Permit ELECTRICAL PERMIT
CITY OF TIGARD PERMIT #: ELC2006 -10005
11 DEVELOPMENT SERVICES DATE ISSUED: 3/1/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 102DC -02400
SITE ADDRESS: 09125 SW MCDONALD ST ZONING: R-4.5
SUBDIVISION: EDGEWOOD LOT : 014 JURISDICTION: TIG
Project Description: Service for private street lights. Work to include both 9125 & 9265 SW McDonald St.
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: 1 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:
WINDRIDGE HOMES INC LIGHTWORKS ELECTRIC CO
11401 NW SKYLINE BLVD 19290 SW CONZELMANN RD
PORTLAND, OR 97231 SHERWOOD, OR 97140
Phone: Contact #: FAX 503 - 625 -2890 •
PRI 503 - 625 -1953
FEES
Description Date Amount Reg #: ELE 34 -673C
[ELPRMT] ELC Permit 3/31/2006 $86.95 LIC 158555
[TAX] 8% State Surcharge 3/31/2006 $6.95 SUP 30445
Total $93.90 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 iifwork 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 f in 0 R 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these r or direct questions to.UNC at
503 - 246 -669 or -800-
.
Issued By / Permittee Signature: ,,.4E_
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:
NTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: � �� L 7 f ' 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.
02/24/2006 16:56 5036252890 ``''c •
0 LIGHTWORKS ELECTRIC PAGE 02/03
.El —.-.-
t ical Permit A • - ' ' t t . � v
-r _ __ FOR OFFICE USE ONLY
City of Tigard Received 4y ^ r' 1?otem • A 0 " y Permit No.: ELA ?pp 4 - KooS
13125 SW Hall Blvd., Ti: :••:, • ' 97223 Q ( (� L PlmrReview
Phone: 503.639.4171 ax: 503.593.1960 GV O % -r " ' ri D Other Permit:
inspection Line: 503.6 • 4175 . :.._, Date Ready/By; 6'J See Pope 2 few
Internet; www cr tlgard or u • C� Notif cd/Mothod
7- f. Supplemental lnfnrmatton
rill.- ,�++∎;`I 1.1, Prp�i tl �t J.� k; / t.0-Wi i ll •^ j y'.; hprAti'i i t..i�.i IA 5, q' w .: . + �'� "l ,I A,t__,.� L" �: ,7•. x t -,t..
Yil.. ff I l j {.,„ h ` 7 1 I i• ( yi 1 l ti rl.� I t, 11
1 +' W' 4 A n .itL�� ti�i , tl r'� y.,- a,� , i IW \�� d 1 t � ' '�� N , I k, t� Irl� r i tt Id� !i „YwY M 'Y7�r• , �� t ,Y..'�JY � u7
b. -:�.t 01•_Jl,r „ _ II � t t 'y ff + +� ',f-4 \ Y o - , f t ' . •
W.,v,_ .osV ..,ice. I. I , I r { ;!' i ll?J,�:,(L , 0',4 , 1 , /'..;?j, fi1 I, I n � .S I: r1Dl
; �W �ZS �":�il A�a...l°St?•; F t �. r i�`�rai!Llr .r F ➢�� , l i •� �. : �r'
ew construction 0 Add4 , . on/Teplaccment Please chcck aU that apply;
❑ Demolition ❑ Other; ❑ Service over 225 Amps, comm'I ❑Hazardous location
�y,T {i ,TI r r h t �p .� n p L . , • ❑Service over 320 amps - ratio Buildn over 10,000 sq. ft.,
! . l�.'.`ii_ 6..11 ii :,ial 6n'� �4 , IS ,f ,A . ` I LL r r ' 1 4t * I
, ` S+ ll��jtl r (r�`411 � -.1 d' U � 'I Ii ,q(2. i of L -and 2-family g ❑ g
?. . ;, t;. I t �,,,I;a Il I rltil dwellin 4 or more new residential
❑ 1- and 2- family dwelling F Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal unite in one structure
0 Other; ❑Building over three stories UFecders, 400 amps or more
❑ Multi family [] Master builder
pIiIi '' 00ccupantload over 99 persons ❑Manufactured
i}i,,4 t "'$ ,!..41 l 1 `tl,t (U; 11, �� 4,. ',1 1 .4 II l ryr {l ' r ri r 11 .� v 1, 11 - structures or
Hat / ry r l,tift . L , I, it. � Ir . •
c r ,f �' �: - :si %,' .L 1'� 4,;"!V ,. i ri lG: ;. r ; 1 r��l o . pi 1 ti ' t r'It` . k , '11 ❑$g!ess/lig htittgp lan RV. p ark
Job no.: Job site address, ❑Health -care facility ['Other: �5 `' a c p s -1 In /In St Submit 2 sets of plans with any of the above.
•
City/State/ZIP: A i • , i i , -_ The above arc not applicable to temporary construction service.
Stlite/bl /a t ,:. ;,o q-rw h { , . , • _
rig p no Project name. 511 /) 'A 1 u, t' ;14 �T" ailvinrccs: v�I�T 6i }�L'a t:t�?i'; 1'" ;.•:
1 ! C l /d91 / , AesCrlptlon QIY Pea. Total :
Cross street/directions to job site: e1 r' r 4.- as ` tx , New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq, ft or loss 145.15 4 _
Subdivision: V C.. 0 I f , / t g Lot no.: 1~a. add'l 500 eq. ft. or portion 33.40 1
Tax map/parcel rte.. s1 0 ( .1. 1 I 0 Limited energy, rcaidcntial 75.00 2
I / G 0 D Limited energy, non-residential 75.00 2
f f I I,?rnt.;yFr , t,,ii.5.a''1 ij'I � J�`lII ilii ?I 1f1 1�rri ` � X f - , A l ?td1 i i 7 y et 11t I r- , 1.
,:1, } bt. .,..0 t.... lea— 42s,...- t!....1•�. - .. . 9,1L,n � -...2..; 7 ,,, I12G'`�':. �q1,,,i:: :. k...„1[,,�� .� ' TX �F y Sack manufactured or modular
dwelling, service and /or feeder 90.90 2
mg A 11b ' ' Services nr feeders installation, alteration, and/or relocatio
401
V. 4 • .49 _200 amps or less j 80,30 ^ 7, n 2
r�i. " ' ;11 9t i' - s ' . ' ra t :4 Ali }F i'ir, I y 1 +r,�r.'r. rL I' N 0 I rF r l� -r,' IcC C,jr�'" 1 f rl�, - `y l l� .us ' l I . 201 amps to 400 amps 106.85 ��.�i�WI 2
.'1ril .,1,3, 1 :;Yr1.1S1:_�, n� -r.l .r. .._. 1L _yt,'...I,',.!4 , .^:..".,1-.+1 1 7 ii,i'11 t ,
�x� t
l• t i i iw.0.. ,r,A 'd 'h ::iit,JtI, :16T,tff 1'15 p �p
Name:
" "' amp to 60 0 amps 160.60 2
_, • 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
Phone: ( ) 1 Fax: ( ) relocation
200 amps or less i 66.85 1 1
Owner (installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 I 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 431 amps to 600 amps signature: Date: mPs 133.75 2
,- (ti ' o F I a rr Branch circuits - new, alteration, or extension, per panel
w Irttll. ;p i,! l"ivi t G.p v 11 7P r t a..nta•r J JI } r iII
Fi,11a!iiilYl4fl }{(Y.V., :) :1, .cd 1�Jn ,nit,btrrtl °ills;!,1.. :,41 •�i . f!1f}11 .It ib � r I j A. Fee o r fe ed ere circuits each
s or feeder f ee, eac Gb5 1 / _� 2
iusiness name: branch circuit t-+ •
Contact name: ' • B. Fee for branch circuits
without service or fender fee, 46.85 2
Address: each branch circuit
Each add 'I branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) I F ax; : ( ) Pump or irrigation circle 53.40 _ 2
B - mail: Sign or outline lighting 53.40 2
fv ro•,, , Signal circuit(s) or limited- •
,, t 1�''�IT it t rF. i . ` t , ... I u,,� :rt.il.,T1r..� P 1(1 t '11 Fi z c -1 .q
l'L,lliguktl f ?i):1 1 tA � .I'i i : a t ; t t,} :4).2 71.;ri'i ia��}Jlia' ! .,t4�dl?,arie.". ilii eaJWI ' i:l.,G energy panel, altcratinn, or
extension. Drscn Page 2 2
Business name: - -, Al W 0
■ . .. /
Address- 19 1 Each additional inspection over Allowable in any of the above
� A ' r. - Per inspection 62.50
City/State/ZIP: S -
4 J I �; r Inves per hour (1 hr min) 62.50
Phone: ( I ) _ I Fax: ( a v • , Industrial plant per hour 73.75 •
.. ' . �� :, -Irr\ t c 7 .;:pr tf i i'A F51 t , iw t ; J .Tk . I , 'n•'' ''` •
COB Lie.. I s2 /- - Electrical Lic.:3�0 t3 c Su Li 3t 1 (r rrJ t r _ . ,j,1 2i .a' a t�t! s� ` ' l ., : �.. :;t T i
��//���� t Subtotal 4 •
Suprv. Electridi� turc, required: � . Plan review (25% of permit foe)
r i -
�'/ I Cs� /
' Print name: R 671a . —. . Date: �0 , ` l State surcharge (8% of permit fcc) •
Authorized signature: �� TOTAL PERMIT FEE 1 3 C) 0
. i� , ;t , Tbis permit application expires if o permit Is not obtained within CAO
Print name: D drays after it has been accepted as complete
A / pt^ 01 y 0 • Fee methodology set by Trl -County Building Industry Service Board
°• Number of inspections per permit allowed.
tmsundietperreinua_C-Pamimpp.doe 12/0] 440 4 IST(10/01lCOM/WSB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: l..C2O06- 1t10's6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1/2006
Phone: (503) 639 -4171 ��� j A,
Inspection Requests (24 Hrs.): (503) 639 -4175 �..__!+ 1l
INSPECTION WORKSHEET FOR DATE: 4/13/2(1)6 TIME: 7:O()A l PAGE:
SITE ADDRESS: ()312f; SW MCDONAL.D ST CLASS OF WORK:
SUBDIVISION: l DGE 00I;.Y LOT #: (114 TYPE OF USE:
PROJECT NAME: MCD.)ONALD WOODS
DESCRIPTION: Sowit :e f+ar phv;ak: street light f,. work to iricityde. both 912661 & 926;, SW Mc{.)orc:=;ld E t.
OWNER: W1l>4DRIDGE HOMES INC. PHONE #:
CONTRACTOR: LI( *1 WORK S E.LECTRI(. CO PHONE #: ,(3:> -625 19;'i3
Inspection Request Scheduled For: Date: 4/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 t:ledric, l fist; l 02792(1 -01 503-626-1%3 4N
Corrections /Comments /Instructions:
•
•
PASS I I PARTIAL APPROVAL 7 CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
GiseR.X.6 N W Date: 4 (i4Q16 Phone #: (503) 718- 24%
CITY OF TIGARD
BUILDING DIVISION PERMIT #: I IC2006. I €)CJ0 i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/10006
006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �' '� � .
INSPECTION WORKSHEET FOR DATE: 4/12/2 €)f TIME: 7:OMM PAGE: f >
SITE ADDRESS: 0 126 SW I MC- DONALD ST • CLASS OF WORK:
SUBDIVISION: EDGEWOOL) LOT #: 014 TYPE OF USE:
PROJECT NAME: iViCDONALD DOD!'3
DESC RIPTION: Se! vice 10.f p)riVatt C $1.1 =.ce11 light. . Work to dii6 ;iude both 9 & 926f. : r ::: :'i'I hiic: ' oh lld €3i
OWNER: W]N[)RIDGE HOMES INC. PHONE #:
CONTRACTOR: LUGHTWORKS ELECTRIC CC) PHONE #:
Inspection Request Scheduled For: - Date: 4/12/200 €= Pour Time:
Code # Inspection Description ' Confirm # Contact # Message
139 EIc ctric:ll final 021821.01 :103-625.1963 N
Corrections /Comments /Instructions:
•
ci.J NO c rc eSS
� a �
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS
IL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
• / r/
Inspector: ..,`. Date: (-- 2 i9' Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #:a
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / "A CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 -6 -66 Pour Time:
Code # it ion D escription Confirm # Contact # Message
6 /'9-57.3
Corrections/Comments/Instructions:
NtskAZ.itsz iNZ Pcc,(ti\fttO
)‹i4PASS LI PARTIAL APPROVAL El CANCEL fl NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
a
Inspector: c-)19 Date: f' O7 Phone #: (503) 718107