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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00926 �I!I DEVELOPMENT SERVICES DATE ISSUED: 12/2/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112BD -00700 SITE ADDRESS: 14655 SW 76TH AVE 32 ZONING: R -12 SUBDIVISION: MARCIENE II APARTMENTS LOT : JURISDICTION: TIG Project Description: (4) Branch circuits for washer, dryer & heaters. Job # R05 -1310. 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/ SVCI FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 3 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: BOOTH - HEYDON LLC ABC ELECTRIC PO BOX 1185 135 NE 9TH AVE LAKE OSWEGO, OR 97035 PORTLAND, OR 97232 Phone: Phone: 503 - 233 - 7551 FEES Reg #: LIC 26-1226C 5096S Description Date Amount SUP 16150 ELE 161501 [ELPRMT] ELC Permit 12/2/2005 $66.80 [TAX] 8% State Surcharge 12/2/2005 $5.34 REQUIRED ITEMS AND REPORTS Total $72.14 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: ' 7:26.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'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. DEC -02 -2005 08:12 AM P. 01 • Electrical Permit Application viii: ui i 1c I.: u,tit'' ()NI.). Date /9 ; -- L.. City 'Of �Ig8Tigard �� ! ' ',Ni/'' , �; / !,r �!� 1� Received l Permit Na � 1 , � 9 . 13125 SW Hall Blvd, Tigard, o 9 ` 72?& , .� li Plan Review Other 503.639.4171 Fax: 503.5981960 ila'c . ii�. DataBy Inspection Line: 503,639.4175 ; ! , Date Ready/By ge lntemet; www.ei.tigardoLNg tC_j � Non r fiedlMethOd: , _ Supp lement Inferma tioo t i . ... ��,.��............, , � , �:...,,:..,,..,v:,n�: �::: :- .,� ............... ....._,....... „�� :. : . d , • .. :N . .1c .... . ,. , • ❑ New construction ilk Ik Please check all that apply: ❑ Demolition Other ❑Service over 225 amps, comm'1 ❑Hazardous location z ❑ Service over 320 amps -• rating ❑Buildng over 10,000 sq. ft., i,, "; :C, AT>ORY EG..OF: tO STRUC1'iOI11�i,'I. �;_ ^•; 'ix:' Ism' I' :, " ! 11 of l • and 2-family dwellings 4 or more new residential 0 1- and 2- family dwelling Commercial /industrial ❑ Accessory building ❑system over 600 volts nominal units in one structure ❑ M aster builder ❑Building over three stories ❑Feeicrs, 400 amps or more [] Multi - fatally O ther. DOccupant load over 99 persons DMertUfactured &tructures or , ., . :Cli "•IS1 . RV park �.., ...-,,.,�-.,,,:, . -- JOB1:2;ITt:: O.ih - J01,.A1!QDh!1�00 1 %.1 �,.,.�i...c,.,., , ft ;! :,,��,:� ❑Egress/lightingplan L� -� ©Health -care facility �. Job no.; tos ' /5/ (� Job site gddress:/��,r�"s� S Submit,j sets of plans with any of the above. Ciry/ State/ZIP;( (,{ no.: Project name: Q r -c,� / OIL _ The above are not applicable to temporary constn�etion service. alp, ry r' ; ,',1 „ rlEm [I 1. cl'��innn� n111. Ile II !"- "'��I,iM'.i#;!.il!Mf %I�'�7 �� :ii�hjj„f�il��l � lie , Suite/bldg./apt .:uridm t. i ° "� � ()07ks_74. � Docrlptlan � Qty � � �� Fer. � T°tal � ►► Cross street /directions to job site: . New residential single- or multi - family dwelling unit Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: 1 Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: - 75.00 2 ... , .n,nin:��a. ,��,;��.. , . ,1„ t energy, Limited en non-residential 'P1'I_I' „ "=�� l i gigi t ill" .. ;`:ice "�'"`t' - 1 , l X 1 6 , t • f.0 , , i,„ t�,.. .,,,,,,��:.,,�,,:�� „��,:�:,, �,�,:,'��''t,� 7 . , � , ,I:i'r5 ; *e!�:Q�?Ji r ��',,, � ..:'�ii�a��ik;!!i�'si �,i� 1, ?ls;, l�,i�,�t2n�,,lp, 7,at Each manufactured or modular / l 1� ^ dwelling, service and/or feeder 90,90 2 � - yn �+/ N Le4, b/ � !/•4,' i ,,i/P - (l' '. Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 • ." a n1 axis ate, ar' ' t ir r 19 :11 ° 201 amps to 400 amps 106.85 2 41,446 I ; I !'? OIR !�j� r i I I, ; : ; , ' , : t ' '. `? ''' F :, 1 �Hrl! T` ,,:a 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 - Reconnect only 66.85 2 City/State/ZIP: Temporary services or feeders l natallation, alteration, and/or Phone: ( ) I Fax: ( ) relocation _ 200 amps or Less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201: • „ to 400: ,,..a 100.30 2 intended for salt, lease, rent, or exchange, according to OILS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel :,C<h' „" k u .! - • b 'lilt ?.I 1ol "w f ? r i a .Nrsnc• .na' uw(e f S'f ;f'tE!1Lhi .S,�1> � -A : „P r.. ; .1',1 i u'('i il;O; !, s A. Fee for branch circuits with ,,,,, ��:�� " � _.. �i„�I„ =,.. _._... „ _ .._. t.. � i., advice or feeder fee, each Business nam � \ C 1 branch circuit 6.65 2 B. Fee for branch circuits Contact name: &) /, without service or feeder fee, i /t ) each branch circuit 1 46.85 1/ g 2 Address: G ` Each add'l branch circuit 0 6.65 , lQ 41' 2 Ciry/State/ZIP: / ` ) r Miscellaneous (service or feeder not included) Phone: ( ) Fax :: ( ) .�{ ` _ Pump or irrigation circle 53.40 2 x ,33 7 S S t d S or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - a::- i::�:;e:::�1;.,,,., ,.,; 1 ...:.. .:::::�.,,::,,i;•.:;,;:��,;,,, ,:.; ,... _ .,,��,,, - :,:i,-,::,yl'i Ml'iti_- .� ' e ner anal altcratio ,. ,,,,, . r..:: I�,: r: �°" ��!:. d; 1:. �; 1L" �; I: C�; a��I�c1ks�' c.- �" : ta �.' �i��i�.'° �,.? c A r ", r�� y .;��:;z�.9t'4l�sal.�l�.�,l;,� JIFF. �r!;, ,c„':is�:.�1:6.11'r'i71 : g.YP Il. or _:: ��:..,:ne. � J extension. Describe: Pege2 2 Business name: � Address: ` � �'t 1 ��`� I-� Each additional Inspection over allowable In any of the above `S-X._ Per inspection 62.50 City /$tate/ZTP: 4 - ?6N \G.(Thd q'?0 Investigation per hour (1 hr min) 62.50 Industrial p lant per hour 73 .75 Phone: ( )� � i Fax: (60 � t2 � � :, .;: 1 .. .. ,. b - � - , ' IE> LEL` i' R�CAiI:' PEltivll�' ` :::::.:::!.:::;.:;:, CCB Lic.: /(, i5) Electrical l.ic.0& -/ (� l Suprv. Lic. Q (0 Subtotal G U Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name' D/� , (I n Date: /a / �"' State surcharge (8% of permit fee) , 3 5/ t' ( � ' TOTAL PERMIT FEE -7 , / V r Authorized signature: Thla permit appiication expires If a permit la not obtained within 180 days after It has been accepted as complete Print name: -ice' r3r, '° 0 (k ; (� 0 Date: /46 - • Fee methodology sat by Tri- County Budding Industry Service Board •• Number of inspections par permit allowed. I: \Building \Pmmitile LC•PemitApp.doe 12J03 440.4615T(10102/rDM,WEB � _ CITY ��, ��^�U��H�M� ��n� mu��a�° ' Ate BUILDING DIVISION PERMIT #: ELC")005-00926 13125SVV Hall 8hd.. Tigard, DRQ7223 DATE ISSUED: 12/2/2005 Phone: (503) 639-4171 Inspection Requests (24Hmj:(503)63A'4175 *�� "�� INSPECTION WORKSHEET FOR DATE: 8/18/20O6 TIME: 7:01Am PAGE: 2 SITE ADDRESS: 14G56SVy7tTH AVE 32 CLASS OF WORK: SUBDIVISION: MARCENE 11 APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: MARCIENE 11 APARTMENTS DESCRIPTION: Branch circuits for washer, dryer & heaters. Job #RD5'131O.9/1S/O6: REINSTATED FOR FINAL NSPECTION ONLY WTHIN 30 DAYS. OWNER: BOOTH-HEYDON LLC, PHONE #: CONTRACTOR: ABC: ELECTRIC PHONE #: 5O3-233'7551 Inspection Request Scheduled For: Date: 8/18y2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 036715'04 603-207-3668 N Corrections/Comments/Instructions: `� � • C NN\ ~ % 17 , - \ \ e Ai ri PARTIAL APPROVAL 111 CANCEL 1 1 NO ACCESS | 1 FAIL 1 1 CALL FOR INSPECTION 1 | ADDITIONAL FEES ASSESSED Inspector: C°-^ W OES Oatm: f Z Phone #: (503) 718-