Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00720
DEVELOPMENT SERVICES DATE ISSUED: 9/27/2005
tt 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S1 12 B D -00700
SITE ADDRESS: 14655 SW 76TH AVE 2 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
POBOX1185 135NE9THAVE
LAKE OSWEGO, OR 97035 PORTLAND, OR 97232
Phone: Phone: 503 - 233 - 7551
FEES Reg #: LIC 26 -12260
Description Date Amount SUP 5096S
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: _ 22'12) v Permittee Signature: je ( �,, 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:
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 11:18 AM P.01
It Ap Di1Cat1O>m
] Ele c `trical Beattie E IVE �` RenewedGl� A P ermatNo. :61.
City of Tigard °� .....t
Platt Review Other Permit:
Phone! 503.639.417 Pax: 503,598.1
13125 SW Hall Blvd., Tigard, OR 97223 SEP a . I l - Da Review
ter_ see Page 2 for
%0 2 3 `L 1' ,y . - Date�Ready/By: I 1 G' supplemental Information Inspection Limo: 503.639,4175 e
NodAed/M
Internet: www.ci,tigard.or.us l (�
„- n r t , t r i Y tr ( ' { ..... 1 I' I{ ,,, r • f hr6I, ' I , ' , : << i 9 , r 1 I , : ?. . - , :. . .. Please cheek all that ' appiy: , i
r, r r { li 'f�' t'1k'I� n + ��[< !t•tt r O
1 1�'I� . �f �t1.'li.,i��r! { r };i' +�
El New construction r@►dditl: r : • replacement ❑service over 225 amps, comm'l ❑Hazardous location
0 Demolition 0 Other' : : , Cr ; ['Service over 320 2-fat2lily dwellings ng 0Buildng over
rnore new residential
sq.
:t +, }Iit t , it ,1 tit:gJt;. ,<,r iI L 1 ii ;. ,. .C`.. .. .,:. �.... ,,.... ❑System ov nominal ,, �+ ,. ,� ,., . ... - er 600 volts nomin units in one structure
0 1 - and 2 family dwelling `aCommercial/industrial ❑ Accessory building
❑Building over three stones ❑Feeders, 400 amps or more
0 Multi - family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or
L , ° F 1 1 1 1 OHgress tghtingpla
�.
.
O P
park
❑ ty
' f,t j ., r�} ' I , _ -c ref e' ❑
Job no. R. 4 . t ,C= Job site address: 1 5 . . Submit _ seta of plane with any of the above.
113=211111f6 '
C:t.f" "'
The t a, i b ove 1 ere oh { r t applicable to temporary constntctto sar�tce 11
- ..:-:1.,.1,,P:.!.,. I n
: � .1. 1 e,,,..,,,,,..-.,,i,::„,,,$.1., ,'i 4'I'I +,. h,i {I ifN. { II..n,,A;. 1, 1 , 0 2 :
Suite/bldg. /apt. no,: as oamisili° Qty• p Total arb
• New residential single- or multi- family dwelling unit.
Cross street /directions to job site: Includes attached garage,
1,000 sq. ft. or leas 145.15 4
Lot no.: Ea. add'1500 eq. ft. or portion 3340
Subdivision: Limited energy, residential _ 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
1 'li i + s li:' �tEO ' .I ....... ; I ' ` , 17 )- -: '.. _ 1 ...._ 1 Each manufactured or modular 90.90 , 2 .. dwelling, service and/or feeder
• i�'r services or feeders Installation, alteration, and/or relocatio
200 _
`` Ser amps or leas 80.30 2
1 t,° yp { ( F - 2 01 amps to 400 a mps 160.60 2
401 amps to 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 ingtalladon, 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: . ^_Dato: Branch circuits— new, alteration, or extension, per panel
4 iHI ;i f t , + u} .,;',1,'.' I , A. Pee for branch circuits with
ii tl .,� , . f a h 6,65 2
:.,..... _ ,., ..._ . , , ... .. ' service or feeder ee e c
branch circuit
B. Poe for branch circuits
Contact name, • \ , without service or feeder fce, 1 46.85 �G
each branch circuit
Address: Each add'I branch circuit , 6.65 / f, 03 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 circuits) or limited -
i , I - , I 1 „1 ,; +, f , i F tm ern
paneh alteration, or
- •1 it t iiilt f I4 1 ,`�ff f;.' „ .I L.::. E .. i ? ' . - .. : .:: . . , ' . . atension. Daact Page 2 2
Each additional Impaction over a In any of the above
Address: i t ! /' Per inspection 62.50
�' • investigation per hour (i hr min) 62.50
• s r i ,•:
industrial plant per hour 73.75 FI tI 1
Phone: ( ) -- 1 ',':::::4,!:•!'i. : c 1.2:, I I 4 ' 'I,, II i ; I , ' ,Lq., ". -. .1e ., f . } .2t11$Y.1.'t{f(l h' �?lr - ii
, 1, ( Suprv. Lic.: ` , /5 Subtotal 406
+� Plan review (25% of permit fee)
Suprv. Electrician signature, required: .f C
State surcharge (8% of permit fee) J , 5 y
l �/ ` �, / I / �� Date: - TOTAL PERMIT FEES /
Signature: ��- Thh permit application expires It a permit Is not obtained within 180
. days after It has been accepted as complete
Date: • Fee methodology set by Tri- County Building Industry Service Board
Minter of inspections per permit allowed
l; kaulldlnatPermit .\HLC- PermltApp.doe 1/03 ' 44e.46I 5r(10+02/COM/WBB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: L:L_C2005..0tr /7O
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: V271200!'
Phone: (503) 639 -4171 , , ' ,,, ,
Inspection Requests (24 Hrs.): (503) 639 -4175 "
INSPECTION WORKSHEET FOR DATE: 1/12/2006 . TIME: 7:02AM PAGE: 76
SITE ADDRESS: 14 655 :fir 76 EH AVE : 2 CLASS OF WORK:
SUBDIVISION: MARCIENE II APARTMEKIS LOT #: TYPE OF USE:
PROJECT NAME: MARCIENE II APiS
DESCRIPTION: (4) branch circuits for washer, dryer, water heater 8, heaters:. Job /0- 05-9€9.
OWNER: BOOTH- HEYDON LLC, PHONE #:
CONTRACTOR: AI3C ELECTRIC PHONE #: 503-233-761
1
Inspection Request Scheduled For: Date: 1/- 12/20,6 Pour Time:
Code ; Inspection Description Confirm # } Contact # Message
lib Electrical final 0247e`` : -01 '? O3- 233.7661 Y
Corrections /Comments /Instructions: n f L.,
2- -6 1 - - -fh 33 r \\r�\
tviNfQ111';om to-l : %1 C
PASS 13 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ • LL OR INSPECTION ADDITIONAL FEES ASSESSED
L H 1 IA)
Inspector: Date: ' 1 Phone #: (503) 718- 46
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00720
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3127/2005
Phone: (503) 639 -4171 ,' F.
Inspection Requests (24 Hrs.): (503) 639 -4175 4 ;2.
INSPECTION WORKSHEET FOR DATE: 10/3/2005 TIME: 7:07AM PAGE: 59
SITE ADDRESS: 14655 SW 76TH AVE 2 CLASS OF WORK:
SUBDIVISION: MARCIENE II APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: MARCIENE 11 APTS
DESCRIPTION: (4) branch circuits for washer, dyer, 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 017215.01 503 - 233.7551 N
Corrections /Comments / Instructions:
PASS PARTIAL APPROVAL _ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: `1
' ) ( Date: )6 1 3 / Phone #: (503) 718- 2-4*