Permit ELECTRICAL PERMIT
CITY OF TIGARD
i „ ,
All DEVELOPMENT SERVICES PERMIT #: ELC2006-10031
DATE ISSUED: 3/8/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S104DC -03500
SITE ADDRESS: 13145 SW CLEARVIEW WAY ZONING: R -4.5
SUBDIVISION: BENCHVIEW ESTATES LOT : 035 JURISDICTION: TIG
Project Description: Modify (10) branch circuits.
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: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 9 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:
LISA DUCKETT CROWN VOLTAGE
13145 SW CLEARVIEW WAY DANIEL TUCKER
TIGARD, OR 97223 12607 NE 199TH ST
BATTLE GROUND, WA 98604
Phone: Contact #: PRI 360- 666 -0995
FAX 360- 666 -4673
FEES
Description Date Amount Reg #: ELE 37 -984C
[ELPRMT] ELC Permit 4/1/2006 $106.70 LIC 153934
[TAX] 8% State Surcharge 4/1/2006 $8.53 SUP 4494S
Total $115.23 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 -6699 or
1- 800 - 332 -2344.
Issued By: Permittee Signature: s) c)N
� c
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.
IS
al1'll` BUILDING SERVICES DIVISION ELECTRICAL PERMIT CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 / _
503- 639 -4171 ,www.tigard- or.gov PERMIT #: VLJ J 1a 3/
DATE ISSUED: -'? - 0 6
SITE ADDRESS: j 3 L _q_5 1�. C, c,c)y- v \Z�, ( �� ~ PARCEL #: _ __
�- •
BLDG /STE #: �t ZONING: _ _
SUBDIVISION: _ -~ - - LOT: JURISDICTION: / hr
This is an interim permit issued during computer system maintenance.
Construction work and inspections may proceed under this permit number.
The actual permit will be issued and mailed to the applicant within one week of the date issued above.
L PROJECT DESCRIPTION:
rte ��-� �c� c �Ye.w\
'RESIDENTIAL . TEMP SRVCIFEEDERS 1 MISCELLANEOUS
1000 SF OR LESS: _ 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500 SF: -_ 201 - 400 amp: SIGN/OUTLINE 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:
W/O SRVC OR FDR:
201 - 400 amp: _ 1 7 PER HOUR: _ __ —_
401 - 600 amp: EA A D D'L BR ANCH CIRC: 9 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. _ FEES
Name: sc3.____t Permit Fee $__I_Q_Li O_
Address: _g 3! yi a t,3 G_Ve. of \IY IAN Plan Review Fee $
City /State /Zip: - 0,..wc-- 4, 9 - 1 7- -- State Surcharge (8 %) $ ___ __5 _.
Phone: j Other Fee: . $
Other ther Fee: $
Name: Total Fees: $ / ��
Address: fi 6 Qa_ YLu 19 9 .- - 1, - - - -
` - 3 ...___—
Cit /State /Zip: -�._ Gam, _,__..,,�
Phone: -Z , 6 Q'"�._(1. -
Fax: —_ 3 _ ( . (1 6“-(/613
CCB Lic #: / 5 9 3 y .._. --
Elect. Lic. #: ...j,/ - 51' y __..._..____._.-- - -_...
Supr. Lic. #: -- `i_6_5.
�-
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 -0080. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -1987 or
1- 800 - 332 -2344. ,1' ��
Issued By: , -4. Permittee Signature: S�.e. W ,
Y
i O INST ON LY
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. ELECTRICIAN: DATE:
LICENSE NO.:
Call 503 - 639 -4175 by 7:00 AM for an inspection that business day.
Note: If you cannot schedule an inspection while the system is down, please call 503 - 718 -2433 for assistance.
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.
I:\ Building\ Forms\ ManualPermitForms \ManualELCpermit.doc 03/06/06
Mar 08 06 12:48p CROWN VOLTAGE, INC. 1 360 666 4673 p.1
Electrical Permit Appiicatio r __.__ Fr��; OF l. 5i: ONLY __. - - -- _ _ 1-1 r I ;
Cl O1�Tl�*81Y1 awn- ' -7 - 0 ` PermirNe._� ... .` ` -0e)
13125 SW Hall • Blvd, Tigard, OK 97223 MAR j rr p� krview
Phone 503.639.4171 Pam M AR t0 .- : 503.598.1960 - -, -, :, . p <- . Other
In spection Lin= 503.639.4175 x *.4. - '4 J,. Bata Roadynly. la /r 1e.
linear-I: www_eitigard.ex_as CITY OF TI 'A Non¢tiodimethod: j / U I See Paget For
N- —
Ta okL� IG DIVISION ELAN > ._. _
❑ New consnvdioa �AdditionfaltetstionheplaCenlent P.�sc c all that apply
[l Demolition 0 Other. ❑Service over 225 amps, eomm'l ❑Ngra pious locatioe ,
❑Service over 320 amps- rating °Bulldog over 10,000 s4 tt,
CATECORV OF C ONNTRUC - TION oft -fwd 2- family dwellings 4 or more new is el
151 and 2 family dwelling [l Comma dalIndustrial Ll Accessory building ElSystem over 600 volts nominal and in one structure
[7 Multi - gamily El l bolde El Other: ❑Bulldwg war slum sty BFeroaiecr,400 apps or more
ClOcalpent load over 99persons ❑Msnu>icmiedalnx:luresat
JOl3 SITE INFORMATION AND LO(,TION .grexsf iglltin8 plan RV park
. 1 o b no.: !rte site address: ► 3 1 2 3 4 C) ec_r ki i e w v , °Hetltlt xro Earthy I�otncr: lik Sabah 2, sets of plans with any of the above.
City/Stan: P: , t (i41--2-C3 The above are not applicable w temporary oonsovction savior `
—
SuitelbWgiapt. no.: I Project name: FEE' 1R E
1 rtes. 1 71 11 "
Goss street/din. Lions to job site: New.mideutia1 single- or unaS11- fronny (livening wk.
_ . I,dadesattachot a�n�r
1,000 sq- IL or less 145.15 4
. Subdivision: I Lot no.; Ea, add'1500 sq. ft. or portion 33.40 t
Limited nergy, residential 75.00 2
Tax map/parcel no.: 75.00 - _, 2 -
MENCRIPTION OF WORK. latched � -- r
Each tlaauuufactttnzd or modular
TY \ UQ r ` C- dwell*, service andfor fc ode. R 90-90 ?
Services or f eeders iaananatioo, alterations, and/or relocation
200 amps or less ' 8030 - 2
^
0 PROPERTY' WNER 1 [] TF m NANT 701 arms 400 amps 106.85
Y 2
401 arts to 600 amps 160.60 2
Name: C.�S `e e,]kk 601 auglstu 1,000 mgrs 240.60 2 ,
Address; h ! " Over 1,000 ma or volts 454.65 2
— W Reconnect oily 66.85 2
City/Star/ZIP: Temporary SCIN91005 or feeders installation, alteration, sower
Piton ( ) F ` Fax: ( ) relocation
ZOO amps or Less fr6 g5 t Owner installation: 1 i installation is being made on property that I own which is not 201 snips re 400 amps 100.30 intended for sale, lease, rent, or =change, according to ORS 447, 449, 670, and 701. 401 arpnB to 600 amps , I33.75
Owner signature: Data Brooch circalllr- new, aloeraooa4orcztcmiuu j rpine)
0 f
APFLINT El C�O1rrr a(T PERSON
C _A A. Fro for loarxta circuits with
. .. service or feede fee', each 665 2
Btusittcss name: branch wit .
B. Foe fen branch circuits
Contact rime: without service or feeder foe, I 46.85 �(0 ,5 2
each limn& circuit -
Address: — Each add'I branch circuit J R 6.65 $I ,95 2
•
City/State/ZIP: 1Mfi taarnaa (service or fader not indgdcd)
Pump or lnig lien circle 53.40 2
Phone: ( ) I Fax : ( ) Signoeoutline Battling - _ 53.40 2
E - mail: Signal evoail(s) or limited-
CONTRACTOR energy peed, attaatioo, or
extension. Describe Page 2 2
Boulders name: � { ` ( : ) u. t ' Z k i n U e ! s r ...
��: 1 r A , (� Q Kith additioaal Ins ov e r xJlcwable is may ofthe above
w �— Per inspection 62.50
chi/stifle/23P: p,„4.+1 c a Investigation per boor('Melia) 6230
1 ' 6 3 4 c ; O ) Fax: ( ) (ado' y !a 7- Industrial plant per hoar 73.75
� S ELECTRICAL PERMIT FEEIPT
ccB Lie: 1 6 a 3/1 Electrical l 3 -4110.1 Supry cairn: II .. Subtotal 1 0( ,1.0
prv. Electrician signatu n, required: flan review (25% of pennit foe)
n pf r/JJ,, State mrelarge (11%orpermit Ice) a, G
Print name: ��� '�' ( (�� - C:i alma
7O'IALPEfUtITFEE I t.5. 25
Authorized signature: , ' �"t"
, 1 t ma Permit apllientJim expires if. permit is not ah0 d within 180
them after it Eau bees aeorptvd err corapktc
Print name: i 'C' . - C • 1R� ' D 3 8 a . . Foe mdbodology sot tryT.i-Coasy Quaffing ug l.t Service Boant
CA
•• NumberorinsoomDaa Derr:remit attuned.
CITY OF ��u n m n�'m TIGARD
BUILDING DIVISION ' - PERMIT #: FLC2006-10091
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISSUED: 302006
Phone: (503) 639-4171
Inspection Requests (24Hraj:(GU3)630'4175 *�
INSPECTION WORKSHEET FOR DATE: 8/2312006 TIME: 7:03Ak4 PAGE: 42
SITE ADDRESS: 131458WCLEARVlEWWAY CLASS OF WORK:
SUBDIVISION: 0B4CHV|EWEETATE3 LOT #: 036 TYPE OF USE:
PROJECT NAME: DUCKE1T
DESCRIPTION: Modify (10) branch circuits.
OWNER: DUCKE.|t.LISA PHONE#:
CONTRACTOR: CROWN VOLTAGE PHONE #: 368686-0995
Inspection Request Scheduled For: Date: 8/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 035483-01 360'666'0996 �
Corrections/Comments/Ins i
(7 — Am
PASS I I PARTIAL APPROVAL ri CANCEL pi NO ACCESS
I | CALL FOR INSPECTION | | ADDITIONAL FEES ASSESSED
����^~� ~�^�� ��
Inspector: »~n ~°m�^�� Date: o� «~�~~°~� Phone #: (503) 718 1446
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006•10031
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 302006
Phone: (503) 639 -4171 � "'`.
Inspection Requests (24 Hrs.): (503) 639 -4175 !i _IL;.,
INSPECTION WORKSHEET FOR DATE: 8/17/2006 TIME: 7:01AM PAGE: 61
SITE ADDRESS: 13145 SW CLEAR VIE/ WAY CLASS OF WORK:
SUBDIVISION: I3ENCHVIW ESTATES ATES LOT #: 035 TYPE OF USE:
PROJECT NAME: DUCKETT
DESCRIPTION: Modify (10) branch circuit:,
OWNER: DUCKET T, LISA PHONE #:
CONTRACTOR: CROWN VOLTAGE PHONE #: 360 - 666.0995
Inspection Request Scheduled For: Date: 8/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 035047 -01 360 - 666 -0995 Y
Corrections /Comments /Instructions:
(Aro OA/
1 /
/Yo f r o e S S 9-t. -L ( rn btz. s ®a /P )
/Via-49 :- s oIrec / y ,' JO io -
w; 56.. c' /6 yeo bet
ri PASS I 1 PARTIAL APPROVAL n CANCEL NO ACCESS
-FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: iA/4-14—A Date: Q — / 7 Oh Phone #: (503) 718-
BUILDING DIVISION PERMIT #: ELC2006•10031
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /8/20f)6 •
Phone: (503) 639 -4171 4 a► °''���'��������.
Inspection Requests (24 Hrs.): (503) 639 -4175 '. 1,L,
INSPECTION WORKSHEET FOR DATE: 8/11/2006 TIME: 7:06AM PAGE: 67
SITE ADDRESS: 13145 SW CLEARVIEW WAY CLASS OF WORK:
SUBDIVISION: BF.NCHVIEW ESTATES LOT #: 035 TYPE OF USE:
PROJECT NAME: DUCKE f T
DESCRIPTION: Modify (1C)) branch circuits.
OWNER: DUCKETr, USA PHONE #:
CONTRACTOR: CROWN VOLTAGE PHONE #: 360- 555.0895
- 6'36 -076y
Inspection Request Scheduled For: Date: 8111/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 034811 -01 360 - 666,08855 Y
Corrections /Comments /Instructions: 0 ��'-,�
co L m a.- i 7► c�L 6 v L 1�
'cP(`TV 'a-Aso/IN a.€0.,,iictr--i supp•b4-
Q P ct.. 0- s /IA a ICS 6-e •&, iJ
"Exi 57 e N seA o t F c ` t ct ¢.cvd` .
,() n PASS 1 PARTIAL APPROVAL CANCEL ❑ NO ACCESS
FAIL 1 I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: cr. + 1■1 Ll: Date: 4 8` {4 6; Phone #: (503) 718- 2/41,
CITY OF TIGARD • BUILDING DIVISION PERMIT #: n0006-10031
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/312006
Phone: (503) 639 -4171 4 44
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/27/2006 TIME: 7 :03AM PAGE: 107
SITE ADDRESS: 13146 SW CLEAPVI/ WAY CLASS OF WORK:
SUBDIVISION: BENCHVIEW ESTATES LOT #: 035 TYPE OF USE:
PROJECT NAME: DUCKS I r
DESCRIPTION: Modify (10) branch circuits_
OWNER: D U C K L I I L I S A PHONE #:
CONTRACTOR: CROWN VOLTAGE PHONE #: 360- 666 - 0990
Inspection Request Scheduled For: Date: 7/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # T - =.:
199 Electrical final 03371501 360 - 6660.0996 `
Corrections /Comments /Instructions:
('1 N
SZUlit■g■ 7&IP' . ..
(N6 (Wt °i
N p ei 6 tJJW1L R 6 a6ci--
i 's t. �►M SA S (1.o 101 N �a� "
$k 5 pag 1 6 Li7
n PASS I I PARTIAL APPROVAL n CANCEL NO ACCESS
tZ. FAIL 0,, CALL FOR INSPECTION * ADDITIONAL FEES ASSESSED
Inspector: C `l`v '� V �� Date: b Phone #: (503) 718-
CITY OF TIGARD EI_:'200Cp 10031
BUILDING DIVISION PERMIT #: 3/8/2006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 AioNitt
Inspection Requests (24 Hrs.): (503) 639 -4175 -;_..
7/21/2006 7:01 AM 52
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
13145 SW CLEAR VI ENV WAY
SITE ADDRESS: DENCHVIEW ESTATES 035 CLASS OF WORK:
SUBDIVISION: DUCT <E 1 r LOT #: TYPE OF USE:
PROJECT NAME: Modify (10) branch circuits.
DESCRIPTION:
DUCKL 1 1 LISA
OWNER: CROWN VOLTAGE PHONE #: 360 6(6.0996
CONTRACTOR: PHONE #:
7/21/2006
Inspection Request Scheduled For: Date: Pour Time:
Col* # Irtigegitpliapeription .9 4t-d r elit g- 996 Message
Corrections /Comments/ Instructions:
1 3Q pn\
PASS 1 1 PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: A2 t\108 Date: 1 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION A., PERMIT #:1E. LtOO6•i <b03
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639- 4175 �..
INSPECTION WORKSHEET FOR DATE: $ 2.310 ,6 TIME: PAGE:
SITE ADDRESS: \ 31 _`J r 6 W C ' 'V w CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: t
OWNER: PHONE #:
CONTRACTOR: c 45 W..) J ®1 � � $. PHONE #:
Inspection Request Scheduled For: Date: 'x,2,3 ®'0 Pour Time:
Code # Inspection Description Confirm # Contact # Message
kei(\ f-104k
Corrections /Comments/ Instructions:
1 -- 2 :5
CH)
PASS 1 1 PARTIAL APPROVAL CANCEL NO ACCESS
FAIL ( CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: N08 Date: t A 1 ?40 6 Phone #: (503) 718 - 2+44'b
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