Permit • O C ELECTRICAL PERMIT
CITY OF TIGAR® PERMIT #: ELC2006-00037
DEVELOPMENT SERVICES DATE ISSUED: 1/18/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S115AA - 00800
SITE ADDRESS: - 1.0982'SW DURHAM RD OFFIC ZONING: R -25
SUBDIVISION: OAK TREE APARTMENTS LOT : 026 JURISDICTION: TIG
Project Description: (5) branch circuits for restroom conected to the pool rm in 1st phase. Job #06 -2500.
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: 4 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:
CARR, BERNARD AND PRINCE ELECTRIC INC.
LABBY, ROBERT TRUSTEES ET AL 2923 RAND! LN NE
633 NW 19TH AVE SALEM, OR 97305
PORTLAND, OR 97209
Phone: Contact #: FAX 503 - 589 -9583
PRI 503 - 932 -8964
FEES
Description Date Amount Reg #: LIC 164342
[ELPRMT] ELC Permit 1/18/2006 $73.45 ELE C -74
[TAX] 8% State Surcharge 1/18/2006 $5.88 SUP 42525
Total $79.33 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 que ions to OUNC at
503 - 246 -6699 or 1- 800 - 3322344. ,
Issued By: �' (,( � Permittee Signature:
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 FOR OFFICE USE ONLY
City of Tigard 9ECEVED DateBy: / / X �� � `J• ' ermit No : G� e/ o(/ �� 1
13125 SW Hall Blvd., Tigard, OR 97 Plan Review /
Phone: 503.639.4171 Fax: 503.598.1960 ° i1�''� Date /By: Other Permit
Inspection Line: 503.639.4175 �N 1 4 ')oo t ��.. Date Read yBy. I See Page for
Internet: www.ci.tigard.or.us (J [ ��� Notified/Method: 11 r" Supplemental Information E7
l Vi V e echeck al that apply:
:l y :.::..
❑ New construction i ra o r p ce ment Please check all h apply:
❑Hazardous location
❑ Demolition ❑ Other: ['Service over 225 amps, conmt'1
rig e r side nttial
;:CA`I'EE;!DLt3'` QF : ; COl!F8'ERII�;"Pif3ly >... _ ;.: ;: >:' >;::: >: <: :: ;: >. : : : :` ;; ?,: of 1 and 2efamily dwellings n g 4 or mo ew re
r n
❑ 1 - and 2- family dwelling 171 ['Accessory building ❑System over 600 volts nominal units in one structure
2 �
❑Building over three stories ❑ Feeders, 400 amps or more
❑ Multi - family ❑ Master builder ❑ Other: /
(, ❑ Occupant load over 99 persons ❑Manufactured structures or
ii " `' <3013: SIT INFO.ltivaTIO ?<::AN LOCATION: :.. : :: ' ❑ Egress/lighting lan R park
S' P ❑ Other:
. 75-‘,0 Job site address: W �^ ❑Health - care of Job no.: 0 4
/� AlQVYI A • Submit 2 sets of plans with any of the above.
City /State /ZIP: -'C `. Z re, cc z2...1--k The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: �f�_
!so on �Y. Description Qty. Fee- Total
Cross street/directions to job site: - - I 5 l tor T't New residential single- or multi- family dwelling unit.
1 T Includes attached garage.
(j lip.. tiV f kAA,w� ) CI pr$-Q +0 T t p (p( l{1.,. 1,000 sq. ft. or less 145.15 4
Subdivision: ` Lot no.: . / Ea. add'l 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
:. ":::::. ;DESA:RT 110.P:;:pf : >1'1.O.N : :: :: >.; <. . , ::: '.:. ;::?: <.' > :> ::. m
..: ":.:: :...:::::. Each man ufactured or modular
..... o
�I
dwelling, service and/or feeder 90.90 2
X i 5-e... Coo '►'L COVI Ve, (.- \'�1 +0 Services or feeders installation, alteration, and/or relocation
... of ��c c.. yv. - �J amps to a
200 amps r less 0 30 2
.. , . 201. mps o 400 amps 106.85 2
❑ PROPERTY OWNE. ?.` : > '.:.❑::;TENM T ::::. ";:..: ,
401 Imps to 600 Imps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: 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
>:::: AlP1PLiICAN,.::::>:<:;>:::: 'r::::: >:::<::::: >:::: >::: >:.:" .. ,, .
A. Fee for branch circuits with
service or ee er ee, eac
Business name: branch circuit 6'65 2
iv
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 c+ ( 2
first branch circuit
Address: Each add'l branch circuit "/ 6.65 .. C . ,, , h 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
PhoIte: ( Fax: : ( Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited-
. .. :...: , ..
e, : .. : E*....' 1' It: AG`` C61t '= .;:�s:�:�`;'�;`::: " "ii > "'!! <;;�:!:.:;a;: ; i.. ;_....: ,_ ..::::.: energy panel, alteration, or
G extension. Describe: Page 2 2
Business name: 1r 7 ; e n L lecin'c -7/IC 0
N Address: 2 1 f�3 e rg, " /.... ,� / L Each additional inspection over allowable in any of the above
�/ ` Per inspection 62.50
City / State/ZIP: 5 4 / e„,,, 77
0,e 90 Cc---- Investigation per hour (1 hr min) 62.50
4 Phone: 5"0,3 13 a 9,5'6 `/ Fax: (.57)3)6-5/7 9.:3 Industrial plant per hour 73.75
'::.:': LEt lit1081✓: REktl\li:r::::1?EE0i: " :j:. :::"
CCB Lic.:( 5/3( Electrical Lic.: _7,/ Suprv. Lic.: ge l S Subtotal 7 - J. 4 F
Suprv. Electrician signature, required: ..,% ;4 /, Ci / Plan review (25% of permit fee)
fella s �/ State surcharge (8% of permit fee) S .
Print naive:
de, r 1�G1~ //� Date:.i �� 7 /
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- PetmitApp.doc 12/03 440-46 15T(1 0 /02 /CON/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00037
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 •
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/26/2006 TIME: 7:03AM PAGE: 8
SITE ADDRESS: 10966 SW DURHAM RD BLDG D CLASS OF WORK:
SUBDIVISION: OAK TREE APARTMENTS LOT #: 026 TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Exercise room converting to restroom. Connected to the pool room Job N06-2500.
Fire! phase
OWNER: CARR, BERNARD AND, PHONE #:
CONTRACTOR: PRINCE ELECTRIC INC. PHONE #: 503-932-8964
Inspection Request Scheduled For: Date: 4126/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Elect; Cal final 02874601 03-510-3326
Corrections/Comments/Instructions:
KJ V
PASS I PARTIAL APPROVAL El NO ACCESS
.11MINInmr.” fl CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: G'(\(t Date: 41 Okz• Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL0006 -00037
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/181200G
Phone: (503) 639 -4171 b . i
Inspection Requests (24 Hrs.): (503) 639 -4175 IL.
INSPECTION WORKSHEET FOR DATE: 4/24/2006 TIME: 7:02AIbt PAGE: 7
SITE ADDRESS: 10966 SW DURHAM RD BLDG D CLASS OF WORK:
SUBDIVISION: OAK TREE APARTMENTS LOT #: 026 TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Exercise room convecting to restroom. Connected to the pool room Job #O& 2500.
first phase
OWNER: CARR, BERNARD AND, PHONE #:
CONTRACTOR: PRINCE ELECTRIC INC. PHONE #: 503 - 932..0961
Inspection Request Scheduled For: Date: 4/24/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 028573-01 503- 51U•3325 N
Corrections /Comments /Instructions:
m 1 1 p A `T c- fstz.o 000 0 J �- 1' )1
06(t/
PMfo.-41 13141/40 ` 05 vim- tNr?L ,
Psetc.)- a_.:1 ti
n PASS I PARTIAL APPROVAL n CANCEL I I NO ACCESS
AIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: +v ��1 --C� Date: 1fL Phone #: (503) 718 - 2,90
CITY OF TIGARD .
BUILDING DIVISION _
PERMIT #: FLC2006.00037
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: int3/2006
Phone: (503) 639-4171 1**109141Iit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: if 9/3 06 TIME: 7:03AM PAGE: 14
%
SITE ADDRESS: J 8ThW DURHAM RD OFFIC CLASS OF WORK:
SUBDIVISION: OAK TREE APARTMENTS LOT #: 026 TYPE OF USE:
PROJECT NAME: OAK TREE APARTMENTS
DESCRIPTION: (5) branch circuits for restroom conected to the pool rm in ist. phase. Job #05-2500.
OWNER: CARR, BERNARD AND, PHONE #:
CONTRACTOR: PRINCE ELECTRIC INC. PHONE #: 603_032-0964
Inspection Request Scheduled For: Date: 1/19/2006 Pour Time:
Code # - .• - - - sc ri pti on Confirm # Contact # Message
120 Electrical rough-in 025290-01 503-510-3325
Corrections - •mments/In • - 'ons:
PASS El PARTIAL APPROVAL LII CANCEL El NO ACCESS
El FAIL H CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: 2?) N (e LE Date: I Phone #: (503) 718- "'IA