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Permit
CITY OF TI A D ELECTRICAL PERMIT PERMIT #: ELC2005 -00941 DEVELOPMENT B Tigard, 9 503 639 - 4171 DATE ISSUED: 12/6/2005 Hall PARCEL: 2S 112BD -00700 SITE ADDRESS: 14655 SW 76TH AVE 14 ZONING: R -12 SUBDIVISION: MARCIENE II APARTMENTS LOT : JURISDICTION: TIG Project Description: Washer, dryer, heaters. 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/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: 0 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 POBOX1185 135NE9THAVE LAKE OSWEGO, OR 97035 PORTLAND, OR 97232 Phone: Contact #: PRI 503 - 233 - 7551 FAX 503 - 233 -7552 FEES Description Date Amount Reg #: LIC 26 - 1226C [ELPRMT] ELC Permit 12/6/2005 $66.80 SUP 5096S [TAX] 8% State Surcharge 12/6/2005 $5.34 ELE 161501 Total $72.14 REQUIRED ITEMS AND REPORTS 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- 2 44. _, Issued By: �� Permittee Signature: "/ '%2& j 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 -06 -2005 0 1 :43 PHI - `" /6 P . 0 1PCtrical Permit A Heat-ion (o�n t t ' r.0 ei 22°°5 Received Q 6 Permit No 2 �/ City of Tigard Date/ 13x; � �J 13125 SW Flab Blvd., Tigard, OR 97223 Plan Review Other Permit; Phone: 503.639.4171 Fax: 503.598.19 0 ij1. -'Ni Of 1, l h ' ,}• : i� i Da • June: g3 gee page 2 for Inspection Line: 503.639.4175 iG T - t.l.J; 'l _ D ate Ready/By: interne: www.ci.tigard.or.us �,�II t Notified/Method: ,. n 4 - Supplemental lnformadoe ...,,�.,,, I.,..,,,II.I: � +.. : :.,.:.: •:.,.. ;: ,.... (]j . . . • .... .. ...,. �. I.::... .. . ,. . , y�p "�pr,.. ,C ; N� . ... ,I• L,.. J.: . ;: ?: ,�y:ul:.' � � : :: I , q i :. ..., .... . . ......,:i. ..�: L::i .i.... .... n lv . .�.. tiLaA.i. � .. I .. � , •: (• i ....: i� i l .. .... Please check all that 0 New construction 8hAddition/alteratiotl/t eplacetnent 0 Service over 225 amps. comm'1 ❑Hazardous location ❑ Demolition ❑ Other ervice over 320 snips - rating ❑ Buildng over 10,000 sq. R, k ; .., of 1- and 2- family dwellings 4 or Inure new residential :.I " ; ; : ; :,���::::.::. L ::I�� l y. , ,': . ',['R�QR' I ; . , :...,.,�.- ,- .....,,,- ,�..._ dwelling "� ' ,, �I.,;,: �.,: ��, �, �:: �,.:,,.. �... .. ..hwa :,.;'r:: °.i�,:. ;.���:,� t8rjt9inonestructurc ❑S over 600 volts nominal ❑ 1- and dwellin Commercial/industrial ❑ Accessory building Building over three stories ❑Feodrrs.400 amps or more Multi - famil ❑ Master builder • n Other 0occupant load over 99 persons OManufactured structures or 1 : 1 .. .. ....:::.:........:... ... .,,•,. :,,. �•�::.. -„ ' i,, ^:.• ..:�il.,oih. ;i. , ,: : ,, h�� =:,:::: '�� ;�•E� :. :dRM1 „ 4��i1;1TI I �,�. .. �(31��isi �:: t,' „ ?i ;i ;l (] Egress/lighting p� ark /�� ': :r:al .. u.,. ©Othtr [] Health -carp facility Job no.: \molt) Job site address: � 1 .. _ Submit .2, sets of plans with any of the above. City / State/ZIP: • r The above arc not applicable to temporary construction service. _ -•' I . ::, ir' ..._ i' uo f' „ I ' d:;��, i�l a t�,:r,l'h lrc Suite/bldg./apt. no.: ' .ject name: � �, . 4 , ] ` u QN e rota ” Cross Street/directions to job site: ..... / New residential single - or mutt!- fetlnlly dwelling unit. Includes attached garage. 1 ,PSZ. G t� I t 1 � ART, 5 1,000 sq. ft. or less 14515 4 Subdivision: Lot no,: Ea. add'l 500 sq. ft. or portion 33..40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 Ilui::.iu• ;ry ,LL'J. •i,.l.,. Jr', y l ..,. �,[.1 uJtw ":," I t (n 7- Y cl ag l LLB` tl'�'It18:61ttlil If , � Ir, ! IJ��' I E �, � V I?Hi " ;� ti�illi;! �I:. �} I�II�II0 ,�:t ; ,,,,di: ;Nti,w,� ;�.7�ifi�� �,>'�a�1q.�4��� � :a� �H � :, Nr' �� " „ �k�A °�I.. Each manufactured or modular ■ dwelling, service and/or fccdcr 90.90 2 r-. t, y., ' 4 \ �,•_ S. Setwlces or feedersi inataliation, alteration, and/or relocation 200 amps or less 80.30 2 r..;u: tj ld4il.,u lw " r '. •^ •�� � � ; ��, , i',' � � 'v� �lp'}I��i�tl1N� 1 aIIIp9 to 400 ua:l:l,, :1:y 1: � �pt� : "° fl,� I � a "Ii �� + f ` ",s 9 � l i IY + :,�II.; - •, I 20 amps , �� .. . .... .......... f .. •fltl 11 1 . „ , .:.. r . , 401 amps to 600 amps 160.60 z Name: - amps to 1.000 amps 240.60 2 Address: Over 1,000 amps or volta 454.65 2 .- - • Reconnect only 66.85 I 2 City/ State/ZIP: Temporary services or feeders Installation, 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 amps to 400 a.. •a 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, E er panel i I 1 Prif " ". ^. _"`°''. ` ' .I;n';l "0,: q(1 ul iT I li d °I thili�l�1M 0 A, Fee fbr branch circuit; with 1 �. ;iiilns, ;,, �. �,:'- 4� �iaa u �ozv3ri�xr�: I „ I:I:[. NO jMI:..ti ( 1LII.. : i;,; l :1 . ,,[�"m +�! . .•iW. Nlll ivu�i, :t service or feeder fee, each Business name: NbC �` tsCii-' L branch circuit 6.65 2 B. Fee fbr branch circuits Contact name: r &i16) without service or feeder tine, ' 46,85 2 each breach circuit 8S- Address: Each add'1 branch circuit 3 6,65 19 ,q 2 — City/State/ZIP: . Miscellaneous (service or feeder not Included) Pump or irrigation circle . 53.40 2 Phone: ( ) Fax: ) Sign or outline lighting 53.40 2 E -mail: Signal cireuit(s) or limited- • :,.,:,:,,:�,::,�_:.:..,:..... l.l[. .•.:,...., +. ,..._.:.:,: .:..fruln:,,,ntr.nCq ; p �mrir., ,io = ,SI�iFIi'rilFli�I lff �: .ItllaI rIII.,+$ii; l;�elsl.::,: ''pia energy Panel' altenti°n• or lc: �'��' ' Rl 1 I I. � ;:, ; n aa: I 1 : ;IGI,p,�lll•.L:::Q fl ::::: i7 E r a,Ht.., : - .r,:,., ..•. Deacribe: 2 2 ......! is - q _l i i n a i , rt an r x:ir,r: n,allryxlln i ^c a,,:,n:•.7! ............. I �¢:. �:an_a+a nai ,�... .....' , _ - extension. e: Page Business name, k\i cfir„ 1 , f Each additional Inspection over allowable in any of the above Address: 155 C 5 L L Per inspection 62.50 City/ State/ZIPP: c)�� \Gnf k , j' 1\ Investigation per hour (1 hr min) - 62.50 n t ��- strial plant per hour 73.75 Phone: (.5:)t) ?3 •' F ax (E�� ,9. ,Indur.:n:L,•• ^O,:..: . . .. . � 1 � � � J i , „(s.. r 6�)<IECL`Iii C;4ii P f g.14iVRITE73., ':'::i' : : •: ::; ,!' ; ; ;_; . CC13 Uc.: ?C /, ()) Electrical Lic.ipeo _/ 4 Supty. Lic.)q ( ._S — Subtotal t i I g) Suprv. Electrician signature, required: Plan review (25% of permit fee) ' , ^ / � Date: 1 _ State surcharge (8% of permit fee) / 5, 3,. Print name :3176 6 t'd)r�4 7)„ !Z/ t x l7 I �7'`i ,� TOTAL PERMIT FE- ?( l� Authorized signature: This permit appileadoa expires if a permit le not obtained within 180 days after It has been accepted as complete Print name: k,) l \ ■ Q n Date: 'c * Pee methodology set by Tri- County Building industry Service Board k ** Number of inspections per permit allowed. i:\ Bu Odin \Permit. \II.C•PermitApp.doe 1 2/03 d4p-06IST(10/02 /COM/WEB CITY ��U���� ���� ��N�������� m ���- U N�������� BUILDING DIVISION PERMIT #: BC2005-0094 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/812005 Phone: (503) 639-4171 Inspection Requests �4Hmj:�03)G3Q~4175 ~ �J�+'��� INSPECTION WORKSHEET FOR DATE: E119120O6 TIME: 7:O5AM PAGE: 85 SITE ADDRESS: j4655SW AVE 14 CLASS OF WORK: SUBDIVISION: kAARC}ENE APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: k4ARC\ENEI| APARTMENTS DESCRIPTION: Waghor, dryer, heaters. 911506: REINSTATED FOR FINAL INSPECTION ONLY WITHIN 30 DAYS. OWNER: BOOTH-HEYDON LLC, PHONE #: CONTRACTOR: ABC ELECTRIC PHONE #: 603-23J-7551 Inspection Request Scheduled For: Date: 9/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 030715-07 602-267-3668 Y • Corrections/Comments/Instructions: RAS^ �� PARTIAL CANCEL NO ACCESS . . / �� FAIL n CALL FOR INSPECTION || ADDITIONAL FEES ASSESSED Inspector: . (W Date: C f f1 /r^l Phone #: Phone /503\ 718' 1-4%