Permit ® ,, V
C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00168
� i� LY , DEVELOPMENT SERVICES DATE ISSUED: 4/3/2006
`." :' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S112BD -00700
SITE ADDRESS: 14655 SW 76TH AVE 5 ZONING: R -12
SUBDIVISION: MARCIENE II APARTMENTS LOT : JURISDICTION: TIG
Project Description: (4) branch circuits for washer, dryer & heater. Job No. R06 -187
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:
MICHAEL O'GORMAN ABC ELECTRIC
PO BOX 1574 135 NE 9TH AVE
HOOD RIVER, OR 97031 PORTLAND, OR 97232
Phone: Contact #: PRI 503 - 233 - 7551
FAX 503 - 233 -7552
FEES
Description Date Amount Reg #: ELE 161501
LIC 26 -1226C
SUP 5096S
Total
REQUIRED ITEMS AND REPORTS
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 aen, OAR 9 2- ,1 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct question to OUNC at
503 - 24 - 80 - 2 - �. Issue i Permittee Signaturit::: ,.: ,%1%' r Q-c____
•
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:
ONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'fr-- D f__—) 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.
MAR -31 -2006 04:51A FROM: TO:81P5035981960 P.3
Electrical Permit Application " , ,
pp �� FOR �►I I 1(..''L USE (inl 1 :1; i _�-
Received `' /� � � /
Wify of T igard E DatdBy: ".o�,o, 1, 7c Permit : ei,e_ o+tP -r� /6 g ``
,13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 I � /, ,' " $„ �s ( t• Date/By Other Permit:
Inspection Li 503639 nspecon ne: ..4175 i [ v - ■ ' I '-: Date Ready/By: 1uru� }/ I See Pa ge 2 for
d1 i�r , 2 '' // /0•
Internet: www.ct.tigard.oGUS � �IG�RU Notified/Method: . Supplemental Information
1'
TY;JE 43 DIVIS PLAN REVIEW
ID New construction IS,Additio" /replacement Please check all that apply:
❑ Demolition ❑ Other: ❑Se vice over 225 amps. comm'1 CI Hazardous location
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
. ., . CATEGORY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential
❑ I- and 2- family dwelling Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Multi - family ❑ Master builder ❑ Other ❑Building over three stories ❑Feeders, 400 amps or more
. DOccupant load over 99 persons DManufactured structures or
JOB SITE INFORMATION AND LOCATION ❑ Egress/lighting plan RV park
`si 1 N t Q 5 5 C - ` 9 C] Health-care facility ❑Other:
Job no.: _ Job site address: J W Submit 2 sets of plans with any of the above.
•
City/ State/ZIP: S. \ 6\0.c r The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Projec me:
FEE* SCHEDULE
..6.-'. N Description I Qty. I F. 1 Total ` I •*
Cross street/directions to job site: V New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. fl. or less 145,15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
Limited energy, non-residential 75.00 2
DESCRTPTiON, OF WORK Each manufactured or modular
\ �� _ r dwelling, service and/or feeder 90.90 2
V�J y- � Services or feeders Installation, alteration, and/or relocation
p 200 amps or less 80.30 2
�" I { . 201 amps to 400 amps 106.85 2
❑ PROPERTY' OWNER ❑ . TENANT
401 amps to 600 amps 160.60 2
Name: t fa £ L 0 ( I ' 2 1 M) f 601 amps to 1.000 amps 240.60 2
Address: -Fp 4/ f5. 7 Over 1,000 amps or volts 454.65 2
Q � Reconnect only 66.85 2
City/State/ZIP: `C> /C..( J e 2 Q _ 970.3/ 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 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
Di APPLICANT I ' q CONTACT PERSON . A. Fee for branch circuits with
service or feeder fee. each 6.65 2
Business name: Nbc, l � - c branch circuit
-� � B. Fee for branch circuits
Contact name: c ?. \—\0.U1 without service or feeder fee,
�'� each branch circuit 1 46.85 1./( 2
Address: Each add'l branch circuit : 6.65 19 2
City/State/ZIP: Miscellaneous (service or feeder not Included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( )
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited-
. - , CONTRACTOR _ energy panel, alteration, or
_ extension. Describe: Page 2 2
Business name: i�{�'' k i d c k
11 Q � Each additional Inspection over allowable In any of the above
Address: it e_ ...,
55 t'�.l ► \ a n V L Per inspection 62.50
City / State/ZIP: ... ..5 . ‘"\ \G,,( C . \' investigation per hour (t hr min) 62.50
Phone: (5--)D2' a 5� \ >j ( Fax: (� 5 a 53 7--5-5„), Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: )6 /SD Electrical Lic.V(0 _/�4, Suprv. Lic.)g S Subtotal L ,
Suprv. Electrician signature, required: ::::::::: (25 of permit fee)
S of permit fee) - 5 . i
Print name:3h )�� Di.0 A 0 Date: TOT AL PERMIT FEE ,
i
Authorized signature: This permit application expires If a permit Is not obtained within 180
days after It has been accepted as complete
Print name: ��, u...3 r l
�� k s i,.. 1 1Date: • Fee methodology set by Tri-County Building Industry Service Board
Jt " w •• Number of inspections per pemot allowed.
i:\ Building \Permits\ELC- PermitApp.doc 12/03 440- 4615T(I0 /ovcom/WEB
CITY OF TIGARD
BUILDING DIVISION v PERMIT #: 1:10 .1::20( ::
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/312006
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/3/2006 TIME: 7:08Am PAGE:
SITE ADDRESS: `14G5 6 SW 76TH AVE , CLASS OF WORK:
SUBDIVISION: IMMARCIENE 11 APARTMM'iENTS LOT #: TYPE OF USE:
PROJECT NAME: MARC1 NE 11 APARTMENTS
DESCRIPTION: (.1) branch circuit;.: for barber, dryer t:;r heater. Job No. R06-107
OWNER: (YGORMAN, MICHAEL PHONE #:
CONTRACTOR: At3C ELECTRIC PHONE #: 503-233-7551
Inspection Request Scheduled For: Date: 513/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1S i9 !Electrical final 02918.01 5o3 23 "3 - 755`I
Corrections /Comments /Instructions: 2,\- V06
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: " "� Date: S13/(06 Phone #: (503) 718- . 2- 41 A
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EI_.C.".20O O016ii
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/17/2006 TIME: 7:OfiAM PAGE: PA
SITE ADDRESS: 14655 5 SUS 7611 AVE 5 CLASS OF WORK:
SUBDIVISION: MARCIENE II APARTMENTS S LOT #: TYPE OF USE:
PROJECT NAME: MAR-Cl II APARTMENTS
DESCRIPTION: (4) branch circuits for washer, dryer & heater. Job No. R0:' -167
OWNER: OT3ORMAI`NP, MIC HAL'1.. PHONE #:
CONTRACTOR: ABC- ELECTRIC PHONE #: 503-233- 7 )
Inspection Request Scheduled For: Date: 4/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 t:locfiricaPl rough -in 0 813x=:-01 5W:- 233- 7551
2_6---) 3 6'4
Corrections /Comments /Instructions: 1 `�
kr•ZS I\) !� -
Ti 419' csz vv1/4 0 41.6 b*6 ta
PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL ! CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 1"' D � Date: 11 CA Phone #: (503) 718- - '