Permit - CITY OF TIGARD ELECTRICAL PERMIT
' .. '' PERMIT #: ELC2007 - 00600
COMMUNITY DEVELOPMENT DATE ISSUED: 8/27/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 136CA -90471
SITE ADDRESS: 10900 SW 76TH PL 47 ZONING: R -25
SUBDIVISION: TIGARD WOODS CONDOMINIUMS LOT : 047 JURISDICTION: TIG
PROJECT: TIGARD WOODS CONDOS
Project Description: (2) branch circuits.
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: SIGNAUPANEL:
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: 1 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:
BOWEN PROPERTY MANAGEMENT MCCOY ELECTRIC CO INC
10900 SW 76TH PL. 2014 SE 9TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: Contact #: PRI 503 - 234 -7521
FAX 503 - 234 -9473
FEES
Description Date Amount Reg #: ELE 26 -82C
[ELPRMT] ELC Permit 8/27/2007 $53.50 LIC 8277
[TAX] 8% State Surcharge 8/27/2007 $4.28 SUP 21755
Total $57,78 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 -0011 • h 952 - 001 -0100. You may obtain copies of these rules or direct question UNC at 503.246.6699 or 1.800.332.2344.
Issu- . = / Permittee Signature: 1 /:
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.
\ug. 27. 2007 7:45AM MC COY ELECTRIC No. 9874 P. 1/2
1.. lectlrical Permit Application FOR OFFICE USE. ONLY
. City f Tigard Received ♦ L�l� ZiI‘DO
tY g l),tdli • � 6 J Perm No.:
q 13125 SW Hall Blvd., Tigard, OR 97223 plan ]review
Other Permit:
Phone: 503.639 -4171 Fax 503.598 I 5:„.\\*°
Q"I Datc/By
7 ICARD Inspection Line: 503.639.4175 R 1; 1� lisle Ready/By: auras: RJ See Page for
Internet: V,'1vw.tigard-or,fiov ��U °O° Notified/t 7? Cr Supplemental taformation
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+ w64 v Ple check all that a (5-13-6-m.
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Y
Addition/allera ub mit 2 sets o f plan w /items check below);
y ❑ New constru W .r.tion /rb 1' " et eat
n \3�� ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Dcrnolitil)tk ❑Other: ®vv where the available fault curre ❑ Marinas and boatyards.
:.:,:r;- ° , .;_:;• z:- :;;c�:w...;. . • , . "�.;` ; :; +; "r "ii exceeds 10.000 mps at 150 volts or ❑ Floatin buildings.
d;::.._,• . ?ri:,rrt. , S:c;:...r•.r :':r::i.::.: " . •' �± . n �:.,a1�:K Q11`STIti1G. ..,,. ■'. g s.
R
,:..._.._:.,._ ....... .....:r -„ :, .,.�...... _.. ,,.. ., , - .•...:!.= :.;,,!_;. ;.`.;_,��' :f�f less to fsr<futtd, or exceeds 14,000 ❑ Commercial-use agricnlcural
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family 0 Master builder ❑ Other: 0Fire pump. 1CVA dr
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, . ti .,_,.,:,r,x ❑ Emergency system. ❑ installation of 75 larger separately derived system.
7.74.! ,. _. !s '4tq 7 , ',.;,- , . . : :: �;r : r ;.im := i:;=�;
.,, r..sr8, :.- r.i w 7, r : II fNF�R11 1 TY,1�12- hI;I, C 'rtiTI -- -..... ;,lyii N '' :{ ❑ Addition of mom, motor load of ❑ .. r- .. ., r.
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( � Q � " h I OOHP or morn, occupancy.
Job no_:. l 33 1 Job site address: 109 0c S. 1 )' \ ,(�� , ❑ Six or more residential units, ❑ Recreational vehicle parks.
City /State /ZIP: ” / � ❑ Health - care facilities. 0 Supply voltage for more than
0 Hazardoua locations. 600 volts nominal
['Service or feeder 600 amps or more.
ite/bld ,/a t, no•: Pro n, . •x114 .
Su g p J name: 1 ' t i♦� �_ �w� r „A ;i;', : :-
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•
Cross street/directions tO job site: , [)e+rrlptioa Qty. Fee. 1 Total -
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no,: 1,000 sq. ft. or less 145.15 4
- Ea. add'l 500 sq, ft. or portion 33.40 1 •
Cax map /parcel no Limited energy, residential
M t
„rt °. iJ k • a $,+ . ? i 1 -' v)ES 0.$;: ; '+ # �y.tt7�.�. MGG u' ' ' , ' . 0P n 4 .' ” : (with above sq. R -) 7 2
.7 - N k xi ,r - ' �. . - -'-- ,.., a t1""'•1: r rl,iY + -" -li'-' , .. .. - Y i.. 1.
n Limited energy, multi - family 5 00
C . ,� Q , - .. ' _- residential (with above so, 10
Services or feeders installation, alteration, and/or relocation
200 amps or Icss 80.30 2
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� f i n .- i ,i h-� ,"' '' G %tor .r, a: m .. +, 1�1:., i. ct' i • ,,, r; ...
"' + i! V . , ..,_ , ,:_•$ i° \t '',,._' .. , 1) ` "G' , 4!.. --,_t' d; ,... -. - is w'; . t ' , 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Namc:
- 601 amps to 1,000 amps 240,60 2
Address: ,. • • - � Over 1,000 amps or volts 454,65 2
a. �-. Temporary services or feeders installation, alteration, and/or
<:iry /State /ZIP: ' Q relocation _ _
e w e ,
Phone: (�)3 '�?'; 0 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 599 amps 133 -75 2
Branch circuits — new, alteration, or extension, per panel
Owner signature ,,,,,,, __ Date: A. Fee for branch circuits with
! t-a ' ''" " a e ' " •r,+ . ; above service or feeder fee,
:', d F'_ M �,v 44.4 ",it kr` rr I i v:�a, 6 -65 2
each branch circu
Business name: • B. Fee for branch circuits
"^ -"-- ��
without service or feeder fee, 1 46.85 2
Contact na. J1 Y . — first branch circuit
Each add'I branch circuit -` 6,65 2
Address: 5 ovr.,..\ Q - Miscenancoux (service or feeder not included)
City /State /ZIP: Each manufactured or modular 90.90 2
dwelling, service and /or feeder
Phone:
y a 3N. c I Fax:
( ) Reconnect only • 66.85 2
E -mail: s .. Pump or irrigation circle 53.40 2
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ni,: "aA.;r; f rat:' :v ._i ,_! + „'t'i`_ � yi` a. :,.•' � ir; :�.i•• ±: .. ' ' '' . "";;" *:r' ' " " * "?9 «�i:an" Sign l cireu t( lighting
s[bu'f3t'ly � t ,. b., c..¢.., -, _.. +_ -� r. �lQ ,, .,....... - � m- .:...:,,: :.,r , r„ r.,, S.�,..r..x- ,.r..._ ........... rt ' -
Signal circuit(~) or limited-
Business none: (\A RISkil energy panel, alteration, Or
Address: _ - t'I'1 GW�, extension. Describe: Page 2 2
Cary /Stalel "" /,11': k xch additional inspection over allowable in any of the above
L� • - Per inspection 62.50
Phone: (05)Q3Lt ) Fax: (C) 3), 3t L 1 Investigation per hour (1 hr min) 62.50
COB Lic.: - ' Electrical Lic.: 7 c+ Suprv. Lic.: 2 I 5 S Industrial plant per hour 73.7'
ETE?Ck� CAri I?:FP ° .
Suprv, Electrician signature, required: ))
, �( �/ Subtotal: u
7 Plan review (25% of permit fee
Print name; J 7
Date: o
2 / , b 7
State surcharge (8% of permit fee): y . Z r
Authorized signature: TOTAL PERMIT FEE. t - 7 ;
- This permit application expires if p permit is art ubtain within 180
Print name: Date: days after it has been occepted an coumplete.
-- - • Number of tnspectims allowed per permit.
1.\ Bvitdinacemirz\ELC•PennitApp(inn 6S!2,/06 410- 4615T(11 /OS /COM/WEB
CITY OF TIGARD
BUILDING DIVISION -� PERMIT #: ELC2007- 00600
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0127/2007
Phone: (503) 639 -4171 o a � db4 h i �lp�4 �i1
Inspection Requests (24 Hrs.): (503) 639 -4175 „_.,111- `__..
INSPECTION WORKSHEET FOR DATE: 11116/2007 TIME: 7 :01AM PAGE: ti0
SITE ADDRESS: 10900 SW 76TH r L 47 CLASS OF WORK:
SUBDIVISION: TIGARD WOODS C. OMINIUMS LOT #: (}47 TYPE OF USE:
PROJECT NAME: TIGARD WOODS CONDOS
DESCRIPTION: (2) branch circuits.
OWNER: PHONE #:
CONTRACTOR: MCCOY ELECTRIC CO INC L(3 13 \ [ PHONE #: 503 - 234 -7521
Inspection Request Scheduled For: Date: 11/1512007 Pour Time:
Code • Inspec i. 9 - cription / Confirm Contact # Message
19 Electrical final 09786-01 503-234-7521 Y
Corrections /C. - s " ctions:
IP(AA•1=--t. ' J 61 • n
4 / I
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
_ FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - ( 6 Date: 1 ( dl Phone #: (503) 718 - 1-144)0
a
CITY OF TIGARD
BUILDING DIVISION s PERMIT #: ELC2007 -00600
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/27/2007
Phone: (503) 639 -4171 /414,
Inspection Requests (24 Hrs.): (503) 639 -4175 ._' :_..
INSPECTION WORKSHEET FOR DATE: 8128/2007 TIME: 7:OOAM PAGE: 44
SITE ADDRESS: 10900 SW 76TH ,1.47 CLASS OF WORK:
SUBDIVISION: TIGARD WOODS OONDOMINIUMS LOT #: 047 TYPE OF USE:
PROJECT NAME: TIGARD WOODS COS
DESCRIPTION: (2) branch circuits.
(--,----" %-:---- - —'---,,,\
OWNER: \ O, 1. 5 r � PHONE #:
CONTRACTOR: MCCOY ELECTRIC CO INO ) PHONE #: 503-2347521
Inspection Request Scheduled For: Date: 8128/2007 Pour Time:
Code # Inspection Description - •nfi' • # Contact # Message
120 Electrical rough -in 054739 -01 503-234-7521 ■, Y
$b - <1,(1)29
Corrections /Comments /Instructions: .' ' V
Ei (•ir4L.
0 PASS PARTIAL APPROVAL n CANCEL I I NO ACCESS
n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Cr 0 , L Date: 1 01 Phone #: (503) 718- 2-fib