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Permit CITY OF TIGARD ELECTRICAL PERMIT • PERMIT #: ELC2005 -00721 - DEVELOPMENT SERVICES DATE ISSUED: 9/27/2005 eflk - ` 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S1 12 6 D - 00 700 SITE ADDRESS: 14655 SW 76TH AVE 20 ZONING: R -12 SUBDIVISION: MARCIENE II APARTMENTS LOT : JURISDICTION: TIG Project Description: (4) branch circuits for washer, dryer, water heater & heaters. Job #R - 05 - 969. 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: 3 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: BOOTH - HEYDON LLC ABC ELECTRIC PO BOX 1185 135 NE 9TH AVE LAKE OSWEGO, OR 97035 PORTLAND, OR 97232 Phone: Phone: 503 - 233 -7551 • FEES Reg #: LIC 26 -12260 5096S Description Date Amount SUP 16150 ELE 161501 [ELPRMT] ELC Permit 9/27/2005 $66.80 [TAX] 8% State Surcharge 9/27/2005 $5.34 REQUIRED ITEMS AND REPORTS Total $72.14 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: /���>N" 2 Permittee Signature: _ jj_ko 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. S_ 005 11 :21 AM P 05 , I (ilt:(ii i It I:: i'SI ' t , INI 1 r ' ' : LVED ' E k. tlriea Pelrmit D 11 City of Tigard SE p 2 3 v 2005 oar Per 13125 SW Hall Blvd., Tigard, OR 972.... mit No.: 7 0,) m_ P • Review Other Permit. Phone: 503,639.4171 Fax: 503.598.1960 `i 'tt i ( Y. Inspection Line: 503.639.4175 C ITY OF TIG t ARD -. .. Date Ready/BY: la See Page 2 for Internet: www.ci ttgard or ua SION Notified/Method: 11 (- Supplemental Information NG DIVI ,' .. : ill ; : ? •} , , 11, , I! f f -'"' =[CJ 1 41 f 1k p rr t li iiR-ti 1 :' t'''•".•!';',)i': 1 I t.t W 1 ' : `. 1 ,.. } -L (' . ' 1Y1 ■•11 t} 6 'l;1',.t . 1 . E ua ?tvrttfl1 S,Yl "I�11t�T{7Jr Y lr` ; { �� t : 1i : A :.a1Edl ri i.� ❑ New construction :11 Addition/alteration/replacement Please chec all that apply: ['Service over 225 arias, comm'I ❑Hazardous location ❑ Demolition ❑ Other: ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., • 1 { { �; l h i ll !{' }r�I M :' , } t l i , , ..' 1 ' ' ..1.,. s . 1 } ' of 1- and 2-tinnily dwellings 4 or more new residential 0 1- and 2- family dwelling ■ Commercial /industrial ❑ Accessory building ,_, System over 600 volts nominal unite in one structure m ❑Building over three stories ❑Feeders, 400 amps or more ❑ Multi-famil ❑ Master builder ❑ Other: DOccupant load over 99 persons ❑Manuthctured structures or l e i s G .. E;U.: '. {' , ,, 1 '... , . , 1 - - OEgress/light fs Plan RV park Job .. a Job s a dd res s: ©ealth -care �� ► Submit 2 sets of plans with any of the above. The above are not applicable to temporary construction service ..... aI' r,i }c 1 4 ..,.., , + ! lI ,..:,. 10i3 ;lMP,.1_;ititiiit Suite/bldg. /apt. no.: Project name: , _ /a Damien= Qtr, Rea Toter " Cross street/directions to job site: N ew residential single- or multi - family dwelling unit, Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Es. add'I 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no ll energy, non-residential 75.00 2 , {{ � ,: ` . .....! 1 1 .. .'. 1 . ; ._ ' L1 _ : . Limited ens i Each manufactured or modular _ dwelling, service and/or feeder 90.90 2 .A.,. • `ua. '.. Services or feeders Installation, alteration, and/or relocation j aN t r 4.,tt r 200 amps or less 80,30 II }, f t l�,1l 1 201 antes to 400 amps 106.85 2 • " i,.! „1 ; _ . r ' I .:. ... :.... .. .. _ ... _.... I . • . ... ,: _- .. 401 nitres to 600 amps 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 Phone: ( ) Fax: ( ) relocation 200 amps or less 66.85 I Owner installation: This installation is being made on property that l 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 li,, 1 1 / y'1 }; cl i { , , , ;; A. Fee for branch circuits with 11 { ......... service or feeder fee, each Business name: ■ branch circuit 6,65 2 B. Fee for branch circuits Contact name: ♦ without service or feeder fee, 46.85 i /i �IS" 2 each branch circuit IA Address: Each add'I branch circuit 6.65 i f, i,s 2 City/State/ZIP: Miscellaneous (service or feeder not Included) Phone: ( ) Fax: ; ( ) Pump or irrigation circle 53.40 2 .. x� Sign or outline lighting 53.40 2 Email: Signal circuit(s) or limited - I t { ;G 1 `' . t .f. 7 ; ;r.. ,., I f : , ' e..,; , ' en i y panel, alteration, or Page 2 2 e on. e : Address: , "" i . , ' Each additional Inspection over allowable In any of the above Per inspection 62.50 r ! Investigation per hour (i hr min) 62:50 Phone: ( ) - • y� � Industrial •land r hour 73.75 q L ' ,.1 I, , ;t f ?I: ';.{'l , i ., i1 :. 1. !J J 1 .. I - .Pl �1� r Electrical Lia _ _ ( Suprv . Lie.: /�y/s(�/ Subtotal 66 �'0 Suprv. Electrician signature, required: Plan review (25°A of permit fee) 4 ' Y Date: ?AN= State surcharge (8% of permit fee) 5.6 - - � �:_ / / �• TOTAL. PERMIT FEE 2 , /4.1 Authorized signature: y � Tale permit application expires If a permit Is not obtained within 180 days after It has been accepted as complete - Date: 9 • Pee methodology set by Tri-County Building Industry Service Board • • Number of inspections per perrnit allowed. I: BulidlntVerrnru tBLC•PetmitApp. 12/03 ' 440-461Jf(10/02/COM/WEB • CITY OF TIGARD BUILDING DIVISION PERMIT #: Ei..C2006.0 )7 :.1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27120h }F, Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/ - 121200E TIME: 7: 02A,M PAGE: 7 SITE ADDRESS: 14E55 SW 76TH AVE 20 CLASS OF WORK: SUBDIVISION: MARCIENE 11 APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: MARCIENE II AIDTS DESCRIPTION: (4) branch circuits for ww3her, dry' , water heatef & hmiders. Job #R-05-969. OWNER: 1300TH -HE YDDON Lt.C, PHONE #: CONTRACTOR: At3C ELECTRIC PHONE #: 503-2:i3-7651 Inspection Request Scheduled For: Date: 12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Elect 6Ca1 final 021790.01 503-2.33-7661 Y Corrections /Comments /Instructions: PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ✓ ✓✓ 1 1 FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N Date: t /I ti Phone #: (503) 718- 0 CI F TIGARD BUILDING DIVISION PERMIT #: ELC200S- 00721 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2005 Phone: (503) 639 -4171 Poo ^� , , ii' i Inspection Requests (24 Hrs.): (503) 639 -4175 "'III INSPECTION WORKSHEET FOR DATE: 10/3/2005 TIME: 7:07AM PAGE: 58 SITE ADDRESS: 14655 SW 76TH AVE 20 CLASS OF WORK: - SUBDIVISION: MARCIENE II APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: MARCIENE II APTS DESCRIPTION: (4) branch circuits for washer, dryer, water heater & heaters. Job #R- 05.969. OWNER: BOOTH FIEYDON LLC, PHONE #: CONTRACTOR: ABC ELECTRIC PHONE #: 603 - 233-7551 Inspection Request Scheduled For: Date: 10/3/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 017216 -01 503233 -7551 Y _ Corrections /Comments/ Instructions: X 2 V) -36 bg 9—n71c) \orn \ - / N____:- n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ---.. FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G N(6?) (6?) J Date: 43/06.-- Phone #: (503) 718- 24L14