Permit C ITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2006 -10016
DEVELOPMENT SERVICES DATE ISSUED: 3/2/2006
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 1S135DC-02000
SITE ADDRESS: 11865 SW 91ST AVE OFFICE ZONING: R - 7
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT : JURISDICTION: TIG
Project Description: (2) branch circuits for shop area.
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: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 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: Contact #: FAX 360 573 - 3723
PRI 360 -574 -1366
FEES
Description Date Amount Reg #: ELE 37 -334C
[ELPRMT] ELC Permit 3/31/2006 $53.50 LIC 46678
[TAX] 8% State Surcharge 3/31/2006 $4.28 SUP 2909S
Total $57.78 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 -6699 or
1- 800 - 332 -2344.
Issued By: Z1 ■ Permittee Signature: , Fk
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.
CITY OF TIGARD 3/31/2006
I I4 " 13125 SW Hall Blvd. 3:03:47PM •
Tigard, Oregon 97223
TIGARD (503) 639 -4171
Receipt #: 27200600000000001039
Date: 03/31/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
ELC2006 -10016 [ELPRMT] ELC Permit 220 - 0000 - 431510 53.50
ELC2006 -10016 [TAX] 8% State Surcharge 100- 0000 - 207020 4.28
Line Item Total: $57.78
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check PORTER ELECTRIC DER/DLH 043776 In Person 57.78
Payment Total: $57.78
cRec,7ipt.ipt Page 1 of 1
',, . CITY OF TIGARD ELECTRICAL PERMIT
,�M� h� � BUILDING SERVICES DIVISION
0fi.�l 13125 SW Hall Blvd., Tigard, OR 97223
"'" 503- 639 -4171 www.ci.figard.or.us PERMIT #: 6m_ 6 - 70 /6
DATE ISSUED: _ 3 _�_ _____
SITE ADDRESS: _'IJ b 51. - ■ S (3 c - go ,e, PARCEL #:
BLDG /STE #: ZONING:
SUBDIVISION: (r ce-e>, _ ,∎, ()Pte.\ c7 LOT: JURISDICTION: <t(S
This is an interim permit issued during computer system maintenance.
Construction work and inspections may proceed under this permit number.
The actual permit will be issued and mailed to the applicant within one week of the date issued above.
r__ _ _PROJECT DESCRIPTION:_ \ _,, C ' cCV,A 0y. .sic _ A�` } _ _ ___ —.
I RESIDENTIAL • i i - TEMP _SRVCIFEEDERS i i ._. MISCELLANEOUS
1000 SF OR LESS: _ 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500 SF: �� 201 - 400 amp: SIGN/OUTLINE LTG:
LIMITED ENERGY: _ __ ___ 401 - 600 amp: ��_ _ SIGNAL /PANEL:
MANF HM /SVC /FDR: 601+ amps -1000 volts: MINOR LABEL (10):
i SERVICE/FEEDER j BRANCH CIRCUITS i r ADD'L INSPECTIONS 1
0 - 200 amp: WISERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1 W/O SRVC OR FDR: _ PER HOUR: --
401 - 600 amp: EA ADD'L BRANCH CIRC: ( IN PLANT:
601 -1000 amp: i-- PLAN. REVIEW SECTION. 1
1000+ amplvolt: >= 4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 amps: CLASS AREA/SPEC OCC:
_ OWNER __., .__.. - - -- -- - FEES— _ _ ----- I
Name: .,C.CA,_ . ..rqa�- C3.R_ _ �
�_. Permit Fee $ _ 5
_
Address: . JU _ Plan Review Fee $
City /State /Zip: y `_ State Surcharge (8 %) $ c'ZS
Phone: Other Fee: $
_ CONTRACTOR
1 Other Fee: $
- - -- - .. --.
Name: Total Fees: $ .J 7 7v
Address: 'j 3,,,Z. O , Rc, S� - ,) 6�__ it r'L
City /State /Zip: _.. floc l,Jp► 4N (C. — _.___
Phone: _3 - J 7y - /3_l C
Fax: .n0 3:1-41
CCB Lic #: _y,''(, C r7'
Elect. Lic. #:
Supr. Lic. #. gGm4 -'
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 -0080. You may obtain copies of these rules or direct questions to OUNC by calling 503- 246 -1987 or
1-800- 332 -2344.
Issued By: .tom _ Pe rmittee Signature: rZ--. 1
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. ELECTRICIAN: DATE:
LICENSE NO.:
Call 503 - 639 -4175 by 7:00 AM for an inspection that business day.
Note: If you cannot schedule an inspection while the system is down, please call 503- 718 -2433 for assistance.
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.
I:\ Building\ Forms\ IvlanualPermitForms \ManualELCpermit.doc 12/05/05
Electrical Permit Application FOR OFFICE USE ONLY
(I. U Re / N ( ,n �t i, -/
City of Tigard Received R e e/B 4. � -- Permit No.:6 (�
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 / 'lP''' ' Da /B' Other Permit:
a�
Inspection Line: 503.639.4175 , a ' 1 Da •
Ready /By: IZI See Page 2 for
Internet: www.ci.tigard.or.us Notified /Method: Supplemental Information
•
TYPE =OF WORK PLAN REVIEW .
. ❑ New construction Addition /alteration /replacement Please check all that apply:
[]Service over 225 amps, comm'l ❑Hazardous location
❑ Demolition ❑ Other:
EService over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
.::-!, YCATEGOR CONSTRUCTION : - - . . of 1- and 2-family dwellings 4 or more new residential
❑ I - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building System over 600 volts nominal units in one structure
�yp� ['Building over three stories ❑Feeders, 400 amps or more
W VI ulti- family 0 Master b uilder 0 ['Occupant c load over 99 persons rsons ['Manufactured actured structures or
--,,: ' ;° .-
JOB SITE<INFORMATION, AN_ DiLOCATION ❑Egress /lighting plan R\' park
Job no.: I ) Job site address: i; SI h .- , ❑Health -care facility ['Other:
U%If� 1 t 1 ` ' � `r`' ' t• Submit 2 sets of plans with any of the above.
City /State/ZIP: - l7 K - The above are not applicable to temporary consuuction'service.
Suite /bldg. /apt. no.: Project name: 1.A, Description I :_ <; Total * *
Description Qty. Fee.
Cross street /directions to job site: / 9' r 6, ;�..- O New residential single - or multi - family dwelling unit.
J Includes attached garage.
a -4t ,' 1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'! 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.:
Limited energy, non-residential 75.00 2
DESCRIPTION W
`OF_ ORK ^r r Each manufactured or modular
�> dwelling, service and /or feeder 90.90 2
��i� `Z l ,�12t} 1 she t Services or feeders installation, alteration, and /or relocation
/J p ^ .jr� ",,,• 200 amps or less 80.30 2
l O NER 2
� ®`: °O = ' , � � ❑' TENANT,
= _ ; ' >. 201 amps to 400 amps 106.85 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
\ddress:
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
❑ . APPLICANT ;, .,; _ ,_ ❑°= CONTACT'PERSONx''' 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,
each branch circuit 46.85 y ` 2
Address: Each add'I branch circuit / 6.65 ,., E ' 2
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-
CONTRACTOR., ',_ ,, . - - ' energy panel, alteration, or
�� extension. Describe: Page 2 2
m�
Business name: V L = ,6
� Each additional inspection over allowable in any of the above
Address: il'"7� 2 _,c, I.v e. �
, o S S I. ,0 • per inspection 62.50
City /State /ZIP: `e, ' le (C)/<- Investigation per hour (i hr min) 62.50
Phone: (34,0) 5°1 y. . 1 3 i).4- Fax: (3k, 6T7.3 3-7 z3 Industrial plant per hour 73.75
`_ =-''` _ = ELECTRICAL E_ERMIT:FEES * `- " : '
CCB Lie.: 0 , Tr Electrical Lie.: 6,44,ne Suprv. Lie.: ZM C S Subtotal � Electrician signature, required: J Plan review (25% of permit fee)
L �l?,, State surcharge (8% of permit fee) lY
. rint name: Date:
TOTAL PERMIT FEE
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- PennitApp.doc 12/03 440- 4615T( I0 /02 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: ELC2006-10016
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 312/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6122/2006 TIME: 7:01AM PAGE: SO
SITE ADDRESS: 11865 SW 91ST AVE OFFICE CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBURG OAKS APARTMENTS
DESCRIPTION: (2) branch circuits for shop area.
OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #:
CONTRACTOR: PORTER ELECTRIC INC PHONE #: 360-574-1366
Inspection Request Scheduled For: Date: 6122/2006 Pour Time:
Inspection Description Confirm # Contact # Message
199 Electrical final 0321 360-574-1366
Corrections/Comments/Instructions:
01 1, PASS fl PARTIAL APPROVAL LI CANCEL fl NO ACCESS
FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: (% Date: 6 - 2 U). Phone #: (503) 718- 2)410
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: ELC2006-10016
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2/2006
Phone: (503) 639-4171 ‘._401111/
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/13/2006 TIME: 7:00AM PAGE: 38
SITE ADDRESS: 11866 SW 91ST AVE OFFICE CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBURC3 OAKS APARTMENTS
DESCRIPTION: (2) branch circuits for shop area.
OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #:
CONTRACTOR: PORTER ELECTRIC INC PHONE #: 360-574-1366
Inspection Request Scheduled For: Date: 4/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 027946.01 360-674-1366
Corrections/Comments/Instructions:
•
PASS PARTIAL APPROVAL Ei CANCEL n NO ACCESS
1 .1 FAIL fl CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: QIIVI Lit Date: qif 3/0(-) Phone #: (503) 718-
CITY OF TIGARD ,
BUILDING DIVISION "` `' . PERMIT #: ELC2006-10016
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2LWOG
Phone: (503) 639 -4171 ., �'d�j� r ��'�
Inspection Requests (24 Hrs.): (503) 639- 4175 I..
INSPECTION WORKSHEET FOR DATE: 6/19/2006 TIME: 7:05AM PAGE: 31
SITE ADDRESS: 11866 SW 91ST AVE OFFICE CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBURG OAKS APARTMENTS
DESCRIPTION: ( branch circuits for shop area.
OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #:
CONTRACTOR: PORTER ELECTRIC INC PHONE #: 360,5741366 1
Inspection Request Scheduled For: Date: 6/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 031916 360. 907 -9204 Y
Corrections /Comments /Instructions:
C.. �1a�1� � ( 6l-AK P l-AA PG o- ' tc: � , cA
0 Q''a<Z_ 0 .31 L ' ki 0 I silz- t.f bo6K
C.T.z+e.
n PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
U FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Crit\O---QA N16 b 1.,_ Date: b e lf ql Phone #: (503) 718- 31114/01-
CITY OF TIGARD
BUILDING DIVISION
AI, PERMIT #: ELC2006-10016
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7J2006
Phone: (503) 639-4171 . ayituvo
Inspection Requests (24 Hrs.): (503) 639-4175 „tit- t* " _.L.
INSPECTION WORKSHEET FOR DATE: 6120/2006 TIME: 7 :01AM PAGE: 51
SITE ADDRESS: 11865 SW 91ST AVE OFFICE CLASS OF WORK:
' SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: GREENBURG OAKS APARTMENTS
DESCRIPTION: (2) branch circuits for shop area.
OWNER: VILLA LA PAZ LltvITED PARTNERSHIP, PHONE #:
CONTRACTOR: PORTER ELECTRIC INC PHONE #: 360-5741366
Inspection Request Scheduled For: Date: 6/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 031983-01 603-969-3279 Y
Corrections/Comments/Instructions: .
0
.C) Wb koz) w c tz. o ■TeL... s -
kAyiaK Flog- cyF c4 1
L .
P
oL__ EQL RAI tin -
.- iNk
cka,t . % B014 - EQ- Au > 4 09). q
El PASS 0 PARTIAL APPROVAL 0 CANCEL 7 NO ACCESS
ZZ FAIL X CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: Noe (., Date: g 2 -btal Phone #: (503) 718- itiqb