Permit City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
I1
4+vi �"Y
February 3, 2011
Ross Electric Inc.
2870 SE 75th Ave.
Hillsboro, OR 97123
Re: Permit No.: ELC2008-00476
Submittal Date: 8/15/2008
Project Name: Village at Summer Creek
Site Address: 11062 SW Mallow Ten
Dear Applicant:
This letter is to notify you that your permit application referenced above has expired in
accordance with Section 105.3.2 of the Oregon Structural Specialty Code. Applications
are valid for a maximum of 180 days from the submittal date. The City of Tigard has not
received a written request for extension therefore it is expired by limitation.
In order to reactivate this permit, a new application and permit fees are required to be
resubmitted and a new permit number will be assigned.
If you have any questions,please contact me at 503.718.2448.
Sincerely, 1
U
Mark VanDomelen
Building Official
Ltr-PlanRvwlncompExpired.docx 02/01/2011
Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard-or.gov • TTY Relay: 503.684.2772
110 J/3-l_L _ -w-e__
Electrical Permit Application FOR OFFICEUSIEoNt..y
i'77 Received •i c
City of Tigard E��ED Date/By: (� it> D!f Permit No.:j g,�G'{J/ 4/7/0
"t 13125 SW Hall Blvd.,'1-i and l 7
B Plan Review Other Pe iettq. it i A A o.
■ Phone: 503.639.4171 Fax: 503.598.1960 Date/B : _ a
TIGARD
Inspection Line: 503.639.4175 AUG 15 2008 Date Ready/By. �� ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method:ol� /►� Supplemental Information
r^# a..,,, ) h YPE?i l" 't t .l, - -,.- J r PLAN REVIEW • ; -
t Please check all that apply(submit 2 sets of plans whims checked below):
` eat
❑New construction ❑ Additi
Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition E] Other: / where the available fault current ❑Marinas and boatyards.
A " OF CONSTRUCTION_ ',.t..'
-, ~ ;, exceeds 10.000 amps at 150 volts or ❑Floating buildings.
i CATEGORY. , ,; <,.
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. E Installation of 75 KVA or
❑Emergency system. larger separately derived system.
3. JOB SITE NFORMATION D jLO4' T Ol ❑'A "E"."1--","I-3"•
• '� ri .f� ,� 'f ❑Addition of new motor load of �
Job no.: Job site address: IOOHP or more. occupancy.
Ober SW' v- ���C7W }LYY ❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name:s1 e. ❑Service or feeder 600 amps or more.
YVYTYI�1'' -•1 '` FEE SCHEDULE 'lf • s . •_ i
Cross street/directions to job site: `' c e'er Description 1 pt,. I Fee. I. Total I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1 1,000 sq.ft.or less 145.15 4
Ea.add'I 500 sq.ft.or portion 33.40 1
Tax snap/parcel no.: Limited energy,residential
1a�_� `t '! ; t �>DESCRIPTION!:OFIWOR14444 ,•'�,", + k '//„ r ,! < (with above sq ft.) 75.00 2
/) /nJ / Q� I ,' 1 Limited energy,multi-family
i . ' f kT Z/2r /6 (�N tT5 ; 1 10/92 I/6160 11674 residential(with above sq.ft.) 75.00 2
llog ' /1ogb sW )49-44.4e,),----672t Services or feeders installation,alteration,and/or location
D y 200 amps or less S' 80.30.5 2
s FROPERTY-OWNER ti.* .I,,>``r4 E'.2'g '"3'�'4`4' 201 amps to 400 amps 106.85 2
Name: S W S'��.k�Y1AK,S
401 amps to 1,0 1,000 160.60 2
601 amps to 1,000 amps 4 240.60 2
Address:t(O . b Nw Al.._ -- Over 1.000 amps or volts I 454.65 2
City/State/ZIP: Temporary services or feeders installation,alteration,and/or
\Pe v-i-EN t OK- 71 00 lD relocation
Phone: (50,5 S33 .4c,ota, Fax:(So ) 433,y.�C LO 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
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 133.75 2
Branch circuits—new,alteration,or extension,per panel
Owner signature: Date:
A.Fee for branch circuits with
`') :„ [ :A PlIG`AN -r,.,:$. ,:,. w r 0 ; ss a above service or feeder fee, 6.65 2
each branch circuit
Business name: 3Leo O._S yvi a uS
B.Fee for branch circuits
without service or feeder Ice, I
Contact name: 46.85 2
�1 i(Az>I.C.�c.�1sr_rl first branch circuit
Address: 160-VO 1�LP sQ_ ,..�„_ ��
Each add'I branch circuit �� 6.65 . 2
��1"� Miscellaneous(service or feeder not included)
City/State/ZIP: eav�Y, 1,b,e___ c000C9 Each manufactured or modular 90.90 2
1 dwelling,service and/or feeder
Phone: (9)5)SS S .1/44 Qom Fax: :(9z,3)c53 s, 4O(v Reconnect only 66.85 2
E-mail: ntt.b tee �aSe.uS.t-5tn.,lnorv�e S.LdWt Pump or irrigation circle 53.40 2
:44‘-',,e" : 1 '": ';-CONTRACTOR 1 ",, '_ :'± a 1 `. . .. Sign or outline lighting 53.40 2
Business name: Ross Electric Inc. Signal circuits)or limited-
energy panel,alteration,or
Address: 2870 SE 75'f Ave extension. Describe: Page 2 2
City/State/ZIP: Hillsboro,Or 97123 Each additional inspection over allowable in any of the above
Per inspection 1 62.56 I
Phone:(503)6422800 Fax:(503)6245815 Investigation per hour(I hr min) 1 62.50
CCB Lic.: 157891 Electrical Lie.: 34-436C Suprv. Lie.: 4232S Industrial plant per hour j 73.75 1
!- ELECTRICAL PERMIT FEES : • ;:',. .
Suprv. Electrician signature,required: , , 4') �,, (Z,e�� Subtotal. r,
Print name: Stephen Ross Date: 7/15/2008 flan review(254/n of permit tee): --c--
State surcharge(12%of permit fee): lig.i$
Authorized signature: �`w( �r,K .w .` TOTAL PERMIT FEE: L/t/ t.S
a This permit application expires if a permit is not obtained within 180
Print name: N\Lo\..c...Qev�.1/1 Date: days after it has been accepted as complete.
' Number of inspections allowed per permit.
1.1BuilJing,Permlts,ELC:-Pcrmitnpp Joc 05/23/0o 440-4615T)I I/05/COM/WEIS