Permit CITY OF TIGARD ELECTRICAL PERMIT
III ' - COMMUNITY DEVELOPMENT Permit#: ELC2013 00517
T I G AR D 13125 SW Flail Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/29/2013
Parcel: 1S 134BC00403
Jurisdiction: Tigard
Site address: 12505 SW NORTH DAKOTA ST OFC
Project: Meadow Creek Apartments Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: (6)circuits for workout room and racquetball court.
Contractor: WEST SIDE ELECTRIC CO INC Owner: BEL PORTLAND HOLDINGS LLC
1834 SE 8TH AVE BY EATON VANCE MANAGEMENT
PORTLAND, OR 97214 REIG DIRECTOR OF AASSET MANAGEME
2 INTERNATIONAL PL
BOSTON,MA 02110
PHONE: 503-231-1548 PHONE:
FAX: 503-736-0677
FEES
Quantity Description Date Amount
6 crt Branch Circuits wo/Purchase 08/29/2013 $93.28
Specifics: Service or Feeder
1 ea 12%State Surcharge- 08/29/2013 $11.19
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $104.47
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 copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / Permittee Signature: -_ 7G /' • r
OWNER INSTALLATION ONLY
/1
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.
2013-08-27 03:02 WEST SIDE ELECTRIC 15037360677 » 5035981960 P 2/2
Electrical PernAApplitainzEcE irv.' ED FoK(.:011(-1.: t .L ONI.1
City of Tigard 1 ___ R
Dmar13'Id: E/2907IMEISIMMAPIIN
N._ 'I 13125 SW Hall Blvd„Tigard,OR 97223 A i,r I Plan Review
' Phone: 503,718.2439 Fax: 503.598.19U 60 l.) 2 7 ?013 Daie/k . Other Permit:
I C I) Inspection Line: 503.639 I
,4175 Date Ready/By: I • lig see rage 2 for
i A P.
Internet: www.tigatd-or.gov CITY OFTIGA RD —Notifted/Metb°6: _ .- Supplemental Information
. ,
...': .........:,.;..-.:::::':..,..., 1•I'i.:11.... E.1;#..r.t:t .7`, :11,r1txr •.D ki.:41,-k_T,.;;.:,..:... :.r,,iii; :, ,...i: L..._:,,,, , i,..J..,..,e, PLAT41..liEVirCY.:
. .... ..
0 New construction la Addition/alteration/replaceme.t Please check all that apply(submit 1 acts a plans w/items checked below!'
0 Demolition 0 Other: I I
0 Service or feeder 400 amps or more CI Building over three stories.
where the available fault current 0 Marinas and boatyards.
.:..7.:•':' ,.:.ET. I.,', t.:-...:.:.:.•:-.M'44'.'=-'';'.,.'..' i....''''i:.;':7::i..../:thtiiitilititt,1 ''.,';', /.1:.,;.'•, '••-:...-:-.,...., '......-...., exceeds 10,000 amps at 150 volts or 0 Floating buildirlIP.
less to ground,or exceeds 14,000 0 Commereiel•use agricultural
0 1-and 2-family dwelling 1--..--..:" ommerciallindustrial 0 , cessory building ampS for all other installations. buildings,
V Multi-family 0 Master builder D • Cr: °fire pump. 0 Installation of 75 KvA or
larger separately derived system.
.-:.,: '-.■!,...4,.;'.•;•:...'.:'-,..i..,t!'..7100.,:.'SlittilgtottatAt00.,04... :i 4's a;opy:,1,.-.62.f%1':.-..,...' ''.....'..'....' 0 Addition of new motor load of 'A E"-t.2","1-3",
Job no.:3-6 27 SO Job sitc address: /2 SOS— 5-1() ',tit ati?h-dia-, ./. 0 S
10:14P or more.
or more residential units. 0 occupancy.
Recreational vehicle parks.
IffirE2110/2117 °Z AIMAIIMMIIIIIII 0 Health-care facilities.
CI Hazardous locations. 0 Supply voltage for more man
600 volts nomical.
Suite/bldg./apt.no.: •Service OT&VOW 600 amps m mere.
Project name: PG' 014 e.0 eek ihoi-ot, -*'', r- •• -....- •. -7^-. - '-'-' —
•••':T.:.;'..: '.:• 'P'...:•:•:::: •`.?•'•::•PM.:SCOEULE ,1::•.,. . .
Cross street/directions to job site: I Deseripti4O I Oty21 Fee. I rood
I
I New residential single-or multi-family dwelling unit.
I Includes attached garage. _
---- 1 16854 4
Subdivision: Lot no.: 1,000 sq.ft.or less -
Ea.add'l 500 sq.ft.or portion 33.92 1
Tax map/parcel no.: /5 I 347t -Id e/0 eh-)3 Limited energy,residential
. ; A: =..7il..7:: :: -';'. 1)tere**101$0.000&.7.4.14=T1:7:::;eig:T.*..k.attl\P: jwith— -------ove • 75.00 2
75.00 2
Circ..vih ,- k)or out tool v- rvc:qt,et hd/ , residential(with above s4.ft.)
- Services or feeders installation,alteration,and/or relocation
(..COr /.
/ ,4 X /, . I 200 amps or less 100.70 2
•,,,..,_. , ..........; ..ot.:.47,4.4tv, 0. , .--...3-"t'Plilt7tr.,..':•'.::q.:IrS' 201 to 400 amps 113.56 2
.... 4ii_C#050610iii#41. ..tiff,:'.T.,7.4thl;',''..:‘, ,1gT,d,7.i. J... ,7:44'::;,i.::i'. snips mP
' ' '' ' '.'' '''''' ' . 401 amps to 600 amps 200.34 2
Name:
— _ 601 amps to 1,000 amps 301.04 2
Address: I Over 1,000 amps or volts —T 552.26 2
I Temporary services or feeders installation,alteration.and/or
City/State/ZIP: I relocation _
.
1 ..._
Phone:( ) Fax:( / I 200 sings or less 59 36 I
...-- .- 201 amps to 400 amps 125.08 2
Owner installation:This installation is being made on property that I own which is not
401 amps to 599 amps I 68.54 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. ___-,--
Branch circuits-new,alteration,or e tension,per panel
Owner signature: I Date: A.Fee for branch circuits with
-• -•.;-•.,-;-,`. .;; un-'Alitik.4-zii,-,70 '.',:r4.i:,;•4.;,:::'";..::,;.!»,:ciTti, ;;;&w-;tiltii.„1 ;,.;:76*,:.4;■.j:. above service or feeder r E-e, 7.42 2
....;,iii.-::::...:,...-..,:'..::,:::L,:ii., . ,..s... ::4!,:_:,:;.',.",, .1 7,:••=■,;*Y:-.1'.,.1:444V .V.M,,,'L'' .--.'"4..''.4.0:. each branch circuit
. .,
B.Fee for branch circuits without
Business name: I
- ..--_ service or feeder fee.PTV
branch circuit / 56.18 --'/
S 0--- 2
Contact name: I
_ - _--- ---- - Each add'l branch circuit ..c 7,42 3 7 f.' 2
Address: I Miscellaneous(service or feeder not included)
..-- --_ ,---.
Each manufactured or modular
City/State/ZIP: 67.84 2
dwelling,service aralfor feeder
I ---,
-
I Reconnect only 67,84 2
Phone:( ) Fax::( ) , ,
H___. . Pump or irrigation circle
67.84 2.
E-mail: Sign or Olrtline lighting 67.84 2
c
':'-','',.;';'.:... ..::: :!. :::.4. 6t. , .,.,,.. ..- "n..'3•':''',t.NY N gl
X41)k41—'':i sioi htoigs,or limited-energy --
panel,alteration,or exterrsion. Pagc 2 2
Business name:West Side Electric Co.,Inc. I Each additional inspection over allowable *Wow v
I
Address:1834 SE 8"Ave. I Additional inspection(I hr mm) 66.251 hr
-1Investigation(I hr min) 66.25/hr
City/State/ZIP:Portland/OR/97214 I Industrial plant(1 hr min) 78.18/hr
- - I . - 11
Phone:(503)231-1548 • Fax:(503)736-10677 -- Inspections far which no fee is 90.00/hr
— specifically listed, Cii hr. min)
•
CCB Lic,: 13306 Electrical Lie.: 26-135C uprv.Lic.: 4654-S
__ I Subtot- --...
Suprv.Electrician signature,requint.. ,...)2, . . .. Plan review(25%of permit fee):
i q---
Print name: Randall F Roberts )ate: eh.i 4.,}- /3 state surchargc(12%of pcnitUft____ _
TOTAL PE-RMIT FEE: /0 7 I fu ....-1-
Authorized signature: I Thh permit applicatiotTespires if a permit is not obtained within 180
„
L days after it has been accepted as complete.
Print name: 1Date: • Number of inspections allowed per permit,
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1.ob■attlner\PormtT4WLC•PerMilAop.d0o 07/01/10 I 440.46 I 5T(I I AM/COMMIS