Permit ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00824
DEVELOPMENT SERVICES DATE ISSUED: 10/21/2005
''`-- • 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S112BD -00700
SITE ADDRESS: 14655 SW 76TH AVE 4 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
suspend for mo - han 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules a set forth in • ., R 952 - 001 -001 % to •ugh OAR 952 - 001 -0100. You may obtain copies of thes or direct questions to OUNC at
503 - 6 -6699 •r 1 -800- - 344.
Issue By: , „A ! Permittee Signa ;s
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:
ONTRACTOR INSTAL ATION ONLY
SIGNATURE OF SUPR. ELECN: ' =��� DATE:
LICENSE NO: �9�P
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.
OCT -20 -20
.12:30 PM P. 05
__... — _ r�,k -' - I111Z,(111.11.11 ; SI; /)NI
Electrical mit A t , ligation „ .
t . E iew " Other Permit
Phone: 503.639.4171 p 1.. - -i ' :. • • 1 j.' "r Ali i : : n dy�y; ® for
Sea Page 2 f
Inspection line: 503.639.4175 � 1 r D , / 1 .1„1;113,',''3,11,1T. fofo
Internet; ; tvww,ci.tigard.or.us 1 T 0 i 1 F d.r 1 ; . i', 1 ' .rrt .r 11.r , qr {Il) } ,._+'1'` . !I�a! ! {t Fr r,kll�r tti;l!� , fr�
,,Nf I {f f L l ! ,, t R I ! ! , -
F r !� r 6 >.r I -� r ' l i i l r l ,� l� 1 7r h [ ?'1 . s r > .'. 1 .... ' a. _ ,1} .. � , h 4 r,..�l.., E ,....
lt,r' r {v G' I r
ik,3r,.t:,,l, � � .f +l�f . .Pr.. .. , .. . -.. Please check all that apply
❑ New construction C IT !� N 1 4
terat ❑
ion/replaeement e ice over 225 amps, comet ❑Hazardous location
❑ Demolition BUIL Fl/ISION # ❑ Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
1 -":`1-1:‘::-.' I 1 4 , of 1• avid 2- family dwellings 4 or more new residential
ter ,t rfrl t! +i 1U d � } t 'il rk l.14'47,'"'":- :...,..u,� .i.. :, } I � t { 4,:;:1„,...),..,,).... f 1 f Irl r �I r � __..,, r.
r' nvcture
-(r {I�..I1l,ly i.Pi!I 1.lt�r l.t..,,i. n.,l � ... ... . _.... ..,. � Q Syatem over 600 volts nom inal it one s
0 1 - and 2- family dwelling Ol Commercial/industrial 0 Accessory building []gullding over three stories ❑Feedora, 400 amps or more
❑ Multi family 0 Master builder ❑ Other []Occupant load over 99 parsons OManufac
parktured structures or
n
I - 1Y 1 .. ;'''-'12,. f 3 I , r';‘;' ,-- .' f '-� RV
k� ii �I " .1 °ik :.;.!...Silt � _,:1.. I ,., -' !f., .. r :1: ..3.,..,., . ,.- .., s. I [] gressliightig tan °
�' p ❑EiCa11h -car; facility
Other:
Job no.: 4 .05 -. 7 Job site address Jy { C p _sc u rf 6, # , Submit 2 sets of plans with any of the above.
The above are not applicable to temporary construction service
City/ /9tetdZlP: � ,, 1 i , , ,,( I ] It f'1W ,,i,,, t }l{r't� n �, .r
State/ZIP: � I / 'l1 r. ' -- ' 4 ,1 1 .l'3',i 11L„i,, +,7. . h,,., i.r r.., ,;:., r l,n.,. t,l._li ..i u '
Suite/bldg. /apt no.: Project name: , je rM n tnuoa pq. Fad Total
/ New residential single- or multi - family dwelling unit.
Cross street/directions to job site: `j ,•,_., L . Includes attached garage.
1,000 sq. ft. or less 145.15 4
I J.ot no.. Eta. add') 500 sq, ft or portion 33.40 1
Subdivision: - Limited energy, residential 75.00 2
Tax map/parcel no anargy,tion- residential 75.00 2
l' ,I i l'ft` `PI'f1 f' 4 ° rll .<.... �F fi ,.;,3., s ' i f F _.j 1 ° ,,,... l` d/ feeder 9
Limited
_ I Each ma»ufactured or mo d u lar
' : 'I .: ...._..,.. ._. ,, ..` .. .., , 0,90 2
dwellin:, service and/or ee ar
AP ■ / ■ ,/ i 0 S Services or feeders installation, alteration, and/or relocation
200 amps or less l 80.30 J _ 2
' a / 201 amps to 400 artrps 10 2
: kiia yl i, ` E r i ! ..„,......,1 , I f 1 + 1 0.60 2
+ t i, 1 IT i , , r �.,1 , I . .. .. .... ... . ... '' 40 0 amps 00 amps
,r r r , . ,r.,. _ , }, ,. ,.. r .t , , , �...,�� .: ! to 6 240,60 2
` , • - w _ K R. ! 601 amps to 1,00 mpa
Over 1,000 amps or voles _ 454.65 2
Address: "1 ) • ! 1 Q . Re .connect only 66.85 i 2
City /State/ZIP: ■ L A,) - -- , .. •i, • / Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66,65 I
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 arhps to 600 amps 133.75 2
Owner signature: - Date: _ Branch circuits - new, alteration, or extension, per panel
1 A. Fee branch circuits with
1 "t-i{ f� ] il, rk {. 1 1 + II , 41a I J j'.'.'1: ....
11,, } 9h,.Li! , ,. It6 .i +.: I _,... ..! , , I I j ... �.,.... , .... 1 ._...._ .. - ecrv orfineder eac 6.65 2
, branch circuit
1 B. Fee fbr branch intuits
Contact name: tiL)r r without service or feeder fee / 46.85 ��' 2
each branch circuit
Address: 421-,01),..) Each add't branch circuit • 3 6.65 9. j' 2
City/State/ZIP. Miscellaneous (service or feeder not Included)
Pump or irrigation circle J 53.40 ' 2
Phone: ( ) pax: : ( ) Sign or outline lighting _ 53.40 z
E-mail: Signal circuit(s) i+ ater limited-
or
i - :2 I1I ' N7 rr - . ,�„ 11 .'. t;ypa
fR t� r 11i!I { ii F1'�r,t , fr f( iC E 11.. } r r ld,P I 1 7 f , ..:
1; u.: � iI fy i 7 'i : . ..L.., ,11 (,(� ` .� + • 1 . 1 .. — f ( extension. Describe: Page 2 2
—
Each additional Inspection over allowable to any of the above
Address: t �' / Per inspection 62.50
City /State/ZIP: Or q o - j e 7.15 investigation per hour (1 hr min) 62.50
9 Industrial plant per hour 73.75
Phony: ( ) Fax: ( ,irAj fit l',F.,' l3j,ri,1 I h }.:h;l'',.1 r-i S G r9 J yl ( i 11 l` i7,03 {Imr.r1
1 ( uprv, Lic.' '110 Subtotal 4e, ge
�- Suprv. Electrician signature, required: ■i r Plan review (2540 of permit fee)
Date: 1
Print name: D
- State surcharge (8% ofpermit fee) � , e7 � -
`/ / ,4 —1_ 1 /. /. ! A, — TOTAL PERMIT FEE 2 .�
Authorized signature: 0-- This permit applIention expires if a permt Is not obtained within 110
r ► �. da after It has been accepted as complete
Print name: Dates • Fee m ethodology act by 'Fri-Comity Building Industry Service and .41 ■ _ •• Number of inspections per permit allowed, �7 /' 1
lAnuildineetatemc- Penm . tAplusoa 11103 • smorovcosovari 7 v�
CITY OF TIGARD
- - BUILDING DIVISION PERMIT #: ELts t�0!� U t3 �i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/21/2Ot)5
Phone: (503) 639 -4171 ,'.
Inspection Requests (24 Hrs.): (503) 639 -4175 �.. F. • ,
INSPECTION WORKSHEET FOR DATE: 8/10/2006 TIME: 7:04AM PAGE: 1
SITE ADDRESS: 14655 SW 76TH AVE 4 CLASS OF WORK:
SUBDIVISION: MARCIENE II APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: MARCIENE II APARTMENTS
DESCRIPTION: (4) branch circuit: for washer, dryer, water heater and heaters. Job No. R•05.847
OWNER: PARK, PYOUNG & JINN PHONE #:
CONTRACTOR: AE3C ELECTRIC PHONE #: 503-233.1551
Inspection Request Scheduled For: Date: W1W2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120" Electrical rou 034747 -01 503 - 267 -3668 N
col FrNAu
Co tions /Comments /Instructio :
C
4 1 \ PASS ❑ PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
FAIL 1 I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: &-' N v LJ Date: of - 16" C/ 0 Phone #: (503) 718- 1 94 k