Permit CITY O 1 TI GA OD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00290
DEVELOPMENT SERVICES DATE ISSUED: 6/14/2005
�---' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S115AA-OTOOA
SITE ADDRESS: 16055 SW 108TH AVE 100 CLUB HOUSE ZONING: R -25
SUBDIVISION: OAK TREE APARTMENTS LOT : OOA JURISDICTION: TIG
Project Description: Electrical rough & service.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 3 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: 49 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: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
OT2 LLC SPECTRUM ELECTRIC
5437 ROSALIA WAY SUITE 100 2050 VISTA AVE. SE #100
LAKE OSWEGO, OR 97035 SALEM, OR 97302
Phone: 503 - 620 -4373 Phone: 503 - 361 -1256
FEES Reg #: ELE 24 -353C
LIC 116453
Description Date Amount SUP 2223S
[ELPRMT] ELC Permit 6/14/2005 $526.40
[ELPLCK] ELC PIn Rev 6/14/2005 $131.60 REQUIRED ITEMS AND REPORTS
[TAX] 8% State Surcharge 6/14/2005 $42.11
Total $700.11
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes a. • . other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 ..• • of iss -nce, or if work i
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the 0 -gon . if otification C = --- ose
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rule. o - quest o'; o • .• - -� -
503- 246 -6699 or 1- 800 -2344.
Issued By: '%�, /� Permittee Signatur- f` Jr' IOW
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.
1 1
Electrical Permit Application F,O '
City of Tigard REC / Received , ��j PermitNo.: o va
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 DaurnditiVI (N\ Date/B : Other Permit 4�0 9/ 9 ' -6
Inspection Line: 503.639.4175 APR 2 9 20! =? 'n l' Date Ready/By: rimi H See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
:,g 'r�?^... ��`r v:;Sx9t�: 4 � - * ,- °sc�-.' L snz;�:,> ,; •�:s� : :.,�;�,a ; >
.. ^: id' ^�:'Sra:,`.:•�s"�Y .. s!:',YV t .: y ffiC � `• ... H � i.p/ .�.b''ti�.- .•d°'a,:rb7.�. � 'a'ii;!:,.a�.;F �•oF � - 3- F�!r..... - - ^L:•x,.
New construction ❑ Addition/alteration/replacement Please check all that apply:
❑ ['Service over 225 amps, com'l ['Hazardous location
emolition ❑ Other:
cmri,,-°a. k„ 'W`", ,'`'r'� ._ „ K , $ , :V �,, yA .. •,3p „ . Yy- rr , 9 y ,,, ❑Service over 320 amps - rating ❑ Bui]dng over 10,000 sq. ft.,
,_ -g � `L`1 at,: GF' ECYrO�RY O CON T T l t .0 ` �" • 'Li g of 1- and 2- family dwellings 4 or more new residential
{ • 'a :i a'.., a.M .,- , �+:.,ecs« t �.a -Y�t •t ;as: ,i� a. ''e, 2'sr,, Az.., .,.;
�QC ommercial/industnal ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Multi famil ❑Building over three stories ❑Feeders, 400 amps or more
y ❑Master builder ❑Other: ['Occupant load over 99 persons ['Manufactured structures or
��. «,,,.; ..�n:>,c +r.3a#N.s r -S�+�e �s+i"' �s,c.'^z+�: �,'- -z';..f';;.��:.ix:.. rn:_-_ °r - � > - :yc- r ",�
. ", „;r0$ SIII` £O tl O0 / 41M ;G 1.2 ONEx =e i t ❑ Egress/lighting plan P
r :en` a..,' ' 'a i :<v;: s ,,,,•� r«r:% - .�al 6,e,.` 41. 3.r 4 , ,4,:. -,e.. ., . - , i:*
Job no.: Job site address: 72/ ❑Health -care facility ['Other:
��� / Submit 2 sets of plans with any of the above.
City /State /ZIP: . 5 - 0,/ D�� A ", ". 9 .7i29 / / lc OJ , The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: ,. r� �� - ::. .��:�,_ „�.�; >, ±.. .
/J t Description Qty. Fee. Total ..
Cross street/directions to job site: / / ( /- - C� / 0 el fip
k e New residential single- or multi - family dwelling unit.
/ \ �' �.�i(it V ✓ J C Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 • 1
Limited energy, residential 75.00 2
Tax map /parcel no.: •
, °- , .. >�,, •�r nrw, IS ;.:. F3, r Limited energy, non-residential 75.00 • 2
,'t t., s u rI. is":r' AESCRIPT)'ON O Vi + + �„ , ;z Each manufactured or modular
......Z� .z� i..�:.'= r��'�'.� ....;z�.c=U."'' :�- ..za�a....:c�.,r 3a�. t?e:x ��.�«�, r �.a:.�vs?' 7?� �la�,sa_.,
- //- dwelling, service and /or feeder 90.90 2
Z/ r * /P7 /9 / /-0(e3 / /if -r Si/?-(1/ Cif Services or feeders installation, alteration, and /or relocation
�v/ 200 amps or less 80.30 2
PAY; kak .: _ .r�k`•. `_ I _ ilfi itizi ., 201 amps to 400 amps 106.85 2
��; j ti 1 "fit,'; i�;a.`6 `,. ,,� ,. ux :�`� t';= �,• . ,
` - i iixPRO#, RS44A:- . 4 , 44, h , R s ., : ,: f . - `'iTE , 8.r... 4. ,•., »•<r. „x.. Y. r ..= ,.'' „'.; » :... " Via`` :. i
a 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only • 66.85 2
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation 3 �D�
Phone: ( ) Fax: ( ) 200 amps or less 6 6.85 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 circuits - new, alteration, or extension, per panel
,s ss ° - a. z_� • +, . - ,,. r a .3..s< as .r' x -<:,..m ;.,- a>r s A. Fee for branch circuits with
� sln? ' e �, f�- �': � �;�f. ' "� `� `�- s�
;s�.`'''�.x ��s� -u-. �;�� <.�.��"�.I .,. =�.sz�w:'i.>�.e.,s,.�aa .��«:,- :x�:<M:�.- >:� «•;sVwVm �/
service or feeder fee, each 6.655 2
Business name: 4 -pi C 7 f/f(m,C branch circuit
B. Fee for branch circuits
Contact name: ( f ' C/r' .2 /z7 U�� without service or feeder fee, 46.85 2
e / each branch circuit
Address:
�, r�U U STi9 / t/e; .....57.?: #/C7 Each add'/ branch circuit 6.65 2
City /State /ZIP: 5 O/2" q73 s d 2 Miscellaneous (service or feeder not included)
Phone: (So 3 )34 / -/, se ( ) 361 /o Pump or irrigation circle 53.40 2
Fax: SCz3
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited- •
.,' ` " ; + ? �` ,j to " ^ * `° i energy panel, alterati on, or
.s�54�?x;�::;•' �,°� .����w. ex�"a,+��.a�S•'�y `.x- *'�'r::'�5�.>�"i». s 30- tm ` �, ^�:.. - .,�*....t ^s''��...,u�.:> �:z. p . s,
extension. Describe: Page 2 2
.a Business name: _,,./.,/ L _/4S AS0j/t
Address: Each additional inspection over allowable in any of the above
n 1 Per inspection 62.50
a t City /State /ZIP: Investigation per hour (1 hr min) 62.50
i Phone: ( ) F an: ( ) Industrial plant per hour 73.75
� F i, '`` NIM r. pE12 l PA87 117 a�;t_t,-,.,
CCB Lie rye
.: c. `� Suprv. Lie.: u
�i �s� Electrical Li � �'� Su I/ P � �p73's Subtotal � a5A4, Suprv. Electrician signature, require - ��s%u `o /., 7 - / • � LG%I//J�/ -06 Plan review (25% of permit fee) / 3 r
( z '
Print name: �."� -I'
L . State surcharge (8% of permit fee) //2 /
C ��� �� /v� v Date: / a 9 � G TOTAL PERMIT FEE f) t I
-1/
Authorized signature: This permit application expires if a permit is not obtai ed vi In 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.
is\ Building \Permits\ELC- PermitApp.doc 12/03 440- 461ST(10 /02/COM/WEB
w \
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
�zszecsx.��a� .;�.. -.:sra ^rs-.•, -� ; " � r�, +'.i"Y°, " �eYS. * 'y5- ,.�„+�@ �.'�.•
4, ��.��,yy � 4, f 'H : 1 ® R *T��*�, fie. 5 (, r{ ��"!a�.,¢ ER". -�i
i3ffl. _ � ..... ..5�' �-�� ..�. .�t� �� «Sr`.iirf`.'b'.".`..,... ::`$.- '�G:�£t++�•ia .,z.a;a
Fee for all residential systems combined ... $75.00 A,
Check Type of Work Involved:
n Audio and Stereo Systems* . ' "•
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
n Vacuum Systems*
n Other:
,� .. _ �,,, , . WWWW: OW' OL •1k . >x.. 3.;, <.��.,_
Fee for each commercial system $75.00
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
n Audio and Stereo Systems
'4rEl Boiler Controls
�"Clock Systems
Ft Data Telecommunication Installation
t � ti ite Alarm Elstallation
❑ HVAC
n Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
❑ Nurse Calls
n Outdoor Landscape Lighting* •
,,['otective Signaling
• ^,' , 1, other
qctal number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
is\ Building \Permits\ELC- PermitApp.doc 04/03
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36 205 266
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C I Y OF TIGARD
BUILDING DIVISION PERMIT #: ELC200S -00290
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2005
Phone: (503) 639 -4171 d F - PP6"
Inspection Requests (24 Hrs.): (503) 639 -4175 ,a114- '
INSPECTION WORKSHEET FOR DATE: 9/712005 TIME: 7:08AM PAGE: 5
SITE ADDRESS: 16055 SW 108TH AVE 100 CLUB HOUSE CLASS OF WORK:
SUBDIVISION: OAK TREF NO. 2 APARTMENTS LOT #: 00A TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Building F - Club house. Electrical rough & service.
OWNER: OT2 LLC, PHONE #: 503-620-4373
CONTRACTOR: SPECTRUM ELECTRIC PHONE #: 503-361-1256
Inspection Request Scheduled For: Date: W7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 015077 -01 503 -602 -8608 N
Corrections /Comments /Instructions:
14 pa. P Ne\k 1esf.L QooL ( (LPN
Qc Lb GoilE - i N vogita., Ikaate C►�'b z o
`f`(■■SL. L . , 1,4 T Fi )ifD t
`Mv6C, 1QM' - b'
t:*
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
J, 1 _
Inspector: " r ` � � �-�a Date: !� I) f:), Phone #: (503) 718 - 249L •
CIS OF TIGARD s
BUILDING DIVISION � PERMIT #:
ELC2005-00290
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2005
Phone: (503),639-4171 t Mpni ll
Inspection Requests (24 Hrs.): (503) 639 -4175 „ AA-
INSPECTION WORKSHEET FOR DATE: 8/30/2005 TIME: 7:07AM PAGE: 5
SITE ADDRESS: 16055 SW 108TH AVE 100 CLUB HOUSE CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: 00A TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS '
DESCRIPTION: Building F - Club house. Electrical rough & service.
OWNER: OT2 LLC, PHONE #: 503- 620 -4373
CONTRACTOR: SPECTRUM ELECTRIC PHONE #: 503- 361 -1256
Inspection Request Scheduled For: Date: 8/30/2005 Pour Time:
Code # Inspection Description Conf' - Contact # Message
150 Hot tub /spa/pool '14604- 503. 551 -5548 N
•
Corrections /Comments /Instructions: •
G--ftp. W€"[' IN i`rd ivp ,
1
(\PASS ❑ PARTIAL APPROVAL fl CANCEL n NO ACCESS
/ ❑FAIL ❑ CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: (..---, , V f.),e LE Date: S 2 Of 5 Phone #: (503) 718-
CITY OFTIGARD
BUILDING DIVISION , • PERMIT #: ELC2005 -00290
13125 SW Hall Blvd., Tigard, OR 97223 •f DATE ISSUED: 6/14/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/18/2005 TIME: 7:07AM PAGE: 76
•
SITE ADDRESS: 16055 SW 108TH AVE 100 CLUB HOUSE CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: 00A TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Building F - Club house. Electrical rough & service.
OWNER: 0T2 LLC, PHONE #: 503- 620.4373
CONTRACTOR: SPECTRUM ELECTRIC PHONE #: 503 - 361 -1256
Inspection Request Scheduled For: Date: 7/18/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 Underground/slab cover 011683 -01 503- 302 -3865 Y
Corrections/Comments/Instructions:
C25N INK) prA
1e r-I0 cov> ►2eav4ct N2 ka- ,
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ C L FOR INS' E TON ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: tY 1 0S 6 Phone #: (503) 718-24
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ELC200& -00290
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5J14/2005
Phone: (503) 639 -4171 /ifsilitgl
Inspection Requests (24 Hrs.): (503) 639 -4175 4J' _
INSPECTION WORKSHEET FOR DATE: 6/15/2005 TIME: 7 :16AM PAGE: 13
SITE ADDRESS: 16055 SW 108TH AVE 100 CLUB HOUSE CLASS OF WORK:
SUBDIVISION: OAK TREE APARTMENTS LOT #: 00A TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Building F - Club house. Electrical rough & service.
OWNER: OT2 LLC, PHONE #: 503 - 621 -4373
CONTRACTOR: SPECTRUM ELECTRIC PHONE #: 503 -361 -1256
Inspection Request Scheduled For: Date: 6/15/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service/reconnect 009351 -02 503- 302 -3865 N
Corrections /Comments /Instructions:
ED c- YjOcc (ON't
'Fq.WY.RC A.)-( b qi VONT ) R ktp
Cove YDNM0L ti ) \
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: c Phone #: (503) 718 -
CITY OF TIGARD •
BUILDING DIVISI ®N PERMIT #: ELC2005 -00290
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/•i4/2005
Phone: (503) 639 -4171 : /�eiry /Plill
Inspection Requests (24 Hrs.): (503) 639 -4175 — - _..
INSPECTION WORKSHEET FOR DATE: 6/15/2006 TIME: 7:16AM PAGE: 11
SITE ADDRESS: 16055 SW 108TH AVE 100 CLUB HOUSE CLASS OF WORK:
SUBDIVISION: OAK TREE APARTMENTS LOT #: OOA TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Building F - Club house. Electrical rough & service.
OWNER: OT2 LLC, PHONE #: 503- 620 -4373
CONTRACTOR: SPECTRUM ELECTRIC PHONE #: 503. 361 -1256
Inspection Request Scheduled For: Date: 6/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Underground/slab cover 009351 -04 603-302-3866 N
Corrections /Comments /Instructions:
, v ' 51, - wokK A A it S)*ILs,M) . ,rte Ubr
Ll \\ AD, w.lik CPS rk aG C
•
n PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL pi CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 7 Date:' • 1 41 - Phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELG2005 00290
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2005
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ' _
INSPECTION WORKSHEET FOR DATE: 6/15/2005 TIME: 7:16AM PAGE: 16
SITE ADDRESS: 16055 SW 108TH AVE 100 CLUB HOUSE CLASS OF WORK:
SUBDIVISION: OAK TREE APARTMENTS LOT #: Q0A TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Building F - Club house. Electrical rough & service.
OWNER: OT2 LLC, PHONE #: 503- 620 -4373
CONTRACTOR: SPECTRUM ELECTRIC PHONE #: 503. 361 -1256
Inspection Request Scheduled For: Date: 6/15/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 009351 -01 503 -302 -3855 Y
Corrections /Comments /Instructions:
/ 1"
•
•
v\v:
PASS 111 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: n � a'`\ Date: 6 /5 5 Phone #: (503) 718 -
inspections Required. for: •
J Code Inspeciion Description if PASS Date - T - By J Code _ I spection Description I PASS Date By i
BUP - Building Permit
_ ULC - Electrical Permit
I — 405 Excavation .1 -- . 105 Underground /slab cover — _ j
410 Fill 11V- Temporary electrical service
415 Grading - 115 Electrical service /reconnect
205 Footing _ 120 _ Electrical rough -in —-r---7-- -6 -4.-
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 I 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub/spa/pool __ - - I -1- _
230 Underfloor insulation 195 Misc. inspection: — i _ _ -----I
_ 235 Shear walls /anchors X 199 Electrical final _.1 _- , i
L 240 Exte sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
I - 255 Wtr proofing basement walls 135 Low voltage 7
260 Tilt -up panel 195 Misc. inspection: _- ! _ -_
265 Masonry 199 Electrical final —_ _j_^ ____J
270 Reinforcing steel (rebar)
275 Framing
810 MFG Structure set-up MEC - Mechanical Permit
I - 280 Insulation _- 605 Post/beam mechanical — 1
285 Drywall nailing 610 Gas line - — -
287 Suspended ceiling 615 Mechanical rough -in
295_ Misc. inspection: MFG St 620 Hydronic piping
r 625 Duct work
- ___I { 899 MFG-Structure final
__ 498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdoun
-- - 640 Exhaust hood_
695 Misc. inspection: _I____
699 Mechanical final - _i__
-111-7717/05 BUP - Fire Protection System Permit
L Sprinkler underfloor /slab _ --
910 Sprinkler rough -in PLM - Plumbi gyermit
_ -- 305 Plumbing underslab
915 Fire alarm rough -in - 31 - - - - - -_
0 Crawl drain L
1 .920 Suppression trip test
- -- -- 315 Post/bearn plumbing
995 Misc. inspection: _ 320 Plumbing rough -in • _
998 Alarm final _ - •
325 RP /backflow reventer
-
I preventer
( __
1 999_ Sprinkler fin - - L 330 ^ W ater service r
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
1 403 Excavation 345 Culvert/catch basin
1 410 Fill _ — 350 _ Septic tank __ —± _
F 4 15 Grading 395 Misc. inspection: _
—_ 205 Footing _ _ 399 Plumbing final . _ _
_ 1 _210 Foundation walls
215 Footing drain
L 420 Sprinkler supply lines _ SWR - Sewer Permit_ _ _ _ __
I 495 Misc. inspection: 505 San sewer -
498 Grading final 595 1\i1isc. inspection: _
499 Final inspection — 599 Final inspection -
I: \Buiidir,g \IVR \InspCard- AOP.doc 02/02/2005
4
IT TIGARD ELECTRICAL PERMIT / _ —
P ERMIT #: ELC2005 -00290
j! t. DEVELOPMENT SERVICES DATE ISSUED: 6/14/2005
' ?' 13125 SW Hall Blvd., Tigard, OR 97223 503 -639 -4171
PARCEL: 2S115AA-OTOOA
SITE ADDRESS: 16055 SW 108TH AVE 100 CLUB HOUSE ZONING: R -25
SUBDIVISION: OAK TREE APARTMENTS LOT : OOA JURISDICTION: TIG
Project Description: Electrical rough & service.
CLO %Q W " F
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 -. 200 amp: 3 PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL:
MANE HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: 49 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FOR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
• 601 - 1000 amp: PLAN REVIEW SECTION _
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
j Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: li
Owner: Contractor:
OT2 LLC SPECTRUM ELECTRIC
5437 ROSALIA WAY SUITE 100 2050 VISTA AVE. SE #100
LAKE OSWEGO, OR 97035 SALEM, OR 97302
Phone: 503 -620 -4373 Phone: 503 -361 -1256
FEES Reg #: ELE 24 -353C
LIC 116453
Description Date Amount SUP 2223S
[ELPRMT] ELC Permit 6/14/2005 $526.40
[ELPLCK] ELC Pln Rev 6/14/2005 $131.60 I REQUIRED ITEMS AND REPORTS 1
�
[TAX] 8% State Surcharge 6/14/2005 $42.11 — i 1
Total $700.11
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This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes �-�j other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 1 80 da of iss nnce, or if work i d
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon 4tif otification Ca , •-r.� ose
rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rle oc-e - questio.z to • el i -:
503 - 246 -6699 or 1- 800 -2344. `
Issued By: '" r ,r' ,cA, �
. . Permittee Signature ," 4 `' '. :. ,�L. _
• 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.