Permit CITY OF TIGARD ELECTRICAL PERMIT
1111 PERMIT #: ELC2008 -00368
° COMMUNITY DEVELOPMENT DATE ISSUED: 6/25/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 102 B D- 01001
SITE ADDRESS: 09975 SW WALNUT ST 6 ZONING: R -12
SUBDIVISION: WALNUT COURT APARTMENTS LOT : 007 JURISDICTION: TIG
PROJECT: WALNUT COURT APARTMENTS
Project Description: Reconnecting 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: 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
GILSON LIPP ALLIANCE PROPERTIES PACIFIC NORTHWEST ELECTRIC INC
4280 SW 109TH PO BOX 310
BEAVERTON, OR 97005 OREGON CITY, OR 97045
Phone: 503 - 350 - 1200 Contact #: PRI 503- 657 -1188
FAX 503 - 722 -9058
FEES
Description Date Amount Reg #: ELE C6
[ELPRMT] ELC Permit 6/25/2008 $66.85 LIC 162893
[TAX] 12% State Surchar 6/25/2008 $8.02 SUP 5089S
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 By: //2d ,' • Perm �` ittee Signature: / C-tc
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.
06/23/2008 03:21 5037229058 �St PACIFIC NW ELECTRIC PAGE 01/02
• . - Electrical Permit Applica �� 9 FOR OFFICE USE ONLY
City of Ti ard `A\ 4 Received O Permit No ,
13125 SW Hall Blvd., Tigard, OR 97223 o ® , Plan Review
Phone: 503.639,4171 Fax: 503.598,1960c' ■4 \ S' t alai y'
Date Ready /By: Other Permit
i "s
T I c ,� It n pcction Line: 503.639.417 A� � � tern, El See
Internet: www.tignrd- or,Rov � ��� • Notif cd/MeFliM 7---7,0 7---7,0 1 Page 2 for
Supplemental Information
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❑ Now construct ion 11 itddition /alteration /replacement
Plc= check all that apply (submit 2 cc�e of plans wlitcros checked helm),
❑ Service or fender 400 amps or more El Building over three atones.
❑ Demolition El Other:
where the available fault current ❑ Mannas and boatyards.
1 1; le, r p1 e11� "'NS - - 1 4 t;,M r II' 1; ti; lllLlt • i 14ra'ni 0 n 1.:
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,{� � I. � ,. {, wlr 1 j���yyt '�V�+yi�� ;j,l I "L , 1 ! r L I; p I ,: , ` t 1,L, cxcecrt4 10,000 amps at ISO votes or ❑ Floahn burldm
„ .... Lily L I ." , '',4:.: . '! . t I: • ..,, .,�,r,1,r.,,�,,,,1,n t.r „1 "Sri`„ •I` .y ilxLh!:!lijlll•+l�� lthR�j,!Hltlli. l(',11li9'11 Inca to ground. or exceeds 14,000 0 Commorelal- uae
❑ I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations buildings,
D'Nfulti- family ❑ Master builder ❑ Other: ❑ Firc pump ❑ installation of 75 KV A or
larger separately clawed
! 11 .1;,'.; M'I ;l' il'i l " i +101 ,l1 1 ' I ; tl ( lr ''"'1'111:i'''.1''''''
'!: Addition n e w m. g scp y system,
• . 'r•:.• , ,4'.. ..,o' 1,+S1 A +�� t . 1 0 f, I 1N/ t i.! ;,.� ::7 .;1{”, , ❑ Addition of new motor load of ❑•• ,.
Joh no.: Job site address: q SW / S'}, IOOHP or more Recreation,
1 AVM vv `` ❑ $ix nr more residential unite. ❑ Recreational vehicle pnrkc,
City/State/ZIP' T 1 d (� ❑ Nenith.enrc fnoilitice, ❑ Supply voltage for more than
^ rf�Y 1 . V► ❑ Hazardous locations. 600 volts nominal
Suite/bldg. /opt, no.: Project name: I w n - // d n
l /y{/�� 1rT N' ❑ Service or lbcdar 600 amps or mono,
, ; q , ; ��.,,, 11I,,.11a.:l.r l . ����yy I Il. 11 ,,I �l ! I , �I,,: Ilri.l,,�.i.
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— Cross street /directions to job site: Description ' QM I Pre. I Totnl •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no,: 1.000 sq. ft, or less 145.15 4
Ea. add'I 500 sq. fl. or portion 33.40 1
Tax map /parcel no„
y tay� p Limited energy. residential
`d1l5 ! ..1 "'I i ' 1;: ' : 1 0.4:;: 4 1 '1 1 ' + i " �: 1 ` i ; 'j 1 l � �:fi ('ll:!IIU�y Ut' r I {j y, i • '' '� l ��i� IP +k'I'I ''q !:' 1t q 1 ' t RI, ,.(,1 Ii ;I�Ff 'CPS m 1 (with above sq, ft,)
y 75.00 2
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- u w . y 7 a r r ;d,PiV',1,.I. L.. .til °�i ,4 j ! . .
� hM L 1 _ DD Limited residential (wail ab i o ve s q, R,) ifft 75.00 2
��(y/1 residential (tvtlh shve s
Services or feeders Installation. alteration, and /or relocation
J•' +'' i:r! ^`I ,1 XI- , k + S4;(� "ill '�
lli(i '14� "Iti SI{iP Sf Il i�.�y '' y " M'� 1 n�,i,, 200 amps or less 0.30 2
r' 4 3 „li - ''Sw a fr� :. ,• l {0i "Y„;t II 9 i l;' R.fi i lh�I1311. 1I1,hNl 1 . ", l q, , , ;11`FI{'l ,lip!`"t!Sii M1 :;, 201 amps to 400 mops 106.85 2
Name :r 1 / ' 1 l , 401 amps to 600 amps 160 60 2
601 amps to 1,000 amps 24(min 2
Address: tiff 6 t yu Lr if- Over 1,000 amps or volts 454.65 2
City/State / ZIP: ' WO [ c4'i P7 US— Temporary services or feeders insmllalion. alteration, and /or
relocation
Phone; (S13 ) , f 22 Fax: ( ) 200 amps or less 66,85 I
owner installation: This installation is being made on property that I own which is not 201 mops 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 circuity -new alteration, or extension, per panel
with
A. Fee for branch circuits
;;jit:. ?l';j'F 5,l ,Ii1 Ogigil ', IGtl1;: f1tlS I IITllill11'j 1?rl'1Ij,'' 111 li �; Ii 11'i1'1'I, G'" above service or feederfee, 6.65 2
each branch circuit
Business name. y C f t 1PC N 1 c a Fcc for branch circuits
l'� 1 f r without service or feeder fee•
Contact name: 46.85 2
first branch circuit
Address: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular 90.90 2
Phone: ( dwelling, service and/or feeder
1 Fax:: ( ) Reconnect only i 60,85 2
E- mail:
Pump or irrigation circle 53.40 2
; li •„6 l : ! n , .1 ; h 1 1 ' 'n1: L!: It�,1 r 1 ,l Irnl.r r r •r r 11 STD outline lighting 53. 40 2
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r � li,ii I���i,i �•a •.� ;t �iil'.6� ;�t
Business name: ' ,ty ,
C I f iG �' l /1� �', C. C Signal circutt(s) or limited -
energy panel, alteration, or
Address: Pb aCK 3 1 o extension. Describe Page 2 2
City /Blatt /7IP: yZo /rte, U � � - a(� Each additional inspection over allowable in an of the above
Phone.(� /,� b Per inspection 62 50
�1' 5 )�'✓ 7' i i b _ Fax 6 J) i� -9,, S� Investigation per hour (1 hr min) 62.50
CCB Lic. (0, �"9 p ; .J�'O l ._ t lane cr h
:! Electrical Lie.: � S1 l rv, f,iC. S Industrial p p our 73.75
;. ^ ' 1 -'j
Suprv. Electrician signature. required: ' " ' % °r ' l ° ; ' I'•'t'P':IC " 1L ;'1i l vl t
Subtotal: i / i i e i ;;i. 1.'
botal: / r I
Print name:, a t VALI_ - Date: 6 a 3 � � Plan review (25% of permit fee).
State surcharge (12% of permit fee)' IS 0
Authorized signature: AO .e„• C P: fr.. . -
TO f Al, PI RMIT FEE
OE”
" i '� ; ThIs permit application expires if n permit Is not obtained within ISO
Print name:
S (r — r lA tr�.� Dat e: days after it has been incepted nc complete,
• Number of inspections allowed per permit.
I \ nuildinOrctmlu \ELC•PcrmitApp,doc n5 /2.t/or, 4404615T(11/05 /COMAVaB
CITY OF TIGARD
B1JiLDING DIVISION PERMIT #: aI 020,08.00368
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6,1 2
Phone: (503) 639 -4171 A4, •
Inspection Requests (24 Hrs.): (503) 639 -4175 F''I..
INSPECTION WORKSHEET FOR DATE: 112312009 TIME: 7 :OOAM PAGE: 13
•
SITE ADDRESS: 09975 SW WAI NUT ST 6 CLASS OF WORK:
SUBDIVISION: WALNUT COURT APARTMENTS LOT #: 007 TYPE OF USE:
PROJECT NAME: WALNUT COURT APARTMEN TS
DESCRIPTION: Reconnecting only.
OWNER: ALLIANCE PROPERTIES, GILSON I..IPP PHONE #: 503 - 360.1:00
CONTRACTOR: PACIFIC NORTHWEST ELECTRIC INC PHONE #: 603-657-1188
Inspection Request Scheduled For: Date: 1/23/ }009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
110 Electrical service 079963 - 01 603 959 - 13839
Corrections /Comments /Instructions:
\ 1
��\AS
❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
F■ L n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: c� Iti S€ L Date: 1 ' 1:3 14 7 Phone #: (503) 718- 744
,
CITY. OF TIGARD
A _.
BUILDING DIVISION PERMIT #: ELC2008.00368
' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/250000
Phone: (503) 639-4171 iMitb
,,, a,p
Inspection Requests (24 Hrs.): (503) 639-4175 1
INSPECTION WORKSHEET FOR DATE: 12J4/2008 TIME: 7 PAGE: 3
SITE ADDRESS: ()9976 SW WALNUT ST 6 CLASS OF WORK:
SUBDIVISION: WALNUT COURT APARTMENTS LOT #: ow TYPE OF USE:
PROJECT NAME: WALNtS 1 COURT APARTMENTS
DESCRIPTION: Reconnecting only.
OWNER: ALLIANCE PROPERTIES, GILSO NI LIPP Br:11. PHONE #: 603-350-12.00
CONTRACTOR: PACIFIC NORTHWEST ELECTRIC INC PHONE #: 503-657-1188
Inspection Request Scheduled For: Date: 12/4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # M essage
115 Electrical service 078798 503 V 1 ] 1
35
Corrections/Comments/Instructions: 4 L i —5L5/ e%let
11- QN Ci 1
•() - Pao \iii; SQ■Pwe IA1 'Cr as,1).- iNtin I) otx . ktf , 1 1 0 i 30.0
VRAokiioCT 1.-Q011-- e 41flZL r
vt i■A twO QXL 1 6 Fet V1 ‘ ..
------___
•
0 PASS Li PARTIAL APPROVAL Ej CANCEL 0 NO ACCESS
A AIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: • 3" N ()e Lg Date: 1 '1 : if t 1 Phone #: (503) 718 11111L
r
CITY,. OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008-00368
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 605/2009
Phone: (503) 639-4171 .441i111‘111'
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7/15/2008 TIME: 't 00AM PAGE: 14
SITE ADDRESS: 09975 SW WALNUT ST 6 CLASS OF WORK:
SUBDIVISION: WALNUT COURT APARTMENTS LOT #: 007 TYPE OF USE:
PROJECT NAME: WALNUT COURT APARTMENTS
DESCRIPTION: Reconnecting only.
•
OWNER: ALLIANCE PROPERTIES, GILSON t.IPP PHONE #: 603350-1200
CONTRACTOR: PACIFIC NORTHWEST ELECTRIC INC PHONE #: 503-657-1188
Inspection Request Scheduled For: Date: 7/15/2008 Pour Time:
Code # Inspection Description ,Confirm # Contact # Message
115 Electrical service 072652-01 503,350-1200
Corrections/Cornments/Instructions:
Nty /4.0
0 PASS PARTIAL APPROVAL Lil CANCEL NO ACCESS
0 FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: 6" NGS Date:11 Phone #: (503) 718- 14