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Permit
CITY OF TIGARD ■ DEVELOPMENT SERVICES ELECTRICAL PERMIT PERMIT #: ELC2006 -00250 i � �, l DATE ISSUED: 5/11/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S110AC -00400 SITE ADDRESS: 14741 SW 109TH AVE 1 -4 ZONING: R -12 SUBDIVISION: TIMBERLINE APARTMENTS LOT : JURISDICTION: TIG • Project Description: (2) 200 amp services, (12) branch circuits. UNIT 1. Job #A6705. 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: 2 W /SERVICE OR FEEDER: 12 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: TIMBERLINE APARTMENTS LLC MCCOY ELECTRIC CO INC BY WPL ASSOCIATES PO BOX 42428 522 NW 23RD AVE PORTLAND, OR 97242 PORTLAND, OR 97210 Phone: Contact #: PRI 503 - 234 -7521 FAX 503- 234 -9473 FEES Description Date Amount Reg #: ELE 26 -82C [ELPRMT] ELC Permit 5/11/2006 $240.40 LIC 8277 [TAX] 8% State Surcharge 5/11/2006 $19.23 SUP 2175S Total $259.63 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- 99 or 1- 800 - 332 -2344. Issued By: 6 , 6ugdt, Permittee Signature: 1 ��rn-e W OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or re . 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 �h t): ' • FOR OFFI USE ONLY . City of Tigard Datee) i 5 - Permit No.: 6 7 - 'I 13125 SW Hall Blvd., Tigard, OR 97223 n Plan Review v � ! Phone: 503.639.4171 Fax: 503.598.1960 ,, •i n it / "NINIS'li,l'• Date/B . Other Permit: Inspection Line: 503.639.4175 M� ' y. - 11 Date Ready/By: 0 See Page 2 for Internet: www.ci.tigard.or.us 1 B p; 9 _ yt y 0 Notified/Method: Supplemental Information .a. N OI - WO RK f t - - : .. = .PLAN :REVIEW . ❑ New construction 0 Ari3ftion /alteiati on/replacement Please check all that apply: ^" k) a t ' ❑Service over 225 amps, comm'l ['Hazardous location ❑ Demolition Other: /® ," _ ❑ 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 A ❑ 1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building 0 System over 600 volts nominal units in one structure }}� Multi family ❑ Master builder ❑ Other: ❑Building over three stories OFeeders, 400 amps or more J"� ['Occupant load over 99 persons ❑Manufactured structures or :: JOB SITE INFORMATION. AND LOCATION :. -'• - ❑Egress/lighting plan RV park Job no.AQ5 Job site address: 1 L.13./..// S" im_ ( t7R� ❑Health -care facility ❑Other: . Submit 2 sets of plans with any of the above. City/ State/ZIP: A4.0 0" - 9' 2.4 The above are not applicable to temporary construction service. / Suite/bldg. /apt. no.: Project name: (,yyv L " Tr 1 S s. - .:FEE *. SCHEDULE:: ( Description J Qty. I Fee. Total Cross street/directions to job site: CAi tZtc,t.'L Li 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'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: 2 5"/ ( 0 ,A-C,- 0 a `Y © c; at N n ,,,_I Z Limited energy, residential 75.00 2 res 75.00 _ . ..:.. ...:.. Limited ever non-residential :... .energy, DESCRIPTION :.'OF ':WORK'_;; :: r; ': : ": ;Each manufactured or modular nn /, dwelling, service and/or feeder 90.90 2 1" t vim F-4 lit ,. iLZ i 4i Al EMek MA-1 ' PC-6-6 e'"- A Services or feeders installation, alteration, and /or relocation P nr A'ITrL. W a... cy •�� 5 200 amps or less 2, 80.30 j &o. 6 a 2 :.`!?PROPERTY OWNER";, � ' : a `i 201 amps to 400 amps 106.85 2 ' :` :. ❑:.TENAN ;::: . f.. . .,..,, ::_ ' 401 amps to 600 amps 160.60 2 Name: 11 I R+ E- +PIS L L, C 6S P L (fAcc O td:,�,.5 601 amps to 1,000 amps 240.60 2 Address: G "j, L 1.r_ y .1 Z 3 Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City / State/ZIP: A 1. l4 y_1) ci3 Z, 1 Temporary services or feeders installation, alteration, and /or Phone: ( ) Fax: ( ) relocation 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,!:::. ?s: ;: ".:,:; .. ":. ;::,. _- = = ° CONTACT 'PERSON,= ; ".;?'.;= -='; A. Fee for branch circuits with service or feeder fee, each Business name: m .. Cd _ . L (_ branch circuit • 6.65 p �t 2 Contact name: B. Fee for branch circuits 1 - Z "1. without service or feeder fee, 46.85 2 Address: each branch circuit 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- energy alteration, or e panel, Business name: extension. Describe: Page 2 2 Mc__ `ti -� . � Address: 2-o 1 ` © - �� Each additional inspection over allowable in any of the above S` 9 Per inspection 62.50 City/State /ZIP: Po 12-1 _ Cie‘--. 9.4Z, I y Investigation per hour (I hr min) 62.50 Phone: (5O3 )2 3 j. j Fax: 6o3 )2 3 y , I y. Industrial plant per hour 73.75 J ELECTRICAL "PERMIT FEES* CCB Lic.: 6 'I Electrical Lie.: Vi C, Suprv. Lic.:)1 -5-f" Subtotal 20.4 Suprv. Electrician signature, required: I(e 74_. . Plan review (25% of permit fee) - Print name: l R I Date: 6 - _ L _ State surcharge (8% of permit fee) v TOTAL PERMIT FEE 2,.:517 , 6 3 Authorized signature: This permit application expires if 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 a « Number of inspections per permit allowed. i:\ Building \PermitstELC- PermitApp.doc 12/03 440- 4615TO0 /02/COM/WEB CITY OF TIGARD . BUILDING DIVISION PERMIT #: E.LC2006.00250 13125 SW Hall Blvd., Tigard, OR 97223 �� DATE ISSUED: 5/1112006 Phone: (503) 639-4171 � u I�iipii l Inspection Requests (24 Hrs.): (503) 639 -4175 F:_.. INSPECTION WORKSHEET FOR DATE: 7!1412006 TIME: 7 PAGE: SITE ADDRESS: 14741 SW 109TH AVE 1 - CLASS OF WORK: SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: TIMBERLINE APARTMENTS DESCRIPTION: ( 200 amp services, (12) branch circuits. UNIT 1. Job #A6705. OWNER: TIMBERLINE APARTMENTS LLC, PHONE #: CONTRACTOR: MCCOY ELECTRIC CO INC PHONE #: 503 -234 -7521 Inspection Request Scheduled For: Date: 7/14/2006 Pour Time: ode # Inspection Description - onfirm ° Contact # Message 199 Electrical final 033089 -01 503 - 2347521 Y Corrections /Comments /Instructions: ■ i _ —� 503 ") Y)- ZO • "A, PASS ❑ PARTIAL APPROVAL ❑ CANCEL Li NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED VIA Inspector: ( ) =* ® � Date: 6 1( 6 Phone #: 503 718- , . CITY ��U�~�� �~����7U�������� . ��u mn�m�mn��* BUILDING DIVISION ~~~,"~~~°""~~° ~°"°"~~"~~"° PERM|T#: ELC2006•00268 13125SVV Hall Blvd.. Tigard, OR07223 DATE ISSUED: E111/2006 Phone: (503) 639-4171 Inspection Requeo�C24Hmj:(5O3)03Q'4175 .J ^ 1�!. INSPECTION WORKSHEET FOR DATE: 5/1812005 TIME: 7:01AM PAGE: 32 SITE ADDRESS: 14741SVV1D9TM AVE 1'4 CLASS OF WORK: SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: T|&4BERL\NEAPART&4ENTU DESCRIPTION: (2) amp services, (12) branch circuits, UNIT 1. Job #A6705. OWNER: TIMBERLINE APARl'K8ENTSLLC. PHONE #: CONTRACTOR: MCCOY ELECTRIC CO INC PHONE #: 503' 2347521 Inspection Request Scheduled For: [}ate: 5/18/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 BwcNca7f:e|vice 030109-01 603730'2005 � Corrections/Comments/Instructions: • /_\ fl PARTIAL APPROVAL �� CANCEL NO ACCESS __ I I FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED ������/ '-�- 511'01 wU1i| Inspector: �� �`@ ������� Date: k> Phone #: (503) 718- «�T�k� CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006•002W 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/11/2006 . Phone: (503) 639-4171 7,4 / Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/17/2006 TIME: 7:06AM PAGE: 48 SITE ADDRESS: 14741 SW 109TH AVE 1 - 4 CLASS OF WORK: SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: TIMBERLINE APARTMENTS DESCRIPTION: (2) 200 amp services, (12) branch circuits. UNIT 1. Job #A6706. OWNER: TIMBERLINE APARTMENTS LLC, PHONE #: CONTRACTOR: MCCOY ELECTRIC CO INC PHONE #: 603-234-7521 Inspection Request Scheduled For: Date: 5/17/2006 Pour Time: • Code # Inspection Description Confirm # Contact # • Message 115 Electrical seivice 030011-04 503-730-2006 Corrections/Comments/Instructions: ibR..u A oc - Es - re Lt ‘942& b(cIND fl PASS pi PARTIAL APPROVAL LII CANCEL fl NO ACCESS FAIL CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector: 1"'` t\ C Date: 411(0 Phone #: (503) 718- 244 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006-00250 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/11/2006 Phone: (503) 639-4171 itllA i AM% Inspection Requests (24 Hrs.): (503) 639-4175 1J— INSPECTION WORKSHEET FOR DATE: 5/17/2006 TIME: 7:06AM PAGE: 49 SITE ADDRESS: 14141 SW 109TH AVE 1 - 4 CLASS OF WORK: SUBDIVISION: TIMBERLINE APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: TIMBERLINE APARTMENTS DESCRIPTION: (2) 200 amp services, (12) branch circuits. UNIT 1. Job #A6705. OWNER: TIMBERLINE APARTMENTS LLC, PHONE #: CONTRACTOR: MCCOY ELECTRIC CO INC PHONE #: 503-2347521 Inspection Request Scheduled For: Date: 5/17/2006 Pour Time: . Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 030011-03 603-130-2005 Corrections/Comments/Instructions: RL t 5 PASS fl PARTIAL APPROVAL LII CANCEL 0 NO ACCESS FAIL CALL FOR INSPECTION H ADDITIONAL FEES ASSESSED Inspector: NU LE Date: 5 66 Phone #: (503) 718- MA Inspections Required for: ELC2006 -00250 ✓ Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading X 115 Electrical service 205 Footing X 120 Electrical rough -in 805 MFG- Structure grading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post/beam structural 150 Hot tub /spa/pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors , X 199 , Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing MEC - Mechanical Permit 810 MFG- Structure set -up 280 Insulation 605 Post/beam mechanical 285 Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG- Structure final 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit • 910 Sprinkler rough -in 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 315 Post/beam plumbing 995 Misc. inspection: 320 Plumbing rough -in 998 Alarm final 322 Shower pan 999 Sprinkler final 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer • 405 Excavation 345 Culvert/catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection I: \Building \Inspection Cards \Forms \AOP- InspCard- Blank.doc 12/09/2005 CITY OF TIGARD i _ ELECTRICAL PERMIT PERMIT # : ELC2006 -00250 1 : 7- '< , -,t ; 1 DEVELOPMENT SERVICES DATE ISSUE 5/11/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 -639 -4171 PARCEL: 2S110AC - 00400 SITE ADDRESS: 14741 SW 109TH AVE 1 - ZONING: R -12 SUBDIVISION: TIMBERLINE APARTMENTS LOT : JURISDICTION: TIG Project Description: (2) 200 amp services, (12) branch circuits. UNIT 1. Job #A6705. 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: 2 W /SERVICE OR FEEDER: 12 PER INSPECTION: 1 201 - 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: SVCiFDR >= 225 AMPS: CLASS AREA/SPEC OCC: J Owner: Contractor: TIMBERLINE APARTMENTS LLC MCCOY ELECTRIC CO INC BY WPL ASSOCIATES PO BOX 42428 522 NW 23RD AVE PORTLAND, OR 97242 PORTLAND, OR 97210 Phone: Contact #: PRI 503 - 234 - 7521 FAX 503 - 234 -9473 pri FEES _ r Description Date Amount Reg #: ELE 26 -82C `, L1C 8277 [ELPRMT] ELC Permit 5/11/2006 $240.40 O SUP 2175S [TAX] 8% State Surcharge 5/11/2006 $19.23 d Total $259.63 REQUIRED ITEMS AND REPORTS 6 I 0 j J 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 /it 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 �j 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- 99 or 1- 800 - 332 -2344. Issued By: , 6bi Permittee Signature: ^ ,/r `, V / OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not intended for sale, lease, or re 4. 9 P p Y � � rep t. 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.