Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00620
%-- DEVELOPMENT SERVICES DATE ISSUED: 8/23/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S112BD-00700
SITE ADDRESS: 14655 SW 76TH AVE 25 ZONING: R -12
SUBDIVISION: MARCIENE 11 APARTMENTS LOT : JURISDICTION: TIG
Project Description: (4) branch circuits for washer, dryer, water heater & heaters. Job #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:
MICHAEL O'GORMAN ABC ELECTRIC
14655 SW 76TH AVE 135 NE 9TH AVE
TIGARD, OR 97223 PORTLAND, OR 97232
Phone: 541 - 386 - 1980 Phone: 503 - 233 - 7551
FEES Reg #: LIC 26-1226C
Description Date Amount SUP 5096S
ELE 161501
[ELPRMT] ELC Permit 8/23/2005 $66.80
[TAX] 8% State Surcharge 8/23/2005 $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. 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: Permittee Signature: . R:e.- t•No 0 (�
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.
AUG -23 -2005 09:14 AM P. 03
Etgectrical Permit Appllcatfo>gl�
City of Tigard ae t e i.ede
Permit No.: ` "- 26 /" O
13125 SW Hall Blvd., Tigard, OR 97223 Date/By: �( � �) � U� J I/V/lo�
3 r'nt'
Phone: 503,634,4] 71 Fax: 503,598,1960 AUG 2 J ��'r >• ' ^�, :.
, h ( DAte/13Y: v Other Pern>ic
_
Inspection Line: 503.639,4175 , *J, • ./ � I Date Ready/By: Jitil bee Page 2 for
Internet www ct ttgard or,v Notified/Method: manta tl
it F T I^ 6I - Information
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._...... ,.,. _._ .. _.._.. '': •, .. .:. yi „[;... .... rrliai: tl, }trl:c�w,I,a .,1kn�.1l.ur Rl �itl„„ �rii. �. i., it, Idl, F .i�il`7SA�.IaaL1f{�id:Y�Fli``',
❑ NcW construction 1► Addition /alteration /replacement Please check all that apply:
[] Demolition 0 Other: ❑Service over 225 amps, comm'I ['Hazardous location
((+iIf t yllI n l + , r+ '1 t't ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. R.,
tfl.tlfi'I!1ii M. 1 c!,11 ? 1'rs 1 ",...,}� r . , M 1 }` } of 1- and 2 - family dwellings 4 or more new residential
❑ 1- and 2- family dwelling 0 Commercial /industrial [] Accessory building DSYstom over 600 volts nominal units in one structure
D Multi - family ❑ Master builder ❑ Other: QBuiiding over three stories ❑Feeders, 400 amps or more
; ; ,, , ? persons t red structures
i i , ,L, y ..: : ['Occupant load over p CI trU & or
1 i.lrh Lh_i.. ... ': ❑Egress /lighting RV • e•
Job no.: : Job site address: / , " y ❑Health -care facility ❑Other:
1 Submit j sets orphans with any of the above.
/ L The above arc not applicable to temporary construction service,
�
: I lif lh: % ^:a. :
lY�i;' '121 {:' •' r)1� '
lflf'.x.,i,�
Suite/bldg. /apt. no.: I ' ....::1.... 1�'rlfl' Is)tt.ilhl�.I iitl.r i '` 44„ Yt�h,a�i�)t�
n � / Deseriptlon ® 1 TONI *. Cross street /directions to Job site: / ✓ l,, AS New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 so, ft. or /eta 1 4
Subdivision: % , .. „t\r,..4....„ ` Lot no.: EL add'I 500 sq, ft or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no
ff`,��i "'I t' })� #a' 1t i ' - - - Limited energy, non- residential 75.00 - 2
011'u'I$„liia,(t.. 4lv i ..., {,"» r "t , ... ...... 5.. I
.,t ,.. ,.., ...r... , ,,,• .,._ , - , :,. ,..; Each manufactured or modular
dwelling, service and /or feeder 90,90 2
1 4 _I A 1 -' / d i _ Al Services or feeders installation, alteration, and/or relocation
200 amps or less 80,30 2
.:. .
{1h1`� a � 1 t 1 1 �„ , t ....a I r � `'r. 1 a ` .: : � 201 amps to 400 amps 106,85 2
20
, 41>�,t, },tr {rlu1.. •,, ,rn,r.,.,. r r : ,: ,:: ; 401 amps to 600 amps 160.60 2
Name: ) , c„R,_, 0 ' f .. ,,,... 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454,65 2
Reconnect only 66.85 2
Ciry /State /ZIP: Temporary services or feeders installation, alteration, and /or
Phone: (571,/) 3'S ` — 7 lit
200 a mpps s
t
200 a or leas 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: 19 ranch circuits — new, alteration, or extension, per panel
,f.l li :. e.i: i'
_a.,.�nl tug-,,,...: -. L.,.. ..,. :,.:'::• •' A.Fceforb branch r. x;.l. : . _ .... „�, ... , ;_ ji:_ :.� circui with
service or feeder fee, each
�4p branch circuit 6.65 2
B. Pee for branch citouits
Contact name: / ` without service or feeder fee,
• each branch circuit ( 46,85 4/6, y..
Address: 3
Each add'i branch circuit 6,65 1 91 2
City /State /ZIP: Miscellaneous (service or feeder not Included)
Phone: Pump or irrigation circle 53.40 2
E ) 1~ax { ,
Sign 3.40 2
or outline
il: ..p1t .le 1vrll' ir': r• 9 Y'° 1 ::' "fi +. {. <.. ,... } ,. : ; .._ ,•..;....• .. ..;...- ......._..._..... :.. , ....•;
y � �`; gn c lighting
CE i GI, ,#1 .' }t r r :.r r:,,,...
Signal circuit(s) or limited -
t �f; i }. li ) i.; ` ' ' :;• . 1, energy panel, alteration. or
11 m IIIIIIWAMIIIIMIIIIIIIIIMII.l 'I.' extension, De Page 2 2
Address: t A , . / Each additional Inspection over allowable In any of the above
Per inspection 62.50
/ Investigation per hour (1 hr min) 62.50
Phone: ( ) Industrial plant per hour 73,75
• r }� �P
1• r,�11 1 I i' 'E( 1 v � l n "1`} all l :f. -jj ' ],f, � ii
..., ,� + 7 .1' r..ir 1. , - ....a,.,tu Ft . :i., r_.i„� ^,� �li;b:i ,'� �.i.I{Lry}��115!:7 C: `::
Subtotal / la s0
�- Suprv. Electrician signature, required: Plan review (25% of permit fee) (P ,11111.1111.
State surcharge (8% of permit fee) 6-, 3 ['
• / ? A• Date: i TOTAL PERMIT FEE Vlilie
,, Authorized signature: r This permit application expires If a permit fa not obtained within 180
days after It has been accepted as complete
0 ' Date: . r • Fee methodology set by Tri•County Building Industry Service Board Air f
•' " "" Number ofinspeotions per pemutallowed.
i; Wuilding \Perm)ts \BLC- PermitApp.doc 12103 440.4615T(10/OJCoM/wgf
J i .
CITY-OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2005 -00620
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/23/2005
Phone: (503) 639 -4171 /i Aau�i��^I��jlll �
Inspection Requests (24 Hrs.): (503) 639 -4175 � W ' 9 �:_..
INSPECTION WORKSHE -\ OR " DATE: 8/31/2005 TIME: 7:03AM PAGE: 38
SITE ADDRESS: 14655 \` 11 11 AVE 26 CLASS OF WORK:
SUBDIVISION: MARCIENE�I PARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: MARCIENE II ITS •
DESCRIPTION: (4) branch circuit - or washer, dryer, water heater & heaters. Job #r-05-847.
OWNER: O'GORMAN, MICH PHONE #: 641- 386.1380
CONTRACTOR: ABC ELECTRIC PHONE #: 603.233 -7551
Inspection Request Scheduled For: Date: 8131/2005 Pour Time:
Code # Inspection Description - ' -• Contact # Message
199 Electrical final
‘7 , 503- 233.7551 Y
Corrections /Comments /Instructions:
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PASS (l PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION _ ADDITIONAL FEES ASSESSED
Inspector: E ' N . �/ Date: �� Phone #: (503) 718- 2 Lilo