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Permit CITY ®F .:TIGARD RD ELECTRICAL PERMIT ° I H PERMIT #: ELC2008 -00598 COMMUNITY DEVELOPMENT D ATE ISSUED: 10/21/2008 T1 enR 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S114BA SITE ADDRESS: SW NO ADDRESS ZONING: R - SUBDIVISION: FERN HOLLOW SUBDIVISION LOT : 118 JURISDICTION: TIG PROJECT: FERN HOLLOW SUBDIVISION Project Description: Service and branch circuit for private street lights. Subdivision located at the north end of Copper Creek Dr. 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: MAIN SAIL DEVELOPMENT GROUP LLC LIGHTWORKS ELECTRIC CO 13325 SW GENESIS LP 20915 SW 105TH AVE STE A TIGARD, OR 97224 TUALATIN, OR 97062 Phone: Contact #: FAX 503 - 691 - 2959 PRI 503- 691 -2918 FEES Description Date Amount Reg #: ELE 34 -673C IELPRMTI ELC Permit 10/21/200t $86.95 LIC 158595 [TAXI 12% State Surchar 10/21/2003 $10.43 SUP 3044S Total $97.38 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: 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. 10/20/2008 11:42 5036912918 00�'00Ot1 LIGHTWORKS ELECTRIC PAGE 02/02 r� ��1 Electrical Permit A.Dphc : ^ ; ; ' I_ City of Tigard «, Q 13125 SW hall Alvd.. Tigard, OR. 972 Do te/t9 � 0 Qo 4C.�� Permit No.:e a)8 CO e 1i ° ' ,' • Phonc: 503.639.4171 Fax: 503,59 �'' ' la I y: atey; Other Permit: T (G / \ -R.D Inspection .Line: 503.639,4175 , � •�. Dli , B RReady/By; J - See Pngc 2 for Internet www tigard or gev C:).\ (� , ss , ethod /moo. l 9applementai Information n.A \. ,, : tins �QiI' tv'ortK % , � c ,: , •, - �1PL�a�1v�.,R�vrrw New construction ❑ Addltwn /alterm:wn/ � © Plcnsv check all th of at apply (submit Z sets pions w /items checked Wow): Demolition Other: n ❑ ice or feeder x100 amps or more ❑ Building over lhrec dories. where the available fault current Marinas and boatyards. _ ,.y , � ,r , X \ � , F ICGIi'� N i . 1 , i exceeds 10,000 amps at 150 volts or ❑ Floating hnildintm. 1 - and 2- family dwelling j Comrrlereiai /industrial I] Accessory building less to ground, or exceeds 14,000 ID crcial - use agrieahural $ amps for till other installations, but buildidi ngs, ❑ Other 0 Fire pump. ❑ Installation of 75 KVA .>r ❑ Pater one '... family JO • ', 'SITE. )i1VtO Master 1,01.ON i 1) 1- :;0CAi13ON , -', ' e Y system. larger sepanlely derived s} slcn ❑ ndditipn of new motor load of � "A" "f•. "' "l.]" "1 -3 ", Job no.: Job Site address: r 100E1P or more. occupanc ��' �� �!� ' ��� Sk © Six or mmo residential tmiis. ❑ Recreational vehicle parks, City/State /ZIP; J ('1c, 9-7 z/� 0 ID Health -nun titcihtics. 0 Supply voEtnt3o far more than " I v Hazardous locations. 600 volts nominal. Suite/b1dg, /apt. no.: Project name: m n I -Lo<< ❑ So or feeder 600 =pa or ore, l S FDULE Cross street/directions to job site: k 4 q Lc A non �.. i - ,..:�._P LQI�i 'Pro, i Total i 1 1. New residential single or multi- family dwelling unit. _A _ � h G (ne�J SIB fir! Nhscr i Jcu U' J r a }cf ! d ) includes attached garage. Subdivision: Ithd---� ±-\�� \ h � J 1,0_00 s R, or Icss h►yt1 Lot no.: y. 145.15 4 Tax map/parcel no.: 153, add'i 500 sq. ft. or portion 33.40 1 Limited energy ' DI"SCRIPTIONr �' ' %OR above residential 75.00 2 t el' id (with l�S;t (� � i - � C t Limited ntia] ( ,mufti- family ' t Lt C � �_ e } S t'(�', _- t I C (�� residcntial (wiUt above so, ft,...... 75,00 2 Services or feeders installation, alteration, and /or relocation 200 amps or Icss i 80.30 1 pp SO 2 .; 'i i'1i;OPERr ((y rt01, ? . , ; ''' !r RI Ttl0, N t i ': ' ;; 201 amps to 400 amps 106.85 2 Name: pt i 1V — • 1 L " - v- g J Lo pm f / 1 _ . 401 amps to 600 amps 160,60 2 Address: 1 z5 e.5 • i I mo' \ �F�L• 601 amps W 1.000 amts ?A0.6(1 2 ..: I Over 1,000 amps or volts 454.65 2 City/State /Z ' , icoita 7 n ��( w Temporary services or feeders Installation, alteration, and /or �1 ( relocation Phonc: ( ) Fox: ( ) 200 amps or less . 66.85 [ 1 Owner installation: This installation is being made on properly 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 599 amps 133.75 I f 2 OWncr signature: Date: Branch circuits- new, alteration. or extension. Ater panel A. Fee for branch circuits with " ❑ : :A rPT ZCt l■rT +y' ' lei , ":rAtiC' P I2SO'V above service or feeder fec, Business name. L1wf)r G each branch circuit - I 6.65 (e.lQ 2 1c'C•- O1Y parts, E. Fee for branch circuits Contact name: •} - , i � without service or feeder fee. sa- `'") o_) C first branch circuit 46,85 2 Address: 2 0-9 p:3 C ` r'� W , - }� f � v l e ,,,I,,.._ A Each add'I branch circuit 6,65 2 City { /� Miscellaneous (service or reeder not included) y J D,` " n ' /1 I ) Q(p2 Each manufactured or modular t Phonic: r� Q dwelling, service and/or feeder 90.90 2 � ' ) iD 1 " 2 s I C 50) Fax::.(S6')) l£T" I 1 - 2 29 1 _Reconnect only 66.85 2 mall: l c C•,0 �- ` Pump or irrigation circle 53.40 2 �C� G.. CC � ONTJ ACTOt . Sign or outline lighting 53,40 2 BusineS5 name: Signal circuits) or limited- - - energy panel, alteration, or Address: extension. Describe: Pugc 2 2 City/State/ZIP: Each additional Inspection over allowahie In any of the above Phonc, ( ) -- -.. f Pax: (? it 611 Per inspection r I 62.50 1 ` ---- Investigation per hour (1 hr min) t l 62.50 CCB Lie.: 1 5t rj Elcet Su rv. Lie.: Indu plant per hour � ric 3 4�Z��C, p �o�( p r 73.75 Suprv. Electrician signature, required: / ; . ` ELF'CIRICAL PEES �� Subtotal: 15( • 9 � Print name: �/ va, �/d � Pp `` D )Jatc: Plan review (25 %of permit fee): Authorized signature: f .fir C' . { �� State surcharge (12% of permit fee): - I 0 • W AI TOTAL PERMIT FEE: X1 9-) Print name: 1 t This p nn ex permit a hcation arcs if a permit is not obtained within 180 a. Date: r ap 1 e r �. f V days after It hes been accepted as complete. 1;1nunthe tperminla .c.PermaApp.dea 01/23 /06 • Numhcr of inspection allowed per permit, 446 1 5T(I t /05 /COM/U211 CITY OF TIGARD _ ,... BUILDING DIVISION ' • PERMIT #: ELt 20Q£ 00598 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/21/2000 Phone: (503) 639 -4171 i , A Inspection Requests (24 Hrs.): (503) 639 -4175 4.4 INSPECTION WORKSHEET FOR DATE: 10/31/2008 TIME: 7 :OOAM PAGE: 37 SITE ADDRESS: SW NO ADDRESS CLASS OF WORK: SUBDIVISION: FERN HOLLOW SUBDIVISION LOT #: 118 TYPE OF USE: PROJECT NAME: FERN HOLLOW SUBDIVISION DESCRIPTION: :eivice and branch circuit tor private street lights. Subdivision located at the north end of Copper Creek Dr. OWNER: MAIN SAIL. DEVELOPMENT GROUP LLC. PHONE #: CONTRACTOR: LIEF FWORKS ELECTRIC CO PHONE #: 5034391 -79113 Inspection Request Scheduled For: Date: 1O/3112008 Pour Time: Code # Inspection Description • Confirm # Contact # Message hh'11 as Electrical service ()77441 -01 503 -G91 -2959 N Corrections /Comments /Instructions: /V PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cr Y 061---- _ Date: (1) 31 61 Phone #: (503) 718- d-% CITY OF TIGARD BUILDING DIVISION � . PERMIT #: 59 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/211741118 Phone: (503) 639 -4171 " ;,p %I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1o/2212n0a TIME: :00Am PAGE: 13 SITE ADDRESS: ' NO ADDRE;:ss CLASS OF WORK: SUBDIVISION: FERN HOLLOW SUBDIVISION LOT #: 1.18 TYPE OF USE: PROJECT NAME: FERN HOLLOW SUBDIVISION DESCRIPTION: 13eivice and brc3sich Biscuit for private street lights :. Subdivision located at the north end of Copper Creek Dr. OWNER: MAIN SAIL. DEVELOPMENT GROUP !..LC, PHONE #: CONTRACTOR: t 1G1 S ELECTRIC CO PHONE #: 503 691 - 2318 Inspection Request Scheduled For: Date: 10/2/2008 Pour Time: Code # Inspection Description -• rm # Contact # Message 105 t.lndergsou d /;slab cover 0770313 -O ?.0".3-691- 2969 N Corrections /Comments /Instructions: J L — Z oRkkAM AT 9'0) N PAS I PARTIAL APPROVAL _ CANCEL n NO ACCESS n FAIL P1 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 6 0 to Date:1 Phone #: (503) 718- Pi%