Permit h w , CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT I Permit #: ELC2008 -00283
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2 • Date Issued: 05/16/2008
Parcel: 1 S136DB02300
Jurisdiction: TIG
Site address: 11030 SW 74TH AVE
Project: WHITE OAK VILLAGE Subdivision: Lot:
Project Description: Installing service for private meter and street lights. 2/11/11, Reinstated permit.
Contractor: LIGHTWORKS ELECTRIC CO Owner: WHITE OAK VILLAGE LLC
20915 SW 105TH AVE STE A 7955 SW HALL BLVD
TUALATIN, OR 97062 BEAVERTON, OR 97008
PHONE: 503 - 691 -2918 PHONE.
FAX: 503 - 691 -2959
FEES
Quantity Description Date Amount
1 [ELPRMT] ELC Permit 05/16/2008 $93.60
Specifics: 1 [TAX] 12% State Surcharge 05/16/2008 $11.23
Type of Use: COM 90 Hourly Electrical Rate 02/15/2011 $90.00
Class of Work: 11 Hourly Electrical 12% State 02/15/2011 $10.80
Surcharge
Type of Const:
Occupancy Grp:
Total $205.63
Required Items and Reports (Conditions)
This perm' s issued sulijett,to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be don- in accordance with approved • -n- This permit will expire if work is not started within 180 days of issuance, or if work iss suspended for more the 180
days. TTENTION: Oregon law - .uires yo to follow the rules adopted by the Oregon Utility No -nter. Those rules are set fort in OAR
952 -00 -0010 throu!h OAR 952 -06 -0090. ' .0 a obtain a copy of t.e rules or direct questions to OU .y calling. •87 or 1.800.332.2344.
Issue. :y:
���/ Permittee Si:_•ture:
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'
•=e- ' `� _ Date:
LICENSE NO. ,
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
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�� TIGARD •
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BNNU DfN1G DIVISION PERMIT #: FIR2008_.00283
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 103/2008
Phone: (503) 639-4171
Inspection Requeo�(24Hryj:(SO3)63O'4175 .]Uhw�
INSPECTION WORKSHEET FOR DATE: 2/4/200B TIME: 7:00AhA PAGE: 11
SITE ADDRESS: 09975 syyFRtvWMG�ST102D CLASS OFVVORK: '
SUBDIVISION: K4AS��{HDpRCE8LDG LOT #: 021 TYPE OF USE: |
PROJECT NAME: VISION WORLD
DESCRIPTION: Low voltage |«v voice and data system and MUM xya1en
OWNER: hAA8S|M PHONE LLC, |
CONTRACTOR: CSHARKNETVV0RK5 PHONE #: 503-697-1818 |
Inspection Request Scheduled For: Date: 2/4/2009 Pour Time:
Code # Inspection Daaoriction (�on��o1# Message ' ~`~
13� Low voltage / �8O 603-970 8086 Y
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K � �'0M�~n�° .�0�W`
Corrections/Comments/Instructions: ` /^
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�Q�� PASS �� PARTIAL APPROVAL | | CANCEL �� NO ACCESS
��� �� . �� ��
| | FAIL n CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED
• G' Ni (N 1.,g Date: 2-- 9 1 Phone #: (503) 718- iltit,
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��N0U��|�� DIVISION 4
PERMIT BUILDING u�x�n~�n~�o� � ELN2DOBD0283
1312SSVVHaUB|vd.. Tigard, DRQ7223 DATE ISSUED: 10/3V7008
Phone: (503) 639-4171
|napo��ionRequests (24Hmj:(5D3)G3Q'4175 ~�
.
INSPECTION WORKSHEET FOR DATE: TIME: 7 O0 PAGE: � 1D/29V�OOQ � /UM � 16
SITE ADDRESS: � � CLASS � �37� S�FR�NGQT1U2U
SUBDIVISION: LOT #: TYPE � K0ASS|MOFF|(�EBLDE) � 021 �
PROJECT NAME: � NQ0N VV0RU]
DESCRIPTION: � Lo*V voltage for voice umd data system arid vacuum system.
OWNER: PHONE #: |
� hAAS��|M |
CONTRACTOR: CSHARK NETWORKS PHONE #: 503-6971818 |
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Inspection Request Scheduled For: [}ate: 1O/J9[2gD8 PourT�mm�
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 5O503-73/-8511 ��
7-G�11 Y
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Corrections/Comments/Instructions: ~ T\ . ^� '
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0 PASS 0 PARTIAL APPROVAL El CANCEL [1] NO ACCESS
/ ^ -- CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
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Inspector: `�Jr\ ������8� Date: � (\�� Phone #: (603) 718- PM)
CITY OF TIGARD
1
BUILDING DIVISION _r _ PERMIT #: ELC2008 -0021 3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5
Phone: (503) 639 -4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 ! =� °_ .
INSPECTION WORKSHEET FOR DATE: 6/9/2008 TIME: 7:01AM PAGE: 30
SITE ADDRESS: 11030 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: WHITE OAK VILLAGE LOT #: TYPE OF USE:
PROJECT NAME: WHITE OAK VILLAGE
DESCRIPTION: lostalling service for private meter and street lights.
OWNER: WHITE OAK VILLAGE LLC, PHONE #:
CONTRACTOR: L.ICHTWORKS ELECTRIC CO PHONE #: 503-691-2918
Inspection Request Scheduled For: Date: 6/9/2008 Pour Time:
Code # Inspection Description Confirm Contact # • Message i
105 Underground/slab cover / / 071077 -01 503 -691 -2959 Y 5 �' b/
AN
Corrections /Comments /Instructions: ��
PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G Yv 1 642) le Date: 6 10 Phone #: (503) 718- liffi
CITY OF TIGARD
BUILDING DIVISION r PERMIT #: ELC2008 -00283
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16/20011
Phone: (503) 639 -4171 Arr F �' 1 I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/19/2008 TIME: 7:00AM PAGE: 24
SITE ADDRESS: 11030 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: WHITE OAK VILLAGE LOT #: TYPE OF USE:
PROJECT NAME: WHITE OAK VILLAGE
DESCRIPTION: Installing service for private meter and street lights.
OWNER: WHITE OAK VILLAGE LLC, PHONE #:
CONTRACTOR: LIGHTWORKS ELECTRIC CO PHONE #: 503-691 -2918
Inspection Request Scheduled For: Date: 5/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 Underground /F.:lab cover 070072 -01 503-691 -2959 N
Corrections /Comments /Instructions:
3 L15. RAZ a os AR
1 so, Frt,6 ,
?NZ e At_.. An "3 (Y L 7 Ceps 601-o I ,
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: * Date: 51 I q d Phone #: (503) 718 - Z b
�� OF p� ® ELECTRICAL PERMIT
lh
i . COMMUNITY DEVELOPMENT PERMIT #: ELC2008 00283
DATE ISSUED: 5/16/2008
;T1GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136DB-02300
SITE ADDRESS: 11030 SW 74TH AVE ZONING: R -4.5
SUBDIVISION: WHITE OAK VILLAGE LOT : JURISDICTION: TI
PROJECT: WHITE OAK VILLAGE
Project Description: Installing service for private meter and street lights.
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: 2 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:
WHITE OAK VILLAGE LLC LIGHTWORKS ELECTRIC CO
7955 SW HALL BLVD 20915 SW 105TH AVE STE A
BEAVERTON, OR 97008 TUALATIN, OR 97062
Phone: Contact #: FAX 503 - 691 -2959
PRI 503 - 691 -2918
FEES
Description Date Amount Reg #: ELE 34 -673C
[ELPRMT] ELC Permit 5/16/2008 $93.60 LIC 158595
[TAX] 12% State Surchar 5/16/2008 $11.23 SUP 3044S
Total $104.83 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 wit 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.
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Issued By `, % - ii Permittee Signature: ,r/'elr
s -4
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.
, 05/14/2008 15:47 5036912918 LIGHTWORKS ELECTRIC PAGE 02/03
NOiSIAIa DNi4'7Ifl :- ,
Frlectrical Permit Application cDIVDLL 40 XIID :roe . .
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1 �r/J( , a �
'tecryivod ,. a ✓ Permit No.: ,1. V _ " " �w
200Z f 1 1 Dnte/C3y' S • b
• 13125 SW Hall Blvd., Tigard, Ok 97223 Mtn Rev Oilier Permit:
m ' Phone; 503.639A 171 Pox: 503.598.1960 17ato/By: --
. ; .. City of Tig aard Date Rand /B Iuds: RI See Page 2 for
• ' Inspection tern: w . w . ard- or9.4175 (13 A IgDgli Randy /By: Supplemented Information
�1.C,AR[l Internet: vvww.tigard- or.gov u L , (j NotifiecUMcthod; -
, IPLA1 RLVIEW.... ;.
• ' Plcnsc check all Ibnl apply (Submit / acts Of plans w /dams checked below);
Kt; New construction 0 Addition /alteration /replacement 0 Service or feeder 400 amps nr tnorc ❑ Building over three stories.
Q Demolition 0 Other were h the available fault current 0 Marinas and boatyards,
exceeds 10,000 amps 111 n i 150 volt;: r LI Flouting building:,
;; xT>f (4 .... l)i` CO1.... 1)i 1N , , ( legs to ground, nr catcalls 14,000 ❑ Commercial -use affil Iculturnl
1- and 2- family dwelling .7,1 Commercialfirldustrittl 0 Accessory building amps far all other installations. buildings.
DI Master builder 0 Eater On= pump.
0 Installation of 75 KVA or
Multi- fitmily ❑ M ncrgcnuy system. larger =eparatcly rlurivc
;i ' I JOB SrJ1 IfN *.0)(�,11iikt fOR r{t'l JI) tk'1C riot ' ddition of new motor load of 0 "A" ' I" "I - Z" - I-3", d
0 Pt ays Icm
pA
100I-LP or more. occupancy,
Job no.: Job site address: '"; t 1 030 J‘„) ..—)t`4e-.S, 0 Six or more rneidontinl units. 0 lteoreationnl vehicle parks.
0 Supply vnita for more than
Q1-Ina1ll1 -cart fnelI1l cn. pp y tm
City /SIaR IZ11 ''1` Q - - 0 Hazardous locations. 600 volts nominal.
❑
I
T \ 11 ,� Service or feeder 600 ntnpv or more.
Suite /bldg. /apt no.: Project name: t - t 1t , ;': . FEE :scoEDU)L,t i
Cross street /directions to job site: Aoertruee (Qry. L rco I hunt )
New residential singles or multi- family dwelling unit.
pC,.--- - Includes attached garage.
Lot no.: 1,000 sq. It. or Icss 145.15 4
Subdivision! Fa add') 500 sc). 11, or portion 33.40 1
-
Tax map /parcel no.:(� y��t Limited energy, residential 75,00 2
. r, : , ,. 11 I�.IL` etitli it N /h 'WOR y i F : i ,'�: ,I';'''.:''',':,'
1 n (with above sq, 1) _
Limited energy, multi- family 75.00 2
0,■ L N�� r '- residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
200 amps or less k 80,30 e,p,'30 2
;t I RAx; ;:•, t . c ki i '( 201 am s to 4J)0 tuns 106.85 2
401 amps to 600 amps 160.60 2
Name: / %. 601 amps to 1,000 amps 240,60 2
Address: 7 _ - c.,/ A/��� fir— • Over 1.000 amps or volts 454,65 2
City /State /ZIP: b ir -I G /CIO Temporary Services or feeders installation, alteration, and /or
� l ( /� relocatiou
Phone: ( ) Fax: ( ) 200 amps or less . 66.85 I
Owner installation: This installation is being made on property that I own which is not 201 am ro 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 2
W Branch circuits - ncw or extension, per panel
Owner signature: . - Date: A Fcc for branch circuits with
1 . C'ti 'tA i�PI�RS.61'4 above service or feeder fee,
AP► rICA T � ,„ (' )+ 2. 6.65 I . , 30 2
each branch circuit
Business name: 1.-:\c.\\ y(" )4..f..-is I S 5 v... ( - C + B. Fee for branch circuits
without service or feeder fee. 46.85 2
Contact name: c`NY . f first branch circuit
Address: \ 5 5 t 5-t-... mi IL Each add'l branch circuit 6,65 2
Miscellancoaa (service or feeder not included)
City/State/ZIP: 7 J a,\ _ 0�� _ 1' p( Each manufactured or modular 90.90 2
dwelling, service and /or feeder
Phone: En ) (o9 t .. 29 c) J Fax _ ) (.43:7) i - 29 ( Reconnect only 66,85 2
E-mail: � r t? . c `� 1 ( - C CJ l um r nn circle 53.40 2
Sign or outline lighting 53,40
Business name: Signal circuit(~) or limited -
�- ` C� v t "?� �� � � r� C energy panel, alteration, or
Address: ar �- extension, Describe: Page 2 2
City /State /ZIP: Each additional inspection over allowable in any of the above
Per inspection ( 62.50 • Phone: ( ) Fax: ( ) Investigation per hoar (1 hr min) 62.50
CCl3 Lie.: (S ct Electrical l .ic.: Suprv. Lic.; 20E4 (t5' Industrial plant per hour 73.75
� ' ELECTRICAL. 'PERMIT FEES
Suprv. Electrician signature, required: U o- Subtotal: 13, t,oC
Print name: C 6 G` l p . Date: 5 j I-{ C� - Plan review (2S " of permit fe __
__ State surcharge (12 "/n of permit fFe): t . 2,:
Authorized signature: i. TOTAL PERMIT PEP; 1 UP-A,1 'j
��_ r fhis permit npplicnGnn expires it n permit is not obtained within ISO
Print name: v ejV� �_' LP OO� Date: I days after It has been accepted ns complete.
~ L " Number of invpoctions allowed per permil,
1;1Aullding \Permits \ELC•PcnnitApp.doc 05/23/06 440-16l 5T(0 l /05 /COM /WER