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Permit • • CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00718 • �i1�� , DEVELOPMENT SERVICES DATE ISSUED: 9/26/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S1 12 BD -00700 SITE ADDRESS: 14655 SW 76TH AVE 1 ZONING: R -12 SUBDIVISION: MARCIENE II APARTMENTS LOT : JURISDICTION: TIG Project Description: (4) branch circuits for washer, dryer, water heater & heaters. Job #R - 05 - 969 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: 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 -I226C Description Date Amount SUP 5096S ELE 161501 [TAX] 8% State Surcharge 9/26/2003 $5.34 [ELPRMT] ELC Permit 9/26/2005 $66.80 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: !- .ii °z.�Z Permittee Signature: J�e..— k� 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. SEP -23 -2005 11:19 AM P.02 • ' E j tr1Ca1 Permit Application „,:,,,..._,-, - t (tu ()I 1 ic 1,- u' i ON 1.1 _ _,. • I.. ',.1� R ecsw Permit No.; 'C City of Tigard ” EC Datda ; I I � , .� • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review tither Permit. Phone: 503,639.4171 Fax: 503.598.1960 r ' ► + I Date/it: Inspection Line: 503.639.4175 haw 1, gee Pate 2 for )[. 2 3 ! s 1611 - ' I ' Date Ready/Fly: ]nternet www cu dgard or us Notified/method: � r Suppte informatic . - ii1 pp { , , i : -. ` : 1 , , i 1 i 1, �Ir { 1 , •t I l It l i f t , . ,t, { unH ,1 1 ,S4 ,1 r ra � � 2} � V u �f • 'fig :If. :,. � 4A- {, t i ill ' i ll.,., r1 f f ' ..::..r., . nr,.o .n. T If r . {..!- ,.. ,,., ,,:r.,.hl,.. ,,. ,,, .. �, .... ....... VIP , , � Please check all that ..._ ;° - - e ase ceca ❑ New construction �4ddi a o rep acement apply [,Service over 225 amps, comm ❑Hazardous location ❑ Demolition ❑ Other S ice over 320 s — rating Buildng over 10,000 a . fl., " ,( {i�!',I iiii; li` ,i'I .. u I , l [-1-::,/,2.',,':',, I I ' 1 ❑ o f 1 and 2- family amps dwellings 4 or more new residential i!l', 1nJ t. ,i If; „1 „ :,:: ,t. 1 r t , ...:..: .. .. ' ....." OSystem over 600 volts nominal units in one structure ❑ 1- and 2- family dwelling a Commercial/industrial 0 Accessory building [Building over three stories ❑Feeders, 400 amps or more ❑ Multi- family ❑ Master builder © Other °Occupant load over 99 persons ❑Manufactured structures or '4,1."1;:'-';;;;:to,'::;.''..;"';:.;:.:. f 1 ` ' . t a ,1 I . '' I , ' (]Egrws/lighting plan RV park R ' °Health -care facility ❑Other: Job no.: b tt , • Job site address: 515 Le.. a Submiu sets of plans with any of the above. The above are not applicable to temporary construction service, t. _ f f 14 1, ,t i ,I1 1r, r ,, tt y ' +'r t;e — 1 � i: :.... II..�: rkuf ; t 11 ;,Ihfiarltf.F Sulte/bldg /apt no.: • Prt)jeet name: Ducrlpttee .... Qty, Foe., Total Cross street/directions to job site: 4 dii New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft, or less 145.15 4 i Subdivision: Lot no.: Ea. add'1500 eq. R. or portio 33.40 l Limited energy, residential 75.00 2 ttTax map/parcel no Umlted energy, non - residential 75.00 2 4 , 1,,i 1 l . .'rr T ii I ' [V . ! ' v ' ' " ,' ,. ' r.. ` i { I I ..._„ 1 ' ...,.. Each manufactured or modular - • 11 dwelling, service and/or feeder _ 90.90 2 ('l`� , � Services or feeders installation, alteration, and/or relocation `-�� , s C t• r 200 amps or less 80.30 2 201 amps to 400 amps 1 2 it `Jn,',l.f .,14, t f r i 4'- z . ..... . .... ' .. ..... : ,. ... .,. - ,. ... . 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 ar feeders installation, alteration, and/or relocation Phone, ( ) Fax: ) 200 amps or less 66.85 l Owner Installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 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, per panel , .4aI {, , I r . p 1 , .. 1 ; Pee for branch citouits with i A �t ,'. ` i,rtr t1 ., �t, ! _ *..1 . _......... scrviee or feeds fee, each 6.65 2 branch circuit B. Fee fbr branch circuits Contact name: Qum without service or feeder fee, 46.85 y , S f'l Address: each branch circuit W Each add'i branch circuit 3 6.65 i9t4 5- 2 City /State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) ( ) Pump or Irrigation circle 53.40 2 �� Pte ' Sign or outline lighting 53.40 2 E -mail: ' Signal circuit(s) or limited - "4tl I4 j tit rl�11 1 ,a ,1 energy panel, , or 2 2 4 r extension. Descri Page Each nddidonal Inspection over allowable In any of the above Address: A t AT . i' I / Per inspection 62.50 ♦ I / I investigation per hour (1 hr ruin) 62.50 EmiissiiniMi industrial plant per hour 73.75 Phone: ( ) t r , 1 1, , t yy ,i., ., ` 1 .,, ; I i,A.., Y ., ; ,...4 1 1 ; , 1 J r ,, - 411 a i n 1 . .Ini {'{, f , „ pl i Electrical Lie 4, — 1 uprv. Lie.: `, ISO Subtotal (0 6 , • Suprv. Electrician signature, required: y� � _.. P Plan review (25% of permit fee) OCIiiiii State surcharge (8% of permit fee) S , 3q f Date: q / TOTAL. PERMIT FEE 7, ,II4 _ Authorized signature: + •■••7 Thii permit epplleation eaplres Ita permit is not obtained within 150 w days after It ties been accepted as complete • it ' Date: I' • Pee methodology sei by Tri- Cnunty Building Industry Service Bnard •• Number of ins:notions per permit allowed. i:\ Building \Permits \BLC•ParnlitApp.doc 17103 i/ 440.461 sT(10/02/COM/w5B CITY �� m w m OF n mm�U�m�� BUILDING DIVISION ' PERMIT #: ELC200600718 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: (NW:42006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 9/18/2008 TIME: 7 PAGE: 9 SITE ADDRESS: 14855SVV7{g[M AVE 1 CLASS OF WORK: SUBDIVISION: MARCIENE 11 APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: hAARC1EME|{APARTKAENTS DESCRIPTION: branch circuits for washer, dryer, water heater & heaters. Job NR-05-969 9/15/06: REINSTATED FOR FINAL INSPETION ONLY W1ThIN 30 DAYS. OWNER: BOOTH-HEYDON LLC, PHONE #: CONTRACTOR: ABC ELECTRIC PHONE #: 503-233'7561 lnspection Request Scheduled For: Date: 9/18D2000 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 036715.01 503-267-3688 N Corrections/Comments/Instructions: \ PASS | \ PARTIAL APPROVAL EI CANCEL 1 | NO ACCESS FAIL 1 | CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: G 1•• LE Date: 11/ Phone #: /503\ 718'