Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00251
���. DEVELOPMENT SERVICES DATE ISSUED: 5/11/2006
+� °fl 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
ut-
PARCEL: 2S110AC -00400
SITE ADDRESS: 14741 SW 109TH AVE 1 -4 ZONING: R -12
SUBDIVISION: TIMBERLINE APARTMENTS LOT : JURISDICTION: TIG
Project Description: (2) 200 amp services, (12) branch circuits. UNIT 2.
Job #A6705.
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: 2 W /SERVICE OR FEEDER: 12 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:
TIMBERLINE APARTMENTS LLC MCCOY ELECTRIC CO INC
BY WPL ASSOCIATES PO BOX 42428
522 NW 23RD AVE PORTLAND, OR 97242
PORTLAND, OR 97210
Phone: Contact #: PRI 503 - 234 -7521
FAX 503 - 234 -9473
FEES
Description Date Amount Reg #: ELE 26 -82C
[ELPRMT] ELC Permit 5/11/2006 $240.40 LIC 8277
[TAX] 8% State Surcharge 5/1 1/2006 $19.23 SUP 2175S
Total $259.63 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 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -66!• or
1- 800 - 332 -2344.
r
Issued By:
6 )6.4.Attoo
Permittee Signature: /„
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or re .
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 A • ,, -' FOR OFFICE USE O
t
t` C of Tigard Received Effirenagli
13125 SW Hall Blvd., Tigard, OR 97223 (,p A� 1_ 2 Date p ' i
1 1H Plan Review ether Permit: Phone: 503.639.4171 Fax: 503.598.1960 �' ltr' I "• Date/By: Inspection Line: 503.639.4175 q __a .. _ I:1 Date Ready/By: 13 See Page 2 for
Internet: www.ci.tigard.or.us (1 " `U' 3 g �� -T - t Notified/Method: EMI Supplemental Information
d' fT _ _.. 0:\Ti ql.l l
.. - yriliE O WORK' : : : :':::;::-:',.::"::F:=•:.`:-::
: ... ....:.. PLAN:.REVIEW : "..:
❑ New construction ❑ Addition/alteration/replacement Please check all that apply:
❑ Demolition Other: Service over 225 amps, cotnm Hazardous location
❑ Service over 320 amps - rating ❑ Buildn over 10,000 sq. ft.,
CATEGORY OF. CONSTRUCTION . ,.'; ;:__, of 1 - and 2- family dwellings 4 or more new residential
El 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
['Building over three stories ['Feeders, 400 amps or more
Multi - family ❑ Master builder ❑ Other:
['Occupant load over 99 persons ❑Manufactured structures or
- JOB SITE INFORMATION AND LOCATION , ..;. " • . '.: ❑EgressAighting plan RV park
] ❑Health - care facility ❑Other:
A U Job no.A (0705 1 Job site address: Min 1 S' b J i ocri. Submit 2 sets of plans with any of the above.
City /State /ZIP: t K.: A((L,i) ? CIA— q Li The above are not applicable to temporary construction service.
FEE *, SCHEDULE; :.-
Suite/bldg. /apt. no.: I Project name: j (,ytnp Z 8} -p•Ts Description I Qty. I Fee I Total
Cross street/directions to job site: C 'ANTE-iZ ug, 4 New residential single - or multi- family dwelling unit.
Includes attached garage.
•
1,000 sq. it or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500'sq. ft. or portion 33.40 1
Tax map /parcel no.: 2 S' / ( 0 ,4-C.- 0 6 Y a e zt � ; � R __ 1 . 2. _
Limited energy, residential 75.00 2
-re st
:._• :.. ,; •.;.::,: ... .... 75.00 2
- ..
. _ - energy, non-residential Limited
DESCRIPTION:. OF :WORK .::;•: ; ; •., _: ; ,;_ ' , :: Each manufactured or modular
F �// \ dwellin service and/or feeder 90.90 2
t -•( (s ioitAril & 1 .E - _ An. A-- lP4 IC g Services or feeders installation, alteration, and /or relocation
AN 10, --0 I Z (44--r5 200 amps or less Z 80.30 /60.(Q 2
: . 201 amps to 4 amps 106.85 2
PROPERTY: OWNER; :::` ° ,- < °.::':.; • " - :: " ❑.. TENANTS';: •;;; ';,:.' =:,:
401 amps to 600 amps 160.60 2
Name: 11 r i c t # E APi s t: Lc C dip p L As -, p 4 601 amps to 1,000 amps 240.60 2
Address: 6 f.r_ v.; Z.•3 ri Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: / t t(, � 'j',.1 L. `d Temporary services or feeders installation, alteration, and /or
•
Phone: ( ) • I F ax: ( ) relocation
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
_ - 0. APPLICANT , 1 :i :::; ;•.:.:, CONTACT ,;PERSON - <) ..
Fee for branch circuits with
service or feeder fee, each
• Business name: y'y', L Ca L C I � yC� branch circuit I, Z 6.65 ? i 8 2
Contact name: B Fee for branch circuits
t c L. L•1.. is without service or feeder fee,
Address: each branch circuit 46.85 2
Each add'I branch circuit 6.65 2
City/State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax :: ( )
Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
::: 1 ' •i',. - ' - C O N T R A C T O R. . . . . . . . . . . . . . .. . . . energy panel, alteration, or
Business name: extension. Describe: Page 2 2
L Gd - fl - L. -C .-1 1_ L C—
Address: Each additional inspection over allowable in any of the above
Zt�ll( s 9 ' _ l
City/ State/ZIP: e--7_,--,-(..a,.0,,,_„9 c Per inspection • 62.50
( t.' -C . [ 1'z, i 9 Investigation per hour (1 hr min) 62.50
Phone: ( `Y2 ® Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: � l Electrical Lic.: Q,/ < Suprv. Lic.:�i7 -s-5 Subtotal j y0 , go
Suprv. Electrician signature, required: ,`•`_ (e 7� - Pla r eview (25% of permit fee)_
A State surcharge (8% of permit fee)
Print name: 1 1 Date: 6 LC _ ,; 6 TOTAL PERMIT FEE 2 5 ?, p 3
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.
is 1Building \Permits1ELC- PermitApp.doc 12/03 4404615T(10/02/COM/WEB
-
CITY OF TIGARD
BUILDING DIVISION =,. PERMIT #: ELC2006.00251
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 51/112006
Phone: (503) 639 -4171 u j(l
Inspection Requests (24 Hrs.): (503) 639 -4175 A- - -IL
1
il INSPECTION WORKSHEET FOR DATE: 7/14/2006 TIME: 7:16AM PAGE: FA
SITE ADDRESS: 14741 SW 109TH AVE 1 - CLASS OF WORK:
SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: TIMBERLINE APARTMENTS
DESCRIPTION: (2) 200 amp services, (12) branch circuits. UNIT 2.
Job #A6705.
TIMBERLINE APARTMENTS LLC,
OWNER: PHONE #:
CONTRACTOR: MCCOY ELECTRIC CO INC PHONE #: 503 234 7521
Inspection Request Scheduled For: Date: 7/14/2006 Pour Time:
Code # Inspection Description # Contact # Message
199 Electrical final 033089.02 503-234-7521 Y
Corrections /Comments /Instructions:
A PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION (l ADDITIONAL FEES ASSESSED
Inspector: C` ' •t` € �� Date: - 419 Ok) Phone #: (503) 718- SIPA
H CITY OF TIGARD
BUILDING DIVISION ,..- • .
PERMIT #: ELC2006-00:61
1 13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 011l2005
Phone: (503) 639-4171 1\
Ahrop 1
0 1 1!5
Inspection Requests (24 Hrs.): (503) 639-4175 ,._,II, I I ■ _ .L
INSPECTION WORKSHEET FOR DATE: 5/18/2006 TIME: 7:01AM PAGE: 31
SITE ADDRESS: 14741 SW 109TH AVE 1-4 CLASS OF WORK:
SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: TIMBERLINE APARTMENTS
DESCRIPTION: (2) 200 amp services, (12) branch circuits. UNIT 2.
Job ftAf.;705.
OWNER: TIMBERLINE APARTMENTS LLC, PHONE #:
CONTRACTOR: MCCOY ELECTRIC CC) INC PHONE #: 503-234•7521
Inspection Request Scheduled For: Date: . 5/10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
116 Electrical service 030109-02 503:7302005 N
Corrections/Comments/Instructions:
IA PASS 0 PARTIAL APPROVAL 7 CANCEL 7 NO ACCESS
I I FAIL fl CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: Cr A It Ki (be) LE _ Date: 5 1 1 If b 4 Phone #: (503) 718- zA.14 1.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00251
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/11/2006
Phone: (503) 639-4171 ,:90:elopii ryi i t i t
Inspection Requests (24 Hrs.): (503) 639-4175 ,34-• L.
INSPECTION WORKSHEET FOR DATE: 5/17/2006 TIME: 7:06Atv1 PAGE: 50
SITE ADDRESS: 14741 sw 1090 AVE 1-4 CLASS OF WORK:
SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: TIMBERLINE APARTMENTS
DESCRIPTION: (2) 200 amp services, (12) branch circuits. UNIT 2.
Job #A6705.
OWNER: TIMBERLINE APARTMENTS LLC, PHONE #:
CONTRACTOR: MCCOY ELECTRIC CO INC PHONE #: 503.234-7521
Inspection Request Scheduled For: Date: 5/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 030011-02 503-730-2005
Corrections/Comments/Instructions:
\ cl■);__O 13N
0 i <LA) ((s)b PR.optbe
Ft&.. iooe M
I PASS 1 l PARTIAL APPROVAL fl CANCEL fl NO ACCESS
n FAIL S CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: G Nne Date: 11 (4c) Phone #: (503) 718- 240
. . .
CITY OF TIGARD •
BUILDING DIVISION . PERMIT #: ELC2005.002ti1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5111/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 Jr:0%
INSPECTION WORKSHEET FOR DATE: U17/2006 TIME: 7:06A1v1 PAGE: 51
SITE ADDRESS: 14741 SW 109TH AVE 1-4 CLASS OF WORK:
SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: TIMBERLINE APARTMENTS
DESCRIPTION: (2) 200 amp services, (12) branch circuits. UNIT 2.
Job #A6705.
OWNER: TIMBERLINE APARTMENTS L.LC, PHONE #:
CONTRACTOR: MCCOY ELECTRIC CO INC PHONE #: 503-2347521
Inspection Request Scheduled For: Date: 5/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 030011-01 5034302005
Corrections/Comments/Instructions:
•
PASS L1 PARTIAL APPROVAL LII CANCEL fl NO ACCESS
I FAIL pi CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: G---A 6 6 L ' C- Date: 611 1 1 QI Phone #: (503) 718- 2,44 to
Inspections Required for: ELC2006- 00251
✓ Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 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 1.
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 322 Shower pan
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 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building \Inspection Cards \Forms\AOP - InspCard - Blank.doc 12/09/2005
CITY OF T GARD _ ELECTRICAL PERMIT
PERMIT #: ELC2006 -00251
nil . DEVELOPMENT SERVICES DATE ISSUED: 5/11/2006
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 2S110AC 00400
SITE ADDRESS: 14741 SW 109TH AVE 1 -4 ZONING: R -12
SUBDIVISION: TIMBERLINE APARTMENTS LOT : JURISDICTION: TIG
Project Description: (2) 200 amp services, (12) branch circuits. UNIT 2.
Job #A6705. .
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: 2 W /SERVICE OR FEEDER: 12 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:
TIMBERLINE APARTMENTS LLC MCCOY ELECTRIC CO INC
BY WPL ASSOCIATES PO BOX 42428
522 NW 23RD AVE PORTLAND, OR 97242
PORTLAND, OR 97210
Phone: Contact #: PRI 503 - 234 -7521
• FAX 503 - 234 -9473
FEES r
Description Date Amount Reg #: ELE 26 -82C o
[ELPRMT] ELC Permit 5/11/2006 $240.40 LIC 8277
t
[TAX] 8% State Surcharge 5/11/2006 $19.23 SUP 21755
Total $259.63 REQUIRED ITEMS AND REPORTS
I
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. Ali
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 9 or
1- 800 - 332 - 2344.'
Issued By: 6 , , .itt Permittee Signature.. (),(41, /) ^ 2r�v)
OWNER INSTALLATION ONLY /
The installation is being g made on property I own which is not intended for sale, lease, or reri .
P Y
•
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.