Permit CITY F TIGARD CARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00097
i k DEVELOPMENT SERVICES DATE ISSUED: 2/8/2006
�..y' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 1 S135AA -AC001
SITE ADDRESS: 10456 SW 90TH AVE ZONING: R -4.5
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT : 001 JURISDICTION: TIG
Project Description: Building 2: Unit 6 of a 4 -unit townhouse building.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 1.00 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: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: X > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
RCM HOMES DMS ELECTRIC INC
12670 SW 68TH PKWY #200 8502 SE STARK ST
PORTLAND, OR 97223 PORTLAND, OR 97216-1140
Phone: 503 - 598 -7565 Contact #: FAX 503 - 252 -6611
PRI 503 - 209 -9298
FEES
Description Date Amount Reg #: LIC 118073
SUP 4542S
ELE 37 -742C
Total
REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty 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
r „,... OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 - 246 -669 -80 33 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- 6394175 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
, 1
City ?..f Tigard Received
Date/B : , ifinwan Permit No.: i te. " 60 , _00
13125 SW Hall Blvd., Tigard, OR 9 7223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 4114k1
. 1 , ■ , \ v i 1 ii, Date/By: Other l'ermit:
Inspection Line: 503.639.4175 ., 119V:' Date Ready/By: .1 ' . l0 See Page 2 for
Internet: www.tigard Notified/Method: ,./ / a Supplemental Information
• TYPE OF WORK PLAN REVIEW
'
[X] New construction El Addition/alteration/replacement Please check all that apply:
fl Service over 225 amps, comm'l 0 Hazardous location
0 Demolition E Other: ['Service over 320 amps — rating PBuildnu over 10.000 sq. It..
CATEGORY OF CONSTRUCTION of I - and 2-family dwellings 4 or more new residential
0 1 and 2 dwelling E Commercial/industrial P Accessory building ['System over 600 volts nominal units in one structure
['Building over three stories 0 Feeders, 400 amps or more
Z Multi EI Master builder 1=I Other: DOccupant load over 99 persons El Manufactured structures or
JOB SITE INFORMATION AND LOCATION ['Egress/lighting plan RV park
Job no.: Job site address: 10456 SW 90 Ave DHealth-care facility ['Other:
Submit 2 sets of plans with any of the above.
City/State/ZIP: Tigard, OR 97223 The above are not applicable to temporary construction service.
FEE* SCHEDULE
Suite/bldg./apt. no.: Project name: Ashbrook Condominiums
Description Qty. Fee. Total **
Cross street/directions to job site: New residential single- or multi-family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less / _ 145.15 4
Subdivision: Lot no.: Ea. addl 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 /
Tax map/parcel no.: Limited energy, non-residential 75.00 /
DESCRIPTION OF WORK Each manufactured or modular
Building 2: Unit 6 of a 4 townhouse building. dwelling, service and/or feeder 90.90 /
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 /
PROPERTY OWNER TENANT
201 amps to 400 amps 106.85 /
0 El
401 amps to 600 amps 160.60 /
Name: RCM Homes 601 amps to 1,000 amps 240.60 /
Address: 12670 SW 68" Pkwy #200 Over 1,000 amps or volts 454.65 /
Reconnect only 66.85 /
City/State/ZIP: Portland, OR 97223 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503)598-7565 Fax: ( ) 200 amps or less 66.85 1 I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 /
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 7
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
El APPLICANT P CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each
6.65 /
Business name: Same as owner branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
46.85 /
first branch circuit
Address: Each addl branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 /
Phone: ( ) Fax: Sign or outline lighting 53.40 /
E-mail: Signal circuit(s) or limited-
CONTRACTOR . energy panel, alteration, or
extension. Describe: Page 2 /
Business name: DMS Electric Inc
Each additional inspection over allowable in any of the above
Address: 8502 SE Stark St
Per inspection 62.50
City/State/ZIP: Portland OR 97216 Investigation per hour (1 hr min) 62.50
Phone: (503) 209-9298 Fax: (503) 252-6611 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: 118073 Electrical Lic.: 37-742C Suprv. Lic.: 4542S Subtotal
Suprv. Electrician signature, requiredA E tzeke) ._ co 6.4 Plan review (25% of permit fee)
.
State surcharge (8% of permit fee)
Print name: 1Date:
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.
1 \ Buildmeermits \ ELC-PemmApp.doc 12/30/05 .140-4615T( 1 0/02/CONI/WEB
CITY OF TIGARD '
BUILDING DIVISION PERMIT #: E:LC2006- 000'37
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/812016
Phone: (503) 639 -4171 Ara h i; Rilll
Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: - U2.4/2006 TIME: 7:12AM PAGE: 72
SITE ADDRESS: 1tW :6 SW ,90TH AVE CLASS OF WORK:
SUBDIVISION: ASHBROO!< CONDOMINltilv3S LOT #: 001 TYPE OF USE:
PROJECT NAME: ASHHRO K CONDOMINIUMS
DESCRIPTION: t uilding 2: tinit G of a 4—unit townhonEie buildin .
OWNER: RCM HOMES, PHONE #: 503-59117565
CONTRACTOR: DMS Ell: C INC PHONE #: 413- 209.9290
Inspection Request Scheduled For: Date: 5/2,4/2096 Pour Time:
Code # Inspection Description Confirm # Contact # Message
109 E:Iticti t al final 030447.07 503-209-7396 N
Corrections /Comments /Instructions:
kcLrr v Li cJ Qt x FAN
FAN) t 1 i ti'J,k0 I Li 01 g tx
cz — Q,,, c Fact, F - tokL- 6D (C4V• -
X PASS PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: G---AZ, 6 Date: 2 - ): Phone #: (503) 718- v-I. `f'6
CITY 'OF TIGARD
BUILDING DIVISION ` • PERMIT #: s LC200€o..0O69
• 13125 SW Hall Blvd., Tigard, OR 97223 _ DATE ISSUED: ;?I8/ GU
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 'AL
4
INSPECTION WORKSHEET FOR DATE: 51312006 TIME: :08AM PAGE: 46
SITE ADDRESS: 10456 SW 90TH AVE CLASS OF WORK:
SUBDIVISION: A I lL ROOK CONl)CMliRlt,IMS LOT #: 00; TYPE OF USE •
PROJECT NAME: A,1• CONDOMVMLNIUMS
DESCRIPTION: DI Ming 2: Unit 6 of :va 4 -unit towe71ro` use r uildin .
OWNER: RCM HOMES, PHONE #: 503-5!-38.- 75 5
CONTRACTOR: l)IVIS F.L.I.E:CTRIC: INC PHONE #: fSfa 209- 9,298
Inspection Request Scheduled For: Date: 5/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 EiectricAl final 0:9181 -05 5(2- 209-738G I ?d
Corrections /Comments /Instructions:
1 L PL1 5 a
4
I 'v0 -
R f - r),Pkb )`'
rktJ ox pvt<.\() m 7, -DGZr
PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ` 'n 1 ' �v Date: 3 J (* Phone #: (503) 718- 2 'kk '
CITY OF TIGARD
BUILDING DIVISION PERMIT #: I I,:(16 °di ::`E
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 218/2006 Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 204/7006 TIME: /:()3r I l PAGE: -,
SITE ADDRESS: 10 45(:i �: $30TH AVE CLASS OF WORK:
SUBDIVISION: ASI.IC.ROOK CONDOMINIUMS LOT #: (1C11 TYPE OF USE:
PROJECT NAME: ASHRROOK d:; �aNl: OMINit.lh,
DESCRIPTION: Building 2: ( Unit _01 3 4• unit townhouse buildinil:
OWNER: pR:;1'v`I HOMES. PHONE #: 603_ 7ef3C}- ';
CONTRACTOR: DIAS ELECTRIC INC PHONE #: 6 r;2-
0 �� 2(l�- s�..,3t3
Inspection Request Scheduled For: Date: 2/241200£; Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 E:ieetricql rougt +.in 02 h, :37 -03, 603-209-7386
Corrections /Comments / Instructions: • •
PASS n PARTIAL APPROVAL n CANCEL NO ACCESS
n FAIL CALL FOR INSPECTION " ❑ ADDITIONAL FEES ASSESSED
Inspector: V • ' �+ �� �'' Dater 2 o b Phone #: (503) 718 - 214*
CITY OF TIGARD y -
BUILDING DIVISION PERMIT #: El_CAOC;_00097
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 2
Phone: (503) 639 -4171 r �f �A
Inspection Requests (24 Hrs.): (503) 639 -4175 �?+r
INSPECTION WORKSHEET FOR DATE: 2/24/2006 TIME: 7, :03Am PAGE: 4
SITE ADDRESS: '10466 SW 30TH AVE CLASS OF WORK:
SUBDIVISION: ASI iROOK CONDOMINIUMS LOT #: 001 TYPE OF USE:
PROJECT NAME: ASHBROOK C NDOMINIE)M:S
DESCRIPTION: bidding 2: Unit f a 4 -unit townhouse building.
OWNER: RCM HOMES PHONE #: 603...F L -7 66
CONTRACTOR: Mk'? ELECTRIC INC PHONE #: &):1. 209.9298
•
Inspection Request Scheduled For: Date: 2412006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 027537 -02 503. 209 -7386
Corrections /Comments /Instructions:
•
•
. PARTIAL APPROVAL ❑ CANCEL f l NO ACCESS
fl FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' 6Qj L-2 Date: 1' 2'1 Z b Phone #: (503) 718 =1 V
•