Permit CITE OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00340
DEVELOPMENT SERVICES DATE ISSUED: 7/5/2005
V 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S115AA-OTOOA
SITE ADDRESS: 16215 SW 108TH AVE BLDG D ZONING: R -25
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT : OOA JURISDICTION: TIG
Project Description: Rough - in & service for (18) units.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 1.00 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 1 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL:
MANF HM/ SVC/ FDR: 17 601 +amps - 1000. volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 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: > 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 7/5/2005 $1,776.61
[ELPLCK] ELC PIn Rev 7/5/2005 $444.15 REQUIRED ITEMS AND REPORTS
[TAX] 8% State Surcharge 7/5/2005 $142.13
Total $2,362.89
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and a . er 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 u. ce, or if work is
suspende or more tharty0 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon alit otification C er
rules a set forth in OAR 962 -.110 'rough OAR 952 - 001 -0100. You may obtain copies of these rules or . e . esti. s t. ! . C �
503- 6 -6699 o 1- 800 -332 -2 .•4. /
Iss ed B : - / , Permittee Signature: r
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 INS ALLAT ON ONLY
_ �� -- /., /� /% DATE:
SIGNATURE OF SUPR. EL 'N: G
LICENSE NO: 402- 5
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 Application '° • ? "
F �S E ONLY PU _ F OR O USE ,' r ;
ti'•
City of Tigard ,x . DateBed� �y Permtt No ' / x
13125 SW Hall Blvd., Tigard, OR 97223 y � j 6( " Q(3 Y`
It tll P lan Review
Phone: 503.639.4171 Fax: 503.598.1960 �;, p '��+1\ Date/
By: ► '' e` Other Permit:
Inspection Line: 503.639.4175 ? � � �:`" ; ,' �;� ! �� *� � Date Ready /By: Juris: ` H See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: ''-1 Supplemental Information
-'
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P 5 t.'+8:aL�Jr,,2P V`.;Cs. st '=` 'E,.. °+`, 4-. :.b , .4 . ?: '.�" r c ',:" °'..`.' - l ":
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New construction ❑ Addition/alteration/replacement Please check all that apply:
Service over 225 amps, comm'l Hazardous location
■ Oth .
Demolition Other:
_ ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
"i� =� ' �. %. < .! c4. 2" �i� ^ ,3„ � . ='�. ±.'�..�xi���°:rx+k s: �'�.�.' - �" •,..�i�i; *�' M:�«a a� ':a�:i�.� yr :,�< x � ; 3. ,:s ,�y ��� 5i « ,`e di��:�a «.u;ym�; ( , "s : :
4 r ;;,; � ? 44 AP5TR -`A: E, it MO_I �C0.1�#�S iteg `.A ~tV0 : 0:4 of I - and 2 dwellings 4 or more new residential
❑ Commercial/industrial ❑ Accessory building ESystem over 600 volts nominal units in one structure
Iulti family • 1:1 Master ❑Building over three stories ❑Feeders, 400 amps or more
Master builde Other:
rt ��.; y , ; ,,� . A , -„ r 1 �,,. � ,,. ❑Occupant load over 99 persons DManufactured structures or
�,t w tImai 0$ O O N O O - ? & a K`' a �,s� ❑E plan RV, park
Job no.: Job site address: si / 722 ,,z...) facility ❑Other:
/U / Submit 2 sets of plans with any of the above.
City/State /ZIP: I The above are not a / ' _'= applicable to temporary si:(/ .� /�U/9G/ ,, PP P rY construction service.
Suite/bldg. /apt. no.. Project ;� ;. „i , f.- . > . .
roj ectname: ,�?t °`a��m.F[EA
Description Qty. Fee. Total
Cross street/directions to job site: /6 / /7:- , L L, ) J ii '�/ . New residential single- or multi - family dwelling unit.
/ Includes attached garage.
_, . . * • 1,000 sq. ft. or less 145.1
Lei. all
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40
Tax map /parcel no.. Limited energy, residential 75.00
� ,..;. _::_r _ ; r; .;, ,.q °:. �.,
Li 'ted e er:y, non - residential 75.00 .
it :g� _::.-114V b .:•.; " il ifMI ONO ,a Q F._:, r - ? s t-i *f.. M ' "A7a e r
/, / ' a , .- e- 90.90 , d
Z' ����jG /2 / -0(e 4 !� `' Si e / G f Services or feeders installation, alteration, and /or relocr (
� 200 amps or less / 80.30 130 7 2
jgAlV -`' i- . -4,1^� '��:��: ::> :,r- zY� . ; m,3 - 7 < = iretiW � ;�.. ;wus:, .� . i s 106.85 2
t 201 amps to 400 am
� I fi.�>?ROP .>Z „ s�:�W1V. 12 = < ��._ �.•� >. ;,:�' ;f��� >��; ���;.s��z = ; �� °'�� - �? .;� P P
'•t . 4:-.I I »_-- ,..al. K z� -,a' ., xa„ .,.: : 7 4,-%',,A, % .Z,.'�.r"*: :P i uaa.':c.K".'.'x i% if;: ^_,._.rt .-":-'.•t' :v t-'e : s ' tit xi. '. tK, e „, i7
' 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
Phone: ( ) 1 F ax: ( ) relocation
I 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 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
- '-`. 11.:'`' ,` - ° ;:-, va• ... '.. �z ,, .�t-s:^+k` l :.°„ °l �s ,- . xz;.�'- f£'lri :x.rt'a &��: ta� `a-<..�w:st' l
:� st�� �s'r +• �� "'' r. �. � '? ?' ��•.�. � `xi ";F. s �, . A. Fee for branch circuits with
II
w
°c- _'' q rn c tr t .COIV AGT;sPE,`® x6;�° = -. ' '
� �� �"'- s� � "' "��e�.a"`:``�''' "' °�" s�`"�.�' "r��f ` ��% service or feeder fee, each
Business name: 6.65
S -ff c r j>'a An Fzec rie /G branch circuit
B. Fee for branch circuits
Contact name: ����c /f 2)J/ /4 2, -y7 without service or feeder fee, . 46.85
Address: . ? ,A-0 U s 9 g f , s f W/! ' each branch circuit II
11!/ #„o v Each add'I branch circuit 6.65 2
City /State /ZIP: S�G 0/ 173.- Miscellaneous (service or feeder not included)
Phone: (so 3 ) 36 / SC ( ) 3 / q ' ' Pump or irrigation circle 53.40 2
Fax: SCz3
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
, �.y4 ,;`;�,ej• .�. .r. m ta - t * �z�•,'• .r.- ti:,. - - ,,, m. rc .�,r• °s- n-ti^ >: c., _",'
- ..- ; .s s x n l v` `,,,� +: bNtT':7*7 0:4 3 ' ' w: ' " ; :l 1�:�'"-__ :z .:�i ,'' ' energy Panel, alteration, or
,.uf3���.- �'.�- '1;'8.'sw .�r..J....2>.� 9:� �h,... �a:�'��",r.a�dw `+.`a`,+� -...as �..��.�,.3: -s ut ��� r u. .�k°..y.:
a � od,.k v .z�r : 5 - .���,^ •;+�,'- s`.�i:alt�?�^,t`�x: P�
extension. Describe: Page 2 2
.:> Business name:
s�9« t., ,95 480/./E
//E
S-
Address: Each additional inspection over allowable in any of the above
.,i Per inspection 62.50
C, , ,.° City /State /ZIP: • Investigation per hour (1 hr nun) 62.50
Phone: ( ) Fax: ( • ) Industrial plant per hour 73.75
A - •_ `,'` ,:.: _x? ,c,r atatWOA _, P _ k1%IIT=k?MES w; ° `z:.F
CCB Lic.: e Electrical Lic. 53 C_ Lic.: s
�� 2JJ�'C� Suprv. / / p?3's S ubtotal 7 "..--�
Suprv. Electrician signature, require X ' i/L 7 / .--1; Plan review (25% of permit fee) �C` •
State surcharge (8% of permit fee)
Print name: ��,,,, Z3Z..? Uw Date: .. � 5 FM TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained wi hin 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:\ BuildingtPermits \ELC- PcrmitApp.doc 12/03 440- 4615T(10 /02 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005.0034 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/5/2005
Phone: (503) 639 -4171 AA 1 1N�V61j l1i
Inspection Requests (24 Hrs.): (503) 639 -4175 ,. "_
INSPECTION WORKSHEET FOR DATE: 10/26/2005 TIME: 7 :07AM PAGE: 34
SITE ADDRESS: 16215 SW 108TH AVE BLDG D CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: 00A TYPE OF USE: �`
PROJECT NAME: OAK TREE II APARTMENTS V
DESCRIPTION: Rough -in & service for (18) units.
OWNER: 0T2 LLC, PHONE #: 503-620-4373
CONTRACTOR: SPECTRUM ELECTRIC PHONE #: 503- 361 -1256
Inspection Request Scheduled For: Date: 10/26/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 019394 -01 503.688 -202 Y
Corrections /Comments /Instructions:
/fV ✓,I 0
1 . n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: /0 ' 26 - SPhone #: (503) 718-