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Permit �� �jg o7 � - " '/� p ELECTRICAL PERMIT CITY O 1TI n ARD PERMIT #: ELC200700552 ' = COMMUNITY DEVELOPMENT DATE ISSUED: 8/7/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S104BD -00500 1 SITE ADDRESS: 12615 SW 136TH CT ZONING: R -7 SUBDIVISION: HUSKE PARTITION LOT : 003 JURISDICTION: TIG PROJECT: QUINN Project Description: Repairing circuits, updating plugs and switches. 8/21/07 ADD (1) 200 amp service /feeder. Job NO. 7113 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: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 11 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: PATRICK HUSKE LIGHTHOUSE ELECTRIC LLC 23352 SW MURDOCK RD 27750 SW 95TH AVE # 109 SHERWOOD, OR 97140 WILSONVILLE, OR 97070 Phone: 503 - 625 -5180 Contact #: PRI 503 - 582 -9600 FAX 503 - 582 -8484 FEES • Description Date Amount Reg #: ELE 3 -562C [ELPRMT] ELC Permit 8/7/2007 $120.00 LIC 154897 SUP 305 I S [TAX] 8% State Surcharge 8/7/2007 $9.60 . [ ELPRMT] ELC Permit 8/21/2007 $80.30 (additional fees not listed here) REQUIRED ITEMS AND REPORTS Total $216.14 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 -00 : i 1 .ugh 0' - 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 y: , ( , / 1 ; . �.. Permittee Signature GE./� / 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. 08/2E1/2007 13 :27 5035828484 PAGE 0 2/ 02 -' '' aK, -1 —�� FOR OFFICE, IISE ONLY Electrical Permit A, lick . tk P R cccfvcd v M I � ' J Permit Nn,: �440 ,� C� City of Ti. la < < narc/B : Q so; 1 3125 SW Hall F,ard, OR 97229 (� Plan R eview 14 ' R Phone; 503,639,4171 Oi 'j Other Permit: Fax' �9�. 1ieu` ` „ A 1 ' Date/By Inspection Line: 503.639 ``` Dntc Ready/By: _ furls Sec Page 2 for l 1Ct A U.D p �� t Notified /MOlhod: 17 C Supplemental Information _ Internet; www.tigard -or. ov �� - `1 / �i >r i,l' ,r:e ,n, i i 1;1 .�,, ;I;FIr''4 1:'f',r. �^ . r' crf e,., .,.I,,. ,:r .r. r i t : ,, ( spit t::)4; ,r, il. TlIT sl li br. 1 'li;T. `,' yyiy 1'Y�i.i {I ` :tiiR ;ri i``;ii.: •,.;,. , ,r ,'tq 7i�. J, �,y(i'1 .I:' ,�:r � #„ =L }31'r 1{ I rl,.rlol , p : ��lir' �k�t.����(�'�iW!fr,r{< -r 1.: rr,r. e:, rt tti':C, i t1. I M }u; • ' i i 1," 4 i i' :1 i. 1 {{ ■ .I :,,, X 11 {! i E.$ N , t}} ,131{ . 1, ! S i. ,f t u,. ;}fig � i 'iin rioil; ?li]7! ,, ; a t�t1 'a:, "r..i.' "':= i;l- „rs {;1.: {. 1 � i !. -.1 #'�II 1� . ,.ii Iti�gl. l ..:li1� {,.,_.,, „�,,.t_, „�,. .,nu r' %iii i�.!:!S 1 r.,r�:,,,, ii.'''. .r,., ti';I;�il;f + = t1 n .�, (,r Sru'Ir ,> ^. IJr {ti�;,lY � SKB >.., li ?r, i !,r �. i , „i'Ij!f f`> ;. ; ,i# r:. r :v,,, r New co r,r a ,.'',I 11,.f. i ? )1 i t.rG:rrA ,. 1.e :d31r, Please cheek a11 that apply (submit 2 Beta of plans w /item:% checked below); 171 Nenstruction a 7,, !I _on /alteration /replacement ❑ Scrvicc or feeder 400 amps or more ❑ Building over throe stories. ❑ Demolition 0 Other: where the fmd Marina , . and boatyards, d , i . ! r,r:, ;;r ., r y l ids, 91 #;:i:ir'i4lira'�SSi y;,li4 }yr 4i.imii;# , exceeds 10,000 available 10,000 amps at )50 current ) 50 volts or LI Flontinn buildings. r s :i H ;. ?:. , 1J!l 1,i, . fj 1 ;1! `p Vil.: r ,#.r_ i r,1 ilit ; : „ ;AN ritl it .li Cl%;t` i ,, 5 ; P. ,r,:1 t 4, f r tlrl1, ,�• n'l;l {.'litp % ;t ' ; , i.,i. f�+�,., .', '.. ..�..'?� �lµ ,;e, r „rr,. :: , ;y;,,; � .... ilfa! #,1u,e � i.,r.ras, .,,,i,�.}.,.�r,. less to ground, or exceeds 14,000 ❑ CommcrniFrl.nso agricultural 1- and 2- family dwelling ❑ Commercial /industrial Q Accessory building amps for all other installations. buildings. r ild b ❑ Multi-family ❑ Master builder 111 Other: a 13mo pomp. installation cneysystem, l.�rgcr s o parntcly de system. v , u ., :+ n'r',, v: , ,,, y „r,:,r_;rrq'r;i';��.g „ l{ fi j'i +{'i iA # (l'r1( ?i{ 111!fi'vl ° I� 1 f ..1,,....1 -2”, «1 -T,. ,,,t 1. 1. ; .1�' 11 1. . ; ;1 I ' , # , 1. n of new motor lone o ❑ •'A” o ; ? hf,,. ; ,n #r:1 .!1,.41,, i', ) ,I.. ,I 'k'� ?` i� {<,dr�4rl:t�,... ❑Additio :;:t i „1 2 ”, 't dr,: „end„ `u� ,r; I #, #ii �td t�ud'`. OW, 100HP or more, r , oconponey Job no L i Job site address: 12,E 15 S J t 3 (1 } �` 0 Six or more residential units_ ❑ Recreational vehicle parks. �_ ❑ Health -care facilities. ❑ Supply voltage for more than C /State /Zip �rqf , r� - - U r �� a 3 _ ❑ hazardous locations. 600 volt's nominal. � name ❑ Service or reedtr 600 amps or more. Suite /bldg. /apt.. no.: Project 1 ; ( : , t4 ;'our' ii , ' { , I; H :f ' f';�il {7t'•}liljli#I'' i; t; i ); i `b #� i l l i,';ptt I''+Il!iirb,"''i ; � : ,, , . i { �A f: 1il'.,!I It(ii sl; 'i ,.�I!.,,:,. ' Ili t r2 tin -rli i11,# , ,. �i` .,, .. ,. ^. �, " :'�'.i.� J '�'; , . , ; , . , Cross street/directions to lob site: DeeeriptIon T Qty.1 Fee. Total I ” New residential single- or multi - family dwelling unit. includes attached garage. Subdivision; Lot no.: 1,000 sq, ft. or Icsa 145.15 I S 4 -- Ea. add'l 500 sq. fl. or portion 33.40 1 Tax map/parcel no.: Limited energy, residential /t,g; rr,,i rgI) ,:(F ? rt4 bj +.r 1' y � �y�' {, � q !i �y( �y 1 f a' 11'tiili,iC1E .:''rt 'S rdfi liif ! ;%ti i i ; i Si; 2S; ll l ` >.I 75.00 2 ;i'} : y!, fr, „ Thin .1∎00..Ilk .,, A.r� d1 ,,j � �,% r r t . n f i :}i {;I? r !. • •1rI ; (with above sq, fl.) ,7 : ,L, ti' ^ i :,.: „!N u 11,,. L ■ ltdllvs6„ Limited energy, multi-family �ii.,,l'� a, u :cnr ':;l; n(- . lv :�uilniujuL a;'s:iir{,,,u,u ,,, d1 ,.. # ^ „tr 1,w,4S:.4 n�'�” �' e residcntial (with above sq. fl.) 75 -00 2 _ � rla i �1(� Services or feeders installation, alteration, and /or relocation r , a 200 amps or less 1 80.30 20 .30 2 — da ;'i'Y f' - 1i! i';,,, I�a i} ii) ik 'r';'`EIFri'if }r ; " >;(il�1',(n, t „ ,ii, kti- iilllt;limiq ? #itilZytlJlVt {�' 201 106.85 2 '1 . t i'(;' rG i' ' ;;1 # ) lit ' r, !, TOM yr. , �, a t.: ' f . # f u a am p5 to 400 amps J „ l:a w - ,t, , I ,. , ' ' 1`�' "t, Er�i !ia�`.�.rsn,ifi.�il,,, „fr��ar �„,,,. f, iI ?�,1,.::,Si?rntn!>J!'su;,,l;(� a p•. Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454,65 2 City/State/ZIP: Temporary services or feeders installation, alteration, and /or Y relocation Phone: ( ) Fax; ( ) 200 amps or Icss 66.85 l 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 599 amps 133.75 2 Branch circuits - new, alteration, or extensionoc _pa neI Owner signature: Date: -- A, Pee for branch circuits with `. ` %' :, .. !',' y y'.i,.. Iy Cii•"� ''i ?i:r';■'i il ! iii G{:3(ir'il(il!,y»y ti i ,iii W. �r;h)1{riil above service or feeder fee, f i '1'i } i ;ii,ig. S . , r , r .} . .,„,. „„.,, 1 {I ,;r( i: �!# l i a.; JIJI { �: 'i' ' L'. 2 ,.'�+�.F:Idt1 ,t^ Vl � {at .i1;(c,aLt�itl'!r . 6, 65 2 !!,' rti' iai, ildi.,, i ,;�rii,,,,,w�u.,r.r.,,,r.,r,ad aa ,.la t crt;;, ,i'r:,,,, -..,: ,,,,.. each branch circuit Business name: B. Fcc for branch circuits without service or feeder fee, 46,85 2 Contact name: _ first branch circuit Address: Y Each tidal branch circuit I - I 6.65 2 . miscellaneous (service or feeder not included) City /State/ZIP: Each manufactured or modular 90.90 2 •— - dwelling, service and/or feeder Phone: ( ) Fax; : ( ) Reconnect only 60.85 2 E-mail: Pump or in-igation circic 53.40 2 r•,:-t t;r.: xtr ;,;,' ;rr °'lar,1 fir: , u;;ul' , ;; ^: ;iii. ';,t } <lP sign o utline lighting S3, AO 2 a''' 'i= f,,, }'rr,l,ll:lt,;, ' 12.,. 9,; 5; ,'.'';�iF;.:., iiiii1,( , , ?4 ?,,,:Ii;; 11, , B aal0il'': U�+' 1 i': s'. Ss .:ti�7_l ?`Idi:g t .�_�:,., , {rii #U, rfr, ,.; {hS2�;Ii3i �;�.SS.. S...,,.,,, t.,. 1C >,A ' Signal panel, e r limited Business name: LIGHTHOUSE ELECTRIC LLC energy p alteration, or Address; 27750 SW 95 AVE, SUITE 109 extension. Describe: Page 2 2 City /State /ZIP; WiLSONVILLE, OREGON 97070 Each additional Inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 582.9600 I Fax: (503) 582.8484 Investigation per hour (I hr min) 62,50 CC13 Lie.: 154897 Electrical Lie.: 3-562X, Suprv. Lie.: 3051&'] industrial plant per hour 73.75 __ ;',1; c!i: iiii , 'Ii,1LxCi�l'X`isl IIMMI VI S. I1 i ; , Suprv. Electrician signature. required: Subtotal: to ..3,0_____ ILL Date: Plan review (25% of permit fee); Print name: RANDY -�� Slate surcharge (8% of permit fee): ( -a,k4 Authorized signature; 'V- Q�y� ` i k ( TOTAI, P1:RMI'l” P1.1.; s 5 � 3 ' "` � Thin permit application expires if a permit Is not ebta nedl within IRO • Print name: Date: days after it has been accepted as complete. ” Number of inspections allowed per permit r \Duilding\Darmits \LLC- rd'tnliApp,dnc 05 /21/05 440- 451ST(1 /Oi /COM/WEB CITY OF TIGARD ELECTRICAL PERMIT #: ELC2007 -00 PERMIT 552 COMMUNITY DEVELOPMENT DATE ISSUED: 8/7/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S104BD - 00500 SITE ADDRESS: 12615 SW 136TH CT ZONING: R - SUBDIVISION: HUSKE PARTITION LOT : 003 JURISDICTION: TIG PROJECT: QUINN Project Description: Repairing circuits, updating plugs and switches. 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: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 11 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: QUINN, MICHAEL P + JEAN L LIGHTHOUSE ELECTRIC LLC 12615 SW 136TH CT 27750 SW 95TH AVE # 109 TIGARD, OR 97223 WILSONVILLE, OR 97070 Phone: Contact #: PRI 503 - 582 - 9600 FAX 503 - 582 -8484 FEES Description Date Amount Reg #: ELE 3 -562C [ELPRMT] ELC Permit 8/7/2007 $120.00 LIC 154897 [TAX] 8% State Surcharge 8/7/2007 $9.60 SUP 3051S Total $129.60 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 -0• : rough OAR 952 - 001 -0104. may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued = : / Permittee Signature: ` kS)0)/ 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. 03/1,7/2007 10:22 5035828484 PAGE 02102 —. �� r e � FOR (11 1 1 {' iS USE I: O N 1.1 L lectrical Permit A licatio L C. o C y 65 2 Received ( �i r Permit No. :EuZeD7-' -- C c City of Tigard ;;., n ,7nella o r �/ 1114 AUG 0 (e 21 0 ( Other Permit: ] 3125 SW Hall Blvd.. Tigard, OR 97223 Plan rtov#cw ' Phone: 503.639,4171 Fux: 503.598,1960 Dat °I#3 ' 10 See Page 2 for I – T Date Rendy/By: Inspection Line; 503,(;39.4175 CITY OF I �U��� Supplcmenta# information I Ci A It 17 , NOtifi l Internet: www.tigard- or,gnv BUILDING OIVISIO ,+ ;, , = •..• , r . n1 tSt 9fi ' • Ut =1' i� ? fi:'by�q : ' y., , .� 1 8 4 0,Li .4i..j.1. ",I0.. ,,,,; ,,,,,A;i.., •ir' , .r t,ri „„r, � x- 1.�;.. ro-� '1!: " �., iYii'iC,'' ";11, rl } : # : : + �� � : i f „, )5 , plj(,1.� , ...j ri l`1 1�715'��',�'V ) ( - r 'i.Y ', ,,� ' •i;' ry��y�]p : p,:;, ;!,, , ` ;i),4 (tt.1' ; �iht ,:; ; „,flfi pH;lb.I r!, 7 q . „ I rl�rr yi g 6) ,� ,1N i. i :1 :�,r; r , ;A; „ w,::�uu4m i 3v ' L,t,�,vdid„ a m1 :,rr :g iSr•, ,;yp r :,i ,,y, pit;-, 'U1R'G'R.M6,',r�}l :,;5; t.i',�,'. , -, i:,s ,.. +.r+;� { .. ' , �i „�.,,. a ir i .� : i,a •,iu.l,t; 2s d,u : checked flw low) i�i:;ir!:i'E ; ";'` ". ,.to t ' L , f i ri i'i :: i % . w�+1.. , apply sub , s of plans %Wimp: t'' :1 „ </• ' r � ' i l i a;rs flSt ' r U ct'+�1`711 a 4 � +Il,li,ii ! «ilL P1Csochcakal1 :pt y(. mil 7�set.. ❑ Now constru "'1� Addition/alteration/replacement © gervicc or reader 400 amps or more El Building over throe stories. whore the available fault current O Marinas and bonty: Demolition ❑ Other: agricultural „ ..,,w... .,, (p ' {f!( ;T';;K;';11'r(11 } "fl�' +' 1 ,000 ❑ CommercialLus buildings. meals 10 OQt1 amps at 15 or ',r,i :i, ;i;i;� `j ^h,f,lrl':M ii � ii?Titi I git t #Ole gli f O , .S? ,,,1 , 1r ,4, . , m to 10,00 or exceeds 0 El "5.1- and 2- family dwelling ❑ Commercial /industrial 1:1 Accessory building amps for all other installations. hnildings, or 75 KVA or Other. pump. El Instal larger separately dot vcd system. 171 Fire P M builder ❑ 0 r c sstem F mogcny y multi-family ❑ ,;, p:.- �' t �'t + t 111 Y :;i "'l`t : l i'� '! li' );' S ! r�,.n...,E....1_2.. y i;i; i a.;'!'. 'r ' " UA't ; , ,r,, : i. /7 ❑Addition of new motor load or IJ i`. , r-;' %i5 '; %1 % U ii1';; i 1.ii'i 'i y 1 1 7 ^ i j, ,ij ' %il'� c : . c tlE[fii'r t r'JaI L.l'! :rltF!z u „a,1�1 o ccupancy. :% �' �a ';2 +?;',u�;'i`1�rtGr,r?iI�''.} ,,.i.,l s , r, .... ., ., , r'] l 1001-Lf or more. ve 1 lX Job site ad �a « c S W 13lp f K � ❑ Six „I' more rosidentu I.tnits. ❑ Recreational vehicle pnrks, -- El Hcaltli-eare Job tto,; l ❑ Supply voltage rot mom than v _ i l� D-2-.3 ❑ Hazardous locations, 600 molts nominal, City /State /71i' . ❑ 9crviao or'Fccdcr G(10 a �m�ps°� nr m ora hid ,/a t no., t "��� ' ` f' 3 { t' 1 c 600 u }� , , , Tatar tddly„ l It . �<�; :, ' i t Project 1s +1,� t , , "'ir +' { {PSIr�O. �f.�"a�h?{;(' �`} �1'.' iiii:!(1 1' r ,i����1i;'i'it;- iq.,,p.!,+,,i1 Su ilc/ g .P •- � _ !! t d Ss :� arc, - ,�,. ... f "ry : .G a Na.s�l � � ,1,1.1.,: ,; n ' Qty Fee. � • Cross street/directions to job si Ncw residential sin or multi- family dwelling unit. Includes attached garage. 1,000 sq, 'ft'. or Icss l 45.15 4 ' Subdivision: Lot no.; Ea. add'I 500 sq. It. or portion _ ^ 33.40 1 Tax map /parcel no.: Limited energy, r esidential 75.00 2 / t+s ;i i ?4 1 1 "r vc s R a ' $;' i ua�i5rjlll r :;l4 ii :i ?, h r ,'Ii;;i; ii 1 ; 1J "�, j$lll.hi i (with abo q. ,) , ,,1: : „r „t 1'iifi „'; jalUi,, t�lttif .,�.'- 'i�.'tY�`�ii°•'[1t.ri i. „,,^ y � iw .U�, l,l :u' „t �r�fC',;t�'�r,i,,.lttit multi 2 `r!;��i i ry;irlti�E;i';l4, Gad :' +'�t' °' 1 ' `�L�uwwsr�i.��`�� ,. Limited energy, mull' 75.00 clA`IEl_ r 4� residcn#iflswith ebnvc sq ft,) l C �� 1 CJ I-�-� a -i Servic or feeders installation, alteration, and/or relocation )J •t G� _200 amps or less 80.30 2 S i ara f,lrea r y� ', ll fii;i?,;; f ,,,, ! t l r f����1 1 201 amps to 400 amps 106.85 2 J �, i 5 S r 1 i ,r; ,r l j IT I ri'Ir .."I: �.. I , r ,l..: ,� t , i , j . • 4. 1 p ,. r , 't � i ,,, : , l :c ;;�� ( lfe. t, I t 1'i I: ;ale, ii((I, :,!•° ,y!'v,'u,;. ""i'J4f, 2 1 y ; ? ;;t :l.l + , ° ' Iy1;Y l ,� :,, .��I ±;; :'$, CiI? ,,;; a',,,r� 401 amps to 600 amps 160.60 Name: 601 amps to 1,000 amps _ 240.60 2 Address: Over 1,000 amps or volts 454,65 2 Temporary services or feeders installation, alteration, and /or City /State /ZIP: _ relocation 200 amps or less 66.85 # Phone: ( ) Eax: ( ) 201 amps to 400 amps 100.30 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 133.75 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, Branch clrcni 9 new alteration, or extension, per panel Owner sig nature: Dale: A. Fee for branch circuits with 1 y,;i, - .r r ,*,: l', " ; ;,' ;;Y 1,�!-� r ;i' ,' , µ�w , t '' ?ir tl,. � F' FIVJll l'b above service or feeder fee, 6.65 2 ''t ",r ?`-di'a j'i „ 1f icy{” 1 ' � µ, , I I ' „ ll; i. v. 1. ftiln, 1 f j' i r i, i � 4 1: 1( l: p�dts ' J'Ci i. U.,, �i�u , :j °i fJ "I , G�ti�;11 l: , , G L. , ;, �,,1 j , !!? , "SE R 4 . SV R ' ,: . r .l ,; t A. ,5P, I 1 ,��' branch circuit - - i i,l r . ,!1)L�b�. tit, .i. J Wi ' each Business Warne: �13, Fee for branch circuits without service or feeder fee, 1 4G 85 A 4� 2 Contact. name; first branch circuit i "r' 0 - Each add'I branch circuit L I 6.65 '0 „I 2 Address: Miscellaneous (service or feeder not included) City /State /ZiP; Each manufactured or modular 90.90 2 dwelling, service and /or feeder - Phone: ( ) Tax:: ( ) Reconnect only 66.85 2 Pump or irrigation circle 53,40 2 E-mail: 2 ,,, , r; , . ;t;s ,lj u' : i l'1a :iii 'c ` i !' ; ;i Sign or ou tli ne lighting 53.40 F:, ,f r,.od,.... t. ,, , r r . y : , 1 ?. t ,i ''1 ' �ll'1 ,31.u;�, o; SI 1; 'c'''�;1 ;t'�1!"u�'�1�1t t ,1:,. r ,A I t , - ;�'� ; G ' f ' NUf!,. I�', r; � ±�l :,:'f,,l;d'Yil.l!':,Ii;liiF„ �' i''h lit , - ' s.F + �� ■- Signal Circuit(s) or limiled- 13usincss name: LIGHTHOUSE ELECTRIC LLC energy panel, alteration, or extension. Describe; Page 2 2 Address; 27750 SW 95 AVE, SUITE 109 City /State /ZIP: WILSONVILLE, OREGON 97070 Each additional inspection over allowable In any of the above Per inspection 62.50 Phone: (503) 582.9600 Fax: (503) 582.8484 Investigation per hour (I hr mil)) 62,50 i 154897 Electric; ' prv. Lie„ 3051E Industrial plant per hour 73.75 CCB L �.. cr a s6z jl . u T . � 5; ir; {; :• {r;4td ...t , mwr,.n:. :. Suprv. Electrician signature, require • ,,,►�� ` t ' Subtotal to�U �w •U Plan review (25% of permit fee)' — Print name: RANDY I lll,1. Da.tc; g " . State surcharge (8% of permit fee): 9 L 0 Authorized signature: TOTAL PERMIT FEE: _� This permit applicetinn expire Ira permit i s not within 13(1 Print name: - i Date: diva offer it ha been accepted as complete. obtained • Number of inspections albwed per permit l:\ BvrilAintt \norml+e \5LC- r'crmlrApp.doc a;lza /nr, 44n 461;T11I/ONCOM /w5r3 ������N�������� ��on n n~pu ww�m��mm��. BUILDING DIVISION PERMIT #: ELC200T 0055 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/712007 Phone: (503) 639-4171 Inspection Requests �4Hro�: (503) 639-4175 � -�&�-�^�� INSPECTION WORKSHEET FOR DATE: 4/1612008 TIME: 7:00Ah8 PAGE: 23 SITE ADDRESS: 12515 EW186TMC[ CLASS OF WORK: SUBDIVISION: HUSKE PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: HUSKE DESCRIPTION: Repairing circuits, updating plugs and switches. 8/J1/07 ADD (1)2OO amp semic*/hmmder, Job NO. 7113 OWNER: HUSKE, PATRICK PHONE #: 503-625-6180 CONTRACTOR: LIGHTHOUSE ELECTRIC LLC PHONE #: 5O;3 Inspection Request Scheduled For: Date: 4/1612008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 068462-01 503'582-9600 N Corrections/Comments/Instructions: 9/ , ((// ' 0@ PASS 7 PARTIAL APPROVAL 0 CANCEL 0 N ' ACCESS I | FAIL 7 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED ' ; 4' tfriO |nopeotor Oote: 6 A Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007•00552 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/2007 I • Phone: (503) 639-4171 A, „7 :5111 1 1% Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/1512008 TIME: 7:02AM PAGE: - )g SITE ADDRESS: 12615 SW 136TH CT CLASS OF WORK: SUBDIVISION: HUSKE PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: HUSKE DESCRIPTION: Repairing circuits, updating plugs and switches. 8/21/07 ADD (1) 200 amp seryiceifeeder. Job NO. 7113 OWNER: HUSKE, PATRICK PHONE #: 503-625.5180 CONTRACTOR: LIGHTHOUSE ELECTRIC LLC PHONE #: 503-582-9600 Inspection Request Scheduled For: Date: 4/15/2008 Pour Time: Code # Inspection Description Con Contact # 199 Electrical final 068384-01 503-939-5545 Corrections/Comments/Instructions: • i4 fti 61-0 UL ) 6o6 i60() cD LoALtct- py\p‘im 6g(t.vcc.E bi kg) C-152R,V1 ThkL (3(1L M, PASS fl PARTIAL APPROVAL [1] CANCEL LII NO ACCESS FAIL CALL FOR INSPECTION E] ADDITIONAL FEES ASSESSED Inspector: 66 L Date: I6 1 Phone #: (503) 718-1-44) , „ .. .. , _ CITY OF TIGARD, . ... , . BUILDING DIVISION PERMIT #: FLC2007-00552 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/2007 Phone: (503) 639-4171 40#140,1 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/1/2007 TIME: 7:00AM PAGE: 31 SITE ADDRESS: 12615 SW 136TH CT CLASS OF WORK: SUBDIVISION: HUSKE PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: QUINN DESCRIPTION: Repairing circuits, updating plugs and switches. 8/21/07 ADD (1) 200 amp service/feeder. Job NO. 7113 ' OWNER: HUSKE, PATRICK PHONE #: 503-625-5180 CONTRACTOR: LIGHTHOUSE ELECTRIC LLC PHONE #: 503-582-9W0 Inspection Request Scheduled For: Date: 10/1/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 056631-02N, 503-682-9600 N 1 Corrections/Comments/Instructions: ,--/ 0 \__A,K1._._ yv \ p:i 5` <, — iiisc-t } fY\Cicc, 6'20k6AN c- WCPE5 `.- r NI, i fi=1/40 ax 1) .w\i Msg. 'bM. Z PASS 1 PARTIAL APPROVAL n CANCEL n NO ACCESS fl FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: &--- i 06bLIE Date: 1 1 01 Phone #: (503) 718- il , (..'(' r" ,' '• • . , . w CITY OF TIGARD. BUILDING DIVISION . PERMIT #: EL 2007- 0f1552 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/2007 Phone: (503) 639 -4171 °a " l +� Inspection Requests (24 Hrs.): (503) 639 -4175 ��' h �l l � INSPECTION WORKSHEET FOR DATE: 10/1!2007 TIME: 7 PAGE: 32 SITE ADDRESS: 12615 SW 136Th CT CLASS OF WORK: SUBDIVISION: HUSKE PARTITION LOT #: 003 TYPE OF USE: PROJECT NAME: QUINN DESCRIPTION: Repairing circuits, updating plugs and switches. 8/21/07 ADD (1) 200 amp service /feeder. Job NO. 7113 OWNER: HUSKE, PATRICK PHONE #: 503625 -5180 CONTRACTOR: LIGHTHOUSE ELECTRIC t-LC PHONE #: 503.582 -9600 Inspection Request Scheduled For: Date: 10/1/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 056631 -01 603-682-9600 N Corrections /Comments /Instructions: rkPASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS • FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: �' 1\v k) CE Date: 10 1 1101 Phone #: (503) 718-141A)