Permit CITY 1 1 O F TIGARD
GA R® ELECTRICAL PERMIT
""� PERMIT #: ELC2005 -00723
DEVELOPMENT SERVICES DATE ISSUED: 9/27/2005
,. - - -" 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 112 BD -00700
' SITE ADDRESS: 14655 SW 76TH AVE 22 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 -1226C
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: e r 7_,cth ' Permittee Signature: Jo :-e___. c) TV
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.
SEP -23 -2005 11:20 AM P.03
•
2 electrical Permit Annlicatio .
Ii1iL' ll( IIlM: ;,
City of Tigard ��E it+ed /1 , �6 9 PermitNo.: c ' .G)7
13125 SW Hell Blvd., Tigard, OR •f r * *' Plan Revi ono permit:
Phone: 503.639.4171 Fax: 503.598.1960 1 ': irs i Date/Br
Inspection Line: 503.639,4175 c [ D 2 :� i N. i s 1 Date NotIfle Reedy/By: lug Eia Ste Page 2 for
Internet: www.ci.tigard.or.us
cJCI �' d/Mathod: -1--/(f- Supplemental information
f, t „ i i0 f r i ' ` - _ _ ' t f I ! r r1 E y 4. �[t1' 1I , tl, 1{ lii
3 i 11 r 1 > {}n� tl} e 1 •
yrr I. I r ,i n ... . ,1 , I ' .. ,1 t l'. 1 t r > 1 a l , ' .. ,i 1 � ,.l ,J , . ,, ,.,1ii.: ut . . z,au.. lilt itS - I .d ,,1 .1, . f.
❑ New construction ei a I,' 015R0(4 placement Please check all that apply:
❑Service over 225 amps, comm'l ❑Hazardous location
❑ Demolition ❑Other: g over
.!! i l cd' i l i ilii !,�d., ?, i . -.:: .1 . ,.�. .. _ . i 1,..r � � I , , . ❑ of 1 . and 2 famil ydwelli gs 4 or m ore n mew
❑ 1- and 2- family dwelling \ Commercial /industrial • Accessory building ❑System over 600 oats nominal units in one structure
(]Building over three stories ['Feeders, 400 amps or more
❑ Multi- family ❑ Master builder 0 Other: °occupant load over 99 persons ❑Manufactured structures or
iil' t:ti.4., '. _` ;t', ' . , ,I slighting pier RV park
, J ob site address: `N n r� ❑l-lcalth -care facility ❑Other':
Job no. 0 5. , 4 <J \ ``. d Submit j_ sets of plans with any of the above.
The above are not applicable to temporary construction service
• � ` ... , � d f i ':;':';;i.;;;;',.•'• r 1 .. t.. 1{ ,lr . 1 a iiirt
Suite/bldg. /apt. no.: 1 P ro j ect mime: _ .,,. .,l ,.,,. }' /'ry, ,., . .,, f ,'ti,t� ,, 331lf i ota . 1 I f .;L�. a�!fl
- ∎ Deicrtpdon Qty. Tots!
Cross streetJdirectione to job site: . ` a - IL .r New resldentlal single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. it or Tess 145.15 4
Subdivision: Lot no.: Ea. add'1 500 aq. ft. or portion 33.40 1
Limited energy, residential _ 75.00 2
Tax map/parcel no.: Limit ener non - residential 75.00 2
ihttr ,t,.F -,, i �r1 y pia„,, r , r ' ; i L . ' = ...: Each manufactured or modular f. dwelling, service and/or feeder 90.90 1
t
Services or fasters inatallotlon, alteration, and/or relocation
200 amps or leas 80,30 2
11 1 'f i , , r 201 amps to 400 amps 106.85 2
160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 an 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 snips to 400 amps 100.30 2
_
intended for sale, Iease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner sigrnature: Date: - Branch circuity — new, alteration, or extension, per panel
c j, t ,. 1, " , Fee for branch circuits with
A
lr 1,_..0 .0 .,. service or feeder fee, each
branch circuit 6.65 2
"` B. Fee for branch circuits
Contact name: • without service or feeder fee,
each branch circuit / 46.85 /A S' 2
Address: Each add'l branc circuit .S 6.65 1 fj c � °.. 2
City /State/ZIP: Miaceilaneooa (service or feeder not included)
- hone: ( ) .1.M 1 Fax: : ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
li 6t RI it 1 t 1 .j ti} N }N... 1 , ' ti 1 „ ! i h i :.. :.: energy panel, alteration, or
extension. Describe: Pogo 2 2
Address: , — t , Each additional Inspection over allowable In any of the above
smarra Per inspection 62.50
r / Investigation per hour (1 hr min) 62.50
Industrial plant per hour 73.75
Phone: ( ) ' d n
- i `'''-!Y�1 . .1Pi- , 1if' . !,:. ',u , 1i, '1 i :N , t „1t1;RN:i'INel;19ilit
EMIIIMMIEMZE Suprv. Llc.: / , /„J Of Subtotal 6 6 , ao
"..- Suprv. Electrician signature, required: _ •. r Plan review (25% of permit fee)
State surcharge (8% of permit fee) �4/
Date: �j .� ' '/
• ! / �a / , TOTAL PERMIT FEE 1 7 //
Authorized signature: ` — � This permit application expires If a permit k not obtained within 180
days after It has been accepted as complete
A Date: / _ 0 * Fee methodology set by Tri- County Building Industry Service Board
-• Number of inspections per permit allowed.
i:\ BuildingV +erminlBiC•PmrdtApp.doc 12/03 0 440- 4612T(IQ 2/COM/wita
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 1=l_ ;„ 20055.0]72.
13125 SW Hall Blvd., Tigard, OR 97223\ DATE ISSUED: !:i /"il/ :iP,
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/12/2006 TIME: 7:02AM PAGE: 73
SITE ADDRESS: 14655 SW 71TI - I AVE 22 CLASS OF WORK:
SUBDIVISION: MARCIENE II APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: MARCIENE II APTI.3
DESCRIPTION: (4) blanch circuit: for washer, dyer, er hooter 8, he at.ers. Job tl - 013. -c ,9
OWNER: t t70Tf°I- HCYDON LI.C•, PHONE #:
CONTRACTOR: Al3C ELECTRIC PHONE #: 503 - '23 3-7651
Inspection Request Scheduled-For: Date: 1/12/2 6 Pour Time:
Code # Inspection Description Confirm # ontact # Message
199 Electrical firl< l 024792-01 6 3-23;.3.7561
Corrections /Comments /Instructions:
i
•
2 PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL E CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Crl '"'° Date: 2 ' Phone #: (503) 718 - 5 1 r )
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00723
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2005
Phone: (503) 639 -4171" ,,
Inspection Requests (24 Hrs.): (503) 639 - 4175 —!i
•
INSPECTION WORKSHEET FOR DATE: 10/3/2005 TIME: 7:07AM PAGE: 54
SITE ADDRESS: 14655 SW 76TH AVE_ 22 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 - HEYDON LLC, PHONE #:
CONTRACTOR: ABC ELECTRIC PHONE #: 503 -233 -7551
Inspection Request Scheduled For: Date: 10/3/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 017220 -01 503 - 233 -7551 Y
Corrections /Comments /Instructions: _
-( \JI S IAWq\b4L Ff JAL R- 1 _
PASS (l PARTIAL APPROVAL _ CANCEL El NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
� 1�
( / .2-41141)
Inspector: 6 8 � Date: � 3 Phone #: (503) 718 -