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Permit CITY OF T I GAR ® ELECTRICAL PERMIT PERMIT #: ELC2005 -00823 ' �� I 13125 D SW OP Hall Blvd., Tigard, SERVICES 503 - 639 - 4171 DATE ISSUED: 10/21/2005 PARCEL: 2S112BD -00700 SITE ADDRESS: 14655 SW 76TH AVE 3 ZONING: R -12 SUBDIVISION: MARCIENE II APARTMENTS LOT : JURISDICTION: TIG Project Description: (4) branch circuits for washer, dryer, water heater and heaters. Job No. R -05 -847 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: PYOUNG & J PARK ABC ELECTRIC 17514 NW COUNTRY DR 135 NE 9TH AVE PORTLAND, OR 97229 PORTLAND, OR 97232 Phone: Phone: 503 - 233 -7551 FEES Reg #: LIC 26 -1226C SUP 5096S Description Date Amount ELE 161501 [ELPRMT] ELC Permit 10/21/200` $66.80 [TAX] 8% State Surcharge 10/21/200' $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 susp:•.e. o : - than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rut: are set forth in • • - 952 - 001- 001 h OAR 952 - 001 -0100. You may obtain copies of these ru -s or direct questions to OUNC at 50 246 -6699 .r 1 -800 -3 - 344. Iss • ed By: %� : 1 �i�/(, /1 Permittee Signatu , 311111■,- 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 IN TALLATION ONLY SIGNATURE OF SUPR, ELEC'N .. /_- ' �ir-'f / , ' DATE: LICENSE NO: �9 Call 503 - 639 - 4175 by 7:00 a.m. for an inspection that business day. T his 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. OCT -20 -2005 12:29 PM P -04 E1er_trica Permit Ag plilcation I . ` 't= Received islay: / %OI I PermitNo•: ,e,�oos - c 3 o>� Tigard ' ,, `• - 1312 p_14 L , ► d Phut 13125 SW Hall Blvd., Tigard, OR � ( ; � i y r� ,e � , s Review Other Permit: � • i , ,l P �� phone: 503.639.4171 Fax: 503.'9 :'. 1 Date Ready/By: �+ nil Sea Page 2 for Inspection line: 503.639.4175 Notifed/Mlethod• /C Su pplemental loformadoa Internet: wWW.ct.ngard.or.us p11 T l) } Oc 1I Xlr Zf a t t 71 `�I t r 1 f f �1 "iii LL 1 • ,... 1m , 11;.•: -r , " +� f I ! , 1 t r , f . . , tj i r 'I y.:1.":;7' ! �' 'III iV11 e iA' '') : ii r V I I ; ,. 1 „V_ i u�� „S; tl'ti);il- .i!�.LLt "r.' '-+ )1 r S f, -.i' e , [ v � I+ „i i � !.1 I :l t. r fli t • , ' f! � .:!'..... � , 'L ,ai.. , _, n.. .. i( e i ,. I � ..�.,.. -...,, ...:.. please check all that apply: 0 New eonstruotion V 'yr{a©t1ipp/replaeement ['Service over 225 amps, comm'I []Hazardous location ❑ Demolition ,L' IthlAiN,G DNIS 10 N dService over 320 amps - rating DBuildng over 10,000 s , ft., , 4I L �` I { 1 I 1 I" 7 „! , t - of ! e +; r r I rl L'f ( 1 1 1 Uc t e f 1- and 2- family dwellings 4 ormorenewresidenf � ; % , il li�iir � .I . .I . �1t . ! � ., . ti>t � �... ? -i ; ti i '. ''i A l ' 1.. units in one structure ❑ System over 600 volts nominal ❑ 1 - and 2 family dwelling S] Cormnercial/industrial ❑ Accessory building 013uilding over three stories °Feeders, 400 amps or more ❑ Multi - family [] Master builder ❑ Other: °Occupant load over 99 persons ©Manufactured structures or n I i ° Egress/lighting 1 s ply' !, ( I { f{ 3 , 1( 61, ,P , { ,� ti r ! a.: 1 .,,, , - park RV a f utrGii �?� I ,+ 11. r. li P, L..k 1 . :c , ,... l•. •.. , w .,, • m.., . _ facility ❑0 her t ill, . Job no.: /?_05 .64./ 7 Job site address: f _ Submit 2 sets of plans with any of the above. The above are not applicable to temporary construction service Cr /$tate/ZIP: r i x j r y t 1 )t g 1 1g i r l+ t� +�{F•t 4. ' ,7 / ry 1 � { t i5'I I' 11, it l� �ll. !I >� i 14 �t11 1, i tf ! ! �r lhrl • ' 1 1 � ,., }. n '” i f....r t e � a. . •, +.ht r ., i,,. /sit 1.i..idli,i.l.,1 r1. ,,. idiot ..,a• Suite/bldg. /apt. no.: Project name: J , A .4 i1. I , Deurlpebn Qty. Pee. Tolol ' � / New residential single- or multi - family dwelling unit. Cross street/dtreetions to job site: "/ �6 v. CVf-Ciro . Includes attached garage. 1,000 aq• ft, or less 145.15 �� 4 ft Subdivision: I Lot no.: E ndd'l 500 aq. . or portion 33.40 I 75,00 .. Limited vncr , resident 2 ial Tax map /parcel no.: limited energy, non - residential 75.00 2 . 1 1111 II It 7, 4� F 11 i 74i !,, m 1 ' l>i „, , , , - ,,,+-:? ; :- ! : .., , ' , -i - a , Each rrlanutbctured or modular IF 16u ,.. r 1 r ....... a,. ,,.I r ... t ,., 1 dwelling, service and/or feeder 90.90 2 _ AP 4 w - - 1 - A , I d Serviced or feeders Inetallatlon, alteration, and/or relocation 200 amps or less 80.30 2 lit n d / •+ hI 1 ! 1 I r 6, + 1 1 , > . 201 amps to 400 amps 106.85 2 I:;;!1:ti'�•.,,1, i' ,. i�,,. rt .,. : 1I:!;,: ....,t ..,,!..i_r.t . . -,I; ,.6, ,. •, : .:.1 401 amps to600amp 160.60 2 2 601 amps to 1,000 amps 240.60 2 Name: %, p U. 1.-. Co a -- S - 1 w.) t,- 454.65 2 Over 1,000 amps or volts Address: (1 L� (� (,t IZ� '-J Reconnect only 66.85 2 City /State/ZIP: 1 . ) 0 (Z '. a , 9 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 z intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, 401 amps to 600 ann 133.75 2 Owner signature Date Branch circuits - new, alteration, or extension, per panel A. Fee for branch circuits with ,r.� nl4q r It { i ' y t' Id i , : + ' :�. { .:;1'.--1°."..--:'r":'- ,, .,� ..1 -- '�:. . -- ,�.. :- .. . � . .... .. . A . service or feeder fee, each d {�11> ! , a ,1-a -„ r 6.65 2 Business Herne: �A branch circuit _ B. Fee for branch circuits Contact name: 1 C r Cs.. without service or feeder fee 46.85 2 ['! each branch circuit � S Address: . Each add'I branch circuit . „,3 1 6.65 J 9. S 2 City/State/ZIP: Miscellaneous (sarvlce or feeder not Included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax: ( ) or outline l ighting 53,40 2 E-mail Signal circuit( or limited. i 11 r r 1 r r , , 4 1 ” en panel, $ alteration, or i,,1 .1 f, ) 1,, Cra '' ll ryr,i :,,,al_ ,, �, . ! 1 2 2 AP r IIIP,JJ h v kr6�.i 3 a._ ,r..,. �.,.._. extenaion.Describe: Page Each additional inspection over allowable In any of the above Address: A t / A t m' / / Per inspection 62.50 or I Inv estigation per hour (r hr min) 62 50 Air / ' Industrial plant per hour 73.75 Phone: ( ) -.- - v,f'2kl f Y , r i r f K 1 °i � ; ...� ti. , „ hTi , 1 11 > „i,; ,tf Q i i r i. J 1I * n ', 1 •11 11 ; F I iH! Suprv. Lie.. 'RIO g/. /D S Subtotal 6 Cg0 Suprv. Electrician signature, required: ' Plan review (25% of permit fee) - - 4 State surcharge (8% of permit fee) !, , 3 f-, Print name: Date: J/ 1 : . a .L _ / .0A J TOTAL PEItM1T FEE Authorized Signature: Thte permit application eaptres If a permit h not obtained within 180 days after It has been accepted as complete Print name: Date ts. - Fee methodology set by Tri- County Building Industry Service Boa 1 / / / . d a , a - �/ ■ •• Number of inspections per permit allowed, L BBuildiaalpemdts0O,C-ParnitApp -doe 19,03 1 44dt5T(IWCl /COM/We8 7 n/ v ' CITY ��N�� u m m OF TIGARD BUILDING DIVISION ' ~°~,,~~~~""~~= ~�,°,~°,~~,` PERMIT #: ELC200500823 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2.0006 Phone: (503) 639-4171 Inspection Requo�o(24Hmj:(5O3)G3A4�17G . ` INSPECTION WORKSHEET FOR DATE: 9/18/2008 TIME: 7:O1AM PAGE: 7 SITE ADDRESS 1455SEW7GTH AVE 3 CLASS OF WORK SUBDIVISION: MARCIENE 11 APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: k1ARCiENEU APARTMENTS DESCRIPTION: for washer, dryer, water heater and heaters. Job No. F�05-8479/16/0Q REINSTATED FOR FINAL INSPECTION ONLY WIThIN 30 DAYS. OWNER: PARK, PYOUNG & JINN PHONE #: CONTRACTOR: ABC ELECTRIC PHONE #: 503-233-7661 Inspection Request Scheduled For: Date: 9/18/2O00 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 E]ectric:al final 038716-02 503-267-3668 N Corrections/Comments/Instructions: `\ . ' � . . X ASS PARTIAL APPROVAL | |CANCEL NO ACCESS | 1 FAIL 1 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: CT^ t■) o e Oata:�� 1 Phone #: (503) 718- « �� /�