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Permit CITY OF TIGARD ELC2005 -00619 PERMIT ELECTRICAL PERMIT • A t k #: DEVELOPMENT SERVICES DATE ISSUED: 8/23/2005 e el l� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112BD -00700 SITE ADDRESS: 14655 SW 76TH AVE 23 ZONING: R -12 SUBDIVISION: MARCIENE II APARTMENTS LOT : JURISDICTION: TIG • Project Description: (4) branch circuits for, washer, dryer, water heater & heaters. Job # R - 05 - 847. 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: MICHAEL O'GORMAN ABC ELECTRIC 14655 SW 76TH AVE 135 NE 9TH AVE TIGARD, OR 97223 PORTLAND, OR 97232 Phone: Phone: 503 - 233 - 7551 FEES Reg #: LIC 26 -1226C Description Date Amount SUP 5096S ELE 161501 [ELPRMT] ELC Permit 8/23/2005 $66.80 [TAX] 8% State Surcharge 8/23/2005 $5.34 REQUIRED ITEMS AND REPORTS Total $72.14 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: '� sp Permittee Signature: sz, 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. AUG -23 -2005 09:13 AM P -02 ''''Electrical Permit A,nnlication r'c )R, 01� vI(I: I'SI O�Nl,V • .. • City of Tigard EGE 'I i E Recetvedsm. A 1 IL Permit No.: a /y �^ / i Date/By: n c,L U } � � Ci) (-/ J v� 13125 S W Hall Blvd•, Tigard, OR 9 223 • Plan Review Phone: 503.639.4171 Fax: 503.598, !960 4 Date/II Other Permit; inspection Line: 503.639.4175 UO 2 3 � �0 5 . a . I i Ready /By: @see fago 2 for A D , -„, ate Read /B : Internet: www,ci.tigard.or.us Notlfed/Method: Jeri,: ' Supplemental Information n _ Z tt g `G r�Yr, +`at '��f� i ' i;�1� ' �, i f +:ia , , ; ,! .:? :.. '::: , • ' ' ..41..r?; * a;:; ' ' s t (I lr , x';p;� ,,�; ,, iH, ^r,�,o- ,rr nc `t.:4h3t.till ,,.� } ,.ct.a•s! ".,.,..,' .,:; :, ) ) . 5 ,S,i i, r lll t ltlS i i 6 /14/ pi drt[HfIS r(1 4 1 . 1 _{ jilt �} ;�. ..._,.,... :.�,....: ... - ; •- p ,,. �- . ':;':, :: � , .l rs . n�lr N t hat �i: �{ w 1w llli hr wrti�t1111!} fl} S {'rl; { rag [] New construction 1► %. e t a %'alteratron/re Iacetnent Please check all apply: 0 Demolition 0 Other: ❑Service over 225 amps, comm'1 ['Hazardous location tl({{ S +jjjfr f u rt uo ,,�I,,, . }l L,+ t.. i; r a t y r : ❑Service over 320 amps - rating I:Buildng over 10,000 sq. ft,, iti`I t.a?,ltritat�l; , j!., , 1 .Lt: ,. , ,. , . : ,......,. ' -.; ,;, of 1- and 2- family dwellings 4 or more new residential g © 1 - and 2 family dwelling Si Commercial /industrial 0 Accessory building © System over 600 volts nominal units in one structure Q 0 Multi family 0 Master builder ❑ Other: Buildin over three stories OF enders, 400 amps or more lilill, C , „ it DOccupant load over 99 persons ['Manufactured structures or j # F .,: f ,' , O . /ilh t i ng plan RV perk Job no.: � trS • - Job site address: - r- DHealth -earn facility ❑Other: e - _ Submit j, seta of plans with any of the above. The above are not applicable to temporary construction service. ' %' ;i`:�, •"�`�:i1�I�`,''1'S. , w, ::u + ";�' ;rft. p , , ^. ;;: } ... Suite/bldg. /apt. no.; Project name: �. ,. le , � /f lJ / . .__ . .^ �.1"t.,.,.rif�)�'!t,...,...a i47R. itai,,, mi•: br :AG�i,i � 11.4 ii'11I�I� ik' Decriptron Qty Foe. Total Cross street/directions to job site: � fi ' 1/.: residential ;Ingle- or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft. or leas 145.15 4 Subdivision: '()KC) . N f■. tv r r Lot no.: Ea. add'l 500 sq. ft, or portion 33.40 l Limited energy, residential 75.00 2 Tax map /parcel no _ 1';,l ,r ;< l' v' 1 1 : . Limited energy, non - residential 75.00 2 ; i t i t i t ltlll u i , 1 ,. ..,�.., , , ,. ..,.,. „ 4. ,.. . ,.. . , . _: :.; -.: �• : ., 7... ., Each manufactured or modular dwelling, service and/or feeder 90.90 2 /. !. A ' J A i . . R. _ ,i/ ! 0 1.2 Services or feeders Installation, alteration, and/or relocation ■ LAP • 0 - . . 200 amps or less . 80.30 2 n , :fir:fgi1:1 :.. . ... ..... - ,....,.....,...,, Y ,. ....... - l , , �;.•:.,•: i.. r. h; . �:.. �,... .. ..., ' .. -;, 2014 s to 400a s 106,65 .tt, �, u !, , r ;.; , � .... ....... .._...., ' , ;i , ;!:'.:.1. - :',! •........... ...._.......................... 401 _ l6 � � . amps to 600 amps 160.60 2 Name: \ v . 4 0 ` i �.\c--..... 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 f ®cdcrm i natatintion, alteration, and/or Phone: (Sy)) y l — iti t O relocation 200 amps or less i 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 600 amps • 133,75 2 Owner signature: Date: Branch circuits- new, alteration, or extension, per panel ihI 1 i' A. Tee for branch circuits with _.. , ..' .. • . , :... ,_ A service or feeder fee, each 6.65 2 11 branch circuit B. Fee for ranch circuits Contact name: withoul service or feeder fee 46.85 //i r 2 - each branch circuit '1f0 Address:. J / _ Each add'I branch circuit -4-4 6.65 / 9- '' 2 City /State /ZIP: Miscellaneous (service or feeder not Included) Phone: ( ) Fax:: ( ) Pump or irrigation circle j 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited , ,}•, ti ,..,,,,. - . ..�.,, _.� .:............ ..... . �{ tit: ��� ,?lt�jtl,t�!fli'1'.;li .,�;;.,:s:�;; ",:! fir:.:, .. . }, n,.: t i energy Pang, alteration. or extension, Describe: Page 2 2 Each additional Inspection over allowable In any of the above J �� ' / Per inspection 62.50 dp /� _ Investigation per hour (I br min) 62,50 Phone: ( ) Indumtnal plant per hour 73.75 i . i tp '}t t i l'il „ 1 a }'m $T�jlr 1 11 C v� " t "(; 1 t t}j�j, ,. _.. _, t Ilkfl ,., £.....r. { ,• Er..i�.�,� 1..,, .!, � :,r !:x41�n.lh3tx�' m � :e,.sa�f:�ij��t�Pi�Ili�611�' *V� :1:r:13 1' l Subtotal / / - 0 --• Suprv. Electrician signature, required: �i� ' _ Plan review (25% of permj[ fee) `• State surcharge (8% S of permit fee) . • —,,t _ ./P � /. / • Date: TOTAL PERMIT FEE `� Aut110rtzed signature: _ Thle permit appIieatlon expires If a permit is not obtained within r y/ !♦ days after it has been accepted as complete Date MMEI • Foe methodology set by Tri- County Building Industry Service Board " Number of inspections per permit allowed, I. ∎Bul1dina \ Permit/ \ELC.Permftimen.doe 12/03 440 -4615r(l0 /02 /COM /W13a • CITY-OF TIGARD . - BUILDING DIVISION PERMIT #: ELC2006- 00619 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/23/2005 Phone: (503) 639 -4171 /mma41u�i'� Inspection Requests (24 Hrs.): (503) 639 -4175 °`....... INSPECTION WORK FOR DATE: 8/31/2006 TIME: 7 PAGE: 41 SITE ADDRESS: 14655 f 6TH AVE 23 CLASS OF WORK: SUBDIVISION: MARCIEN APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: htiARCIENE I TS DESCRIPTION: (4) branch circus or, washer, dryer, water heater & heaters. Job # R- 05.847. OWNER: PHONE #: CONTRACTOR: ABC ELECTRIC PHONE #: 503.233 -7551 Inspection Request Scheduled For: Date: 8/31/2006 Pour Time: Code ; nspec Ion i - . ' •tion • • ' •• # Contact # Message 199 Electrical final 1 ," •83.01 503- 233.7551 Y 0 Corrections / - • ments/lnstructions: PASS I 1 PARTIAL APPROVAL ❑ CANCEL U NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: a Date: CI Phone #: (503) 718- -14