Loading...
Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00203 DEVELOPMENT'SERVICES DATE ISSUED: 4/1/2005 ' `''I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135CA-00800 SITE ADDRESS: 11255 SW GREENBURG RD 011 ZONING: R -12 SUBDIVISION: WALNUT TREE APARTMENTS LOT : JURISDICTION: TIG Project Description: Walnut Street Apts. Alteration of existing 120v service #TGO3a1 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: 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: ANDEREGG, FRED CHARLES + BEULAH DRYER ELECTRIC INC 17146 SE HIGHWAY 212 9409 NE COLFAX ST CLACKAMAS, OR 97015 PORTLAND, OR 97220 Phone: Phone: 503 - 771 - 5667 FEES Reg #: ELE 26 -1 I 42 Description Date Amount LIC 153466 SUP 28765 [ELPRMT] ELC Permit 4/1 /2005 $80.30 [TAX] 8% State Surcharge 4/1/2005 $6.42 REQUIRED ITEMS AND REPORTS Total $86 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: ��� 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. 03 -30 -2005 13:47 FROM- T -933 P.022/043 F -594 ,_/o1 a 15:12 FAX 5035981900 CITY OF - 1113.AK.0 r " „- Electrical Pelrmit A lication I;oix o ;it,: USE ON Y' . ' e ceived / PernitNo.: Ck o T i I�rd .f._r�l ! S__ s r r E . "��_3 r D1SaB ► — 125 SW Hall Blvd., Tigard, OR 9722 Plan Review one: 503.6; 9.1171 Fax: $0498,1960 & M1*'U • • .!' ■� • '.\ I?a , Other Pe:rain �ispectian Una:, 503.6.39.4175 d 175 . 1 1 Pate Ready/By: Ms: �! Sac PaoeIZ tar i Internet: wwa: :ai tigard.or.us Netilied/Metaod: ( r $ypptemcnt • r L I I- , - ,".' . 1 ,.: tar r t .,q i 1 ,;r t�w ,i' ;t�- i Lb,' C'ril, 'fir J '''''',;; ., I ,: 111. ..— : r S .. ec� S ... b � : , =s, . L . ,4..uu: r, ., 4 7 - 1 • Ali . n New CaAS truWon [] Addition/alteratianherplacoment Tease check all that apply: ❑Service ova: 225 at:Jpa, comm'I 01.142nrdacy Jocadon Dctnoliticn q Other: s, o,aoa tt., s r:: r - :54311ht[¢ c � ° l,It rI: ❑ Service ovtr 32•: taps - rating © Buildag o er l eq. ^ I tt' I' '';: 1 •' ` r ( '1 Y.l I r "` I s IIF ' f 'i^''• ,.. of 1 -and 2. ft l cwelhn s 4 or rrore' w reside`rtia) r j) II t .. x '{' Il 1 arlH iw:•. .Y 8 {le �1 .` L . �. 1 - ]' I ...I _ •. _' .:__' .:. .. . .. ..... S 1 - and Ian fly dwelling. Q Commercial/•fztduetcial 1111 Accessory building MSystem aver 60 volts nominal llr4ta 4 Crle S!?'uctUTe Multi fare ' Master builder 0 Other: o ver ilex, 9 gong a si ructuresor Q ❑Building d ones ❑Feeders, 400 amps :•1; i]Oacttp civet 99.par i]Iv cttlre Xpar r 4, -- - : - 1 -: :ivi - -•II• - :�.Y�!•t !' :�t - �r.� ' ? "�:I RV. ark + i , ; , D I . I t I I t [] Egress /ligh in,* sc, P NI fscil�ta ❑Other: • �° lb no.: Jab site t dr ess: � � `� I/ I ° Ilnit 2 sets ofpi m; with an of the above. - - V1 e t temporary eons • Ilion s ervtee. iry/State/ ?: / r���ir.Zi 1 T i • �cbove are n ot a;lphcabJ o e porary r. ._ 1 ! - ® � I x ter_-, ,• ;. �, +,rr - tite/b1dgJal,t.'so.: ? •Jeetname: � , ___ I hoate:p ian . - Qty hw. '. L . _ Total 'ro53 streetfc ire aloes to job Site: New raeIdentialsing{! -vr muld•family dwelling unit. - - I lnetaeles attxuht :d , „!rage. _ 1,000 sq. ft. or less • 145.1c! ! 4 L ot n o.. Ea sdd'1 ;;g. ft or portion 33.40 • 1I ubdivision - — .. — Limited Cncrg;/ ^ lasidlzltial 75.0f; MIN 2 1 ax map/part e) rte red energr, ile ttsidential Ot - 1 l cit raanufat urrd� >r rrt odolar �� ,ir /. , ` T�� dwelli s trn .a e �e atsl itlsf V . feeder 90.90 2 �� • i•1 Services or fedl ;rs ►1{ation, a1[ ration, andl4i relocatio , I I' : ',• • . •� I - t< 201 amps t 44 0 = v4. 106.85 '2 r4 .•::.:;:4::' , 1 ._ . 1 . J 4. 1 11 .. ' . _,.. .... . : 1 . • ......:. I . .: ..._._ ... , ..., • ...._ _ . -- - -_.L 401 amps to 61)0 amps 160 - 601 2 �rrle :� `` 601 amps to 1,000 acn},s 2 <p.6p� 1 2 ddTass: C XnCL Over 1,000 au.ps or volts 454.65; 2 — Reconnect only 66,851 2 ity /State/ZIP: Temporary strviceq or feederr installation, alteration, and/or ( ) r Fax: ( ) relocation — _-- — - aone: 200 tarps or leas _-- 66.85)1 1 • )wtuer 1nSta11w rlow This inst4114tion is being made on property that 1 own which is not 201 at to 400 amps ---- 100.30 2 ; : tended fort 4114 least:, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 atn;ps 133,751 2 ./wner signal urnt: Date: Branch circuits - now, alteration, or exteneia,a, i per panel - ..... -._ ....... .: _ - , -_ a for brarict yr' eau is wtl _t �, ..:..t i I ......... __...._. P' ! ':_.,! ; � : ice _.... 1 A. s ervi c e or icec el . ee, each 2 'Usiness ante: branch circuit B. Fee for brand circuits ' ontaCt nan wirhottr sarvica u :eeder fee, ! each branch.circuil 46._ 2 address — : `--- 5 6Si 2 - Escb add'l bran . resit ����. icy /State /ZZ ?: r 3 eellaneou;: (::el ,, te•e or feeder riot included) . - � Pump or inigaticn Lack _ 53.40 2 hone: ( ) Fill(: ' ( ) I - --- 53_40 2 _ Si or outline.light,r , g. ------ 1 i'v r t ene er r g panel, alb:retin m I ,1 - _ ... 1 i.j �,rtyi; extension. ]aescr.be. L Page 2 1 • I 2 ;usineasnan � r nitrite: Ilk, r� • - ---_ -_ _. { = d dress: ' fI 11 l � r J � • fa f B ach additional ln over allowable I n ally of the above IY� � �.. PerPeri pecion I 62. • :ity /State /ZI ?: I LM % IP # ;.#1:.,.111 Investigation tier hour It hr rria) - I 62.50 1/�u InduaAial • Ian t Der 1.to :: 5a.:17; 73.7. t , T .,... Fz37t: r at ijl y ;ir6? :i,: a % ie) , s .w q6— �B it: -, Electrical Sic_ Suprv. I ic. / / subtotal 40 Ir �' ''.iprv. Electrician sigt .a ire, required• ,/ ^ — Stae srrr. P lest rc rie•r, (25% of pt::mit fee) �,... _ Stale (8% ofper,_tit fee) • ,� _ • ,. -/=mt name: 4-... . 1 .Z,s T� : e: 1 -- - TOTAL PERMIT FEE • . + ~ . d..... athorized s.gttaturel This permitnpplicat ion expires if permit is aetebt within 1 - — . — days zt,ct • Ulm been accepted as complete ''int name: .. IDatc: • see ambeca AEy tk'y Tr:•Ceenty (tuilding Ird3.4rry:5uvice Hoard Number of iasp:etilms per permit allowed. ..Id'mav'a a15:G ecrrnit p.doc 1:V77 44C.46137t lo,oJCCID't,WEa CITY OF TIGARD ' BUILDING DIVISION PERMIT #: ELC2005 -00203 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1/2005 ., Phone: (503) 639 -4171 u +� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/8/2005 TIME: 7 :10AM PAGE: 30 SITE ADDRESS: 11255 SW GREENBURG RD 011 CLASS OF WORK: SUBDIVISION: WALNUT TREE APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: COMCAST DESCRIPTION: Walnut Street Apts. Alteration of existing 120v service #TGO3a1 OWNER: ANDEREGG, FRED CHARLES + BEULAH, PHONE #: CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503. 771 -5667 Inspection Request Scheduled For: Date: 4/8/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 004118 -17 503.516.3125 N Corrections /Comments /Instructions: • S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: -®f Phone #: (503) 718-