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Permit �" i OF TLC w ^ ® ELECTRICAL PERMIT ; �,,se �` HK PERMIT #: ELC2006 -00348 Ail DEVELOPMENT SERVICES DATE ISSUED: 6/22/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S133DD - 13400 SITE ADDRESS: 11866 SW 127TH PL ZONING: R - 4.5 SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT : 171 JURISDICTION: TIG Project Description: Add sub panel & (6) 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: 1 W /SERVICE OR FEEDER: 6 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: PAT & SUSA WILLIAMS CLACKAMAS ELECTRIC INC. 11866 SW 127TH AVE PO BOX 51 TIGARD, OR 97224 BEAVERCREEK, OR 97004 Phone: 503 - 524 -6494 Contact #: FAX 503 - 632 -2421 PRI 503 - 632 -2420 FEES Description Date Amount Reg #: ELE 3 -606C [ELPRMT] ELC Permit 6/22/2006 $120.20 LIC 161932 [TAX] 8% State Surcharge 6/22/2006 $9.62 SUP 5041S Total $129.82 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: 7 —/ _ Permittee Signature: (?$, s ( OWNER INSTALLATION ONLY V 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. JUN -22 -2006 12:11P FROM : CLACKAMAS ELECTRIC 5036322421 TO :5035981960 P.2/2 !J,,E ectrical 1 crmit Appiicat.en' FOR (I141( t: 1 .I (1NI 1 CI of Tigard Received �J - � ,/ Pemtit No. ••✓ 1 �' 6 2006 Date/By. �,` // �J LJ�iC ,�t/!UA l/U3 /t7 13125 SW Hall Blvd., Tigard, OR 97223�1�N F`• / • Plan Review Phone: 503.639,4171 Fax: 503.598.1960 ' " / *> "l tvic , I 1 Date/By. Other Pemrit: Inspection Line: 503.639.4175 , ,, , at. j- `I � kris Date Ready /By: ri / See Page 2 for Internet: www.ci.tigard.or.us y� j 1 I 0-' 1 Ai k `-.-' Notified/Method. l ( ® 1 Supplemental Information ,."- . "'NI, l it ] p TYPE OF WORK PLAN REVIEW ❑ New construction 2r Addition /alteration/replacement Please check all that apply: ID Demolition 1:21 Other: ['Service over 225 amps, comm'l ❑ Hazardous location ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential 54- and 2- family dwelling 1:1 Commercial /industrial ID Accessory building ❑System over 600 volts nominal units in one structure ['Multi-family ❑ Master builder ❑Other: ❑Building over three stories ❑Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egressllighting plan RV park Job no.: l Job site address: J 5 � , 7 /4,y ['Health-care facility ['Other: Sub 2 sets of plans with any of the above. City /State /ZIP: T i,„0 i o q 7 zZ � The above are not applicable to temporary construction service. FEE" SCHEDULE Suite/bldg. /apt. no.: I Project name: Description I Qty. I Bee. 1 Total Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: 1 Lot no.: Ea. add'I 500 sq. ft. or portion _ 33.40 Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular A ec p,� _t.� dwelling, service and/or feeder 90.90 , 2 +�SA/l, { `K1, <--�I� 7 Services or feeders installation, alteration, and /or relocation 200 amps or less ' 8030 7D 00 2 J2 OWNER I ❑ TENANT 201 amps to 400 amps T" 106.85 2 401 amps to 600 amps 160.60 2 Name: S f'1f1 4 uS U I af.) I I 'Art) 1 S 601 amps to 1,000 amps 240.60 2 Address: i t E(_ I 5 ! z`t i' Over 1,000 amps or volts 454.65 2 ��P Reconnect only 66.85 2 City /State /ZIP: J f �t� oa 7 7 Z Temporary services or feeders installation, alteration, and /or Phone: ($*3 ) se •4 - 4G tip( Fax: ( ) relocation 200 amps or less 66.85 Owner installation: This installation is being made on property 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 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel IX APPLICANT 1 ❑ CONTACT PERSON A. Fee for branch circuits with p service or feeder fee, each ( O 6.65 3 f. c 2 Business name: � 6 de. . 01 p, iJi er x..12 • 1 � �. _ brunch circuit �+4G� -^ � B. Fee for branch circuits Contact name: 5c_07 Jo vi-14.S b without service or feeder fee, 46.85 2 Address: Fp 809, S I first branch circuit Each add'l branch circuit 6.65 2 City/State /ZIP: ,Fili/ertC a 14 t e 9Z O® Miscellaneous (service or feeder not included) Phone: (g3 (22 _ c....(4 2 D Fax: : (S'63 632_ . z t ! L Pump or irrigation circle 53.40 2 `] Sign or outline lighting 53.40 _ 2 E -mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or e , extension. Describe: Page 2 2 Business name: At ejgA.�►� 4s e-0121 c_ ...37, , Address: rd /2,4;:,,K s r Each additional inspection over allowable In any of the above Per inspection 62.50 City /State/ZIP: g e 4 Ck. 9Z DC / Investigation per hour (I hr min) 62.50 Phone: (r1) 6'3 Z — Z C fz.° I Fax: lk>) G 2 -L 412,1 Industrial plant per hour _ 73.75 ELECTRICAL PERMIT FEES* CCB Lie.: 11 /` /' el Electrical Lic.: 3- , A. , („I Suprv. Lie.: `v y! s- Subtotal 120 , LO Suprv. Electrician signature, required: . /' Plan review (25% of permit fee) Print name: S ' J 6 rf-/J &I-73 XJ / Date: / f j0 State surcharge (8 %of permit fee) Q, I► Z [G , I `P TOTAL PERMIT FEE 12...q .. /1 Authorized signature: This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete Print name: Date: + Fee methodology set by Tri- County Building Industry Service Board " Number of inspections per permit allowed i \ aui lding\PermllsWLC- PermitApp.doc 12/03 440 CITY OF TIGARD k'u BUILDING DIVISION 2 PERMIT #: ELC2006 -00348 13125 SW Hall Blvd., Tigard, OR 97223 t / 1 DATE ISSUED: 6/22/2006 Phone: (503) 639 -4171 �� �� 'p Inspection Requests (24 Hrs.): (503) 639 -4175 A acct ' ' II� INSPECTION WORKSHEET FOR DATE: 12/8/2006 TIME: 7 :01AM PAGE: . SITE ADDRESS: 11866 SW. 177TH PL CLASS OF WORK: SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT #: 171 TYPE OF USE: PROJECT NAME: WILLIAMS DESCRIPTION: Add sub panel & (6) circuits. OWNER: WILLIAMS, PAT & SUSAN PHONE #: 503 - 624 -6494 CONTRACTOR: CLACKAMAS ELECTRIC INC. PHONE #: 503.632 -2420 Inspection Request Scheduled For: Date: 12/8/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 040862 -01 503 - 969.5684 Y ..R P Corrections /Comments / Instructions: • • • . ' PASS n PARTIAL APPROVAL ❑ CANCEL ( I NO ACCESS n FAIL ❑ CALL FO INSPECTION ❑ ADDITIONAL FEES ASSESSED • Anspector: P Date: Phone #: (503) 718 -M CITY OF TIGARD 04 cz4 B TA UILDING DIVISION PERMIT #: ELC2006.00348 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2213006 Phone: (503) 639 -4171 1),riThp Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/18/2006 TIME: 7 :06A PAGE: 86 SITE ADDRESS: 11866 SW 127TH PL CLASS OF WORK: SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT #: 171 TYPE OF USE PROJECT NAME: WILLIAMS DESCRIPTION: Add sub panel & (6) circuits. • OWNER: WILLIAMS, PAT & SUSAN PHONE #: 503- 524 -6 494 CONTRACTOR: CLACKAMAS ELECTRIC INC. PHONE #: 503 - 632 -2420 Inspection Request Scheduled For: Date: 10/'18/2006 Pour Time: 1 Code # Inspection Description Confirm # Contact # Message 199 Electrical final 038365.01 503 - 96%-5684 N Corrections /Comments /Instructions: 6 1 1 / g 4 /Z/ 7C/_6 _ E N7 (&. 0944 .4iy 61 - \1 PASS I I PARTIAL APPROVAL ❑ CANCEL XNO ACCESS n FA fl CALL FOR INSPECTION ❑ ADDITIONAL FE S ASSESSED r 016 Ins ector: Date: ! I Phone #: (503) 7182 P ) CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006 -00348 13125 SW Hall Blvd., Tigard, OR 97223 ri DATE ISSUED: 6/22/2006 Phone: (503) 639 -4171 / WWII Inspection Requests (24 Hrs.): (503) 639 -4175 112„ INSPECTION WORKSHEET FOR DATE: 10116/2006 TIME: 7 :03AM PAGE: 21 F341(01-L, 2i5(. SITE ADDRESS: 11866 SW 127TH PL CLASS OF WORK: SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT #: 171 TYPE OF USE: PROJECT NAME: WILLIAMS DESCRIPTION: Add sub panel & (6) circuits. OWNER: WILLIAMS, PAT & SUSAN PHONE #: 503-524-6494 CONTRACTOR: CLACKAMAS ELECTRIC INC. PHONE #: 503 -632 -2420 Inspection Request Scheduled For: Date: 10/16/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 038252 -01 503 - 969.5684 N • c Corrections/Comments/Instructions: )e J P _- ,?Alva t-v 1C • bis}I 66,RD 'P • The electrical installation defects noted on this report shall be corrected and an inspection request made within 20 �a lenr+ar days per OAR 918 -271 -0030 5v5 ❑ PASS Li PARTIAL APPROVAL ❑ CANCEL I NO ACCESS AIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: c.:-/WP Date: /v /C -O 6 Phone #: (503) 718- 26-4/4 --7 • - CITY OF TIGARD BUILDING DIVISION A PERMIT #: ELC2006-00348 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/ Phone: (503) 639-4171 „...468814fillit Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/10/2006 TIME: 7:06AM PAGE: 6 - SITE ADDRESS: '11866 SW 127TH PL CLASS OF WORK: SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT #: 171 TYPE OF USE: . PROJECT NAME: WILLIAMS DESCRIPTION: Add sub panel & (6) circuits. OWNER: WILLIAMS. PAT & SUSAN PHONE #: 503-524-6494 CONTRACTOR: CLACKAMAS ELECTRIC INC. PHONE #: 503-632-2420 Inspection Request Scheduled For: Date: 10/10/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message • 199 Electrical final 037961-01 503969-5684 Corrections/Comrnents/Instructi• • b APA, • N (04 Ak)ekr-e1a ■11/ I I PASS I] PARTIAL APPROVAL n CANCEL A NO ACCESS n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: N 66 Le" Date: 16 la (16 Phone #: (503) 718- 2--11114 ' . CITY OF TIGARD ,. BUILDING DIVISION PERMIT #: ELC2006 -00348 13125 SW Hall Blvd., Tigard, OR 97223 'IL A TE ISSUED: 6/22/2006 Phone: (503) 639 -4171 Jimtlit Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/7/2006 TIME: 7:02AM PAGE: 14 SITE ADDRESS: 11866 SW 127TH PL CLASS OF WORK: SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT #: 171 TYPE OF USE: PROJECT NAME: WILLIAMS DESCRIPTION: Add sub panel & (6) circuits OWNER: WILLIAMS, PAT & SUSAN PHONE #: 503-524-6494 CONTRACTOR: CLACKAMAS ELECTRIC INC. PHONE #: 603-632 -2420 1st. b 0,4_01' A t St? all el W o ti3 . Inspection Request Scheduled For: Date: 7/712006 Pour Time: Code # Inspection Description Confirm # Contact # Message c . _ _ : _ 12I� Electrical rough -in 032820 -01 503 - 969 -56B4 Y Corrections /Comments/ Instructions: 1 1 ' ) ASS I f PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 9v W Li Date: _ I 1 0'b Phone #: (503) 718- 24 • Inspections Required for: ELC2006 -00348 �.. ✓ Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground/slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service 205 Footing X 120 Electrical rough -in 805 MFG - Structure grading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post/beam structural 150 Hot tub /spa/pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors X 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG Structure set-up MEC - Mechanical Permit 280 Insulation 605 Post/beam mechanical 285 Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG - Structure final 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood • 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 315 Post/beam plumbing 995 Misc. inspection: 320 Plumbing rough -in 998 Alarm final 322 Shower pan 999 Sprinkler final 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert/catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection I: \Building \Inspection Cards \Forms \AOP- InspCard- Blank.doc 12/09/2005 CITY OF TIGARD ,, , ELECTRICAL PERMIT PERMIT #: ELC2006 -00348 DEVELOPMENT SERVICES" ' DATE ISSUED: 6/22/2006 '' -"'" 13125 SW Hall Blvd., Tigard, OR 97223 503 -639 -4171 PARCEL: 1S133DD-13400 SITE ADDRESS: 11866 SW 127TH PL ZONING: R -4.5 SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT : 171 JURISDICTION: TIG Project Description: Add sub panel & (6) 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: 1 W /SERVICE OR FEEDER: 6 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: PAT & SUSA WILLIAMS CLACKAMAS ELECTRIC INC. 11866 SW 127TH AVE PO BOX 51 TIGARD, OR 97224 BEAVERCREEK, OR 97004 Phone: 503 - 524 -6494 Contact #: FAX 503 - 632 -2421 PRI 503- 632 -2420 t FEES 1" Description Date Amount Reg #: ELE 3 -606C LIC 161932 0 la [ELPRMT] ELC Permit 6/22/2006 $120.20 SUP 5041S [TAX] 8% State Surcharge 6/22/2006 $9.62 , Total $129.82 REQUIRED ITEMS AND REPORTS 8 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: - f ( . - -, Permittee Signature: r- 1 g f `� 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.