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Permit • CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00104 TM 9Ili DEVELOPMENT I i g d , O l CES 503 - 639 -4171 DATE ISSUED: 2/8/2006 Hall 13125 PARCEL: 1 S135AA -AC001 SITE ADDRESS: 10396 SW 90TH AVE ZONING: R -4.5 SUBDIVISION: ASHBROOK CONDOMINIUMS LOT : 001 JURISDICTION: TIG Project Description: Building 4: Unit 16 of a 5 -unit townhouse building. 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: 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: X > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: RCM HOMES DMS ELECTRIC INC 12670 SW 68TH PKWY #200 8502 SE STARK ST PORTLAND, OR 97223 PORTLAND, OR 97216-1140 Phone: 503 - 598 -7565 Contact #: FAX 503 - 252 -6611 PRI 503 - 209 -9298 FEES Description Date Amount Reg #: LIC 118073 SUP 4542S ELE 37 -742C Total 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 f. • i• 5 R 952 -801 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -669 or 1 -800 Issued By � , N , 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: 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 Application FOR OFFICE USE ONLY City of Tigard n e/B : �E , �� Per A 06 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review — dx �4u„ Phone: 503.639.4171 Fax: 501598.1960 " ry f '� ` Date/By: Other Permit: Tun • • ® See Page 2 for Inspection Line: 503.639.4175 I I " N otified/Method: //�� Supplemental Information Internet: www.tigard- or.gov f 0 . pP TYPE OF WORK PLAN REVIEW ® New construction ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑Other: ❑Service over 225 amps, comm'I ['Hazardous location ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ['Building over three stories ❑Feeders, 400 amps or more ® Multi- family 0 Master builder 0 Other: ['Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ['Egress/lighting plan RV park Job no.: Job site address: 10396 SW 90 Ave ❑Health -care facility DOther: Submit 2 sets of plans with any of the above. City/State /ZIP: Tigard, OR 97223 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: FEE* SCHEDULE Description I Qty. I Fee. I Total I ** Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less / 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map/parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular Building 4: Unit 16 of a 5 -unit townhouse building. dwelling, service and/or feeder 90.90 2 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 2 401 amps to 600 amps 160.60 2 Name: RCM Homes 601 amps to 1,000 amps 240.60 2 Address: 12670 SW 68 Pkwy #200 Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State /ZIP: Portland OR 97223 Temporary services or feeders installation, alteration, and /or relocation Phone: (503)598 -7565 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 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel ® APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: Same as owner branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, first branch circuit 46.85 2 Address: Each add'l branch circuit 6.65 2 City/State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: DMS ELectric Inc Address: 8502 SE Stark St Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: Portland OR 972164140 Investigation per hour (1 hr min) 62.50 Phone: (503) 209 -9298 Fax: (503) 252 -6611 Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lic.: 118073 Electrical Lic.: 37 -742C Suprv. Lic.: e 4542S Subtotal Suprv. Electrician signature, require • � � J . J Oil Plan review (25% of permit fee) Print name: Date: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires it a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: * Fee methodology set by Tri -County Building Industry Service Board ** Number of inspections per permit allowed. 1: \ Building \Permits\ELC- PermitApp.doc 12/30/05 440- 4615T(10 /02/COM/WEB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC200S -00104 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/8/2006 Phone: (503) 639 -4171 / ° 1 I � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/18f2006 TIME: 7:03AM PAGE: 7 SITE ADDRESS: 10396 SW 90TH AVE CLASS OF WORK: SUBDIVISION: ASHBROOK CONDOMINIUMS LOT #: 001 TYPE OF USE: PROJECT NAME: ASHBROOK CONDOMINIUMS DESCRIPTION: Building 4: Unit 16 of a 5 -unit townhouse building. OWNER: RCM HOMES, PHONE #: 503 - 598 -7565 . CONTRACTOR: DMS ELECTRIC INC PHONE #: 503 - 209.9298 Inspection Request Scheduled For: Date: 7/18/2006 Pour Time: - # Inspection Description • Confirm # Contact # Message 199 Electrical final 033263 -02 503 -209 -7386 N Corrections/Comments/Instructions: W *PASS ❑PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS U FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 146 L( Date: II O Phone #: (503) 718 - /�1Vg.40 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006-0010'I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/8/200€' Phone: (503) 639 -4171 �� "0�F'q'U��y�i�ipf%��Ii'I\ ' Inspection Requests (24 Hrs.): (503) 639 -4175 .�' INSPECTION WORKSHEET FOR DATE: 7/12/2006 TIME: 7:05AM PAGE: 48 SITE ADDRESS: 10396 SW 90TH AVE CLASS OF WORK: SUBDIVISION: ASHBROOK CONDOMINIUMS LOT #: 001 TYPE OF USE: PROJECT NAME: ASHBROOK CONDOMINIUMS DESCRIPTION: Building 4: Unit 16 of a 5 -unit townhouse building. OWNER: RCM HOMES, PHONE #: 503 - 598.756. CONTRACTOR: DMS ELECTRIC INC PHONE #: 503,209-9298 Inspection Request Scheduled For: Date: 7/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 032950 -02 503-209-7386 N Corrections/Comments/Instructions: ❑ PASS ❑ PARTIAL APPROVAL / CANCEL ❑ NO ACCESS El FAIL ❑ CALL FOR INSPECTION n \ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: FLC2006-00 10 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/131206 Phone: (503) 639-4171 I Inspection Requests (24 Hrs.): (503) 639-4175 ,-- INSPECTION WORKSHEET FOR DATE: 4/17/2006 TIME: fI5f PAGE: 90 SITE ADDRESS: 10396 SW 90TH AVE CLASS OF WORK: SUBDIVISION: ASHBROOK CONDOMINIUMS LOT #: 001 TYPE OF USE: PROJECT NAME: ASHBROOK CONDOMIMUMS DESCRIPTION: Building 4 Unit 16 of a 6-unit townhouse building. OWNER: RCM HOMES, PHONE #: 503-596 CONTRACTOR: DM3 ELECTRIC INC PHONE #: 503-M-9290 Inspection Request Scheduled For: Date: 4/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 028123-04 503-209-7386 Corrections/Comments/Instructions: • 7 1 4 PASS 0 PARTIAL APPROVAL 0 CANCEL LI NO ACCESS Li FAIL 11] CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: G" t()je Date: 4 'lido Phone #: (503) 718-1M4/0 CITY OF TIGARD .. BUILDING DIVISION PERMIT #: CI C2l'ff=� 1.1;71( 13125 SW Hall Blvd., Tigard, OR 97223 i DATE ISSUED: 2131.'('3 Phone: (503) 639 -4171 4 „, d 4h��pugll li''� Inspection Requests (24 Hrs.): (503) 639 -4175 AA INSPECTION WORKSHEET FOR DATE: 4//212306 TIME: l :(✓IAM PAGE: q9 SITE ADDRESS: 10396 SW 90TH AVh CLASS OF WORK: SUBDIVISION: ASI CONDOMINIUMS LOT #: 00 i TYPE OF USE: PROJECT NAME: ASHBROOK CONDOMtNltNIS DESCRIPTION: Bulking : I built 16 01 ,3 6 towns ?ufc 1)1)06 ,v OWNER: RCM HOMF`S, PHONE #: 513:1 6(6 CONTRACTOR: l K.t3 Ell .(TiRIC INC PHONE #: r'0'3 20 i 91)..`.?f3 Inspection Request Scheduled For: Date: 4 1121' >('i3 :; Pour Time: Code # Inspection Description Confirm # Contact # Message ) 0 Electrit:al sough -in 02/1307 -0 fiO3 -709 /301:0 14 Corrections/Comments/Instructions: ) T4A 4 7r(ta ' ) 44 a, b4,(1(09 h,,,x ,/r-,7) hy / A4-- ,e7),‹ ro--54, ___,,,,....... 4111■_4111111■ ...Eh. /*A 70 VA AT r oil% , my ., t iti 64 4 1 \i/ n PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS V FAIL i FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ti i — li—M Inspector: ► 1 ' Date: (7/ • �MM /// Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006 00104 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/W2006 Phone: (503) 639 -4171 wtalpitplh�" I Inspection Requests (24 Hrs.): (503) 639 -4175 . ' '�.L INSPECTION WORKSHEET FOR DATE: 4/12/2006 TIME: ?' 01AM PAGE: 100 SITE ADDRESS: 10396 SW 90TH AVE CLASS OF WORK: SUBDIVISION: ASHBROOK CONDOMINIUMS LOT #: 001 TYPE OF USE: PROJECT NAME: ASHBROOK CONDOMINItfMS DESCRIPTION: building 4: Unit 16 of a 6-unit townhouse building. OWNER: RCM HOMES, PHONE #: 603.598 - 7566 CONTRACTOR: DM5 ELECTRIC INC PHONE #: 503-209-9298 Inspection Request Scheduled For: Date: 4/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 116 Electrical service 027807 -06 50`3. 209 -7386 N Corrections/Comments/Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS f FAIL n ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ' r Inspector: 11 ` Date: Phone #: (503) 71 �U f