Permit * �r: ELECTRICAL PERMIT
CITY OF TIGARD PERMIT #: ELC2008 00635
COMMUNITY DEVELOPMENT DATE ISSUED: 11/14/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S102AC -00201
SITE ADDRESS: 09426 SW MAPLEWOOD DR G ZONING: CBD
SUBDIVISION: MAIN STREET VILLAGE APARTMENTS LOT : JURISDICTION: TIG
PROJECT: MAIN STREET VILLAGE
Project Description: Building G - Unit 78, rewire for fire repair. Job No. 2961
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 1.00 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL:
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: 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:
CASA LA VETA ASSOCIATES + SINGER ELECTRIC CO
HIGHLANDS ASSOCIATES ET AL 2442 NE SANDY BLVD #100
BY GUARDIAN MGMT ATTN: BARRY B TROUTDALE, OR 97060
PORTLAND, OR 97228
Phone: Contact #: PRI 503- 661 -2040
FAX 503 - 667 -0177
FEES
Description Date Amount Reg #: ELE 26 -446C
[ELPRMT] ELC Permit 11/14/2001 $145.15 LIC 44070
[TAX] 12% State Surchar 11/14/2001 $17.42 SUP 3133S
Total $162.57 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-la 'rough 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: Permittee Signature:
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'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 Perm Appli cation liilz oil l( ►: 1.:,1 fl \ll
City of Tigard Dom / / y A r Permit No.: gGE O . al 6
• 13125 SW Hail Blvd,. Tigard, OR 97223 Piro, Review
• C ' Phone; 503.639.4171 Fax; 503.598.1960 Date ar: Other Permit;
T 1,_ i, � , Inspection Linc; 503.639.4175 Date ReadyBy; r 1 `G IN See (Page 2 for
i nteract: www.tigard-or.gov Notified/Mcthod: ' Supplemental Information
TYPE Of WORK _ . PLAN REVIEW
❑ New construction 'Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked beiow):
ED Demolition / Q — _other: C I Service or feeder 400 amps or more ❑ Building over three stories.
where the available fruit current I] Marinas end boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ Floating buildings.
dwelling — less to ground, or exceeds 14.000 ❑ Commersial -use agricultural
❑ 1- and 2-family ng ❑ Comme�rcitil /industria ❑ Accessory building amps for all other installations. buildings.
❑ Master builder ❑ Other: O Fire pump. Installation of 7S KVA or
/ JOB SITE INFORMATION AN D , + I : Eme gency system. larger rep rarely derived system.
_ 'NE '� N �' !,i2) Deo ndditionof new motor lnadof ID "A ". "E", "1- 2 ", "1 -r,
Job no.: I Job site address: e f i 100HP or more. occupancy.
.• / — : ❑ Six or more residential units. 0 Recreational vehicle parks.
City /State/ZIP: , r ` 0 Health -ace facilities. ' 0 Supply voltage for more than
r ` lam ' ❑Haxnrdoua locations. 600 volts nominal.
Suite/bldg. /apt. no.: . Project n • al, s. . RV ,. , 0 Service or feeder 600 amps or more.
Cross street/directions to job site: FEE SCHEDULE
1 • O werindea i Oty. i Fee. I Toni l•
e New residential single- or multi - family dwelling unit.
•
Includes attached garage. /
Subdivision: — I Lot no.: 1,000 sq. R or less 0 145.15 I •14f5'f 9' 4
Tax map/parcel nn.: Ea. add'l 500 sq. ft. orportion 33.40 I
Limited energy, residential i 75.00 2
P ESCRIPTION OF WORK (with shove se). ft.) .
/ ' Limited energy, multi- family 75.00 2
' L — 1 J ) ,_ . , residential (with above sq, t .)
� �� ��� , • Services or feeders instailadon 'on. and/or relocation
tom:. r" �Iilti�� - 200 amps or less 80.30 2
4 ' ROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State /ZIP: Temporary serviee s or feeders installation, alteration. and/or
relocation _
Phone: ( ) I 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 599 amps 133,75 2
Owner signature: Date: Branch circuits - new, alteration, or extension. per panel
A. Fee for branch circuits with
❑ APPLICANT I' ❑ CONTACT' PERSON above service or feeder fee. 6.65 2
each branch circuit • •
Business name: B. Fee for branch circuits
Contact name: without service or feeder foe. 46.85 2
first branch circuit _
Address; Each add'! branch circuit 6.65 2
- Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
• dwelling. service and/or feeder 90.90 2
Phone: ( ) I Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
• CO OR Sign or outline lighting 53.40 2
Business name: • rr Signal circuit(s) or limited-
• ...� G 1� I. energy panel, alteration or
�f� .i_ - extension. Describe: Page 2 • 2
Address: i _ .. ,�._ _ at►
City/State/ZiP: ` O/ /t Each additional inspection over allowable in any of the above
Per inspection 62.50 _
Phone: ( ) ( -. l®4C) Fax: (5 1 ,(» 7f , ----- invcstigation per hour (1lu min) 62.50
CCB Lic.: 4 a, i Electric` d , d Suprv. L . ile�t`�S industrial plant pc hour 73. __
Suprv. Electrician signature, re1rcd : /
{ / i�i� i 49 - Subtotal:
_ _
Print name: i t /�: 1 Plan review (25 %ofpermitfcc):
State surcharge (12% of permit fee): t • ti 2-
- Authorized signature: TOTAL PERMIT FEE: U . 57
P name: Date: This permit application expires it permit is not o mod within 18
days after it bas been accepted as complete.
• Number of inspections allowed per permit.
t:uluddIna\Per mits\BLC.Penolvapp .doe o5/21106 410.4615T(e iros /COM/WEO
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Ltzbo$•00635'
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) At
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6111 dq TIME: PAGE:
SITE ADDRESS: fri IMAQLsV)40O Cr 21 CLASS OF WORK:
SUBDIVISION: —'— LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: ticq Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N� Date: SI I 109 Phone #: (503) 718 - 7. ,
TRANSMISSION VERIFICATION REPORT
TIME : 04/2812009 11:49
NAME : TIGARD BUILDING DEPT
FAX : 5036243681
TEL .
SER.# : BROD4J479592
DATE,TIME 04/28 11:48
FAX NO. /NAME 5036670177
DURATION 00:01:26
PAGE(S) 01
RESULT OK
MODE STANDARD
ECM
CITY OF TIGARD
BUILDING DIVISION PERMIT #: �i.fia+4%•�35
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 6394171 r, ' ��i
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: lit t TIME: PAGE
•
SITE ADDRESS: at 1(A¢p "IAI ( biJ G ' U CLASS OF WORK:
SUBDIVISION: LOT #:' TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 141116 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments/ Instructions:
to ' CY3I
CITY OF TIGARD ' ` '
BUILDING DIVISION PERMIT #: V��0�•4`�635
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 , Ili
Inspection Requests (24 Hrs.): (503) 639 -4175 ``
INSPECTION WORKSHEET FOR _ DATE: 641 TIME: PAGE:
SITE ADDRESS: O t V t Lip M LA 60 � `l
CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 1 4 s l''_I Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
CO itt il k k 1.-. t a C-SYZSUM I tt*
v iLl 'ASV ,„ Li - IA - oil
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS
FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: �T �--� Date: `ill 1/4-1 Phone #: (503) 718- ILt-ilo.
•
•
TRANSMISSION VERIFICATION REPORT
TIME : 04/24/2009 13:49
NAME : TIGARD BUILDING DEPT
FAX : 5036243681
TEL .
SER.# : BROD4J479592
DATE, TIME 04/24 13:48
FAX NO. /NAME 5036670177
DURATION 00:00:22
PAGE (S) 01
RESULT OK
MODE STANDARD
ECM
CITY OF TIGARD
•n Y PERMIT #:'�,'�.'�a
BUILDING DIVISION DATE ISSUED:
13125 SW Hall Blvd., Tigard, OR 97223
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639- 4175 '`l'`
�� INSPECTION WORKSHEET FOR DATE: Li -�,.� ) TIME: PAGE:
�"
� L1 11 CLASS OF WORK:
SITE ADDRESS: _L � 3 TYPE O OF USE:
SUBDIVISION: LOT #:
PROJECT NAME:
DESCRIPTION:
PHONE #:
OWNER: PHONE #:
CONTRACTOR:
Inspection Request Scheduled For: Date: 4-2* 0 0( Pour Time:
Code # Inspection Description 1 Confirm # Contact # Message
Corrections /Comments/ Instructions:
y �►• .� ' '' x'41
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: eE16
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 F'
INSPECTION WORKSHEET FOR DATE: Li -2,1-\ • 1&>\ TIME: PAGE:
SITE ADDRESS: OVA W rrNA�� CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 1 4 " Zy,' O Of Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions: `'
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I
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL Fl NO ACCESS
FAIL l&CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v \-- Date:' Phone #: (503) 718- art
.. . -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008-00635
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 iri4/2008
Phone: (503) 639-4171 • Av
,; •_tt
Inspection Requests (24 Hrs.): (503) 639-4175 fit
INSPECTION WORKSHEET FOR DATE: 1214/2008 TIME: 7:00Am PAGE: 24
SITE ADDRESS: 09426 SW MAPLEWOOD DR '. CLASS OF WORK: " '
SUBDIVISION: MAIN STREET VILLAGE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: MAIN STRFFT VILLAGE
DESCRIPTION: Building (3 - Unit 78, rewire for fire repair. Job No 2961
OWNER: CASA LA VETA ASSOCIATES +, PHONE #:
CONTRACTOR: SINGER ELECTRIC co PHONE #: 603-661•2040
Inspection Request Scheduled For: Date: 12/4/2008 Pour Time:
Code # Inspection Description r Confirm # Contact # Message
116 Electrical service 078760-I3 603-661-2040 Y
Corrections/Comments/Instructions:
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b() Na c_z\r G-ARAT- t91(111. --().17
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pi PAS APPROVAI 0 CANCEL 0 NO ACCESS
0 FAIL _ CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: '''''. 0 l i t t 1-.1 Date: ii-t'1 Phone #: (503) 718- 14/46
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008-00635
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2008
Phone: (503) 639-4171 400 \t'
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/212008 TIME: 7 . PAGE: 30
SITE ADDRESS: 09426 SW MAPLEANOOD DR G CLASS OF WORK:
SUBDIVISION: MAIN STREET VILLAGE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: MAIN STREET VILLAGE
DESCRIPTION: Building G - Unit 78, rewire for fire repair. Job No. 2961
OWNER: CASA LA VE.TA ASSOCIATES +, PHONE #:
CONTRACTOR: SINGER ELECTRIC CO PHONE #: 503-661-2040
Inspection Request Scheduled For: Date: 17J2/2008 Pour Time:
Code # Inspection Description - infirm # Contact # ( 64 Er\
Message 1-..
,----------■
116 Electrical service 078636-02 503-.661-2040 Y 1 --- 8
)
Corrections/Comments/Instructions:
0--P—A64 t-17514-b1 cr Mos
sE c, v Rir s a (Ai!) a . ART
•
fl PASS fl PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
FAIL * CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
•
M (Va
Inspector: &. • Date: 12- et Phone #: (503) 718- __________
•
•
CITY OF TIGAR® •
• BUILDING DIVISION PERMIT #: ELC2008.00635
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2008
Phone: (503) 639 -4171 itooth
Inspection Requests (24 Hrs.): (503) 639 - 4175
INSPECTION WORKSHEET FOR DATE: 1//25/2008 TIME: 7 : 01AM PAGE: 39
SITE ADDRESS: 09426 SW MAPLEWOOD DR G CLASS OF WORK:
SUBDIVISION: MAIN STREET VILLAGE APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: MAIN STREET VILLAGE
DESCRIPTION: Building G - Unit 78, rewire for fire repair. Job No. 2961
OWNER: CASA LA VETA ASSOCIATES +, PHONE #:
CONTRACTOR: SINGER ELECTRIC CO PHONE #: 603- 661 -2()40
Inspection Request Scheduled For: Date: 11/2,/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1.15 Electrical service 0784513 -01 603-661-2040 N
Corrections /Comments /Instructions:
•
2..- e-. e Gc - /,P 1 ° 14-0(D tr
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
PCIL" ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / 1 2 --c- - rP Phone #: (503) 718-