Permit e CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 - 00599
DEVELOPMENT SERVICES DATE ISSUED: 8/17/2005
Al _
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135DC-02000
SITE ADDRESS: 11845 SW 91ST AVE * ** BLDG 4 ZONING: R - 7
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT : JURISDICTION: TIG
Project Description: Remove & replace lights, devices. Add: exit signs & smoke detectors in selected apartments.
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/ FOR: 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: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 6 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: •
VILLA LA PAZ LIMTED PARTNERSHIP PORTER ELECTRIC INC •
BY COMMUNITY PARTNERS FOR 7320 NE ST. JOHNS RD •
AFFORDABLE HOUSING INC VANCOUVER, WA 98665
TIGARD, OR 97281
Phone: Phone: 360- 574 -1366
•
FEES Reg #: LIC 46678
2909S
Description Date Amount SUP 37-33
ELE 37 -334C
[ELPRMT] ELC Permit 8/17/2005 $86.75
[TAX] 8% State Surcharge 8/17/2005 $6.94 REQUIRED ITEMS AND REPORTS
Total $93.69
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 question to OUNC at 503 - 246 -6699 or
1- 800 - 332 -2344.
Issued By:
14
Permittee Signature: i
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.
Electrical Permit Application, it FOR OFFICE USE ONLY
QI
` CI of Ti and R eceiver ' ^ . ,
`J g Da[e /B j PennitNo. • ( �J '��
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 1, I6; 'I ' t �,00• f li Date /B : Other Permit:
Inspection Line: 503.639.4175 v" -` N -1�."'irl I Date Ready /By: El See Page 2 for
met www.ci.tigard.or.us Notified/Method: Supplemental Information
,- TIPARD
,e .66 ThPW(n I ) z. P I :A N REVI
e
❑ New constructioniddifion /alteration /replacement Please check all that apply:
❑ Demolition . ❑ Other: v ous
Service over 225 amps, comm'l ❑Hazard location
a C amps rating ❑B dng over Service over 320 a rat uil er 10,000 sq. ft
"; t ;�?,,, ATEGORY OF a - . "` , ; ' of l -and 2 -famil dwellings 4 or more new residential
❑ I and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
['Building ❑ Master builder ❑ Other: Building over three stories ❑Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
k ; JOB SITE;IlVFORMATIO A.ND. LOCATIO '. '` . ,; ❑ Egress /lighting plan RV park
Job no.:/6/0 Job site address: /19 — J J 9/ ❑Health - care facility ❑Other:
' Submit 2 sets of plans with any of the above.
City /State/ZIP: ' / 4 6.e. ,-.)� The above are not applicable to temporary construction nstrtion service.
�/ ' `� FEE *:'S _ _ - "_ -- _
Sulr d pt. no.: Project name: a � 6 „,,, 9 O2 ' ` Description q Qty. I Fee ^ k To(el "
Cross street/directions to job site: .S vil ';(� � �L ; -� . r( f 1� ` 1 �n V � New residential single - or multi - family dwelling unit.
N " 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 I
Tax map /parcel no" Limited energy, residential 75.00, 2
energy, non-residential Limited I 75.00 2 • w fi :� DES OF ;W ,_ � �_` Each manufactured or modular
��. JJ ,f dwelling, service and/or feeder 90.90 2
A e11I[) (Z /7r My � � 14�Q �� N ; r Services or feeders installation, alteration, and /or relocation
ft �-) 4, gh , / „ s-j z j 4 • 6 p D L 200 amps or less 80.30 2
201 amps to 400 amps 106.85 2
,' . )A :1 ® BROPEgry ;OWNER - F _ :. -, . -_ ® TEN;ANT' , _ . _, .
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Iress: 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
Phone: ( ) Fax: ( ) 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
❑ APPLICANTS N " _�. _. .
- ,�� ." ❑ "CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, / 46.85 4// i
1 2
each branch circuit 7�' _ -- Address: Each add'l branch circuit _ 'b * 6.65 : sl7 <r U
City /State /ZIP: Miscellaneous (service or feeder not Included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
.• „ < °� ; x i,_�, _ , , ” . , <: ; CONTRACTOR S " ; - _ 1 ..' energy panel, alteration, or
,te e«.... ._ _,. .+. ., ._ _ -.
.,- extension. Describe: Page 2 2
Business name: / , 2 r , •—F-
Address: JJ Each additional inspection over allowable in any of the above
- - 7 T
3 Z o A/E J l- \ jb41/ 4 p p • Per inspection 62.50
City /State /ZIP: /04'7 (. tda_ - 9/ ' Investigation per hour (1 hr min) 62.50
,2 )A � ¶ t / > / ( 3 4 0 ) 5 - 73 27 ? Industrial plan per hour .
Phone: �J ) � i 7 - [ate Fax: / G�o�- I t 7375
x
,l _:,, - tLECTRICAL , PERMIT'FEES
CCB Lie.: c/ 77 Electrical Lic.:37-33VC Suprv. Lie.: 2,.6/ 0 95 Subtotal .0 5
nrv. Electrician signature, required: /4 „-,-,le 4 e Plan review (25% of permit fee)
1 , 8� I State surcharge (8% of permit fee) -4,2Y
t tint name: t�1CTi�t p 1JGir.f...— Date: &b /1 7f
TOTAL PERMIT FEE q33 fi 9
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.
i:\ Building \Permits \ELC- PermitApp.doc 12/03 440- 4615T(10 /02 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION ,. , e.
PERMIT #: ELC200!:;-00599
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/23/2006 TIME: 7:16AM PAGE: rr
43
SITE ADDRESS: 11845 SW 91ST AVE --- BLDG 4 CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBURG OAKS APARTMENTS
DESCRIPTION: Remove & replace lights, devices. Add: exit signs & smoke detectors in selected apartments.
OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #:
CONTRACTOR: PORTER ELECTRIC INC PHONE #: 360-574-1366
Inspection Request Scheduled For: Date: 6/23/2006 Pour Time:
-•e # Inspection Description Confirm # Contact # Message
Electrical final 032223-05 360-907-9204 N
Corrections /Comments/ Instructions:
` Li_ - 4 S ,s --- . ■ 1) •a e, , .4 ■ . • 6 _ _41 . .
's.--\--
Wil PASS 0 PARTIAL APPROVAL 0 CANCEL . I I NO ACCESS
0 FAIL I CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED
Inspector: Cr Nt8 Lt Date: C '2.. Phone #: (503) 718- 1.441::,
•