Permit CITY OF T I GA R D ELECTRICAL PERMIT
PERMIT #: ELC2004 -00783
DEVELOPMENT SERVICES DATE ISSUED: 12/9/2004
411,••
II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S110AB -00400
SITE ADDRESS: 14400 SW 112TH AVE #1
SUBDIVISION: THE COLONIES APARTMENTS ZONING: R-12
BLOCK: LOT : 1 -5 JURISDICTION: TIG
Project Description: (2) 200amp services, 1 branch circuit.
RESIDENTIAL UNIT TEMP SRVCIFEEDERS 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: 1 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:
IRVING CORP OREGON ELECTRIC CONST /GROUP
4620 E CLEARWATER PKWY 1010 SE 11TH AVE
PARADISE VALLEY, AZ 85253 PORTLAND, OR 97214
Phone: Phone: 503 - 535 -2652
Reg #: L1C 203
SUP 4460S
FEES ELE 26 -95C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 12/9/2004 $167.25
[TAX] 8% State Surcharge 12/9/2004 $13.38 Rough -
Elect'l Service
Total $180.63 Elect'I Final
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503)
246-6699 or 1 -800-3 2344. ��
Issued By: cc vL� -�.� ,/s r �%C t�-. Permit Signature: Q)'7 l' ,),.. ,� ' CG,7,-
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
Electriial Permit
Cit of Tigard ED aa
:3125 SW Hall Blvd„ Tigard, OR 97223
Date/I3 �� L
Permit „5„4 p 7
Phone: 503.639.4171 Fax 503,598 LYE
0 20 1 Plan Review
Inspection Line: 503.639.4175 1. 1.�. il Datein Other Pemtit:
Date RmclyBy: rte: id id See Page 2 for
Internet www,ci.tigard_or.us. Nati5ei tb
p r v od J
3upptemmtal InrormsNoo
■ ar ` 4t-1)Q l � Vi PLAN REVIEW t:: lii'?• ( „.
r o New construction B �agl`dtltriitt i s , pilVe Please chock all that
apply.
[ Demolition ❑ Other: ['Service over 225 amps, comm'l azardous location
CAT O OF CONSTRUCTION — ['Service over 320 amps - rating ❑Buildn over 10.000 sq, R.,
of 1- and 2-family dwellings 4 or more new residential
• dwelling E • ” r ■ i building I]System over 600 volts nominal units in one structure
■ r e r e l�$uilding over three stories OFceders, 400 amps or more •/ ; 1 1 / ❑Occupant load ovcr 99 persons ❑Manufactured structures or
r / 1 ❑Egress/tighting plan RV park
Job no.: 83427 Job site :.. 14400 SW 112TH AVE #1 ❑Health - care facility ❑Other:
Submit 2 sets of plans with any of the above.
1 r ry' The above arc not applicable to temporary construction service,
Project a CTY HOUSING FEE* SCHEDULE
Cross Description Qtr. i' . Tatd
street/directions " New residential single- or multi-fa mlly dwelling unit.
Includes attached garage.
Suv Lot no.: ` r ' 1,000 sq. ft, or less I 145.15 4
Ea. add'I 500 sq. tl, or portion 33.40 1
s : r r • Limited energy, residential 75.00
•
DESCRIPTION OP WORK energy, non - residential 75.00 2
Each manufactured or nodular
INSTALL NEW METERHASE & PANEL FOR HOUSE LIGHTS & PKNG dwelling, service and/or feeder 90,90 2
LOT LIGHTS Services or fredera inatallntbon, alteration, and/or relocation
_ 200 amps or less L 80.30 [ GO. Co 2
0 PROPERTY OWNER 1 [] TENANT 201 amps to 400 amps 106.85 2
Name: WASHINGTON COUNTY HOUSING 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240,60 2
Address: 111 NE LINCOLN SUITE 200 Over 1,000 amps or volts 454.65 2
City/State/ZIP: HILLSBORO, OR 97124 - Reconnect only 66.85 2
Temporary services or feeders installation, alteration, an d/or
Phone: (503)848 - 4794 ] Faux; ( ) relocation _
Owner installation: This installation is being made on property that I own which is not 200 amps o 400 00,80 1
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 201 amps to 400 amps 100.3 2
401 amps to 600 amps 133.75 2
Owner signature: _ Date: Branch circuits - new, alteration, or extension, per panel
❑ AI'PLIGAM I ❑ CON)CAC-1 PERSON A. Fee for branch circuits with r___.'
Business name:
branch circuit service or feeder fro, each
(
6.65 �i- G S 2
Contact name: — D. Pee for branch circuits
without service or feeder fee.
Address:
each branch circuit 46.85 2
Each add'I branch circuit i 6.65 2
City /State /Zip: Miscellaneous (service or feeder not included)
Phone: ( ) Fax:: ( ) Pump or irrigation circle .,.... 0 . 1______ .,
2
E-mail: Sign or outline lighting 53.40 2
Signal circuit(s) or limited- CONTRACTOR energy panel. alteration, or
Business name: Oregon Electric Group extension. Describe: Pa 2 2
Address: 1010 SE I ltit Ave - Each additional In ction over allowable in any of the above
City /State/ZIP: Portland, OR 97214 ?cr inspectio _ 62,50
Investigation per hour (t br min) 62,50
Phone: (503) 535 - 2652 Fax: (503) 231-3587 Industrial plant per hour 73.75
CCB Lie.: 203 Electrical Lie.: 26 -9 C S prv. L' • • 44605 ELECTRICAL PERMIT FEES'
1 Subtotal 7. al
Suprv. Electrician signature, required:
�� id- A _ .. Plan review (25% of permit fee)
Print nttmc: r �t / n Dat: 12/8/04 .te • • rchar (8% of permit fro) / 3,..
Authorized signature; •,/ Mi TO AL PERMIT FEE C i3
fiiff
p ppticatiao ra permit is not ohtalntd within 180
Print name: day It h „ rt . , as complete
L t Ln 'r ate: 12/8/04 • . Fe. , thodolo u .•i , by Trl•C. ' Bui Ing Industry Service Board
now m • . of lu, . . „i I. ed
9[17-d Z00 /ZOO d 899 -1 % 6 -006d 184l b0- 80 -030
CITY OF TIGARD 24 -Hour
BUILDING Inspection Lim: (593) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested / _ / c / AM PM BUP
Location / 'I 00 //A Suite/ MEC
Contact Person Ph ( ) PLM
Contractor l2, c-11=7)/(t- Ph ( ) 1 <3 - 7d SWR
BUILDING Tenant/Owner ELC doe) (f - 66 I63t,
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING i
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
-'Servi
Ln
UG /Slab
Low Voltag:
Fire • - u.
.fi
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE fl Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line _
ADA y O� r j,,
Approach/Sidewalk Date I I 0 S Inspector ��5 �1 \ Y� Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL