Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2012 00683
T idA D- 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 t Date Issued: 12/04/2012
f Parcel: 1S135DA03900
Jurisdiction:
Site address: 11155 SW HALL BLVD 41
Project: St. James Apartments Subdivision: METZGER ACRE TRACTS Lot: 19
Project Description: (43) branch circuits, (5) 200 amps or less, (1) 201 amps to 400 amps for repair from fire damage. 3/26/13, reprinted
to correct description: fire repair is to units 41, 42, 43 & 44.
Contractor: WEBER ELECTRIC INC Owner:
7007 SW ROBBINS RD
TUALATIN, OR 97062
PHONE: 503 - 819 -7380 PHONE:
FAX:
FEES
Quantity Description Date Amount
5 ea Services or Feeders - 200 12/04/2012 $503.50
Specifics: amps or less
1 ea Services or Feeders - 201 to 12/04/2012 $133.56
Type of Use: MF 400 amps
Class of Work: ALT 43 crt Branch Circuits w /Purchase 12/04/2012 $319.06
Service or Feeder
Type of Const: 1 ea 12% State Surcharge - 12/04/2012 $114.73
Occupancy Grp: Electrical
Total $1,070.85
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: • - • • . , requires you to follow the rules adopted- by the Oregon Utility Notifi tion Center. Those rules are et forth in OAR
952- 001 -0010 • • u • h OAR 952 -00 • • • You may obtain a copy of the rules or direct questions to OUN .1981 1.800.332,.2344.
Issued =y: - ■g! - L - 1 Permittee Sign
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.
CITY OF TIGARD ELECTRICAL PERMIT
$ : ` COMMUNITY DEVELOPMENT Permit #: ELC2012 -00683
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/04/2012
Parcel: 1 S 135DA03900
Jurisdiction:
Site address: 11155 Hall
Project: St. James Apts. Subdivision: METZGER ACRE TRACTS Lot: 19
Project Description: (43) brnach circuits, (5) 200 amps or less, (1) 201 amps to 400 amps for repair from fire damage
Contractor: WEBER ELECTRIC INC Owner:
7007 SW ROBBINS RD
TUALATIN, OR 97062
PHONE: 503 - 819 -7380 PHONE:
FAX:
FEES
Quantity Description Date Amount
5 ea Services or Feeders - 200 12/04/2012 $503.50
Specifics: amps or less
1 ea Services or Feeders - 201 to 12/04/2012 $133.56
Type of Use: MF 400 amps
Class of Work: ALT 43 crt Branch Circuits w /Purchase, 12/04/2012 $319.06
Service or Feeder
Type of Const: 1 ea 12% State Surcharge - 12/04/2012 $114.73
Occupancy Grp: Electrical
Total $1,070.85
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 95 - 001 -00.0. You may obtain as co y of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344,
Issued By: /1 a1 L 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' 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.
Electrical Permit Application RECEIVE ' FOR OHFICF (JSF ONLY
City of Tigard Received ?-1 4 (1 a— �.t
Date/By: Permit No.: tCL� P'D / — e
Tigard, OR 97223 Plan Review
a 13125 SW Hall Blvd., Ti DEC 0 4 2012
Phone: 503.718.2439 Fax: 503.598.1960 C ITY OF TIGARD Re Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date ReadyBy: Jtais: 10 See Page 2 for
Internet: www.tigard- or.gov Bt OWING DIMS! a Notified/Method: fi Supplemental Information
TYPE OF WORK l] U / fie? PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other:
where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION ' . ' 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 INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3
Job no.: Job site address: 11155 SW Hall Blvd tools or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: Tigard, OR 97223 ❑ Health-care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal. .
Suite/bldg. /apt. no.: Bldg 'F' Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: St James Apartments Description I Qty. I Fee. I Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'l 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
Limited energy, multi-family 75.00 2
Electrical repairs from fire damage. residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 5 100.70 503.50 2
❑ PROPERTY OWNER • ❑ TENANT . 201 amps to 400 amps 1 133.56 133.56 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
City/ State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Owner signature: Date:
Branch
efo circuits c i n new, alteration, or extension, per panel
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee 43 7 42 319.06 2
each branch circuit
Business name: B. Fee for branch circuits without
service or feeder fee, first 56.18 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, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E -mail:
Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s) or limited-energy
Business name: Weber Electric, Inc. panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 7007 SW Robbins Rd Additional inspection (1 hr min) 66.25/ hr
City/State /ZIP: Tualatin, OR 97062 Investigation (1 hr min) 66.25/ hr
Industrial plant (1 hr min) 78.18 / hr
Phone: (503) 819 - 7380 Fax: (na) Inspections for which no fee is
90.00/ hr
specifically listed (%: hr min)
CCB Lic.: 44087 Electrical Lic.: 34-442C Suprv. Lic.: 4028S ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: %! Subtotal: 956.12
.i i(.".., Plan review (25% of permit fee):
Print name: Matt"Weber Date: 11- 30-12 State surcharge (12% of permit fee): 114.73
TOTAL PERMIT FEE: /'D 70.55
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: • Number of inspections allowed per permit.
L•\ Building crmits\ELC- PemiitApp.doc 07 /01 /10 440- 46t5T(I V05/COM/WEB
•
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11155 SW HALL BLVD 41, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
04/09/2013 00:00
ELC2012-00683
PASS - No C of O
Units 41,42,43,44
Violation Summary:
Inspector Contractor