc,.. l'au.1 Cirusllevsk.iy /C.,..... ''''' Date: .5t26/24/11t/
'
.-__I 41,, alter iir hat Iretn accepted ax footplate.
-...... .....
, S4 ellatt• .actti.poa clic, il tor, ea per
!
»J,. P.' , :•■11:4. I - I'i'-1 A r,.. .- --)fl 41t: .30:••1(• • , I , I't 1.1.1300