Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00008
IA DEVELOPMENT SERVICES DATE ISSUED: 1/6/2006
503 - 639 -4171
PARCEL: 25112 BD -00700
SITE ADDRESS: 14655 SW 76TH AVE 28 ZONING: R -12
SUBDIVISION: MARCIENE II APARTMENTS LOT : JURISDICTION: TIG
Project Description: (4) branch circuits for washer, dryer and heaters. Job No. 1415
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: Contact #: PRI 503 - 233 - 7551
FAX 503 - 233 -7552
FEES
Description Date Amount Reg #: LIC 26 - 1226C
[ELPRMT] ELC Permit 1/6/2006 $66.80 SUP 50965
[TAX] 8% State Surcharge 1/6/2006 $5.34 ELE 161501
Total $72.14 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 w' I-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
suspe ed for more thatt,180 da s. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rule are set forth in OAR 95..01 1.1 through OAR 9 2- 001 -0100. You may obtain copies of t rules or direct questions to OUNC at
50 246 -6699 or 1- 800 -332 1 j / a I'
Iss ed By: ( Permittee Sigrat rre: / /
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:
-'s NTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. EL E ✓ 2/ 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.
JAN -0S -2006 03:31 PM P. 01
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Irilt Appli_ 1.1./Ft ut l'll;h. IN F. l()NIA �ri cal Per �`? 1 l ip , ,.�
G -� _ _ Rec e ived I. ✓t�
__City of Tigard ; � I� »ate .
' 13125 SW Hall Blvd., Tigard, OR 9722,3 ^' 7;/ Plan R Other Permit;
Phone: 503.639.417 Fax: 503.598,1960 ' M" " Plipililli i ate/B '
: e � . •1 ± ; -- Date heady /Sy: W ® See Page 2 for
Internet: 1 or. - Notified/Method! Supplemental information
rntt ww.citigtigard.r.us /' " l' a
. ;•, L,. = :,,::; , .. , 114: ., .,:-'i ''��i= "" - LAN _: •
,. � .,...,:.: d•.= L.a.,,.:. �: ...,:, -._. cal ..,,,. , .E 'Rl8 , � . / .OI�,j.. .._.. ;.. ,,.i ...
,, ,.I,.: "..:... - .:•:,, - ^: -:. I ..: � � , .. Please o heick all that apply:
Pl
,- ioa/al patio 1pGament OService over 225 anti's, comm'1 ❑Hazardous location
ion 1.
El New construction � s Buildng over 10 000 s9 ft
Other
El Demolition ❑ , _ _ elliags 4 or more new residential ft.,
^II. . ,- -,.. Rr. ;t .., _ II
Service over 32 8
' ��:�;: i ` �.,` of i and 2 family
�':,:i`'' ..I:. ':' „�._; ?iE :Cq�G F.. , .. _ ,.. �i�I;1.I -. �. - , ,,.,.._. , ,.� l structure 'II • ;:I.',I„�.L I ^.I:..,.;. I, .._... � .,, SyatCm over 600 volts nominal .III,; I:,. ,.::, ,.,
.: !u =,,, • ...,, I��.: ,.:..........::_ ,... units to
❑ 1- and 2- family dwelling 1S Commercial/industrial ❑ Accessory building []Building over three stories ❑Feeders, 400 amps or more
❑ Multi- family ❑ Master builder ❑ Other: ❑Occupant load over 99 persona Menufac ed structures or
,:..,,_....._+.L�•, �• .�, ' :k "PI{g In!rilil;ii:: :!C ;; Egress/li g p
- -II..I .I =.:. - .. liJ,.l. wl . ,,. „ G,: -tin
. :,�,::} "���Ul;� da ;:s.. .� �TN��! tM�' pttlll�; y�,:." oe'e!'T:�,���� I.ik�T. ❑ Inn ❑ouvter�
m , l l ❑Health -care facility
�::��`!il "t.. ��. .,Ill��: 'p .'- .,. ,. �. ......- jj am,
Job no.: ) Job site address: • f v « �� - Submit 1, sets of plans with any of the above.
The above arc not applicable to temporary construction service.
Ciry/State/ZIP; �;•�� h 17 F , * • kill��tr l I k u rf : r...
er ;,, i I , I , 1. ,
C /ts7lttt� SI G.. llfil "6i . „ �T i....';t;1 " '„i ; : ";..t� i�;. ' .I,*J •
Suite/bldg. /apt. no.: Project name: ,.` ��� � - petedpdon - Qty Fee, Tann
// New residential single- or multi - famly dwelling unit.
Cross street/directions to job site: At ,: / Includes attached garage.
_ 1,000 sq. ft. or loss 145.15 r
r 4
L ot no.: - Ea. add'l 500 sq. ft. or portion 33.40 1
Subdivision: - Limited energy, residential 75,00 2
Tax map /parcel no.: g Limited energy, son reaidaatial 75.00 2
I I ,: I �wrb,,,.c. t '' ' � p li ,'tl Each manufact or modular
l r °wry
�r ;' y °III IF I k ; I � I � , ' � R. i tl . , .a ° h 90.90 2
: "Il,ii �,r� .. ' , a _, �I . el dwcUin:, service and/or feeder
ca ` Q. r Services or feeders installation, alteration, and/or relocation
. i .. I , ., a ,, • r 200 amps or 80,30 2
:
201 atn;�to 400 amps 106.85 2
L / less
,t f ° III L 600 ems 60.60 2
t h cl.. 1 116 6' S':' ,ynf ���..' � xr�..r -� {.I Nt „I lfitl,Il�iP F �'�H� Y��- 1
:�I�.! , �ly� y � „ �� , R t � �1 r � , 40 amps to P
Name: _ 601 amps to 1,000 amps 240.60 2 ,
Over 1,000 amps or volts 454.65 2 1
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
g property 201 amps to 400 a • •s 2
Owner installation: This installation is bent made on t hat I own which is n 10030
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: i +_ Date: _ Branch elrculti - new, alteration, or extension, per panel
� �, • ,y J , 'g°^ A. Fee for branch circuits with
e � � Snit I >. ;� ,,e.. ii �II� ( ' 16O r
lliRn fi: !h',;`.1. ,
>%, .� •ILI!q ; 9!�;t service or feeder fee, each 6.65 2
Business name: Nt , C ■ ( _ branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, r 46.65 2
each branch circuit
Address: Each add'l branch circuit 6.65 J91 2
City/State,/ZIP: Miseellaosous (service or feeder not Included)
Pump or irrigation circle 53.40 2
Phone: ( ) 7 $ 5- - I Fax.. ( ) Siga or outline rig -ring 53.40 2
E -mail: Signal circuits) or limited -
—'.c:; v.i!R p�, AIQ'44I:;, ,1BI2. jpa
..l�'::rls"��� lair d;:ii=L, lllii;ar.: 4i,F,a energy panel, alteration, or 2
y,l�:�JnI�IC,:tl'k:;:B` a :,I dIIII! , t.w`�"'g 1� : I:, �I,, Page 2
p �('U ,. � Pao
r al;,,..,ri.. 1.. .....1 ^ p �. ; extension. Describe.
— Business name: 'kill r •
Each additional Inspection over allowable In any of the above
Addre88: �- - �� . 1 Per inspection 62.50
City/State/ZIP: . lb e ••• Investigation per hour (1 hr iron) 62.50 ,
Phone: (5:•,•15 ratios_ trial plant per ho(�
Fax: • ,.. , , ::I, : ... ,.,,
.. (t'�}� �. t. I`� , IL,” I I• �il�•.;EIEC'L'RIC,s►�; :;,P'EEStI *r 0 ;;:.:ei r.�i
CCB Lie.: /I. ,' J 3 ? Electrical Lic.69(0 .. /7( Suprv. Lie.: '4 • i Subtotal . ,141
' Suprv. Electrician signature, required:
Plea review (25% of penult fee)
/1 r)ii_ pppp^^^^ St ate surcharge (8% of permit fee) Print nouns:. ' hd r Avid L r? Dal / _6 TOTAL PERMIT FEE
Authorized This permit application expires If a permit le not obtained within 180
r' r � _ - • - d ays after It has been accepted as Complete
Date: �p • Fee methodology at by VI-County Building lnduttry Service Board
Print name: �� �, t<• Number of Inspections per permit allowed.
iNBali0Ieal enainkELC- PamaApp.doe 12/03 • , . , 615T(.1. - ..1JCOM(WIr
CITY OF TIGARD L-z_C, p�
•
BUILDING DIVISION PERMIT #: ,R006 _ 60 60 t7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 s
INSPECTION WORKSHEET FOR DATE: A TIME: PAGE:
SITE ADDRESS: ns �� L OF WORK:
I
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: / — 13-0(0 Pour Time:
Code # Inspection Description Confirm # Contact # Message
� �► 364.8
s r r i.4et
orrections — / m erit I i • ns:
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
L ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `7 - Date: 1 3 �� Phone #: (503) 718- 1'"f $"