Permit "
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00184
DEVELOPMENT SERVICES DATE ISSUED: 4/10/2006
°---� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S126DC-09000
SITE ADDRESS: 09889 SW 92ND AVE ZONING: R -4.5
SUBDIVISION: PERRY PARTITION /MLP2003 -00008 LOT : 003 JURISDICTION: TIG
Project Description: TEMPORARY POWER OVERHEAD LINE.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 1 PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL:
MANF HMI 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: 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:
NORTHCREEK HOMES NORTHSIDE ELECTRIC
PO BOX 231148 PO BOX 12323
TIGARD, OR 97281 -1148 SALEM, OR 97309
Phone: 503 - 539 -9347 Contact #: PRI 503 - 585 -4879
FAX 503 - 364 -0248
FEES
Description Date Amount Reg #: ELE 24 -14C
[ELPRMT] ELC Permit 4/10/2006 $66.85 LIC 80593
[TAX] 8% State Surcharge 4/10/2006 $5.35 SUP 1877S
Total $72.20 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or
1- 800 - 332 -2344.
Issued By: Permittee Signature: C,
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
04/07/2006 09:30 FAX 503 3640248 NORTHS IDE ELECTRIC Zl 0 0 2
A .
Aeetrical Permit AnErctin
V E PA FOR OFFICE USE, ()NIA'
Aty of Tigard Received ff A
Date/B ; W / / / / Penult No.aej,00 -02 isr
3125 SW Hall Blvd., Tigard, OR 97223 . , Plan Revie
hone: 503.639.4171 Fax; 503,598,1967.k-1,R 0 7 2006 Dat/B Ober Permit; •
ispection Line: 503,6394175 4,!...- ■••',u Date Ready/By:
A f11111°P14.:Wi's e ;
jd ...4....6 RI See Page 2 for
itWY ernets v W. ci. tigard.or, US • Notified/Method; supplemental i
6011 M
nformalities
7. 7-P;J:9PliVir ■., i.$ .1. it .,„„
,,, _A,..,,,,,,,.„.A.,,VITVA. 0 It nl'e: .--, ,.6., 1
N141bc1;b1,1,,IH „e,P,t4 4A ii
1 New construction Htll It ii ditainVtiraliontr Please cheelc all that apply:
_ ._, ..
Service over 225 amps, corrim'l Hazardous location
_ 1 DemolitiOn 0 Other: I:Service over 320 amps- IDBuilting over 10,000 sq. it,
.1' 4 V:,I,.., k ..T 1 , ,;, 4 ATM t. 1 ,.,1 1,4 t I !I 4, e , i . .. 4 , i ,. .: , i 4 .1 .,,.(......,...imi .;. 2.... •,,, , in,UNT,r)141, j p).•. ,, V" I ,
1 .1 N gail 4000 7 46 4 " 0 1:41. * 4 0 MP 4 Stili 0 * ;;1:1 11 i . 4r fth 1 if 5 W dt 1/401k
. r ,• • i ' '0•1, •,••••••• I AL, ., • .•• • 0 • ■• •• .. •• . • •0• , ° °° •,•• • . • 0, i ., , ; iiI•r.t , + :My ‘ .1., +' P " ...LI.. Of I - and 2-family dwellings 4 or more new residential
3 1- and 2-family dwelling lil Commercial/industrial D Accessory building 1=1System over 600 volts nominal units in one structure
['Building over three stories ['Feeders, 400 amps or more
I Multi-family p Master builder 0 Other: TEMP SERVICE
, ['Occupant load over 99 persons DManufactured structures or
;it '-'; , i ii A , „ ',119,2i 6 rr'.1-- ti^"," AikIlkii.A1 M;;i' , :,i i ,;:ti 0 FF051.111;1117 -1E ,, , p park
ijX,1,4I:t1 Ittr,', ir,t','MstMfdt1M12;tMaidti I
,;10il!LkuWimiIV'llicl*•, " U P'
• )13 no,: 29180 Job site address: 9889 SW 92 AVE 01 facility ElOthcr:
Submit 2 sets of plans wills any of the above.
1 ity/State/ZIP; TIGARD, OR 97223 The above are not applicable to temporary construction service.
uite/bidg./apt. no.: Project name: NORTH CREEK HOMES tgl trg.ggifflPF511
Description Qty. I Fee. I TOtal i ..
4 ross streetenireetions to job site; Lekhenan 5t New residential single ur multi-family dwelling unit.
includes attached garage.
_
( 1,000 sq. ft. or less 145.15 .4F
ubdivision: Lot no.: 3 Ea. add'I 500 sq ft. or portion 33.40 i
- Limited energy, residential 75.00 2
ax map/parcel no.: 00 — • 0 Limited energy, non-residential 75.00 27
11. Egigglirn '!, . . 1 '11'°I.'''''i Ea manufactured modular
ar
ac mann =tux or mo u _
dwelling, service and/or feeder 90.90 2
NSTALL OVERHEAD TEMPORARY ELECTRICAL SERVICE
_ Services or feeders installation, alteration, and/or relocation
200 amps or less 80,30 2
T, i Fr , m - ' 1 !. , 1 , • ', , '';; ••'" ! VI, 7 .1 ,
m c , .. vi , , . 1 , 9) ,„., ', ,1„ 201 amps to 400 amps 106.85 2
:' ■I: ;'il;14;'5;13 ; ,70 2 ' Rie Li lgakaa I '4,e't I. '' ' r '' ''' xiWidEiCh . i''N 'ilk
' .- ' '' 401 amps to 600 arnps 160,60 2
lame: NORTH. CREEK HOMES 601 amps to 1,000 amps
240,60 2
454.65 2
■ddress: PO BOX 231148 . Over 1,000 amps or volts
- e ' Reconnect only 66.85 2
_
:ity/StatcJZIP: TIGARD, OR 97223 7 P.' - // `: Temporary services or feeders installation, alteration, and/or
relocation
'hone: (503)539-9347 PETE Fax: ( ) .
66.85
200 amps or less
)wnur installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
atnded for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701_ i
401 amps to 600 amps 133.75 2
/wrier signature: Date: Branch circuits - new, alteration, or extension, per panel
li'i :l,)";,7,,q."1'.);'.1',.•eli;:i1:11iir.Iiiiiiitii24}11! ."
A. Fee for branch circuits with
i 2 2z2z;l:r::: ..::,..4t:innewoverv,l'gd;;,z0,f112;;;a1; : 4101,1•:Ivrt;;APRI' y ,,416,,,.,',,mr,towyt,li.A,,inAp,,,I, service or feeder fee, each
6.65
lusincss name: NORTHSIDE ELECTRIC branch circuit
.
- B. Fee for branch circuits
7,ontact name: JEFF CRANDALL without service or feeder fee, 46,85 I
first branch circuit
tddress: PO BOX 12323 Each adcl'l branch circuit 6.65 2 --
-
:ity/State/ZIP: SALEM OR 97309 " Miscellaneous (service or feeder not included)
Pump or irrigation circle 53,40 2
'hone: (503) 585 Fax: : (503)364
Sign or outline lighting 53.40 2
i JEFF*NORTHS1DEELECTRIC.COM Signal circuit(s) or limited.
t 1 ' ', ' tmel al
7:1ii!'!ililai ,! ; 4 4 . VIIM R 7 il . Wit [ 0 4iNt!,ii4:1;,i":;";,;.,:;'!ili,i'LlI'',f;',ig;i'.;;,it:.1,,ili energy P alteration Of
' - •
extension. Describe: Page 2 2
1usiness name: NORTNSIDE ELECTRIC
.---.
ddrcss: PO BOX 12323 Each additional Inspection over allowable In any of the above
- Per inspection 62.50
'2.ity/Stare/ZIP: SALEM, OR 97309 Investigation per hour (1 hr min) 62.50
-
'hone: (503) 585-4879 Fax: (503) 364-0248 Industrial plant per hour 73.75
41 1 . :.•„•:.1. t40.1' .r. , :i..,31... a •.,!,',,
:CB Lie.: 080593 Electrical Lie.: 24 Suprv. Lie.: 1877-S Subtotal ( ci 1 ct?
_ v t
;uprv. Electrician signature, required: e Ci-jr Plan review (25% of permit fee)
.,
State surcharge (8% of permit fee) 5 , 5
'rim name: jay . ) Da 07106
- TOTAL PERMIT FEE ( Z . 2.C)
Wthorized signatur / This permit application expires if a permit is out obtained within 180
. days after it has hew accepted as complete
. 'tint name: - o 7 AD (--)\ 1 Date: 4/7/06 • Feu methodology set by Tri•County Building Industry service Bourn
** Number of inspections per permit allowed.
i. \PormitinfiLC-PennitAon,doe I 2/03 440-4615T(10/02/COMMEn
CITY OF TIGARD
BUILDING DIVISION • 44 PERMIT #: ELC-2006-00184
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/10/200fi
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/19/2006 TIME: 7:02AM PAGE:
SITE ADDRESS: 09889 SW 92ND AVE. CLASS OF WORK:
SUBDIVISION: PERRY PARTITION/MLP2003-00008 LOT #: 003 TYPE OF USE:
PROJECT NAME: PERRY PARTITION
DESCRIPTION: TEMPORARY POWER OVERHEAD LINE.
OWNER: NORTHCREEK HOMES, PHONE #: 503-539-9347
CONTRACTOR: NORTHSIDE. ELECTRIC PHONE #: 503-586-4879
•
Inspection Request Scheduled For: Date: 4/19/2006 Pour Time:
Code # • Inspection Des.- iption Confirm # Contact # Message
- Temporary eiedric! service 028296-01 503-5854879
Co - : .r
•
PASS I PARTIAL APPROVAL LII CANCEL n NO ACCESS
LII FAIL El CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: Cr' N Date: ( I 66 Phone #: (503) 718- IJ-1
CITY OF TIGARD
BUILDING DIVISION A PERMIT #: ELC2006 00184
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4PIW2006
Phone: (503) 639-4171 V\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/18/2006 TIME: 7:05AM PAGE:
SITE ADDRESS: 09689 SW 92ND AVE CLASS OF WORK:
SUBDIVISION: PERRY PARTITION/MLP2003 LOT #: 003 TYPE OF USE:
PROJECT NAME: PERRY PARTITION
DESCRIPTION: TEMPORARY POWER OVERHEAD LINE.
OWNER: NORTHCREEK HOlviES, PHONE #: 503539-9347
CONTRACTOR: NORTHSIDE ELECTRIC PHONE #: 503
Inspection Request Scheduled For: Date: 4/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
110 Temporary electrical service 028231-01 503-586- 4879
Corrections/Comments/Instructions: Cc117\,
Puview ApiNitss\r‘b i4 a to F tem
VIt.3
C "?Ev..sehil si+ s'esek. Fe(L-
otut- cwit .
PRtIv• pit,oF G-R.o.k. RAZ
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 918-271-0030
fl PASS pi PARTIAL APPROVAL CANCEL pi NO ACCESS
0 FAIL CALL FOR INSPECTION L1 ADDITIONAL FEES ASSESSED
Inspector: GIV:46 NtgLE Date: Phone #: (503) 718- '1%1