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Permit
C ITY O F 1 I CARD ELECTRICAL PERMIT ; . +, PERMIT #: ELC2005 -00933 _+L Al DEVELOPMENT M SERVICES CES 503 - 639 - 4171 DATE ISSUED: 12/5/2005 Hall PARCEL: 2 S 115AA -00100 SITE ADDRESS: 16170 SW 108TH AVE 165 ZONING: R -25 SUBDIVISION: DURHAM PARK APARTMENTS LOT : 036 JURISDICTION: TIG Project Description: Replace burnt meter socket. Job No. 140605 - 98689 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: 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: DURHAM PARK LTD PTNRSHP BROADWAY ELECTRIC - COCHRAN INC 1525 SW PARK AVE SUITE 200 626 SE MAIN PORTLAND, OR 97205 PORTLAND, OR 97214 Phone: 503 - 684 -8000 Phone: 503 - 234 -6564 FEES Reg #: LIC 72942 SUP 3447S Description Date Amount ELE 37 - 546C [ELPRMT] ELC Permit 12/5/2005 $66.85 [TAX] 8% State Surcharge 12/5/2005 $5.35 REQUIRED ITEMS AND REPORTS Total $72.20 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 suspe or more - -n 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rule are set forth in OAR 15 -0010 through OAR 952- 001 -0100. You may obtain copies oft - - les or direct questionQ to • UNC at 50 - 246 -6699 or 1- 800 -33 9 344.. n Is ed By: r __,Z? �yw Permittee Sig A OWNER INSTALLATION ONL 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 / %7 .! / / . > SIGNATURE OF SUPR. EL= DATE: / 4 7 1 /C ---- -/ LICENSE NO: Z �y7 6 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. 1212iC.'fl05 15:51 COCHRAN BROADWAY 4 5O 55109479 NO.773 103, Electrical Pgapit AePiication rOiz orFt( : F: I SIF. c)ivl.Y Received P ttr11/itNo.: at • City of Tigard �• 1 / d� '`'� - 3 13125 SW Hall Blvd., Tigard, OR 97223 _ Omer Parole: Photo: 503,639.4171 Fax: 503.598.1960 ■ 1 I •( - Sac Pala 9 for • Inspection Lair: 503.639.4175 ., 4 J_ Dora am -y =r. Nodded/Memad: Will S pp1emenut 7nfbrm lion Intoner: www.ei.rigArd,er.u.9 p �,yy . ?7.. }: rte ; .. +�:p; 'Itl ``jr ' ' : ; } 41 a' cf,.. i 1� i rl i •� I i i4' ;ii. :.iMg.,- G 14.1,],x, .. • fs=- t- "..: - ... , :; . '":r1- Please check all that apply: New constriction ���ddlCOlt/91tPS8titm/replat tin[ 0 $ over 225 amps, comm'l ['Hazardous location ❑ Demolition ❑ Other; „ [Service over 320 amps - rating ❑Duildng over 10,000 sq. ft., �. • ,. :rr. 1.1 -'' �1' ',' ,,. Tvellings 4 newresidential f ) : : .,J - ' 2' .. `_. ' L, ."�+` ; , . . i . d of 1- and 2-family d •', i •;r, .,• ~f �•� !. '� , ':!l +, '`r ^`�s:.t:' l'•._ �-' (:Tl., ' , � . %1tdl2i[�1.i E' �,Y1 ^� i '. . �.`:::'.': '.'•• " .� "�r,', ,,: .' ,_, I " over 600 volts nominal units in one structure ID 1 - and 2 dwelling : ereial/inductrial ❑Accessory building ❑Feeders, 400 s or more ❑ vil mg over 600 v stories ➢ ❑ Multi filthily A Master builder ❑ Other: ccupant load over 99 persons ❑M anu actu red structures or r t 1, ,„ w , a Y ; , it � t : >, ' 17 Q FE,grwstigh611 Pian RV park • . ', ,: � : , . , ... '. - . _ . I -- � QHcalth -care facility - Job no.: q �,i lob site address: /(0/0 ] 10 p 6u l Submit ,j sets of plans with any of the above. i l l (�U 1 , ,)Q q 3 Z 7 4 ^fns above are not applicable to temporary construction service. City/State/ZIP: 1 1 - - •. .. :,F Y ., et; . <::: . 4. • Suite/bldg./apt no.; , Y j P r oj aot name: name: � �l^� �A'R� % t , 1 aoerist {' ` J I: _.;�„` r '~ = r _ i Twill l .• c , VIM Cross street/directions to job site: , V_Rmielti& s.-r--.. Nov residential single - or multi -nanny dwelling ooh. Inetudas aaaChed garage. 1,000 sq. ft, or less - - 145.15 C SubdiVi61011' Lot no.: Ea. add'1500 Sq. ft, orjortion 33.40 Limited crier: , residential 75.00 111111 Tax rn 'J.arcel no.: • _ Limited energy, non - residential '15.00 2 i ,. 'n.4 1•en. - .n ; . i:.. ' • ' • f - is_'( : - En f4'*^ " -- ar �' , N :•l 5 v �' , Each rtstru or rnodul a. y . - � . f . :.. r a S : it " i r J+, ` + ?a-7. a ` 3i ' „ 90.90 2 f duraliing, retvicc and/or f ader .r a f �� - Ser, 'icts or readers i atrerarioa, and/or raloradon / 200 amps or less = 8030 1111=U -T r , 201 amps to 400 amps IM 106.85 U or _ ..,; n 'T '' . "' ';k: �. °M� ,. 1` ' ;•7:- ° ^y a r:.;Ar` ' ' ? 1 .. 4 ' 160.60 �© ■ «;i' ' - *,�. -);., :, '' � `'- :; �,r. � . ... ..: � f °;. .:..', ; - _ � "� -� . ,�.'( -_� aol a �• s tc 600 a ,. s Nana: a)f Lt L e.-rata. Rvb i r k 14-4 -✓fi t h 601 amps w 1,000 atiris _ 240.60 Address! Over 1,000 amps or volts II a5a.6S _ Reconnect only a JE 66.85 City/State/ZIP: T) 4' 0' Temporary services or feeders installation, meeRtloa, and/o relocation Phone: ( ) lob Etn Fail: (57`5) $5 `f 200 temps or Ices 66,85 1 Owner Installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 2 intended foe' sale, lease, rent, or exchange, according to ORS 447, 444, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature; Date: _ _ Ignite circuits - new, alteration, or extension, per panel .-r1';', , , -i • �, r i'..211'• , l - a , , +,?i I ! A. L=ee for branch circuits with ,.... . �. ,..�... ,� . • d i� .Ta � Ft w .:1 r ..l , , i serv Or feeder fee. each 6.65 Z (3 iaineas name: w. ii ,.. - (e r ` brinca circuit •- ' ., • B. Fee rot branch rirouits C41ltdCi nt►ttle: i 4 1 wl>hour Service or feeder fee, 46.85 2 each branch circuit Each add'I branch circuit 6.65 2 Ciry/Srate/Z)P: id' • Misodlandrub (..ervico or feeder oat included) n Q� T� pump or irrigation circle 53.00 2 Phone: 2,3 / � �: LI Fax.: (��.t -'J '2i 2. 19 Sign or outline i a lighting 53.40 2 E-Milil r ' �•? • IL t d Signal circuit( or limited - ti T"' panel, alteration, or �. a . , • ,c...:,_ t x y .,i ' +, s .1, crimp Pa 2 4 r ,. _ i c:. extension. Describe: Page 2 -.#1 1= C ' G1 1 Ira • • Eeck additional iniPccdon over allowable to any of the above AddJS6s' Per inspection 62.50 111=111.1 City /Scats/ZIP: Investigation per hour (Invent)) 11.1 67.30 .1111.- Blet areal Lit.: 37 d ! _ 5ubtnto1 Suprv, Electrician signature, required: Na n review (21 of permit fee) � " � State iutehaie (!1% ol pertnit (cc) Print name: V. - .1\ .e- - 1 ) L - J Dtte: TOTAL PERMIT PEE / ..._. _ -__• .. �..... -- . . ) t , . This permit *pillcatien espied if a permit It Tuft ettlinen wit io lace l d L? L009 9 '0N /££: 0l 'IS /9E:0l 900 2 Z 3G(J) WON CITY OF TIGARD • BUILDING DIVISION • PERMIT #: ELC2005 -00933 13125 SW Hall 'Blvd., Tigard, OR 97223 DATE ISSUED: 12/512005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEE OR DATE: 12/6/2005 TIME: 7:02AM PAGE: 71 SITE ADDRESS: 16170 SW 8TH AVE 165 CLASS OF WORK: SUBDIVISION: DURHAM PA"K APARTMENTS LOT #: 0 Z 6 TYPE OF USE: PROJECT NAME: DURHAM PAR' APARTMENTS DESCRIPTION: Replace burnt me r socket. Job No. 140605.98689 OWNER: DURHAM PARK LTD "TNRSHP, PHONE #: 503 -684-8000 CONTRACTOR: BROADWAY ELECTRI * COCHRAN INC PHONE #: 503`2346564 Inspection Request Scheduled For: Date: 121612005 Pour Time: Code # Inspection Description onfirm # Contact # Message 1 Electrical fins 0 986.01 503 -522 -7367 Y Corre - _ -- - - - ctio • :. cA- LW W j PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v �� Date:, 2 W Phone #: (503) 718- 1416