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li:T ' CITY F T ELECTRICAL PERMIT
11 ' " • TIGARD /� R D r J /�'i • -. PERMIT #: ELC2008 -00688
COMMUNITY DEVELOPMENT DATE ISSUED: 12/31/2008
T10R'D: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S 135CA -00600
SITE ADDRESS: 11200 SW GREENBURG RD OFC ZONING: R -12
SUBDIVISION: AUTUMN OAKS APARTMENTS LOT : 001 JURISDICTION: TIG
PROJECT: AUTUMN OAKS PROPERTIES LLC
Project Description: Community /Laundry Room 1/13/09: Added (40) branch 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: 1 W /SERVICE OR FEEDER: 40 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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:
AUTUMN OAKS PROPERTIES LLC . OREGON ELECTRICAL GROUP INC
6036 SW MADISON ST PO BOX 66157
PORTLAND, OR 97201 PORTLAND, OR 97290
Phone: Contact #: PRI 503- 954 -5305
FAX 503 - 760 -5986
- FEES
Description Date . Amount Reg #: ELE C443
[ELPRMT] ELC Permit 12/31/2001 $80.30 LIC 184588
[TAX] 12% State Surchar 12/31/2001 $9.64 SUN 4995S
[ELPRMT] ELC Permit 1/13/2009 $266.00
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $387.86
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 TTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952- -0010 through OAR AR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
t
Issue By: b " jl Permittee Signat e: ,.- er_0 /
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:
$034TRACTOR INSTALLATION ONLY
.-/-
SIGNATURE OF SUPR. ELEC'N: t 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.
q CITY OF TIGARD 3/16r2010
13125 SW Hall Blvd., Tigard OR 97223 6:49:42M4
503.639.4171
TIGAR.D Activity Listing .
Ali
Case #: ELC2008 -00688
Project Name: AUTUMN OAKS APARTMENTS
Site Address: 11200 SW GREENBURG RD OFC
CODE DESCRIPTION DATE DONE DISP DONE BY NOTES
(Descending Order)
120 Electrical rough -in 01/16/2009 PART Gary Noble 079774 -01 — 503 - 701 -5555 — VM - N —180
199 Electrical final 04/17/2009 FAIL Gary Noble 1. No final inspection will be performed until all
drywall is installed and all devices and trim is
mounted.
2. Provide additional fee for second service per
inspection dated 1/16/09.
3. Complete all corrections written on 1/16/09.
199 Electrical final 06/18/2009 FAIL Herb Stabenow panel schedules missing and incoplete -loose
outlet in panel room and bathroom -GFCI not
working properly in panel room- permit not s9gned
and completed
199 Electrical final 06/19/2009 PASS - No C of Herb Stabenow
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Record ID: ELC2008-00688
____.,
1=-E) I Menu +5 i Add U I Delete lVoid ._1 I Invoice 0 ( ReCalc ?_Ifle-Ip
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4. Go To ... 11) Fee (4) GIS (1) Hearings (0) Inspections (4) Organization Owner (1) Parcel (1) Payment History Professionals■ j
Fee Calc. Factor: Jeb Value(Centracter)S0.00 I :1 Fee Total 5387.86
Li iti # Date Fee Item OuantiN Unit Fees Status Adius
Assessed
0 :38233 12/31/2008 - EL:':,1 , IT1ELCT :='!1 1 580,30 INVOICED
Ej 13e23 01/13/2009 EL::/1ELC :' 1. 5266.00 INVOICED
0 138233 12/31/2003 'La:x:1 1.2."', - , - ..tta - .e =.::'., 1 59.54 INVOICED
fil :3E233 01/13/2009 - TAX' 12::t, :17 1 S31.92 INVOICED
_____
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vCase Specific Permits
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Certificate of Occupancy
Corrimerciai Manufactured Structure Permit ,.
Electrical Permit 7;11
Electrical Restricted Energy Permit - Com
Electrical Restricted Enersv Permit - Res
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Fire Protection System Permit
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home Occupation Permit
Master Permit
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______ _
QITY OF TIGARD
BUILDING DIVISION PERMIT #:EL,2c'X)9•0061
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: I V L • Tag
Phone: (503) 639-4171 +�
Inspection Requests (24 Hrs.): (503) 639 -4175 b L
INSPECTION WORKSHEET FOR DATE: A1111°9 TIME: PAGE:
SITE ADDRESS: II MO SW 64 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: • PHONE #:
CONTRACTOR: 1 3(1'00 €1..etni • G-R.09. PHONE #:
Inspection Request Scheduled For: Date: 4111 I DC/ Pour Time:
Code # Inspection Description Confirm # Contact # Message
` C3 ‘ cP. •
Corrections /Comments/ Instructions
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ,CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �� Ls Date: 4 1 7 . Phone #: (503) 718 - 1,43112____
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: I=L C2008- 006t1t3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/31/ oo8
Phone: (503) 639 -4171 , (��y , , ii , �
Inspection Requests (24 Hrs.): (503) 639 -4175 : ':.�. F�i I..
INSPECTION WORKSHEET FOR DATE: iii€f2009 TIME: 7 :11AM PAGE: '19
SITE ADDRESS: 11200 SW GREENBURG RD O1- f CLASS OF WORK:
SUBDIVISION: AUTUMN OAKS APARTMENTS LOT #: 001 TYPE OF USE:
PROJECT NAME: AUTUMN OAKS ()ROPER 11ES LLC
DESCRIPTION: Community /Laundry Room 1/13/09: Added (40) branch ciu nits.
OWNER: AUTUMN OAKS PROPERTIES LLC, PHONE #:
CONTRACTOR: OREGON ELECTRICAL GROUP INC PHONE #: 50: -964 -5305
Inspection Request Scheduled For: Date: 1/16/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
12,0 Electrical rough -in 07977401 503- 701 -5555 N
Corrections /Comments /Instructions:
Abe . P tl ST i e V4L i 0 P
PkloN;a< p ,ow� . Can 2 1
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(l PASS XPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
�4 N II
Inspector: � Date: L. � 1 �' � Phon #: (503) 718 - 7-��
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