Permit CITY TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00347
, DEVELOPMENT SERVICES DATE ISSUED: 6/22/2006
�I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135DC-02000
SITE ADDRESS: 11875 SW 91ST AVE ' BLDG 3 ZONING: R - 7
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT : JURISDICTION: TIG
Project Description: (7) branch circuits for replacement of light fixtures. Job # 16610.
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: 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: Contact #: FAX 360- 573 -3723
PRI 360- 574 -1366
FEES
Description Date Amount Reg #: ELE 37 -334C
[TAX] 8% State Surcharge 6/22/2006 $6.94 LIC 46678
[ELPRMT] ELC Permit 6/22/2006 $86.75 SUP 2909S
Total $93.69 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 uestions to OUNC at 503 - 246 -6699 or
1 - 800 - 332 - 2344. S -7 6 Issued By: Amer- y Permittee Signature: AMA Of
OWNER INSTALLATION ONLY v
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.
JUN /22/2006/THU 08:58 AM , �- P. 001 /001
, H F=. ( - Electrical Permit Applicator' FOR orriCE tlsr ONi.Y .
City of Tigard JUN N t , 2 P JC Received _ I
Tigard, OR 97223 I ' �' U Date/ ♦
• 1
13125 SW Rall Blvd.
p Sa r Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 it *An1 firiqIr DBtcIB : Other Permit:
Line: ne: 503.639.4175 1_,A I 'Y Of' I Y ' Data ?eadylpy; 3mi : � Rl See Page Z for
Internet: www.ci.tigard.or.us
ITT 11�4T(` 1-11T\ l jay ��� 1�otl6ed/1�Iedlod: '� Supplemental Information
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❑ New construction ® Addition /alteration/replacement Please check all that apply:
. 13 Demolition ❑ Other:
❑Service over 225 amps, comm't ❑Hazardous location
ll 1pm,� III I p
`�r'ilyw,�„'y R µ , f a��, m�, ��. �m�l,.�.:�.:M ° „INI�,.,..,tIs.w, �r_.r,.,a., .IYya �p�, ITV Iw'i9WNnll A�nw••r.Ap ❑Service over 320 amps — rating ❑Buildttg over 10,000 sq. it.,
IS '�al�IS91'' x39, �Sonx tltaOFtY�Q�1 Q.U °i� ���;t ",l a' "k 8;alZw' tlhla; of l- and 2- family dwellings 4 or more new residential
0 1- and 2- family dwelling ❑ Cornznerciai/imdustrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
® Multi-family El Master builder ❑ Other: DBuilding over three stories OFeeders, 400 amps or mom
wslr eJli;e l - fa.,..i, ; r,n;r, MA ;lr.;., t e r �; persons r structures or
�Wwn, al • ' l .,� 11 M ., �: ��a,
y n�pW� _ , , . . I O n load ver nu
n iaui Vwiu nr 1 : � u x l ltl�l
w ^ i ,, a • t, i,�I "i 1'l lr Ni as tl r• lllr' ccupa t d o 99 e a ctu
r t �ipab i {y.lpp, d r �l8n •° J B " 1 � ` l Pt ?SiialY' 1,. f :,,..,X:
: �kri #t1's�i�Ir, Neal,
tls " ",��m l�Egress/lightingplan RV park
1,A Apt ill l� Ip� II ro.ti ln' ,5,3,,v.,.0,,A : e . : ..... pd 'N4..
Job no.: 16610 Job site address: 11875 SW 91 AVENUE 01 - care facility ❑OtIIBT:
. Submit ? sets of plans with any of the above.
City / State/ZIP: TJGA RD, OR The above are not applicable to temporary construction service.
•
Suite/bldg. /apt. no.. BLDG #3 I Project name: GREENBURG OAKS '.g. I •ls ; ilNr�1'i 47 ., yY . fY! N Il iii GI-1,1'i}j a rli• rY }4;iru1
i r1 ��,1 l !M:. 1,41,1 '611 *i4 P. 'r�;ISII:.F' lli 1 ;i lit ills r..
Description I Qty. i Fee. I Tatai
Cross street/directions to job site: 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 I
Limited energy, residential 75.00 2
Tax map/parcel no.:
•
x ii I 'a i k ' In I a nlm I N �'R i n I ;ign i nn �k,a� m� w R` t n n n ilp,ti ' h v I nw Limited energy, non- residential 75.00 2
}J,.' sr4EI! 9 11¢ �Kii „�,,.�k i ^i.t',� e! EWECI a Si ;< p . O..1 3iifiir s"i"te °' 1 1� 1Pt.grigirig ° Ikl Each manufactured or modular
dwelling, service and/or feeder 90.90 2
�r
`% , � ,' i,,.,..,,.,...,..r...1` �....�.LL� IM�I . W... ES.... ...- .�.i�.�....Cl_,9./4�...,4,�
� ` �,
. , c-e_ �' u'� \ \ , '1 t'°'/Z-. Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
p N o-,w.nNww.vu., v.m.,n,.rw,•,•NJ, I rn r u p�� wu 0 Rp; 201:: a to 400 ani 106.85 2
I r u E rlp.��„ RKAM m��.l p:ir. • ! ",� � 511' 111111, 94 1101EFl`"'' MI p ns
"" m i i "' " " " " "' N 401 amps to 600 craps 160.60 2
Name: Villa La Paz Ltd Ptnrshp by Community Partners for Affordable Housing 601 amps to 1,000 amps 240 2
Address: Over 1,000 amps or volts 454.65 2
- - Reconnect only 66.85 2
City / State/ZIP: Tigard, Or 97281 Temporary services or feeders installation, alteration, and /or
Phone: ( ) I Fax: ( ) relocation
l
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: Brandt circuits — new, alteration, or extension, . er I anel
�.••. - 111111
r 11 a8 Il �jP n rr I rl� Ask' �r�wal@ I '��l^� p'�, ' }: � r�- r '� w I II �
'1.�1 °? '9 °1 ! 4 4}I: °lllk;l k LWfAQ !�"g fRl ! ;k,!?'d'! ' „ !_- . .. •1 b `w' N� A' F fcr branch circuits with
service or feeder fee, mat 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: • without service or feeder fee, C
Address: first branch circuit r 46.85 Y�gd 2
Each addl branch circuit P 6.65 . G) `/ 2
City /State/ZIP! Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 J 2 .
Phone:
( ) I Fax ' ( ) Sign or outline lighting 53.40 2
E -mail; 9 Signal circuit(s) or limited -
� r Wm llllln'111 u �.g�fR"d'.I"'kl�l'N S �A(�(' R�,' �dii n.17 " w" CSI , _ yip ,e,,,., yq wy !�� u� gr� N n W g uliwpl �p na 9 w nI M n e panel' p
i7i�. �.,.: ��' 7t." N..' �. 4 4;,.., l�i�- �+ INf��kV �I, �Y,. �.... SYb.,! Y9�2',. �.._ �, 3xull! u:' 4; �J; 1 �. 1 �, �r �, ���i :im�lwl;ii9a'�ij�'�GI�NT d ����afp�au�gE'.��a��l�l�w,� en anel alteration or
extension. Describe: Page 2 2
Business name: PORTER ELECTRIC, INC.
Address: 7320 NE ST. JOHNS ROAD Each additional inspection over allowable in any of the above
. Per inspection 62.50
City/State/ZIP: VANCOUVER, WA 98665 Investigation per hour (1 hr min) 62,50
Phone: (360) 574 -1366 ' I Fax: (360) 573 -3723 Industtislplantperhour 73.75
ErirattEM
CCB Lie.: 46678 I Electrical Lie.: 37 -334C Suprv. Lic.: 29095 Subtotal 66 7
Suprv. Electrician signature, required: / 4 Plan review (25% of permit fee)
� �” State surcharge (8% of permit fee) & ` -
Print name: i ���vv1 • 13 o 4 V Date: 06 —7,Z 0
TOTAL PERMIT FEE q (aq
Authorized signature: This permit application expires if a permit is not obtained wit 'n 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> 1BaU4ioglt 'atmitsll?CC- Pern3tApp,doc 12/03 440- 4615T(10/02/COM/WPP
• CITY OF TIGARD
BUILDING DIVISION • ...A
PERMIT #: ELC2006-00347
13125 SW Hall Blvd., Tigard, OR 97223
. nitult ljr/1\ DATE ISSUED: 6/22/2006
Phone: (503) 639-4171
_-_..„
Inspection Requests (24 Hrs.): (503) 639-4175 ..W 11.,
INSPECTION WORKSHEET FOR DATE: 6/23/2006 TIME: 7 : 16 AM PAGE: 56
SITE ADDRESS: 11875 SW 91ST AVE ' BLDG 3 CLASS OF WORK:
SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: • TYPE OF USE:
PROJECT NAME: GREENBURG OAK APARTMENTS
• DESCRIPTION: (7) branch circuits for replacement of light fixtures. Job # 16610.
OWNER: VILLA LA PAZ UNITED PARTNERSHIP, PHONE #:
CONTRACTOR: PORTER ELECTRIC INC PHONE #: 360-574.1366
Inspection Request Scheduled For: Date: 6/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 032223-04 360907-9204 N
Corrections/Comments/Instructions:
1° S “" AS Ysmof• 0P
p.atz.vArT2 . eLc 4 2 00P o t r r2 )
.-_,..,:.
i No
X PASS n PARTIAL APPROVAL 0 CANCEL n NO ACCESS
I I FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: N be Le Date:.3 - A Phone #: (503) 718-Ak_