Permit CITY OF T I G /e /� R® ELECTRICAL PERMIT
PERMIT #: ELC2006 -00227
DEVELOPMENT SERVICES DATE ISSUED: 4/28/2006
--'� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 112 B D -00 70 0
SITE ADDRESS: 14655 SW 76TH AVE 10 ZONING: R -12
SUBDIVISION: MARCIENE II APARTMENTS LOT : JURISDICTION: TIG
Project Description: (4) branch circuits for washer, dryer & heaters. Job # 526.
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 #: ELE 161501
[ELPRMT] ELC Permit 4/28/2006 $66.80 LIC 26 -1226C
[TAX] 8% State Surcharge 4/28/2006 $5.34 SUP 50965
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 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: �� i ,� - Permittee Signature: 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.
Electrical Permit 1 . ■ 1.r m �� ' V u.�' a ",`
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City Or Tigard _ Received -0[ �l I-
Date /B :
97223 _ u ��/ h ,��
13125 SW Hall Blvd.. Tigard. OR . C Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 2/7 ?[0 dr 10111 5' (i� . t Date /By: Other Permit:
r " . ■ ° Date Read /B tug
Inspection Line: 503.639.4175 ;; Ready /By: /( El Sec Page 2 for
Internet: www.ci.tigard.or.us Notified /Method: i U Supplemental Information
CITY CF T, ARn
BUII \AV" . PLAN R E
afd VIEW
❑ New construction "g, Addition /alteration/replacement Please check all that apply:
❑ Other: ❑ Service over 225 amps, coma] ❑ Hazardous location
❑ Demolition
❑ Service over 320 amps - rating ❑ Buildng over 10,000 sq. fl.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ..Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi- family ❑ Muster builder ❑ Other: ❑Building over three stories ❑Feeders, 400 amps or more
['Occupant load over 99 persons ❑ManuPactured structures or
JOB SITE , INFORMATION. AND :LOCATION ❑ Egress /lighting plan RV park
Job no.: C Job site address: 1 i.4 p5 <7 ( ❑Health -care facility ❑Other:
D _ S Q Submit 2 sets of plans with any of the above.
City/State/ZIP: The above are not applicable to temporary construction service.
Suite/bldg.apt. no.: 1 V Project name: 1,41.... FEE"' SCHEDULE
Description I Qty. I Fee. L Total I "'
Cross street/directions to job site: l� New residential single- or multi - family dwelling unit.
? r t'� �'� Includes attached garage.
1,000 sq. f. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Liinited energy, residential 75.00 2
Tax map /parcel no.: ' '
Limited energy, non - residential 75.00 2
DESCRIPTION OF 'WORK Each manufactured or modular
t !ai-� r CK -Q t-0 •-
dwelling, service and/or feeder _ 90.90 _ 2
Services or feeders Installation, alteration, and/or relocation
\ tea. V - 200 amps or less 80.30 2
- S 201 amps to 400 amps 106.85 2
❑ PROPERTY OWNER " 0 TENANT -
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
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 I
Owner installation: This installation is being rnude 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
' ' 3 APPLICANT ❑ CONTACT PERSON A. Fee for branch cimuits with
1u1 service or feeder fee, each 6.65 2
Business name: INb� Z t t� � c , branch circuit
�A - B. without for branch e ic circuits f
Contact name:
without service or feeder fee, I 46.85 1 , 2
Address: each branch circuit ^76 �j
Each add'I branch circuit 3 6.65 j 9 R: 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:
1 , �.\& Ct i' i L. -
Address: 1 til E. l ► (� f l Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP:�( t \Q � Q rich Investigation per hour (1 hr min) 62.50
Phone: 6Z)5 c:: 95 \'> ( Fax: ( `7 75 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: 4.0 /SD ) Electrical Lic. j , _/ ( c Suuprv. L ic. 9 ( S / � l� / Subtotal (q (j, F
Suprv. Electrician signature, required: [ Plan review (25% of permit fee)
Print name jho /4)M Da a 0 Date: t ra 3 y State surcharge (8% of permit fee) , ��
i 7.2. /c/ TOTAL PERMIT FEE -7,3 ) 1
Authorized signature: This permit application expires If a permit is not obtained within 180
days after It has been accepted as complete
Print name: 11 1�n V• f�. Date: 1.1 /7 ( 9 • Fce methodology set by Tri-County Building Industry Service Board
l Jl '• Number of inspections per permit allowed.
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CITY OF TIGARD
BUILDING DIVISION = PERMIT #: ELC200 {3002}7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4 /28/7OO6
Phone: (503) 639 - 4171 i lll l
Inspection Requests (24 Hrs.): (503) 639 -4175 J
INSPECTION WORKSHEET FOR DATE: 13/3/2006; TIME: 7:06AM PAGE:
SITE ADDRESS: 141655 SW 76TH A VE 10 CLASS OF WORK:
SUBDIVISION: MARCIENE II APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: MARCIENE H APARTMENTS
DESCRIPTION: (4) branch circuits for washer, dryer & heaters. Job # 526.
OWNER: BOOTH-HEYDON LLC, PHONE #:
CONTRACTOR: AE3C ELECTRIC -t 0 N c-%) PHONE #: 503. 233-7551
Inspection Request Scheduled For: Date: 8/30006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
ough -in 034330 -01 503 - 267.3668 N
q c‘ FINAL
rections /Comments /Instru. ions:
‹ ■ laC ZOO ''
15 2_
\i0
• (7>
►'� PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: Iv 66 L Date: e t '3 Phone #: (503) 718- 2,114