Permit CITY OF TI GAR D ELECTRICAL PERMIT
.140410 i �H DEVELOPMENT SERVICES PERMIT #: ELC97 -0362
y���l DATE ISSUED: 06/ 18! 97
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S135DC -02000
SITE ADDRESS...:11855 SW 91ST AVE #4
SUBDIVISION • ZONING:R -7
BLOCK LOT JURISDICTION: TIG
Pro.j ect Description: Electrical permit for 11855 and 11845 SN 91st Ave.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF' OR LESS 0 0 — 200 amp • 0 PUMP /IRRIGATION 0
EACH ADD'L 500SF. °.: 0 201 — 400 amp 0 SIGN /OUT LINE LTG..: 0
LIMITED ENERGY • 0 401 -- 600 amp 0 SIGNAL /PANEL.. • 0
MANF. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10) ...: 0
- - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- -
0 — 200 amp 0 W /SERVICE OR FEEDER: 0 PER INSPECTION ° 0
201 — 400 amp • 0 1st W/0 SRVC OR FDR.: 1 PER HOUR • 0
401 — 600 amp : 0 EA ADD'L BRNCH CIRC: 95 IN PLANT ° 0
601 — 1000 amp 0 PLAN REVIEW SECTION - -•
1000+ amp /volt 0 > =4 RES UNITS........: > 600 VOLT NOMINAL..:
Reconnect only ° 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC.:
Owner: FEES
VILLA LA PAZ APARTMENTS type amount by date recpt
11865 SW 91ST AVENUE PRMT $ 510.00 JSD 06/18/97 97- 296106
TIGARD OR 97223 PLCK $ 127.50 JSD 06/18/97 97- 296106
5PCT $ 25.50 JSD 06/18/97 97- 296106
Phone #:
Contractor: —
TICE ELECTRIC $ 663.00 TOTAL
2139 SE BELMONT ST
REQUIRED INSPECTIONS
PORTLAND OR 97215 Ceiling Cover Underground Cove
Phone #: 233 -8801 Wall Cover Elect'1 Service
Reg #..: 000001
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 1:' days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 ,hrough OAR 952 -PA1 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987.
APP
Permittee Signature:, /�,' Issued B ■
- 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: v L-Qt - em u DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p•m• for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + ++ + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Electrical Permit Application Plan Check # I5
13125 SW HALL BLVD. Rec'd By 0.MAAD 091
Date Rec'd "2 Q Ii
TIGARD OR 97223 Date to P.E. (d -17-c) 7
Phone (503) 639 -4171, x304 Date to DSTU4."
Inspection (503) 639 -4175 Print or Type Permit # C' - J 3./
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called
1. Job Address: /� 4. Complete Fee Schedule Below:
Name of Development �A PAS 4P7 ' Number of Inspections per permit allowed -
Name (or name of business) 03 /44 10=-' 'T ) Service included: Items Cost Sum
/r r5S Cw)
Address // $`f ( --) ,c-1st/ q/ SI"' 4a. Residential -per unit
City /State /Zip "1U Al Al n O._ 1000 sq. ft. or less
Each additional 500 sq. ft. or $110.00 4
Commerci� Residential El Limited thereof $25.00 1
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current licenses ■ 4b. Services or Feeders
I nstallation, alteration, or relocation
• Electrical Contractor I') C-6 � ' 200 amps or less
$60.00 2
Address 2-/ 3y s -.- !�E"GI�'7 t�I -7'+ 201 amps to 400 amps $80.00 2
City _State te DiZ Zip ?'l 401 amps to 600 amps $120.00 2
Phone No. • - MO d ! 601 amps to 1000 amps $180.00 2
Job_No. 2.9 1 3 Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. ;2/19 fj Exp.Date /Ol y Reconnect only $50.00 2
OR State CCB Reg. No. 4 Exp.Date 30 4c. Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date Installation, or less alteration, or relocation
200 00 amps or less s $50.00 2
Signature of Sur. Elec'n 201 amps to 400 amps $75.00 2
g p 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. - I l l f Exp.Date to l ( / 9S see "b" above.
Phone No. ' '7 1 - g 3 6
4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or
-x\
Print Owner's Name feeder fee.
Address Each branch circuit $5.00 2
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee. /
First branch circuit ( $35.00 2
The installation is being made on property I own which is not Each additional branch circuit q J $5 . 1175 intended for sale, lease or rent. 4e. Miscellaneous /
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3. Plan Review section (if required):* Signal circuit(s) or a limited energy
panel, alteration or extension $40.00 2
Minor Labels (10) $100.00
Please check appropriate item and enter fee in section 5B.
4 or more residential units in one structure 4f. Each additional inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal • Per inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C. Chapter 5 In Plant $55.00
* Submit 2 sets of plans with application where any of the above apply. 5. Fees: �.� a.
Not required for temporary construction services. 5a. Enter total of above fees $ ` •
5% Surcharge (.05 X total fees) $ �5 �'
NOTICE Subtotal $
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal 7
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY OD
TIME AFTER WORK IS COMMENCED.L ❑ Trust Account # $ 2 § 3 �-
Total balance Due
q-7„"291(0( 6
I: \DSTS \ELC96.APP Rev 9/96
7f
' 2' CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: —.A. 7 -1 1 if A.M. P.M. N MST:
' /f e4L5 &v w/4.6)
Location: I .�� � )4 � UP-
Tenant: Suite: Bldg: MEC:
Contractor: ti!�(,�p , / ° i( Phone: 4=2 91-3...,s( PLM:
Owner: Phone: ELC: 7- £9 601_,
'% C 4, ELR:
BUILDING BLDG (con't) PLUMBING MECHANICAL ' ECTRICAL SITE • Site Post/Beam Post/Beam Post/Beam _ . _ . • - r Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt -
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved • Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL) FINAL
F7A//4 L 6 k 8 A-,D 6
S(J 6- 6-_" T A/ u9 PA- Aim L sr /--1- 5 U1. C,e c
A/q i N7`�,D rD A / 9 - I. & / A - it//= 4 ' •
•
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0 Call for reinspection einspection fee of $ req fired be 'ore next inspection 0 Unable to inspect
Inspector: Date: / 1 9/7 Page of
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: J / 9 9 P A.M. P.M. MST:
Location: 1/9-0--(5- V s + 1' // . BUP:
Tenant: Vi Q L 4 A z � 4 140- L Bldg: MEC:
Contractor: T i C- ,--/. E 77 Phone: PLM: Q
Owner: /J FC5Z 5' • /lc- '4 C's Phone: ELC: 97 Z
C l(c - g 171Y1 C/ C UL et ,S . ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL (LECTRICALb SITE
Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved A pproved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved o pproved Not Approved
FINAL FINAL FINAL < ----- FINAL
/, /s . /7 06 v ` 1/ C'6» /Je
/)/ g/ - 5_5
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•
•
O Call for reinspection spection fee of $ required before next inspection D Unable to inspect
Inspector: Date: — A 6 - Page of
--(/ ( 5 —7---. i 1 3, 4 /7 ,)-si &--57,
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: q -/ - ( A. M. P.M. MST:
p
Location: ` 1 p 55 zz..x./ q/ 4-t / BUP:
`
Tenant: Suite: Bldg: �`- MEC:
Contractor: Ft_. Phone: / PLM: .
Owner: Phone: ELC: c77-03
67 1
"_ ` Lad P /[ • `4 A A:: _ app _ _ A tb. Allis/ >( • . - : ELR:
SIT:
BUILDING _ BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm.
Footing Roof UndFUSlab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line (Rough UG Sprinlder
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath FireSpklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved • Approved
Appr /Sdwlk Not Approved Not Approved Not Approved ved Not Approved
FINAL FINAL FINAL FINAL FINAL
A 1/� /A/ a I,
cc) ( A Cr )
O Call for reinspection Reinspection fee of $ requ ed be fog r xtt inspection CI Unable to inspect
Inspector: Date: � � / Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
•
Date.Requested: C ^ // • 9 7 A.M. P.M. MST:
Location: /1 e,.5 S.W. q l S'F V iL. - A L P/4.7._ BUP:
Tenant: Suite: Bldg: MEC:
Contractor: 7/ c. ff L,E C7 A / C Phone: PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line ..• ough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt •
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
l3- /i / 3 j / / 7 ) y- $ L6`/ RdvG rO�c
•
0 Call for reinspection i tion fee of $ eq :• ed befo' - next inspection 0 Unable to inspect
Inspector: Date: i f Page of
.
/- CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 •
Date Requested: Z Z -17 A.M. P.M. MST:
Location: I 1 R 75 cr `xv '7f Aur BUP:
Tenant: /J Suite: Bldg: 3 & hi MEC:
Contractor: t Pho ne: `7
� PLM:
Owner: Phone: ELC: 7- 0 3
ttfli `f? 60 -- cc�.._. : wit, 111 . - �I -D3,h
lit /ri i.LN 6'.5 70 d w-- `e- - SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam - ove -;". ervice Sewer /Storm
Footing Roof UndFl/Slab Rough -In eiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
Z 7 1 " g t o 6 0 . .
6 s 7 7 Z p -- u /V/ 7'S Cav 0 1 .
._
•
O Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: reinspection
Date: 7 -f Page of
•