Permit ' /g /b9 be_g_i2LA_
•
ELECTRICAL PERMIT
114 CITY OP TIGARD
° PERMIT #: ELC2008 -00661
COMMUNITY DEVELOPMENT DATE ISSUED: 12/4/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S110AD -08806
SITE ADDRESS: 10790 SW MURDOCK ST D7 ZONING: R -12
SUBDIVISION: PACIFIC CREST APARTMENTS LOT : JURISDICTION: TIG
PROJECT: PACIFIC CREST APARTMENTS
Project Description: Reconnect only.12/09/2008 ADDED (1) branch circuit. 1/7/09, added feeder.
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: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
TIGARD COLONY LIMITED PARTNERSHIP PARKIN ELECTRIC INC
380 UNION ST STE 300 14001 FIR STREET
TIGARD, OR 97224 OREGON CITY, OR 97045
Phone: Contact #: PRI 503 - 657 -4958
FAX 503 - 557 -1059
FEES
Description Date Amount Reg #: ELE 34 -4C
[ELPRMT] ELC Permit 12/4/2008 $66.85 L1C 35151
[TAX] 12% State 12/4/2008 $8.02 SUP 4241S
[ELPRMT] ELC Permit 12/9/2008 $46.85
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $172.26
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 s t forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503.246.6•" or 1.80s. 32.
Issued i jr . Permittee Signet e
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
CITY OF TIGARD
1,
° PERMIT #: ELC2008 -00661
. . COMMUNITY DEVELOPMENT DATE ISSUED: 12/4/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 110AD - 08806
SITE ADDRESS: 10790 SW MURDOCK ST D7 ZONING: R -12
SUBDIVISION: PACIFIC CREST APARTMENTS LOT : JURISDICTION: TIG
PROJECT: PACIFIC CREST APARTMENTS
Project Description: Reconnect only.12/09/2009 ADDED (1) branch circuit.
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: 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: 1 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
TIGARD COLONY LIMITED PARTNERSHIP PARKIN ELECTRIC INC
380 UNION ST STE 300 14001 FIR STREET
TIGARD, OR 97224 OREGON CITY, OR 97045
Phone: Contact #: PRI 503 - 657 -4958
FAX 503 - 557 -1059
FEES
Description Date Amount Reg #: ELE 34 -4C
[ELPRMT] ELC Permit 12/4/2008 $66.85 LIC 35151
[TAX] 12% State Surchar 12/4/2008 $8.02 SUP 4241 S
[ELPRMT] ELC Permit 12/9/2008 $46.85
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $127.34
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: dl (Xi n IAA Permittee Signature: Q p A r p t, en._1 c n
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.
x a CITE' OF TIGARD ~ • ELECTRICAL PERMIT
PERMIT #: ELC2008 -00661
COMMUNITY DEVELOPMENT
DATE ISSUED: 12/4/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 110AD -08806
SITE ADDRESS: 10790 SW MURDOCK ST D7 ZONING: R -12
SUBDIVISION: PACIFIC CREST APARTMENTS LOT : JURISDICTION: TIG
PROJECT: PACIFIC CREST APARTMENTS
Project Description: Reconnect only.
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: 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
TIGARD COLONY LIMITED PARTNERSHIP PARKIN ELECTRIC INC
380 UNION ST STE 300 14001 FIR STREET
TIGARD, OR 97224 OREGON CITY, OR 97045
Phone: Contact #: PRI 503 - 657 - 4958
FAX 503 - 557 -1059
FEES
Description Date Amount Reg #: ELE 34 -4C
[ELPRMT] ELC Permit 12/4/2008 $66.85 LIC 35151
[TAX] 12% State Surchar 12/4/2008 $8.02 SUP 4241 S
Total $74.87 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 ByL 0 °i'4 Permittee Signature: „ c / 05a4
32
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.
12/09/2008 TUE 9:13 FAX 2002/002
•
Electrical Permit ApplicatioiRECEIV as FOR OFFICE USE ONLY
City of Tigard
Received permit No. ����
Pr
c' 13125 SW Hall Blvd., Tigard, OR 97223 DEC 0 9 2008 Plan Review
Phone: 503.639.4171 fax: 503.598.1910 Date/By: Other Permit: T IGARD Inspection Line: 503.639.4175 TY OF TIQAR ate Ready/13y: buds el Sec Page 2 for
Internet: iLi www.tigard-or.gov Notified/Method: _ Supplemental Information
3ZltLDtNG DIVISI • ,
TYPE OF WORK PLAN REVIEW
❑ New construction p Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available faith current ❑ Marinas and boatymds.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2-family dwelling 0 Commercial/industrial Accessory building amps for all other installations. buildings.
id Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION
El Emergency system larger E" -2 dc- died system
❑Ad of of achy motor load of ❑ "A" "F•' , "1I 2" ", "1-3",
Job no. :I 1 QL ) X790 OHP _ Job site address: 2 I p 't_ Dck s ❑ IO or more. occupancy.
Six or more residential units. ❑ Recreational vehicle parks
City /Stale /ZIP: / ❑ Health-care facilities. - ❑ Hazardous locations. El Supply voltage for more khan
-A-4A)- 600 volts nominal.
Suite /bldg. /apt. no.: p Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description 121 , I Fcc. I •Imat 1
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
DESCRIPTION OF (with above sry. 0.)
:i G /'" # kii Limisdenergy,mussq.lf 75.00 2
k (//J/g d �� / ( ( ' j residential (will, above sq. ft.)
- Services or feeders installation alteration, and /or relocation
200 amps or less 80.30 _2_
❑ PROPERTY 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 /Statc /ZI1': Temporary services or feeders installation, alteration, and /or
__ relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 I
Owner installation: This installation is being made on property that 1 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 fee, / 46.85 2
first branch circuit .
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or (ceder not included) -
. City /State /ZIP: Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Phone: ( ) Fax:: ( ) _ Reconnect only 66.85 2 -
E -mail: Pump or irrigation circle 53.40 2
' • CONTRACTOR Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name:
?a
a,ak. Al E tet:�i2-i C f I ne . energy panel, alteration, or
Address: 14041 F le- 51y tt extension. Describe: Page 2 2
/Stale /ZIP: 0 >rQ v G 7o�s
City/State/ZIP: Each additional inspection over allowable in any of the above
y in +� o�
p, Per inspection 62.50
Phone: 603) (I57- 4. q58 Fax: (60j)551 1059 —
• Investigation per hour (I hr aria) 62.50
CCB Lie.: 7,S I G. 1 Electrical Lic.: d - C Sup,. i,ic.:y,7v f _ _ Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, ��i e, required: — I f Subtotal:
Print name: d I D' Plan review (25% of permit fee):
�Dav I . �at k( rJ ate State surcharge (12% of permit fee):
• Authorized signature: TOTAL PERMIT FEE: 5� /. / ZI
Print name: This permit application expires if a permit is not obtained within I80
-- I Date: days after it has been accepted as complete. • Number of inspections allowed per permit.
I V3nildinglPcrmits\ELC- PcrmitApp doc 05/23/06 440.4615T(I I /OS /COM/WEB
i .^+2 WED 14:40 FAX -.-,-. City of Tigard 2002/002
•
P&°3e- Ad- OA
di ' tf j f_ 1 0 „
Electrical Permit Applicatioi FOR OFFICE USE ONLY
�(,
City of Tigard a Date /13y: I 'T 'rte re " "i' " °. "�� i ' �
IC P
/
q 13125 SW Hall Blvd., Tigard, OR 97223 JAN 0 7 2009 Received Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
Inspection Line: 503.639.4175 gate Read /B •: tun ® See Page 2 for
TIGARD Internet: w »'+v.tigard or.gov CITY OFTIQAR ot i fied/M elhod: 4 Supplemental Information _
TYPE OF QUILDING DIVISI 0 N . . REVIEW
❑ New construction [ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans whims checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards
CATEGORY OF CONSTRUCTION • exceeds 10,000 mops at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14.000 ❑ Commercial -use agricultural
❑ I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger E -2 derived system
El Addition of new motor load of ❑ "A ", "F "". , " "11 -2 "", . "1-3",
Job no.: I Job site address: / 0790 s' � La- or 1001-IP or snore. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks
City/State/%1P: �/ ❑ I lealth - care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: D7 Project name: ❑ Service or feeder 600 amps or sore.
• FEE SCHEDULE
Cross street /directions to job site: o5555iPUOn I Qro I Pee. I total 12_
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot tto.: 1,000 sq. ft. or less , 145.15 4
fax map /parcel no.: Ea. add'! 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. 0.)
� a00 A -' n Liaised energy, multi-family 75.00 2
v /' O��/p/L o f residential tial with th above sr ft.)
�VI� Services or feeders installation, alteration, and/or relocation
' / e.& i, 200 amps or less I 80.30 ea, /a 2
tEc PROPERTY OWNER I •❑ TENANT 201 amps to 400 amps 106.85 2
Name: P -c'crr C(es e m .."� 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: /0 ,..i9/) 5 y/f r,x -C d2-- Over 1,000 amps or volts 454.65 2
City /Stale /"LIP: fr o» rig / 7V I/ Temporary services or feeders installation, alteration, and /or
Phone: (fog ) - `- 6ja,3 Fax: ( ) 200 amps or less 66.85 I
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
Branch circuits - new, alteration, or extension, per panel_
Owner signature: • — Date: A. Fee for branch circuits with
❑ APPLICANT ❑ 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 fee, 4b.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: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR • Sign or outline lighting 53.40 2 '
•
Business name: ( Pack4 4 E •
` eel l(1 e I n . — Signal p al er or ation, or
• limited-
energy panel, alter
Address: 14061 Fits Strut _ extension. Describe: Page 2 2
. City/State/ZIP: Phi /I 0 O ' 7045 Each Each additional inspection over allowable in any of the above
'ty _ Per inspection 62.50 '
• Phone: 603) ( 7 _ h1 58 Fax: 3) 55 e iO °) i Investigation per hour (I hr min) 62.50 — CCB Lie.: ? I , Electrical Lic.: 3 C Supl v. LiC. yay /` '+ _� I Industrial plant per hour 73.75
J ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: 1 � Subtotal: a Visi, 10
Print name: pe Date: - I_ Plan review (25 %ofpermit fee): �
�QV I d - I�Gt f {C 1 r1 State surcharge (12% of permit fee): / P
Authorized signature: _ TOTAL PERMIT' FEE: 13 OP
Print name: Date: This permit application expires if a permit is not obtained within 180 f
days after it has been accepted as complete.
' Number of inspections allowed per permit.
I 7Buildin6V 'ermitsiJiLC- PernitApp.doe 05/23/06 440.4615T(l1 /05 /CO\MVIiB
f - 6 0:4 tA.4....taZi L.A.. ee CO 1 11.4 4rco za44-4.4.. ka tt. pAa jelte.relk...
O cam- 41.6 6
12/03/2008 WED 8:21 FAX - --. City of Tigard 0002 /002
Electrical Permit Application E� Rete `vE1 FOR OFFICE USE ONLY
City g
Cit of Tigard Received
: J
ee
Dote �'] fr Permit No.: F� j�Yu� f
'� 13125 SW Hall Blvd., Tigard, OR 'J722S q
2 ' Phone: 503.639.4171 Fax: 503.598.1960 D C C O 3 LQ np W P lan Review
Date /By: Ot Permit:
TIGARD Inspection Line: 503.639.4175 G ate Ready/By: kris: ® Sec Page 2 for
Internet: www.tigard- or.gov J�� 11
Internet: totified/Melhod: 7� Supplemental Information _
Ty
TYPE OF W€ 1iA' , • PLAN REVIEW
❑ New construction meal Please check all that apply (submit 2 sets of titans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION . exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
Multi-family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION 'D LOCATION ❑ Emergency system. larger separately derived system
(` V ❑ Addition of new motor load of ❑ '/+' ° F ° ° 1-2 't-3'
IOO or more. occupancy.
parks.
Job no.: Job site address: .J s� br ❑ R ecreational vehicle i
J f ❑ Six or more residential units. P�
Cil /$talc / %IP: Q ❑ Health -care facilities.
❑ Hazardous locations. ❑ Supply voltage for more than
Y Tr d 0A q 2? y 600 volts nominal.
Q
Suite/bldg./apt. no.: Project name: PI r `" Service or feeder 600 amps or more.
FEE SCHEDULE • Coss street/dlrecliol . . DcrcritHien l Qrv. I e. I 'feral I
New residential single- or multi - family dwelling unit.
'0 J I,:2__ Includes attached garage.
—
Subdivision: ►eV + • _ Lot no.• 1,000 sq. ft. or less 145.15 4
no.: Ea. add'I 500 sq. ft. or portion 33.40 I
Tax map/parcel
0 3 // _ Li mited energy, residential 75.00 2
DESPTION OF WORK
A (with above sq. ft.)
Limited energy, multi - family
Gonn� residential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
X PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 _2_
401 amps to 600 amps 160.60 2
- Name: aiL 4, ` � , 1.., . 601 amps to 1,000 amps 240.60 2
Address: 8 ^ STS Over 1,000 amps or volts 454.65 2
ms s` STS Temporary services or feeders installation, alteration, and /or
City /State /Z1P:
1 ��'� v2 relocation
Phone: ( ) Fa x: ( ) 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
Branch circuits - new, alteration, or extension, per _panel _
Owner signature: _. __ Date: __ •- A. Fee for blanch circuits with
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: D. Fee for branch circuits
Contact name. without service or feeder fee, . 46.85 2
first branch circuit
Address: Each add'I branch circuit 6.65 2
• Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 90.90 2 ;
dwelling, service and /or feeder
Phone: ( ) Fax: : ( ) Reconnect only ( 66.85 06, 85 2 ;
E -mail Pump or irrigation circle 53.40 2
•
• CONTRACTOR v A 1 1 nc Sign or outline lighting 53.40 2 1
u t t }/, ,4 Elea- rLtsc. i , eteergycp panel, limited- or
i►Sir -c.r energy circuit(s)
aheralio
Business name: (
Address: 4061 F I r Shut — extension. Describe: Page 2 2
City /State/ZIP: O e i - O ) gr045 Each additional inspection over allowable in any of the above
J Per inspection 62.50
Phone: (� (57 _ 41G5g Fax: 603)557, IOSg I investigation per hour (1 hr min) 62.50 J
CCB Lie.: '2 `G Electrical Lie.: 8,4 - t✓ y
Suprv. Lie. iyc. - -� I Industrial plant per hour 73.75
• ELECTRICAL PERMIT FEES I.
Suprv. Electrician signature, requited: , ,,W . Subtotal: 6 6. $5
n �� /� Date: Plan review (25% of pennit fee):
Print name:
��.,v l d I�q,/' (C .I 1,.3 __ State surcharge (12% of permit fee): U , GO'
Authorized signature: I TOTAL PERMIT FEE: 7 y . g 7
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
' Number of inspections allowed per permit.
I U tuildingU'ermirstELC•PorntitApp doe 05/23/06 440.46157(1 I /05 /COA1AYED
CITY ��N��������
��mn n mmn�m�m�m�p
��U��
~°~°""~=«"U"�(� °~� DIVISION ��U��U�U��� ° PERM|T : ElC2OO�DU881
13125SVVHoUBkd.. Tigard, OR07223 DATE ISSUED: j2/4/)OU8
Phone: (503) 639-4171 '
!nap��ionRequen����Hnu.):(503)63Q'417S ,_.4.1P
INSPECTION WORKSHEET FOR DATE: 1129V2009 TIME: 7:01A&N PAGE: 26
SITE ADDRESS CLASS � 107�UEn�k4 ijRDA�KSl�D7 �
SUBDIVISION: PACIFIC csr APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: PACIFIC CREST APARTMENTS
DESCRIPTION: Reronnwc{on|y.12VO9/20D8 ADDED (1) branch circuit. 1/y/U9. added feeder.
OWNER: T|GARD COLONY LIMITED PARTNERSHIP, PHONE #:
CONTRACTOR: PARKIN ELECTR(C INC PHONE #: 503-867-4968
Inspection Request Scheduled For: Date: 1/29V2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 080109-01 G03-G20-G93] N
Corrections/Comments/Instructions:
N.
0�
� ' ��
� \
�_�
D PARTIAL APPROVAL [I] CANCEL ri NO ACCESS
n FAIL ri CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
&
��» "
�_ ~-
�
|nInspector: ��^^ Date: (" � ^� -�-��~- ~ --� Phone #: (503) 718-
��
•
,
CITY OF TIGARD III
BUILDING DIVISION PERMIT #: aC2008-00661
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/4/2008
Phone: (503) 639-4171 ' A:
,g_tr Inspection Requests (24 Hrs.): (503) 639-4175 ."LL.
INSPECTION WORKSHEET FOR DATE: 1/120009 TIME: 7 PAGE: 16
SITE ADDRESS: 10190 SW MURDOCK ST Di CLASS OF WORK:
SUBDIVISION: PACIFIC CREST APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: PACIFIC CREST APARTMENTS
DESCRIPTION: Reconnect only.12J09/2008 ADDED (1) branch circuit. 1/7/09, added feedor,
OWNER: TIGARD COLON'( LIIVIITED PARTNERSHIP, PHONE #:
CONTRACTOR: PARKIN ELECTRIC INC PHONE #: 503-657-4958
Inspection Request Scheduled For: Date: 1/12/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
139 Electrical final 079687-01 503-657-4958 N
Corrections/Comments/Instructions:
f cLi.-1.1.1_ 1k i-- Ict 6e ( 42,4 s ; -- i t o
1c$ f-
t
e
El PASS
e<RTIAL APPROVAL 0 CANCEL fl NO ACCESS
fl FAIL []CALL FOR INSPECTION 11] ADDITIONAL FEES ASSESSED
Nev1
Inspector: Date: '1-12. – 0 9' Phone #: (503) 718-
CITY OF TIGARD: ; ..
BUILDING DIVISION PERMIT #: EI-t::.2008 -00661
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/4/2008
Phone: (503) 639 -4171 �Illtl
Inspection Requests (24 Hrs.): (503) 639 -4175 F:_..
INSPECTION WORKSHEET FOR DATE: I /7 /2gf TIM E: 7:0 PAGE: ;;
SITE ADDRESS: 10790 SW MURDOCK ST [)7 CLASS OF WORK:
SUBDIVISION: PACIFIC CREST APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: PACIFIC CREST APARTMENTS
DESCRIPTION: Reconnect only.17J00/2009 ADDED (1) branch circuit.
OWNER: TIGARD COLONY LIMITED PARTNERSHIP, PHONE #:
CONTRACTOR: PARKIN ELECTRIC INC PHONE #: 503-657-4M8
Inspection Request Scheduled For: Date: 1/7/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 079448 -01 503.657 -4958 Y
Corrections /Comments/ Instructions:
coNF R.rf PAt\YEL 1y ,1'.
CO gtAl `?\ irl E i S FE b L, P e,C'"YC ),
FhQA L. PI \UF (? CALL Eta; 0 5
" i Z1 l 0 .,
i4 ' , - 3 • t . • - = N Lt ' 1 .1
\
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
s i FAIL X CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G-... J 1 6g Date: I. ' Phone #: (503) 718- .14_
CITY OF TIGARD . i ,
BUILDING DIVISION PERMIT #: EL .C2.0013.0661
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 121,1/200 };
Phone: (503) 639 -4171 itolkik ,i
.. Inspection Requests (24 Hrs.): (503) 639 -4175 A L
INSPECTION WORKSHEET FOR DATE: 1/2/2009 TIME: 7 : 01AM PAGE: 13
SITE ADDRESS: 10790 SW MURDOCK ST D7 CLASS OF WORK:
SUBDIVISION: PACIFIC CREST APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: PACIFIC CREST APARTMENTS
DESCRIPTION: Reconnect only.12109/2009 ADDED (1) branch circuit.
OWNER: TIGARD COLONY LIMITED PARTNERSHIP, PHONE #:
CONTRACTOR: PARKIN ELECTRIC INC PHONE #: F'M- 657 -4%8
Inspection Request Scheduled For: Date: 1/212009 Pour Time:
Code # Inspection Description Co►ifirm. #- Contact # Message
199 Electrical final 0 79338 -01 503 -639-05523 N
Cor eti K ons /Commen ^ s� 3, Ff tructions
c ; - PAS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CY 1 1V 6 6 Date: 1 - 2 q Phone #: (503) 718- _14_.
CITY OF TIGARD , - •
BUILDING DIVISION PERMIT #: ELC2008.00G61
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/4/20013
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1:110/20013 TIME: 7:01AM PAGE: 17
SITE ADDRESS: 10790 SW MURDOCK ST D7 CLASS OF WORK:
SUBDIVISION: PACIFIC CREST APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: PACIFIC CREST APARTMENTS
DESCRIPTION: Reconnect only.12/09 /2009 ADDED (1) branch circuit.
OWNER: TIGARD COLONY LIMITED PARTNERSHIP, PHONE #:
CONTRACTOR: PARKIN ELECTRIC INC PHONE #: 503 - 657 -495B
Inspection Request Scheduled For: Date: 12+ -10 /2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 078940.01 503"657 -4958 N
Corrections /Comments/ Instructions:
Gtr
PNO\itOX AJ6T ;: 6AD
R-o ttk - vu
Ikrf 110 4 Q
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 918- 271 -0030
•
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N V€ i Date: I 2.- - 1 �'�'b Phone #: (503) 718- r l r"
CITY OF TIGARD . , t_ ,; .. ,,
BUILDING DIVISION PERMIT #: ELC2008 -00061
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/4/2008
Phone: (503) 639 -4171 40001A
Inspection Requests (24 Hrs.): (503) 639 -4175 1.L.
INSPECTION WORKSHEET FOR DATE: 12/9/2008 TIME: 7 :02Alvl PAGE: 9
SITE ADDRESS: 10791) SW MURDOCK ST D7 CLASS OF WORK:
SUBDIVISION: PACIFIC CREST APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: PACIFIC CREST APARTMENTS
DESCRIPTION: `loconnect, only.
OWNER: TIGARD COLONY LIMITED PARTNERSHIP, PHONE #:
CONTRACTOR: PARKIN ELECTRIC INC PHONE #: 603_657_4968
Inspection Request Scheduled For: Date: 12/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 078900.01 603657 -4958 N
Corrections /Comments /Instructions:
0 '0-1 6 0 3 4 Flamm ®knnA ' c"ie ,,
se.r> 1._ t. Si ct.x'�S HIV 1 eJ RiteLES c--E:
V.) 0 o T i' - efuevv►II' ZI-114e i 6 6' .
l CiWk N tQZewyi"Q c - NiL W'E1.0J Pte'
w14AciC\ .
❑ PASS ❑ PARTIAL APPROVAL CANCEL El NO ACCESS
FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: • • N WI t--.6 Date: 12..1: Phone #: (503) 718 - 2,4417