Permit ' CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00336
DEVELOPMENT SERVICES DATE ISSUED: 6/14/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S115AA
SITE ADDRESS: 16005 SW 108TH AVE BLDG A ZONING: R - 25
SUBDIVISION: OAK TREE APARTMENTS LOT : OOA JURISDICTION: TIG
Project Description: Rough -in & service for (18) units.
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RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 1.00 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 1 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL:
MANF HM/ SVC/ FDR: 17 601 +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: 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:
OT2 LLC SPECTRUM ELECTRIC
5437 ROSALIA WAY SUITE 100 2050 VISTA AVE. SE #100
LAKE OSWEGO, OR 97035 SALEM, OR 97302
Phone: 503 - 620 -4373 Phone: 503 - 361 -1256
FEES Reg #: ELE 24 -353C
LIC Description Date Amount SU 1123
SUP 2223S S
[ELPRMT] ELC Permit 6/14/2005 $1,776.61
[ELPLCK] ELC Pln Rev 6/14/2005 $444.15 REQUIRED ITEMS AND REPORTS
[TAX] 8% State Surcharge 6/14/2005 $142.13
Total $2,362.89
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 . issuance, or i.work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Orego • ti ity Notifi . oP enter. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rule .. : rect quest' s • . at
503 -246 -6699 or 1- 800 - 32344.
Issued By: 7 , �'�1�% Permittee Signature: j/`
wiloV
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 Application . ' r F OROF F ICEUSEONLY
City of Tigard Received /,/
131 Hall Blvd., Ti ard, OR 97223 Date/By: v Z�f "j � _ PertrutNc6“ 1; 776, J
g Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ; yi�i a�yi� r ' t\ ter ermt 6/
E-` ` , ' �11.�t °���II. Date/By: Oh P i � ate y6 l
Inspection Line: 503.639.4175 : , i s : ' 1 ti WA.: AV : Date Ready /By: Juris.. i H See Page 2 for
Internet: www.ci.tigard.or.us Notified/Ivlethod: -1 u --. Supplemental Information
0i`7` f riP 1"iCl Rill
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N ew construction ❑ Addition/alteration/replacement Please check all that apply:
- emolition ❑ Other: ❑Service over 225 amps, comm'l ❑Hazardous location
r . E ,, rroe _ s < s h r Other: rr v . A :. , s_z,;; ;1 . w ,air . ;,
0. Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
: Lx X t . F 4Afea w ,{ : , ,'' z ,,,- 4 ,,,,. - , , ; i .. : .., s •t t 1 - is , t, a of 1- and 2- family dwellings 4 or more new residential
❑ Commercial/industrial ❑ Accessory building ❑ System over 600 volts nominal units in one structure
❑ ['Building over three stories ❑Feeders, 400 amps or more
vlulti famil y ' ❑ Master builder Other:
e iF - 4 3 „ A .,,r,,, ; n` F , _ ; ❑Occupant load over 99 persons ['Manufactured structures or
'ti * - ,"ri �. 4 .x s510. IrI O . * O ED k u tea. '
kil.$ .. ` s kft, ,, --,r ._ w iv ,: 1`IIITON , ' ,.: w� ❑E ess/li htin Ian RV. park
❑ Health -care facility ❑Other:
Job no.: Job site address: �� - / Tf� � 91/
Submit 2 sets of plans with any of the above.
City/State /ZIP: _5 D / '� applicable to temporary construction service.
1 i?9im r�v�9C� The above are not applica
_ _
Suite/bldg. /apt. no.. Project name: SGRA �E;' '``'
// Description Qty. f Fee. Total
Cross street/directions to job site: / lO QQ005- .s a. /o goi , _ c am New residential single - or multi - family dwelling unit. tt,,,,ecii,. r Al / �+ �� Includes attached garage.
( X / / 1,000 sq. ft. or less / 145.15 jy�j 4.
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion Ea 33.40 33 1
Tax map /parcel no.: Limited energy, residential 75.00 2
d' `'_t r= _ :ry _ _ .�s; r:,.:,Y,1 Limited energy, non - residential 75
;+,k` .€ ^ - i %;. , k `.ra. z%,�, , g S«,x_ a:3: 'ax.: xe,; :.s .:.. :..:�,.5 . " s; ° - i. {� +v ;S,r„�..SF,,. , �%, .., x - i
t :•, ; :. ,'max,`, ._,. .i' z ,
-L-m . r..rr_:e.;,x n..z . , ,,,l .4 ., : - _ , < -'w 1xi ra4 `1.'-`, 7171? , 6 m"' ,a0, a E y I a' ' �.j .. . r I Clign go.-
Services or feeders installation, alteration, and /or reloc tAp�
200 amps or less / 80.30 8 __ , 2
0:3 < ':.' : r . ;:. t ' ki u, r ;'-is`. s,; ;1474 °,a ,:I . r ...: °�,�` :mom, : ...,, s"+s u, rai 201 am s to 400 amps 106.85 2
xs , Ei .; ,` 4 , >Q . R y r k Z ,., .am4 ' TEI t t:-. ' • ,
rte. ,: , _ . .a wt'_ a a�1:dw.., ^,'_„� t: ::.:: ; : I r,Y >�`tel,1 401 amps to 600 amps 160.60 2
Name: 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 feeders installation, alteration, and /or
relocation
Phone: ( ) 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
r. ; �"jx'; 9 ,;a ;:1 'x'. " 1% , ± :
.s. .€ send :: - : +4i '", ,, } x .fy,(. � .4� _ - t) "xst r I
^, ? iv^- �;,,.�;:� i r���� . 1;I `��:t �n� . .''� 4s„ r�;� ''�: " s'i�, „ x. y , r t K�^ � �
, ,s z t +,n, �.- A. Fee for branch circuits with
xer3�^ �i�,ss -3'z �Er :.`v��i:zi"AA= � �- '+�1'ini¢ way:. �n �YI# �'' rkas. T- li[^:' r.. sa�- w..' �`. 1., La :ti},iO��s^„e[a'�iS�7yg}��i�ii
service or feeder fee, each 6.65 2
Business name: 57 C r /a Ari F :f6 T2, branch circuit
B. Fee for branch circuits
Contact name: ,.... ���� /� .) without service or feeder fee, 46.85 2
Address: . Z5 D A-0 UI ,S "T -A �Uf se- ..e v c a d'I branch ch c i t
Each add'1 branch circuit 6.65 2
City /State /ZIP: _5;9 Z 4 „/7 (:)1& 9 3� Miscellaneous (service or feeder not included)
/ /��i1�� // Pump or irrigation circle 53.40 2
Phone: (So J )34 j SS Fax: : (3 ) 36/ syll)
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited -
�.^`:ti:#�:i't,�`f-.i�';�".F, c3��"��?+'��.��;;�'.;- `:.5�`�.a l am;. __ _- .k'e�' - - ±_ 1r'i.� - ��` :n �fy :�;t� ^`�„^' -•e �*.�2`i t energy Panel, alteration, or
ag eh7 sc`�t :..rR ; r:'t; dil ' *:: �x .n u Q�` gMiti 2 ; i ._,D .,� t Y :' �:M' . .' s.3 ; +r-,7, '.
•� , _ „�.,�s;,�..k�a�. ..nom ._su-- .:,��.�w�:£s6,�.�;r.;,� �,.. a;,?���!~•.;�...+,�.,.,...act.:
- Business name: extension. Describe: Page 2 2
s�9« / s ,'
Address: Each additional inspection over allowable in any of the above
's
, Per inspection 62.50 .
City /State /ZIP: Investigation per hour (1 hr nun) 62.50
,', Phone: ( ) Fax: ( ) • Industrial plant per hour 73.75
•
CCB Lic.: /, <V5 Electrical Lic Suprv. Lic.: ,_.,
S V- --3S3� � ����� Subtotal ''� 7�
e . ��o // /,<4../ -
•
Suprv. Electrician signature, requir _ °':=' Plan review (25% of permit fee) 10:
`� State surcharge (8% of permit fee) �
Print name: .���,� ���UiL Date: %9�G s �
`
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obt a wit 'n 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.
RBuilding \Permits\ELC- PermitApp.doc 12/03 440- 4615T(i0 /02 /C0M/WEB
1
CITY OF TIGARD
I D AT
BUILDING DIVISION PERMIT #:
ELC2005-00336
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2005
Phone: (503) 639 -4171 dt:1141 ��
Inspection Requests (24 Hrs.): (503) 639 -4175 _' I..
INSPECTION WORKSHEET FOR DATE: 9,28,2OOva" TIME: 7.08AM PAGE: 63
SITE ADDRESS: CLASS OF WORK:
16005 SW 108TH AVE BLDG A
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: OOA TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Rough -in & service For (18) units.
OWNER: OT2 LLC, PHONE # : 503 -620 -4373
CONTRACTOR: SPECTRUM ELECTRIC PHONE # : 503-361-1266
Inspection Request Scheduled For: Date: W2812005 Pour Time:
Code # Inspection Description Confirm # Contact # Message .
199 Electrical final 016826 -01 503-602-8608 Y
Corrections /Comments /Instructions:
4 _ - 4°' .
•
PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS
I I FAIL n C LL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: / Date: 9-1-4---" Phone #: (503) 718-