Permit CITY OF TIGARD ELECTRICAL PERMIT
„d .. , DEVELOPMENT SERVICES PERMIT #: ELC97 -0365
�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
DATE ISSUED: 06/18/97
PARCEL: 18135DC -02000
SITE ADDRESS...:11885 SW 91ST AVE #BLD
SUBDIVISION • ZONING:R -7
BLOCK - LOT JURISDICTION: TIG
Project Description: Electrical permits for 11885 and 11895 SW 91st Ave.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp 0 PUMP /IRRIGATION....: 0
EACH ADD'L 500SF...: 0 201 — 400 amp • 0 SIGN/OUT LINE LTG..: 0
LIMITED ENERGY 0 401 — 600 amp • 0 SIGNAL /PANEL ° 0
MANF. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10)...: 0
- - -- SERVICE /FEEDER -- - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- -
0 — 200 amp......: 0 W /SERVICE OR FEEDER: 0 PER INSPECTION 0
201 -- 400 amp ° 0 1st W/O SRVC OR FDR.: 1 PER HOUR ° 0
401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 95 IN PLANT 0
601 — 1000 amp 0 PLAN REVIEW SECTION
1000+ amp /volt • 0 > =4 RES UNITS > 600 VOLT NOMINAL..:
Reconnect only ° 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC.:
Owner: FEES
VILLA LA PAZ APARTMENTS type amount by date recpt
11875 SW 91ST AVE PRMT $ 510.00 JSD 06/1.8/97 97- 296108
TIGARD OR 97223 PLCK $ 127.50 JSD 06/18/97 97- 296108
5PCT $ 25.50 JSD 06/18/9797- 296108
Phone #:
Contractor:
TICE ELECTRIC $ 663.00 TOTAL
2139 SE BELMONT ST
REQUIRED INSPECTIONS
PORTLAND OR 97215 Ceiling Cover Underground Cove
Phone #: 233 -8801 Wall Cover Elect'l Service
Reg #..: 000001
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 .10 through OAR 952 -1 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987. a
Permittee Signature: " �T1��_ Issued By: - 2/�
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 : Al22 DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + ++ + + + + + + + + + + + + + + + + + ++
.CITY OF TIGARD Electrical Permit Application Plan Chec b DC.
13125 SW HALL BLVD. Rec'd By ( tvtultA1A.Y,...+
TIGARD OR 97223 Date Rec'd 5- - Y�-1'1
Date to P.E. EP 1
Phone (503) 639 -4171, x304 Print or Type Date to DST -- -' 2-
Inspection (503) 639 -4175 Permit # r - •
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called i �-
1. Job Address: l /� 4. Complete Fee Schedule Below:
`
Name of Development A pk-z. p.
A I- 1. � / Number of Inspections per permit allowed
Name (or name of business) (31-D lip 2.) Service included: Items Cost Sum
I, g CF) c • •
Address 1(Rg N) S 9/ 57" 4a. Residential - per unit
i_ f p eti 0 0 B 1000 sq. ft. or less $110.00 4
City /State /Zip fi t� �6. Each additional 500 sq. ft. or
Commercial..' Residential ❑ portion thereof $25.00 1
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current licenses) • 4b. Services or Feeders
Electrical Contractor ÷iCr" /&
Installation, alteration, or relocation
Address 1) ,ig e /-014 A-- 200 amps or less $60.00 2
201 amps to 400 amps $80.00 2
City i► ^
;� State rte Zip 401 amps to 600 amps $120.00 2
Phohe No. R e. 0) 601 amps to 1000 amps $180.00 2
Job No. ..C1 ) 3 Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. .. N Exp.Date /0/97 .
OR State CCB Reg. No. t Exp.Date (od3fJf9y 4c. Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date /bfq Installation, alteration, or relocation
tr 200 amps or less $50.00 2
Signature of Supr. Elec'n� 201 amps to 400 amps $75.00 2
401 amps to 600 amps $100.00 2
I I , f' Exp.Date / 6 / l 19d Over 600 amps 1000 volts,
License No. --- see "b" above. '
Phone No. g7-1-- ) -16
4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or -
Print Owner's Name feeder fee.
Address Each branch circuit $5.00 2
City State Zip b) The fee for branch circuits
ty p without purchase of
Phone No. service or feeder fee. / 3S a'
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch circuit iS $5.00 2
intended for sale, lease or rent. 4e. Miscellaneous
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3. Plan Review section (if required):* Signal circuit(s) or a limited energy
panel, alteration or extension $40.00 2
Minor Labels (10) $100.00
Please check appropriate item and enter fee in section 5B.
4 or more residential units in one structure 4f. Each additional inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C. Chapter 5 In Plant $55.00
* Submit 2 sets of plans with application where any of the above apply. 5. Fees: co
Not required for temporary construction services. 5a. Enter total of above fees $ ' ' 7,
5% Surcharge (.05 X total fees) $
NOTICE • Subtotal $
5b. Enter 25% of line 5a for a
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ �,
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account # 663
Total balance Due $
I: \DSTS \ELC96.APP Rev 9 /96 1 '7 Co 14
3
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 3 -/ 3 - % /S/ A.M. P.M. MST:
Location: X 8 3' 5 J'L" cif BUP:
Tenant: Suite: Bldg: MEC:
Contractor: \, .( . P_ E Phone: 3 3 R. e0/ I PLM: h
Owner: Phone: ELC: 9 (� ! �7 - 0365
- (�u ELR:
1 1 0 9 t )41 J q/ 'dr SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL eELECTRIC • SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace TempService MISC. '
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approv Approved
Appr /Sdwlk Not Approved Not Approved Not Approved ved Not Approved
mo
FINAL FINAL FINAL FIN FINAL
�/x 2C; / ^ 12'i) ,.S'
rt ' 1
...-----)
•
El Call for reinspection 0 spection fee of $ required before next inspection 0 Unable to inspect
Inspector: Date: 3-l3 - 5 U Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: / — 0 / _ ! 7 P.M. MST:
Location: I 1 8 gS ;S-Gt) c ? &lit BUP:
Tenant: —7V) 1.A/ L LA p, Z Suite: 3 Bldg: / MEC:
Contractor: ....:I---( ,c_ ' ��_O_2t C- Phone: �- 33 — F E 0 I PLM:
Owner: Phone: ELC: 7 7 - 05 (;_5
o. 3
/ :• # G -o_<__ ../...,_ - 1! , 1 4,0 / ELR:
/ //' /1 lL / _ , / f SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL "� CTRIC - SITE
Site . Post/Beam Post/Beam Post/Beam , over ervice Sewer /Storm
Footing Roof UndFl/Slab Rough -In - el ing Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approv Approved
Appr /Sdwlk Not Approved Not Approved Not Approved o pproved Not Approved
FINAL FINAL FINAL FINAL FINAL
I3 . se.4.2E 7 it9oxES /44E' A/6T cS_.T44 -CIC plyOE1/5NT / /Y‘
Co M,O. i,-Nc � w/7 /' /?- 7; a3 , -, o (b J qr PI c iltl - kc6 Ce) q ii
3 71> za
•
O Call for reinspection O Reinspection fee of $ required before next inspection Cl Unable to inspect
Inspector: / Date: /2. 0 l "— 7 Page of
.$
i CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Liner 639 -4175 Business Phone: 639 -4171
Date Requested: 1 — 0 q° 'mil 7 A.M. P.M. MST:
Location: / / D 7 , ) qI t BUP:
Tenant: Suite: Bldg: MEC:
Contractor: -(r p , P:21 ( LPG Phone: X33 -- (Td() J PLM:
Owner: '� / Phone: ELC: ? 7 - O 3 6 . 5
ir). (( / 1 / / � C 1 ( rA E ./ L� ELR:
t 2)01,t, (..(? ( / e. a G Z[A ,1 �� SIT:
BUILDING BLDG (con't) PLUMBING, MECHANI AL TRI
( ) ELEC CAS SITE
Site Post/Beam Post/Beam Post/Beam over Sewer /Storm
Footing Roof UndFl/Slab Rough -In e mg Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab f / ? �/ /�
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt lec.�GL�/ `)ti//'( ��
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved o pproved Not Approved
FINAL FINAL FINAL FINAL FINAL
C E ck - 6 o x 5E7 /9-C K'
1
O Call for reinspection 0 Reinspection fee of $ required before next inspection 0 Unable to inspect
%!
Inspector: , Date: ! — D 4 - Page of
i
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639-4175 Business Phone: 639 -4171
Date Requested: a -(') ' m P.M. MST:
Location: A J� a) 4 BUP:
Tenant: Suite: Bldg: e-.- MEC: '
Contractor: �y(,i Q �)''F�,Cit Phone: a 3 3 -B801 PLM:
Owner: V 1 /� i n PAL Phone: ELC: 7 1 - 036 s
V I 1 /� LA
A - PAL APT'' ELR:
—� STT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL ' SITE
Site Post/Beam Post/Beam Post/Beam over .ervice Sewer /Storm
Footing Roof UndFl/Slab Rough -In ailing Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler .
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Aim Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk • Not Approved Not Approved Not Approveded Not Approved
FINAL FINAL FINAL FINAL FINAL
A- p/ -2.0 old
. 1 6-1' / ,/ MS'S
.'o A_ A E'co 7)
A/2 Al DUS CL) 4E .I/DN- CoAigAIANCE / N' Ex,' J7XG
69v 2 - 5 - g k'ool P.9 i/ V 6 t /ii- S' /NSI',g -L 4 . NO
b ox ,5 x y - VS%D S 5A !4 r J Ai A/ S ,
N/3-Ny 13 o x s SA" T A/, c , £A- 7's /9-14 D vivo w a&
,OD 'Az L) LIDO 6 D - �`U,1) S .
J o o 5 E .!_)/:-; 1/1 c'E S_ 6 D r /'f S UJt Tr-1 )L.E S E R Ec.Ep% 4,cI E S
❑ Call for reinspection , P - • inspection fee of $ L equired before next inspection Cl Unable to inspect
Inspector: ` Date: /: --- q 7 Page of
1
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Ph w� gne: 6 9-4171
' /
Date Requested: I - 0 - q 1 A.M.
� P.M. MST:
Location: I l I5 SW I
BUP:
Tenant: Suite: 4 Bldg: 1- MEC: •
A 2. Contractor: C/ _ F r 7 „ L Phone: 2.. 3 — O 80 ) PLM:
Owner: Phone: ELC: q 7-0365
0 I J j Amid' V) ELR:
M I SC SV) PL-Li CTS RPA112. srr:
BUILDING BLDG (con't) PLUMBING MECHANICAL I' a; S : SITE
Site Post/Beam Post/Beam Post/Beam over ervice Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Ahn Crawl/Found Dr Heat Pump It
Approved Approved Approved Approved Approved `+
Appr /Sdwlk Not Approved Not Approved Not Approved t Ap oved Not Approved
FINAL FINAL FINAL FINAL FINAL
l 06_14 lN / s-
1 - J9 / / 5 .,
O Call for re' • pec_.. O Reinspection fee of $ required before next ' tion 0 Unable to inspect
Inspector: Date: u t Page of