Permit V 0 #: EL L— PERMIT
CITY OF A vv l((JJJ
PERMIT #: ELC2005 -00586
DEVELOPMENT SERVICES DATE ISSUED: 9/7/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AA - AC001
SITE ADDRESS: 60450 SW 90TH A ZONING: R - 4.5
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT : 001 JURISDICTION: TIG
Project Description: Building 2: Unit 9 of a 4 - unit townhouse building.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 1.00 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 0 201 - 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: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: X > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
RCM HOMES DMS ELECTRIC INC
12670 SW 68TH PKWY #200 8502 SE STARK ST
PORTLAND, OR 97223 PORTLAND, OR 97216-1140
Phone: 503 - 598 -7565 Contact #: FAX 503 - 252 -6611
PRI 503- 209 -9298
FEES
Description Date Amount Reg #: LAC 118073
[ELPRMT] ELC Permit 9/7/2005 $378.95 SUP 4542S
[ELPLCK] ELC Pln Rev 9/7/2005 $94.74 ELE 37 -742C
[TAX] 8% State Surcharge 9/7/2005 $30.32
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $504.01
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 -66' : or 800- 2- •4. —
Issued B • �,,�_ � Permittee Signatur
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.
C ITY OF TI GAR V ELECTRICAL PERMIT
PERMIT #: ELC2005 -00586
�•J�l DEVELOPMENT SERVICES DATE ISSUED: 9/7/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AA - AC001
SITE ADDRESS: 10450 SW 90TH AVE ZONING: R - 4.5
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT : 001 JURISDICTION: TIG
Project Description: Building 2: 4 townhouse units. No approved plans, calculated by square footages from BUP2005 00081.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 1.00 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 7 201 - 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: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: X > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
RCM HOMES DMS ELECTRIC INC
12670 SW 68TH PKWY #200 8502 SE STARK ST
PORTLAND, OR 97223 PORTLAND, OR 97216 -6611
Phone: 503 - 598 -7565 Phone: 503 - 209 -9298
FEES Reg #: LIC 118073
SUP 4542S
. Description Date Amount ELE 37 - 742C
[ELPRMT] ELC Permit 9/7/2005 $378.95
[ELPLCK] ELC Phi Rev 9/7/2005 $94.74 REQUIRED ITEMS AND REPORTS
[TAX] 8% State Surcharge 9/7/2005 $30.32
Total $504.01
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503- 246 -6699 or 1 -80 - 332 -2344.
Issued By: l Lir,,/J, PermitteeSignature:
OWNER INSTALLATION ONLY
The installation is being .made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
•
Electrical Permit �` �x -g s FOR OFFICE US ONL ;' z s, ,'
City f Tigard t " is ( E e Prmit No. :� ' EI VE 6LL.-2 X) 3 4 5 1312SW Hall BlvdTigard, OR 97223 w Phone: 503.639.4 171 Fax. 503.598.1960 ' 4 + [ Other Permit. �� d n i,' p , µ Da te/By: G i ,S
Inspection Line: 503.639.4175 " 0 2 0 - Mir' +' - Date Ready /By. ions: H See Page 2 for
Internet: www.ci.tigard.or.us Notified /Method. ,f � r' Supplemental Information
CITv
E6i.0 4412K4Flo Pti tN 'REVIEW:
tiro t Please check all that apply:
1� - New construction ❑Addition /alteratlon�eyl$eement
❑Service over 225 amps, comm'l ❑Hazardous location
❑ Demolition ❑ Other:
❑Service over 320 amps - rating ❑ Bui1dng over 10,000 sq. ft ,
, s - s ' iw'."- - "e `:,' s . • > y , ;.a. l;� c.;. ��.: _, „r . ,;' "'•. -, a' : >g y °c:6, lky,'-'A
s -_. y I .. CATEGORY _ CONSTRUCTIONS - � ` , - of I- and 2- family dwellings 4 or more new residential
❑ 1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building ESystem over 600 volts nominal units in one structure
gt.Multi ❑ Master builder ❑ Other: ❑Building over three stories EFeeders, 400 amps or more
>;s ,.:a e «,t.:,. > ` :., ,,,, cupa 99 persons EManufactured structures or
❑Oc nt load over 9 Manufacri
i; €,,." ._ .•; r '°t =.. ,--. ....�; ;` 3, ='
t , q:° _ > SITE`'INFORMt1TION ::1N ,?'L'OGAT° ION ' i -g,= ;�.�` . r , . - : -g : -1 RV park
❑Egress /li htin plan
,et� =..,�� > . , ,
�ti,:�, >JOB, ; � . , ,,.���__ -• �:, ��. .�_.�,...�. e g g L
Job no.: Job site address: ) D o S � 90
{ Ave_ ❑Health -care facility ❑ Oiler:
Submit 2 sets of plans with any of the above.
City /State /ZIP: RrA Cpi The above are not applicable to temporary construction service.
• Suite /bldg. /apt. no.: Project name: •:?;, . ,_ ..
FEE:..,,., °:a .,
3 f00 Cbt/ OI't']1Allfli'I'Is Description Qty. Fee. I Total
Cross street/directions to job site: c j vc. if ockk Si. New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less V 145.15 15,15 4
Subdivision: Lot no.: 42 Ea. add'l 500 sq. ft. or portion '7 33.40 2.33 kg 1
Tax map parcel no.: Limited energy, residential 75.00 2
Each manufactured or modular
dwelling, service and /or feeder 90.90 2
;. $., ..,,,._,,.,.,..,n.ER,. energy, non-residential 75.00 2
Limited nergy non entta
,;i r. ,: =„ L _; :_ -, :, n )DESCRIPTION -;-OF W(Jjj ssi -�,'� < ;a= :., r
ter..; �- ti = -�_ �.,..... �.._.� _.`.�;.'' °f��.E...�, -. ��e
. s:
.A � CCL ) C II
0,t15t (UC,{-1ON Services or feeders installation, alteration, and/or relocation
5c_e. A e proVe..oQ- R \a.vs
U. O Pg00S 00037 200 amps or less 80.30 2
:`;;. x . � =, „ ,,. N.; rte`.`'''' ;r _ _ :, ..;i< < 201 amps to 400 amps 106.85 2 • PROPERTI� OWl\ER' ,: -. `:r „.
c 3. ";::,...._._ ::,.....,.. .. „,: _.- ..,a.> ... ._ _ r.. .. .- 401 amps to 600 amps 160.60 2
Name: 1. C ‘-k .S ( , /� 601 amps to 1,000 amps 240.60 2
Address: ' S ( .� t c ! Q I� / W Y -' ,2IJV Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
P
City /State /ZIP: \A _ d C �y of ° / A...3 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (565) 61 r P-75-6 Fax: ( r jo 3) 6,,zO - 79`.5 200 amps or less 66.85 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 amps to 600 amps 133.75 _ 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
_, ;;: a`5;;,'� "° i t ; n'1 `'
q .f ....;...,�y ®K�APPLICANI' ° °'. "'��' �.CO]YTAC7.w, ,:a A. Fee for branch circuits with
�� ... ....,, , ,.,, *.....,r = .7 r . ; ` , PERSON ...
� '`� service or feeder fee, each
Business name: ' Cw\ NptMeS branch circuit 6.65 2
B. Fee for branch circuits •
Contact name:
V Dos) C. - CA i t30 without service or feeder fee, 46.85 2
each branch circuit
Address:
Each add'I branch circuit 6.65 2
City /State /ZIP: 6 ?iY2 7 . c . Miscellaneous (service or feeder not included)
Phone: ( ) 44axa//lY Pump or irrigation circle 53.40 2
11 �� Sign or outline lighting 53.40 2
E - mail: UA.ue_ Q eoC. asl -oQe k fwvieS .ve.1�- Signal circuit(s) or limited -
•`-_ ?w r: E�..r�_ 'L" - .,, x�,�.�.. __. v a= "g�^i'
<��r � �.,�, � :�• '- � � energy panel, alteration or
�, :� ,az . .� - . ..., rt?a
_.:,- 'o "'•'+::4 e° �h -
extension. Describe: Page 2 2
Business name: �1 Z1,i2_1 es __ f oG
Address: g60a ...2,., 5. ieN 5-� Each additional inspection over allowable in any of the above -
Per inspection 62.50
City /State /ZIP: Pont 042 q 7 2, 1 4 „ 1 I t/0 Investigation per hour (1 hr min) 62.50
Phone: (916 ) 9 y.� 9A91/ Fax: (5 0 ,25g„ -144/ Industrial plant per hour 73.75
€_:' Vitl. aA"a RICP L It4V. TIVAStATIONI9
CCB Lie.: t/f 8o 7 3 Electrical Lic.: 37 -74( 6 Suprv. Lie.: 1/5 7.'S Subtotal z'➢ 8 5
Suprv. Electrician signature, required: Plan review (25% of permit fee) 44.111i
State surcharge (8% of permit fee) 30, '3 2..
Print name: Date:
TOTAL PERMIT FEE sog1 0 0
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board
** Number of inspections per permit allowed.
i:\ Building \Permits \ELC -PermitApp.doc 12/03 440- 4615T(I0 /02/COM/WEB
U'3-@5-2@5 11 : 58 F r om : DMS ELECTRIC INC 5032526611 T o : 503 620 9965
''' ,,,-.' ' • , 05 1 I t 57a BROWNSTONE HONES SUB -620 - 99G5 P • 3
F.lectrical Permit APDlicatiOn . .. • • ii - - . --
• . • . - • -- • - -
City cif Tigard Pi-c,iyca
Li-Ai:qui, Pu oat Nbi.:
11125 SW nap •ivo , OR ;7::,23
Plan Revtcw -- -
phm, 50'i 6:04 4! 7: 1',. tl:'. 5'N.: V. 4,e!q.,,&f. lAttc/ 1 Tiv: 1 thIrr, Pe-m0.
_..
ilispt3. , _ii, coi.elv d i 15 - - _ L.13A li.C3clyr..17:
itiltkViilL7. I . ' I.i T 0 :‘,..a Pg.. I For
trInmrt wk. w . tigJA ■il.,,, ! NIst■ti..LMettoll - J glittpletmeoiai 114..mi.tio.
-.... .
•-
Tvi. p: or wi.i 1 7 .-- pi AN. flEVIF‘V
- - - . .
1251e w Co n:ittirtif. I j Addetloalaticrattoillrep17.ellmen1
17E
rl DeinoIi tier ( 1 rahe, I h t+;eit: ' All littA Apply . - . -. ....._.. __1
I D■Icivi:e...) 225 .4,5..201'11mi 0 . 11r..:1Rit It. 1 ic;011 un i
7
. . 7 - 7 77-71 U...;cr,i0: uva . 120 Jim's - toitnk• ,DAntlt.mg avcr 10009 Sy. Ill..
'CATECORY' 10Nglittwrnort - .1,11 5 4 of 115h I; mow rcrocir.mai
ilSyslero ov ri WO volts neohl .tars in °la.: slew I•rre
0 I- and 2- Oaf ;lily d well it ig CJ cumnieleAcolindultribi 0 ACCCKMWy hliiii11117,
ILIIIIii)iiift J.2 ilnee stares Ul'etalcri, 40
i 0 amps or morc
1 tti-fArnily
0 M a cte ■ b'aii‘le i 11 Olhec '
8;1• ..•••.'• ...- ,"•• ,....:„.„ii '"7 ,.. ov.,7;w:,_,,,,.,.., ., .„.. .;..:,„, CIOcc want lotd eve; 99 persuni Limaw4ininmil qiuctiari Or
i l;;; . :;:::,.„.... - „,_: .. .,... : 27.': ,,,. . ' #■:!oc.. . ,,. - ., - ..-''''; 7 ; '..':.:.: DEgiesailigia lag plan RV pa;
I.- Job no . 1 1& add 1045o 3C4J ci0 .4ue_ o 6.th rk.13.-c„.,
- . -.. . ...
s.. 2 xra of ultb aoy , ibc Above.
-
I ,
City/Slaw/ZAP: 01
1 • ni f A 2
. _ 1 l les 11155.7VC MC TIM eppiiL;ablc io tcrisptaary cotnhotttutt 1,er7ice.
- -.
b;,-sirlik 2 rj,' 1- 7 4 ,1kf t it.:5 7 ,- 1( . ;rl.;'.;:....J
• StsiIeitsIdg.r no. Pin;cca 11 - i I
- • - . =
I I 6. tO_P____citahaPi(26iN 1- 1 04.4
_ ...1 Ltaaapataa Q pi, VOW ••
-.....-.
.- ......._. .....-. .. ...
&Ogg Nireas.rhin eci101/5 re job Site' C IO 4 he. .1. 00,,k 5i
. . NN O rtaldrallal slIttgk or •bulti-faulity dwelling u&*. - - includes att.: hcri gornEn.
-. tviat.._ _
5
i I Am par 111...,..) -..
Ea. adtrl Sin , 4,1 el 0, rort■o„ 1
i i34
-
' --- Linatei met ry tesiitentioi 1 75 no _L
1 a ma plicarcel no.:
1,1rnited encrey, nowtetterithat 75.01) 2 1
. .vi,-. , ,,: .. ..i, - „,...,:i. - ,,,,,!,,.....:4• 4 0, 1, ..._. .., . ,,.::1 Each liettlufacturrd or modular
L ...... Aitt.) coAx-cuCA-4,6). daiczae_ aniiiia iiIcdCr 1 . 90.93 I , 2 I
- Scrvicg: it isstiors iostallataut, altarainue. sn41.'m who:Atka
ht1 3 s
S e- A e r -v.- -\.,-- '..- a, 5 uPgMS-ocog/ 200 3171)5 nv I:IS
11.10.4! 2 I
: :•C:'''' ' ' . '''' ,... gi ..:„,..: ::-:,; 7 `,'...:;.!:• .: , : - :,-,,*. ,' ' a.stps to dOU amos
_ _ '' - •• •-- '' •'' • - ••• • "••• • - • --- - - - "' •••••',•••'' ''''':.1 aol . ”p: ht MI) Amyl r ' )67.6o 2 1
Numr. 'R c vv\ ‘A prics .
1 mps lO amps :40.(4) 1 2 I
-
60a O LOC
Address 1 r ) , C:70 f ( flc ,.4k.2(x0 Ortt 1,039 Arlin ur vuln
. _
___ . • -aa-
Rcionttat 6tstv I . 66 85 2 I
... •
C it v/Stnt ii,'7 I P. 0 r . )4 . t..k 0, A 1 hA - rj, R , , 9 -7 2,-)
.., Tealparril y serviCeaur itatterlitlatilitalara. alterariUn, a nalUt
-' idocariva
I Ph"r' *_ " 7565 - i Fax(5r3) 7.9.(..S- ?CO ours ur it•ss - 66.85 I 1
0.+Iier ihstailatiow This installation ia heine Inlillk' oil FuriellY ih'‘It I own which i 119 20 amps ae0 alum L - ,
.7 - -
. .
inttnikd for :ale, tease, rpm or ex chan2,e, according to ORS 447, 444, 670. aid 70 I. ...._.
4C.1 :imps to (I00 anIpa i 1.3.7S 2
1 .
()tamer Rivattio, ---
..-. Dat: slide Cirreiti - new. fillarritiOU Ur esti:nitro per panel
-...
M A. ran ftlr brunch .:nrult: o-
FluX11166+5 nalr.c-
COAtaCt L_
APIriz. ?Ci k
______ _..._ _.
i _ 1 1 e i
\-- l....) A ,A.1 _ ..........- ; i.,...01 ia, . setylce ea feeder Ece, etch
branch circuit h 65 1
Li
- '' • 8 Fec brark h.. ints7 - j.. .- _
Iva phittil SCovILt. tli Itc.■,.f it!. I
•1(..85 2
each branch entuti I . .:
Addrcgss: (--
,-__} ___ Each add'I nuinch eitemo
---. L ohs 2
Citr$taie/ZIP, 1:2-a Nflacalhinealia oaryivc Ur reader hut incluck4)
,
Pump im n nr eatio circic 53.40 : 2
Phone: ( ) AX.. 1 15 /
''''
Sigit or nutlinc lighting 53.40 2
&Ina& ;XI ":- cow ,...... a-,_ .7. . -....- .-. r.., . sig,ial eirivit(3)ur iirnited.
1 ':,..-, : l 1-,g4 71 energy panel alicroion, at
c)taltiOn Ocscaitre Page 2 2
RusinesS omne: 0 ft13 E e a Kt C h (.•_. _ .
Addre": &-CO 3 E. .34-e-vt i 1--. Each additional lasptction *vat. alhiavabla la any af ihc show
"3- i'll' ill5pCtlieN} , 62.91
CI &y2 v- 4 I ti not_ OK q 7 ' I L, InveiLigalum per hour it tv mn9 62.50
Phone. (o?) -) 0 a - Pt z 9,, (s-ps) 7 r 2 - 4 i; 11 intim:trim plant pc, hoot 73.7,. ,
, .
- - i !..";PAI:T-'4,Fi".04...tV0.;1:,T4'?;
C'CU Lic.: 11 so 1 S 1 Eitel Lic..: 37 -1 1Zei sup v. Lic.: ti..5 Li ZS
sumnizi
_
Spry. !Electrician signature, tecluired: Vi_ 4 IL/2_ 7c?..21.• 1,,-, 4" , Plan revicw (2 S M•pennit fee)
_ ....-___ .. --
1,„,,, frior Slate van:hinge (Iii5o pf pcnnit fci,)
i ___
_ ....
-.- - -- TOTAL PERMTIErt 1
Authoymti Kignsawe: . _L. _ J
This pencil applicatrea Rapti es if a Oarntft 1. net tdurldcd riettp 160
-......
drys ate. K Ara larval reeti,lni .....apl.t.
Print name: I Date: ' raa aisihadalogy ict hyTri-r• th...,- 0 oiloinc Industry strict Saar:,
- •-- - •• ' , :4*;,..p , ,,lotot pr avian altowed.
1, 40. 1 dhltronebiELC-PT. , ,rAppans: 1242 4.0-441nrtl9;07/COMAVEL
CCE = License Search - Results Page 1 of 2
License Search - Results
•
LICENSE 118073
NUMBER:
NAME: DMS ELECTRIC INC
ADDRESS: 8502 SE STARK ST PORTLAND OR
97216 -1140
WORK •
PHONE 5032099298
NUMBER:
s Susp ended
LIiCENSE' i ` ' ENTITY
- Insurance Corporation
STATUS: TYPE:
EXPIRATION LICENSE General
DATE: CATEGORY: Contractor /All
Non- Exempt
(Has
DATE FIRST EMPLOYER Employees -
LICENSED: 10/18/1996 STATUS: Must Have
Workers'
Comp
Coverage)
BOND Call CCB - INSURANCE NO ACTIVE
•
COMPANY: (503) 378- COMPANY: INSURANCE
4621
BOND $ INSURANCE
AMOUNT: AMOUNT:
BOND INSURANCE
EFFECTIVE 8/24/2005 EFFECTIVE
TO: TO:
Associated Name Information
License Number Name Description
118073 SERGEY MISHCHUK Corporate Officer
118073 OLGA MISHCHUK Corporate Officer
Bond Information No records returned.
Insurance Information
License Insurance Company Policy Policy Effective Effective
Number Number Amount From To
370 FARMERS INSURANCE
118073 035027933 1000000 8/9/2004 8/9/2005
EXCHANGE
118073 74 - OHIO CASUALTY INS CO BL053107875 1000000 8/9/2003 8/9/2005
118073 70 - NORTH PACIFIC INS CO C01153782 1000000 8/9/2002 8/9/2003
118073 16 - AMERICAN STATES 010E119200 500000 11/1/1996 11/1/2002
INSURANCE COMPANY
Specialized Training Information
http://ccbed.ccb.state.or.us/new_web/asp/new_search results print.asp ?regno= 118073 8 2 5/ 2005.
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2005•00586
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 817/2006
Phone: (503) 639-4171 4 47#Sliej
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 512412006 TIME: 7:12AM PAGE: 75
SITE ADDRESS: 10450 SW BOTH AVE CLASS OF WORK:
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT #: 001 TYPE OF USE:
PROJECT NAME: ASHBROOK CONDOMINIUMS •
DESCRIPTION: Building Unit 9 of a 4-unit townhouse building.
OWNER: RCM HOMES, PHONE #: 503
CONTRACTOR: DMS ELECTRIC INC PHONE #: 503-209-9298
Inspection Request Scheduled For: Date: 5/24/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 030447-04 503-209-7386
Corrections/Comments/Instructions:
•
/ 14 PASS fl PARTIAL APPROVAL EI CANCEL NO ACCESS
I I FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: e-TA\ 9 `-t‘ 6\1416 Date: _ Phone #: (503) 718- 2, 46
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: -OV 5--a o 8.4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 I4i�1 j I11
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / D T ..S 9v - � CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 ° 7 i Q I `" Pour Time:
Code # Inspection Description Confirm # Contact # Message
de A4.4:6
Izv fS oq-73 ,F(0
orr ions /Comment 4 tructions:
CKPASS — PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
r)
Inspector: ADate: 5 1 " � Phone #: (503) 718 - ;#6
IT 1 OF TIGARD GAR®
K ' ELECTRICAL PERMIT
PERMIT #: ELC2005 -00586
dik D EVELOPMENT SERVICES . DATE ISSUED: 9/7/2005
' 6 `"' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S 135AA -AC001
SITE ADDRESS: 10450 SW 90TH AVE ZONING: R - 4.5
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT : 001 JURISDICTION: TIG
Project Description: Building 2: 4 townhouse units. No approved plans, calculated by square footages from BUP2005 00081.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 1.00 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 7 201 - 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: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: X > 600 VOLT NOMINAL:
Reconnect only: SVCIFDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
RCM HOMES DMS ELECTRIC INC
12670 SW 68TH PKWY #200 8502 SE STARK ST
PORTLAND, OR 97223 PORTLAND, OR 9721 6-661 1
Phone: 503 -598 -7565 Phone: 503 - 209 -9298
FEES Reg #: LIC 118073
Description Date Amount SUP 4542S
ELE 37 -742C
[ELPRM 1 ] ELC Permit 9/7/2005 $378.95
[ELPLCK] ELC Pln Rev 9/7/2005 $94.74 REQUIRED ITEMS AND REPORTS V)
[TAX] 8% State Surcharge 9/7/2005 $30.32 Q
til
Total $504.01
I
0
0
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 0
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 09
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those IN
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 -80 - 332 -2344.
Issued By: 11 n/1J Permittee Signature: ft . /g -
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.
•
•
Inspections Required for: ELC2OO5 -00586
(✓ Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation X 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading X 115 Electrical service
205 Footing X 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors X 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG Structure set-up MEC - Mechanical Permit
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping _
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper _
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbing rough -in
998 Alarm final 325 RP/backflow preventer _
999 Sprinkler final 330 Water service
335 Rain drain
340 _ Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation _ 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 IV1isc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I :\Building \IVR \InspCard- AOP.doc 06/17/2005
-3 - Mime.822 Page 1
Return -path: < duane @brownstonehomes.net>
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From: "Duane Wilson" < duane @brownstonehomes.net>
To: <brianb @ci.tigard.or.us>
X- ASG - Orig -Subj: FW: Ashbrook Condo Project.
Subject: FW: Ashbrook Condo Project.
Date: Wed, 24 Aug 2005 08:38:09 -0700
Message -ID: <LEEKJBANPDELCCBPBIPNAEGKCAAA .duane @brownstonehomes.net>
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Brian,
Can you pass this e-mail along it was requested for the electrical plan
review of the Ashbrook Condo buildings.
Thank you,
Duane C Wilson
Development Manager
RCM Homes, Inc.
duane @brownstonehomes.net
cell 503 - 313 -3021
office 503 - 598 -7565 ext. 3
Original Message--- -
From: Jim VanKleek [mailto:Jim.VanKleek @pgn.com]
Sent: Monday, August 22, 2005 1:11 PM
To: duane @brownstonehomes.net
Subject: Ashbrook Condo Project.
Duane
Brownstone Homes
- I
C-ary'NobLe - Mime.822 Page 2
Per PGE's calculations; the "worst case" Available Fault Current for
each of the above meterbases is less than 10K. A break down of each
meter location can be provided on request.
Please feel free to call 503/570 -4407 with any questions.
Jim Van Kleek
• Service & Desighn Consultant
Portland General Electric
i
� I
2/6/2006
Fees Associated With 10:49:40AM
4J Case #: ELC2005 -00586
City of Tigard
Fee Start End Revenue Created
Type Date Date Dept Description Account Number By Date Amount Due
PRMT 1/1/1990 12/31/2005 [ELPRMT] ELC Permit 220-0000-431510 GN 8/22/2005 378.95 0.00
PLCK 1/1/1990 12/31 /2005 [ELPLCK] ELC Pln Rev 220 -0000- 433040 GN 8/22/2005 94.74 0.00
5PCT 1/1/1990 12/31/2005 [TAX] 8% State Surcharge 100 - 0000 - 207020 GN 8/22/2005 30.32 0.00
PRMT 1/1/1990 12/31/2020 [ELPRMT] ELC Permit 220 - 0000 - 431510 DLH 2/6/2006 201.65 106.91
5PCT 1/1/1990 12/31/2020 [TAX] 8% State Surcharge 100- 0000 - 207020 DLH 2/6/2006 16.13 16.13
PLCK 1/1/1990 12/31/2005 Refund - [ELPLCK] ELC Pln Rev 220 - 0000 - 433040 CTR 2/6/2006 -94.74 0.00
Total: $123.04
Page 1 of 1 Case Fees..rpt