Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00843
ell _ DEVELOPMENT I i SERVICES
503 - 639 - 4171 DATE ISSUED: 10/31/2005
PARCEL: 2S112BD -00700
SITE ADDRESS: 14655 SW 76TH AVE 11 ZONING: R -12
SUBDIVISION: MARCIENE II APARTMENTS LOT : JURISDICTION: TIG
Project Description: 4 br. circuits.
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 FOR: 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
SUP 5096S
Description Date Amount ELE 161501
[ELPRMT] ELC Permit 10/31/200` $66.80
[TAX] 8% State Surcharge 10/31/200: $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
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 -8 2 -2 '4.
Issued By: - Permittee Signature: 2,72
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.
-27 -2005 11:26 AM P.01
f /lt f )I l ll' 116; I1N1,1
e lectr i cal ' • ' mit A • - . ' s > > _ i V E D
Received Ad a Permit No.: r - I / - 0 O g __
City-of-Tigard DaWv L 1 j ;
13125 SW Hall Blvd., Tigard, OR 97223 OCT 2 7 2005 1 '4 4.v? Plan Review Other Permit:
-r , . I ' Date/By: Lurie: BI Bag PO4e Z for
Phone: 503,639.4171 Fax: 503.598,1960 - I 1 Date Ready/By: T Supplemental ov 2 for ormation
Inspection Line 503 639.4175 '
insp CITY OF TIGAR r = - Nou6ed/Motnod: ,
ci tigat'd or us ' - r, °:
Internet: www. • ; ' ; ',,, ••: j:. .
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Please Chock all that apply:
.. , . . � r - � . •. • . v,._.,::mr. n. • m e r: , , uuL: 'n ; ,,,,, , , „r • tar., I,:r, - r .. : i. . . "...,,h,, -ier:. -, ,, ., -
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::,••:� • Mi�,._:' l. l,... �al:!• I ^ ` • "'( ... Tr ri: [•.[r!
e-al ; , r...,, I � . n' _. - ':d..•, ..... �6H .•.,� •: ,.. iii �+ w.. ' ,�� r I �,.
❑ New construction ill • ddinon/alteration/Teplacement Service over 225 amps, comet 0HazardOUS location
❑ Demolition ❑ -- rating Othet a --
4 .,..�_...,r,.., • L,,:,.,, . h ;,,ifs; elii�.,,� ' p a!P,i id l':n c HService over 320 of 1 and 2 family amp g aBuildng over 10,000 sq. ft.,
4 or more nresidential
❑Systcrn over ::;.:.:•,�=:: :., ' :,,r;iit ; .,...._,. I : ' a l M ul•,i R;� «i; „ nom �' r. N,r'..,":f is in one new reside
. nac:,, i ccinryl� 4 - -.�"!!� ]I: �� X"�^! �. �i IF9 ru, °u,
�/!�yWW�AAff!!��••� ' °' -'�' ^„° "•, ".: - . � a 600 volts nominal �
.! �. i• vF ( ;!':'�,::,•,,,,,l, T�'�"r' :� in n,. ,. suucture
❑ 1- and 2- family dwelling `9..c o mme!'ciallindustrial ❑ Accessory building []Building over three stories OFecders, 400 amps or more
O ther: Ooc ant load over 99 persons ❑Manufactured swctures or
[21 Multi El Master builder ❑ ❑ W �.
u!�e,Ti le;ii:': 'i;; ! �' 6l : :"'.,-Ms' ':'."^ 1 " i '110 .:' ": �� ? � �;'I: rant~ i hfi_ 0Eg gh�g plan "W” T�
i3. : 'f� ❑other:
.,,:�!l i�i� Pu ' �C!i(' :: _ . _..., .. . _.., ❑Health -care facility
Job no.: KT! 0 Job site address: 1 , . ► 1 I Submit 2 sets of plans with any of the above.
The above are not applicable to temporary construction service.
e_ ligikiI'<' t!: t. ,:, :';',: „�.n 1 e'fE°�ilt::ak411110 Lr!
Suite/bldgfapt. no.: Pro - t name” - L. .II _1 • Description _ Qty. Fee. Ted
New residential *Ingle- or multi- fanilly dwelling unit.
Cross street/directions to job site: V I L _ . includes attached garage.
1,000 sq. ft. or less .. 145.15 4
Ea. add'I 500 sq. ft. orportion 33.40 1
Subdivision: Lot no.: Limited energy, residential 75.00 2
Tax map /parcel no.' Limited energy, non - residential 75.00 2
.:' ,�,INM -.. 1 • c,4�'-' �•n�, ! n ' c ` ' 1 ?I !E �' t ,,,: u R t r• � 1�'' I t. 'i I. I ���'IC ill ' Each manufactured or modular
„"j = =f;, , ; C : ; ;y ,tC7 ri „� e 4 ••_(. c �t �r ., n' Each nom, ufac end/or modula _ 90.90 2
t 0 i 4 .. t ' , Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
1 A ' ! r , . , , i nyl,;, la ";; �r' 201 amps to 400 am 106.85
y; !f � + F a '; gr• Rk„ ry lit^. ., is I. �.r� B 160.60 2
rti' ' ilri;I;'t{": r . Ir at 'F .' - • L.1 ro 1 : 4; . ' %., ' • l it 6 � Y; ,_ „ 40 1 amps t o 600 amps ,
Name: 601 amps to 1,000 amps 240.60 2 -
Over 1,000 amps or volts 454.65 2
Address: 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 a m to 600 amps 133.75 2
Owner signature: .—.�-
Date; Branch circuits - new, alteration, or extension, per panel
w a "''fir RIf'N9 A. Feo for branch circuits with 11 .1,,.''. I�,.:`. c p�M1' .'��tl,11 Atli e
i.l_, �i�;,",i. ly iii il'! 716,7:7 �� •i �r ' � i'N ' . � V � . +; .�d l A C� .I f UI �Ji l . � 6,65
t'� : „ i;I�.::�„ud9PN,,.. •,: .r :: , > (f; ni: sd service or feeder fee, each
branch circuit _
1 • _ . _ . - B. Fee for branch circuits
Contact name: a 1 without service or feeds fee, / 46.83 q 4 6' 5' 2
-. - each branch circuit
Address: • . .: Each add'I branch circuit , 6.65 la ,g 1 2
City/State/Z1P: Miscellaneous (service or feeder not included) _ _
Pump or irri • : tion circle 53.40 2
Phone: ( ) Fax: : ( ) Sign or outline lighting 53 2
E -mail: w Signal oircuit(s) or limited -
.'n,,,.r ti,'. ;t`�P',, ''!?:''.0' d zl!;' r 2 2
,, - I•F': e :n,n , f. � !, it ' :'ilu
4, P . ._ ''' ", - a LL" . -L. ' !- -'''e. pt� '1'1” 'll„` energy panel, Describe: ,,,a "iin�� _.. } ...... , a:� �;,�:" .. „a .. I, ' - • '° extension. Describe: Page
Ali.
Eh dltlonal impaction over allowable In M the above
Address: t \ t Per ac inspection 6 2.50 • any
Investigation per hour (1 hr rain) 62.5
- industrial plant pa hour 73.75
r
Phone: (.5!.:3) Fax: (� = k,� _,c II .:, _ „.,, ,i,`s,! ':_ , :! i2.
in s l a nt. r hour fCFi i..IiERMI'�' F E t.
EMEMIIII Electrical Lic.�60 . /,`_ , 112211M1121 Subtotal & TO
Plan review (25% of permit fee)
Suprv. Electrician signature, inquired: = L � , I
State surcharge (8% of permit fee) ..l 7
Date:
I I Q - TOTAL PERMIT FEE .2 ci
/� ' 7
.r Authorized signature: �� T h i s permit application expires if A permit 1a not obtained within 180
- �l �(�. _ days after it has bees Accepted u complete
Date: �' • Fee methodology set by Tr{- County Building Industry Service . (,
— _ • �. �- °� •• Number of inspections per permit allowed 1 L�
l; tauildingTeratltalBl .C•PnmitApp.dee 12/03 440-46 11T( !OM/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005-00843
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31/2005
Phone: (503) 639 -4171 + �
Inspection Requests (24 Hrs.): (503) 639-4175 ,-.41i '`'' ��
INSPECTION WORKSHEET FOR DATE: 9/113/2006 TIME: 7:01AM PAGE: 5
SITE ADDRESS: 14665 SW 76TH AVE 11 CLASS OF WORK:
SUBDIVISION: MARCIENE it APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: MARCIENE II
DESCRIPTION: 4 br. circuits. 9116/06: REINSTATED FOR FINAL INSPECTION ONLY ViiiTl-IIN 30 DAYS.
OWNER: BOOTH - HEYDON LLC, PHONE #:
CONTRACTOR: ABC ELECTRIC PHONE #: 503-233-7651
Inspection Request Scheduled For: Date: 9/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 036716 -03 503- 267 -36613 N
N.
Corrections /Comments /Instructions:
(-\
c■ . N . '. : A I
4- C I A 4 PASS PARTIAL APPROVAL n CANCEL n NO ACCESS
1 I FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: ` 103
La" Date: 911 1 ( ( O( Phone #: (503) 718- to
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200S -00B43
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/31 /2005
Phone: (503) 639-4171 , ' t>a
Inspection Requests (24 Hrs.): (503) 639 -4175 .__. ' "'I_II
INSPECTION WORKSHEET FOR DATE: 11/2/2005 TIME: 7 :04AM PAGE: 73
SITE ADDRESS: 14655 SW 76TH AVE 11 CLASS OF WORK:
SUBDIVISION: MARCIENE II APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: MARCIENE 11
DESCRIPTION: 4 br. circuits.
OWNER: BOOTH- HEYDON LLC, PHONE #:
CONTRACTOR: ABC ELECTRIC PHONE #: 503 - 233 -7551
Inspection Request Scheduled For: Date: 11/2/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 020068-01 503-233-7551 N
Corrections /Comments /Instructions:
EXPIREYo)
1 1 PASS n PARTIAL APPROVAL f y CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G ' "" (d Date: VI- V O Phone #: (503) 718-