Permit CITY O F TIGARD A\ ELECTRICAL PERMIT
PERMIT #: ELC2005 -00825
1
DEVELOP L B NT I s SERVICES DATE ISSUED: 10/21/2005
OR 97223 503 - 639 -4171 PARCEL: 2S112BD
SITE ADDRESS: 14655 SW 76TH AVE, /,S ZONING: R -12
SUBDIVISION: MARCIENE II APARTMENTS LOT : JURISDICTION: TIG
Project Description: (4) branch circuits for washer, dryer, water heater and heaters. Job No. R -05 -847
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:
PYOUNG & J PARK ABC ELECTRIC
17514 NW COUNTRY DR 135 NE 9TH AVE
PORTLAND, OR 97229 PORTLAND, OR 97232 •
Phone: Phone: 503 - 233 - 7551
FEES Reg #: LIC 26 -1226C
SUP 5096S
Description Date Amount ELE 161501
[ELPRMT] ELC Permit 10/21/200` $66.80
[TAX] 8% State Surcharge 10/21/200'. $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. Speaalty 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 f. • - _ . an 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules a : set forth in OA' •52 -001 -0010 • • . 0 • • 952 - 001 -0100. You may obtain copies of these r s or direct questions to OUNC at
503 -2.6 -6699 or 1- 800 -332 •4. j -
Issu -d By: • • �>v _ //Z1,4_ _ Permittee Signat_
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. ELE' __�_ s •
/ /a 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 ofeach inspection.
OCT -20 -2005 12:27 PM P.02
A ,- ,' 11)12'014 I( 1;'.1
Electrical Permit s • 1 tion
r >!'`' t
47 4 t,, Received 10 AO Q - Pe
5- , ,* -. 6O ,
City of Tigard ( y ; • L)ataB . S
,' -, li Al° V• r plan Review other Permit
13125 SW Hall Blvd., Tigard, c , � _ r. � . � 1 � � 1 � �,,` Ili ,
Phone: 503.639,4171 Fax: S t 3. ' v See Page 2 for
Inspection Linc: 503.639,4175 a l J l i Date Rudy/By: it-o• Supplemental
OCT 0 Date Ru dy Supplemental lotarmedoa
Internet: www.eLtigard.or.us C 2 0 2005 �i ' s i iHky .'
,� r I . ; ... E i' I i . - +1,} l i � �' ' f 1 -�, �453,1 y ii 4, }�j� tt
r ,, } cl ue l¢ r n f jl aI }r , l t 1jp , f 1 , r . .. ,.; ._ '. .,1 - t t 1r.o... . , r} i f. t 11.4'.
!. , 111 1., e ''''' .1
`' . ,-• 1)t,•.,. ,: ' l .. E'wh
, .
'r r ' J r , ' Y 4 t 13 1 ! ' I ii 1 il .,:tt, ', 1 !r.l! „., t 1 1 r :.. ,..,
,,,, 111 =r. +,. u,J �..• v 17 � � - � Please Check all that BRAY:
ap p
❑ New construction 'D:. T •fir n ft on/replacement Ple ❑service over 225 amps, comtn'l [] Hazardous location
B 849 DIVISION I ❑Se over 320 amps - rating ❑Huildng ova 10,000 sq. ft.,
❑ Demolition _ residential
, r ,, ,r r , + r ,, { n�f ' I r ! P ' , / "' f":1' � .''''' of 1- and 2 family dwellings 4 or more new resident'
1,)0,r i y r i l l t 1 , . 4 ,i r . , ; 2/l i 1 , ` .,4. L ..t. .f;. nominal 2/.v J..., Y.J r.. +i
. ,. r.,.t .J 1 r ... l • 4 .. - 1.. ,. �t..,. �.. ,... .. Q Syetem over 600 volts nor units in one structure
❑ 1 • and 2- family dwelling 'Q Commercial/industrial 0 Accessory building OSuildfng over three stories ['feeders, 400 amps or more
❑ Mult1 farmly 0 builder ❑ Other DOceupant load over 99 persons ❑Manufactured structures or
I`1 } , tri "` 1 i , I , r,. I l DE�h ishtingplan park
, u ...1....:.s., ,. - a facility ID Other:
Job no.: • - Job site address: r S sets of plans with any of the above.
r ` / The above are not spphcabte to temporary construction service
c .1 :,.r it K}I ' i i v f t,�!�ie1ilnt,i,lI . e
j e I I r' ..1, 4 rl ' I , I l 1 ; l i �i ll ',:7,
I ; ;I'1' 1 �Lj :I.ilgArl11.1d;�} 3 :,1_i4a∎ilfE:GI
,• 7 ,
Suite/bldg. /apt. no Project name: � ' r 7 i , Coevtpaea Qty. Fee. Total w•
/ / New residential single- or multi - family dwelling unit.
Cross street/directions to job site: , w . r 7, _ (I,r Includes attached garage.
1,000 sq. ft. or less 145,15 4
Lot no.: Ea. add'l 500 sq. ft. or portion 33,40 1
Subdivision Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
C:`(I!1 Ili i i {t I 11S 1 t' au 44 i ! - 1?"..
, , i r 4.1 I ' 1 Each manufactured or modular
} S,.d( 'I L3 , ..:I .p� ) t., >. - } I -. .. s,. , _..... .._. ...,1, .. - ;. � . ..,
dwelling, service and/or feeder 90.90 2
i , ` • . • / _ / r tifef • Services or feeders Installation, alteration, and/or relocation
. 200 amps or less 80.30 2
r + , l r + II : 201 8mp6 Lo 400 atrrps 106,85 2
'i!Tti�i + - ll�ifFt.,:,, 14 I 'r k , .:. y .t., .7.',,; � { : 1 t l rr , , 4 1 . i l ,
k n . ,,1. °, i .�G l ,, .,,, . _.. J , . 1 �.. � ` � l � � 160.60 2
_ . _ , � 1 401 am" to 600 a mps
i 601 amps to 1,000 amps 240.60 2
�, • tJ;0 y Over 1,000 amps or volts 454,65 2
1' l �] � - Reconnect on ly 66. 85 2
Ctty /Stete/ZIP: 16 0 R-i l.� es OR g-9,9 Temporary services or feeders Installation, alteration, and /or
relocation ,_-
Phone: ( ) 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 dreults - new, alteration, or extension, per panel
E '( 4 Il i' ! N . , k 4l l ,, r ' 1 Pee for branch circuits with 65 2
= 'I Ilil i4�`t1; 3 ,n.['kr a., ? q � .}s :,.,. 1 ., " . ...I,. #r e rf ch 6
! ... ; ; eervica or feexle ee ea 6
branch circuit
R B. Fee fbr branch circuits
Contact name: without service or feeder fee, 46.85 e ••• •• 2
- each branch circuit
Address: , / 1 E addl branch circuit 6.65 y 9. 4 % - 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 circuigs or limited•
llgi d = ;I ' !i Iii 1 1: }r�1 i 11 ; F ° i 1 C !�! I, , t ,, I r 11 t r 1 }, I '1 J' v i i 1 energy panel, alteration, 07
1 ..1 :, ....,u... i 1 a 1 extension. Describe: Page 2 2
Al I / I
Each additional inspection over allowable In any of the above
Address: ` 410,, • ' •I / Per inspection 62.50
/
/ ' ♦ _ Investigation per hour (I lu• min) 62.50
Industrial plant per hour 73.75
Phone: ( ) - l I i t 1 I I ` i_-, +;- �'.En.4., :.�.,' ,, 9� r5 �4 .' I,�'l
ap t.��.1.,,�1.i,r' , �,, t .
7 it 1 � i� V 11 ) 1 .iZ {1 i �1 f}r �.IS..,:1:. i, ",Ai sy.1 iii'f'1'- N
1r _ _ t Suprv. Lie,: a ._ a Subtotal 6( go
Suprv. Electrician signature,. required: 1� Plan review (25% of permit fee) •
- State surcharge (8% of permit fee) • 3 y Date: �Jj}
�/ / Ia �" TOTAL. PERMIT FEE ....
Authorized signature: - r- This permit application expires Ira permit h not obtained wt
days after it bee been accepted es complete
Date. • • Fee methodology set by Tri- County Building Industry Service Board
• 1 •• Number of inspections per penult allowed. + /
I\ BundinalenicABL.C- PermitApp. 12/03 seo.eeIST(torov I
coriwsD U fa ,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200&.00826
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/21/2005
Phone: (503) 639 -4171 ' P,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/2/2006 TIME: 7:O4AM • PAGE: 75
SITE ADDRESS: 14655 SW 76TH AVE 15 CLASS OF WORK:
SUBDIVISION: IvMARCIENE 11 APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: MARCIENE II APARTMENTS
DESCRIPTION: (4) branch circuits for washer, dryer, water heater and heaters. Job No. R -05 -817
OWNER: PARK, PYOUNG & JINN PHONE #:
CONTRACTOR: ABC ELECTRIC PHONE #: 503 - 233 - 7551
Inspection Request Scheduled For: Date: 11/2/2005 Pour Time:
Code # Ins on Description Confirm # Contact # Message
199 Electrical final 020065-01 503-23: -7651 Y
Corrections /Comments/ Instructions:
K PASS n PARTIAL APPROVAL A n NO ACCESS
FAIL n CALL FOR INSPECTION M ADDITIONAL FEES ASSESSED
Inspector: N O` U (` Date: 1� ' 2/ 136 Phone #: (503) 718-