Permit •
•1 CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00144
���t DEVELOPMENT SERVICES DATE ISSUED: 2/22/2006
° =- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 112BD -00700
SITE ADDRESS: 14655 SW 76TH AVE 17 ZONING: R - 12
SUBDIVISION: MARCIENE II APARTMENTS LOT : JURISDICTION: TIG
Project Description: (4) branch circuits for washer, dryer, water heater & heaters. Job #R - 06 - 235.
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: Contact #: PRI 503 - 233 - 7551
FAX 503 - 233 -7552
FEES
Description Date Amount Reg #: LIC 26 -1226C
[ELPRMT] ELC Permit 2/22/2006 $66.80 SUP 50965
[TAX] 8% State Surcharge 2/22/2006 $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 - 332 -2344.
Issued By: ') f.P Permittee Signature: \pi
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.
i
'Electrical Permit App • ation f F =Di *,;,,?2,40',':':.-1-.-
`. , * 1 O R O1 1 1, i t1NI ftiiii --A+ �,. . Liv I ��E Received 1 - _/
•
Permit No.: '
City of Tigard 1 - , / U t / y 4 '
DateB ,�
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 i— s , 'ad�„ hl , I �n B Date
Inspection line: 503.639.4175 ' . 20
- 0 : ''+� . i I'. ", . Date Ready /By: Egni 0 See Page 2 for
Internet: www.ci.tigard.or.us
m4 .. Notified /Method: Supplemental Information
•�.. D PLAN. REVIEW
_
i! !�1.`f 0 Please check all that apply:
❑ New construction \ A• ttlo a e ": • 7 1 ent ❑Service over 225 amps. comm'I DHazardous location
❑ Demolition 0 Other: ❑Service over 320 amps -- rating DBuildng over 10,000 sq. ft.,
CATEGORY OF 'CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑System over 600 volts nominal units in one structure
❑ 1 - and 2- family dwelling �Cotnmereiallindusttial ❑Accessory building ❑ Building over three stories ❑Feeders, 400 amps or more
❑ Multi- family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE ' INFORMATION AND. LOCATION ❑Egress/lighting plan RV park
❑ Health-care facility DOther:
Job no.: �,()(p- ob site address: / Submit 2 sets of plans with any of the above.
City/State/ZIP: At, c ,I The above are not applicable to temporary construction service.
: , • • • ..FEE: SCHEDULE
Suite/bldg. /apt. no.: ) J Project name: ` • j 3 Mil Description I Qty. I Fee. I Total �
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: Lot no.: Ea. add'l 500 sq. it. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential - 75.00 2
' DESCRIPTION OF WORK Each manufactured or modular
1.111WAMM dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ , PROPERTY OW • ❑ TENANT
201 amps to 400 amps 106.85 2
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/ZlP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 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 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
f APPLICANT .. ' - . ; ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
branch circuit
`
B. Fee for branch circuits
Contact name: • t / without service or feeder fee, t 46.85 V4, ZS 2
each branch circuit
Address:
Each add'I branch circuit 3 6.65 /9, 9 c- 2
City/ State/Z1P: 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 circuit(s) or limited-
: • CONTRACTOR ' energy panel, alteration, or
. : . : .
extension. Describe: Page 2 2
Business name: 4t. \ -
Address: 1 1 : `, . ` Each additional inspection over allowable in any of the above
Per inspection 62.50
City/ State/ZIP: -. 1 - _ _ Investigation per hour([ hr nin) 62.50
Phone: MD, j Fax: (6) 5 — ' Industrial plant per hour _ 73.75
,.... — ELECTRICAL, PERMIT FEES*
CCB Lic.: k /3 1 Electrical Lic. 9 .../ , Suprv. Lic.: -+0 • , Subtotal +�' �„fp , Q.
Suprv. Electrician signature, required: Plan review (25% of permit fee) �' v
-
y � State surcharge (8% of permit fee) �,
Print name: hi , t Date: ,Ari.
TOTAL PERMIT FEE 70, J
Authorized signature / W ' � - This permit application expires If a permit Is not obtained within 180
days after it has been accepted as complete
. t HIM Date: ( "Aff t • Fee methodology set by Tri- County Building industry Scrvicc Board
•• Number of inspections per permit allowed.
i\ Building \Pennits\ELC- PennitApp.doe 12/03 4 0-4613T(10/02/COM/WEB
>' 096186S2OSdi8:01 :WONA UZb:20 9002- 22 -89A
CITY OF TIGARD
BUILDING DIVISION PERMIT #1 '01
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 #4114/11:,
Inspection Requests (24 Hrs.): (503) 639 - 4175' =t,
INSPECTION WORKSHEET FOR DATE: ei _t n - 06 TIME: PAGE:
SITE ADDRESS: b S 1 6 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: CI, .1 at- N6 Pour Time:
Code # Inspection Description Confirm # Contact # Message
l c iq NAL
Corrections /Comments /Instructions:
PASS PARTIAL APPROVAL n CANCEL n NO ACCESS
1 1 FAIL 1 1 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ? ' N icu3 L� Date �� Phone #: (503) 718- 2)0 17
CITY 'OF TIGARD
• BUILDING DIVISION PERMIT #: ELC1006-00144
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2122/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 .41,44L
INSPECTION WORKSHEET FOR DATE: 9/18/2006 TIME: 7:01AM PAGE: 60
SITE ADDRESS: 1/1656 SW 76TH AVE 17 CLASS OF WORK:
SUBDIVISION: MARCIENE II APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: MARCIENE 11 APARTMENTS
DESCRIPTION: (4) branch circuits for washer, dryer, water heater & beaten. Job #R-06-235.
OWNER: BOOTH-HEYDON LLC, PHONE #:
CONTRACTOR: ABC ELECTRIC PHONE #: 603-233.7551
Inspection Request Scheduled For: Date: 9/16/3006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electric: al final 036653-01 503-267-3668
Corrections/Comments/Instructions:
- 503
(.4
VZ PASS 1 1 PARTIAL APPROVAL fl CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: G-- NOVA Lt Date: Rfi* Phone #: (503) 718- 11'1190