Permit li
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CITY TIGARD ' ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2005 -00261
Ilcl 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/31/2005
PARCEL: 2S 111 AC -02700
SITE ADDRESS: 14650 SW 97TH AVE ZONING: R -4.5
SUBDIVISION: TIGARDVILLE HEIGHTS LOT: 037 JURISDICTION: TIG
Project Description: (1) signal circuit.
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A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WACO SCHOOL DIST 23J CHERRY CITY ELECTRIC
6960 SW SANDBURG ST 8100 NE ST JOHNS ROAD D -104
TIGARD, OR 97223 VANCOUVER, WA 98665
Phone: Phone: 360 -571 -4411
Reg #: ELE 37 -620C
LIC 91668
FEES SUP 3486S
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 8/31/2005 $75.00
[TAX] 8% State Surcha 8/31/2005 $6.00
Total $81.00
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.
Issued By: "y etry., Permittee Signature: ) � - e_
�' 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.
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I RUG- 30- 2005(TUE) 12: 00 P. 002/012
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- liectrrical pelrmit Ap> 'c r� .
CI_ 0VEI'�; - • ROFFICEUSEONLY
City of Tigard v DairiR • - Permit No.: 04 --- ,1 6` 13125 SW Hall Blvd., Tigard, OR 97223 AUG P cvicw
leait D
Phone: 503.639.4171 1ax: 503.598.1960 -
Date/ , Other Pe
0 200 Gs r. i t lr� t Permit:
Inspection Line: 503.639.4175 x• r!J f I Date Ready/yr ra see Pn
Internet: www.ci_tigard.or.ug C ITY OF Notified/Meow; ae 2 for
�, _ TIGARD Stippletnent [nloratoilun
kt" � CO 77 s r:l.ly4.'N7 P " p L h". " ir�;�e..,�-:i1 . ✓ y!' n�;.�5, .i1. � -:. i .
-� To' 'Y �iC �y = J'd,�f�, �;�� r�- �,��'''��4�, ' y{
Q New construction ... � .- 1 .:� a �;r:4!C� .iy� {��Si 1- \' 1 ��r �� qq •- .
❑ Addition/alteration/replacement Please check all that apply;
❑Service over 225 amps, comml ❑Hazardous location
I0 Demolition ❑Other:
y.i ,e^��r� q '�. y Y ❑Serviceover 320 a r
Il i` I.:. -<+'- ^ �:i',.type tl `1. 1'�' 4,u amps ❑ or more over residential
s ti
""� ?��� -� �.. ��W�i'.��' �, � "'��'� l:x� is "�':At��k� of ] -and 2- family dwellings 4 or more new residential l
❑ I- and 2- family dwelling 'g. Commercial/industrial 0 Accessory building OSystem over 600 volts nominal Units in one Structure
❑ Building over three stories ❑Feeders, 400 amps or more
❑ Multi - family ❑ Master builder El Other:
y' a ?I)! i h q + �`� a ► o �c "b i ` ^r-{ i;' ''Ir, r n ❑Occu load over 99 persons El .. °r" structures or
�, .�'�'�����,��dti�s.�,re...it��t �����'�e�b�l' °:�!i� "�t� �PSnaa/lightingplan RV park
Job no.: (.'9.,J D7 L Job site address: I ( L' D C 1 k ) L Jp _ ❑Health -care facil ❑Other.
'� V Su bmi t 2 s ets o pla with any of the above.
City /State/ZIP: • I 1 , The above are not applicable to temporary construction service.
Suite/bldg. /apt no.: P ro j ec t name �bI '�q a c,; s
• ;c,.:: °
1 Dgerlptlun Qty. PIA- Total Y
Cross dtrecr/directions to job site: V 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'l 500 sq.1L or portion ` 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
lIl � ;y 3�)�'r�rolY r"'" t K "f , *� • �I,y� yq v Limited energy, non - residential 75.00 2
• � �:� +.'i4m.rLQ� VI t;.:i13�� �,° „ �iIPMET - alb t 1 ,9 � i 1 �"a !"'r' it 8 ti Each mannfaceured or modu �'
I Sig 1n et �� I ci� 1 dwelling, service and/or feeder 90.90 - 2
/1 ,, Services or feeders installation, alteration, and /or relocation
y [�` 200 amps or less 80.30 2
-V 1I �� a , a ° i !' i E+ �IREML EE Ei r l rIrr'r, °,l 2011 amps to 400 amps 106.85
2
Name:
401 amps to 600 amps 160.60
601 amps to 1,000 amps 240,60 2
Address: Over 1,000 amps or volts 454.65 2
City/State/ZIP: Reconnect only 66.85 2
Temporary services or feeders - installation, nstallation, alteratlotl, and/or
Phone: ( ) i Fax: ( ) relocation
_ 200 amps or less 66.85 1
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.
Owner signature: 401 amps to 600 amps 133.75 2
D Branch circuits - new alteration, or
� +tP�tl "'?tl � � Y � t i•" 'rig '^� , nawri � +u +"• :t lI� a I ,• Vt u�a r� � , extension, per panel
��lil� AS F I 'ik."LM M FE .'1, 1 `� i �i`�t?�i �a 4OR rk g I A.Fee for branch circuits
�r '� �'' "'� "` ' ice or feeder fee, ea each
sery
Business name: branch circuit 6.65 2
Contact name: R. Fee for branch circuits
without service or feeder fee, 46.85 2
Address: each branch circuit
Each add'l branch circuit 6.65 [ 2
City /State/Zi.P: Miscellaneous (service or feeder not Included)
Phone: ( ) Fax:: ( ) pump or irrigation circle 53 -40 I 2
E Sign or outline lighting 53.40 2
�,� fi�gg,,}� �� � Signal circuit(s) or limited -
3 ir ig ffi �>It�3,'a�i t a+E. ►• v ! k n " ' 7r irt. .M 'V7 1 kkt enerU panel alteration. or
Business name: r' i P. CA c j /� .eG extension. Describe: Page 2 �� ()1' 2
t "�j
Address: 1 V M /1 t C �p - o I °� aeh additional inspection over allowable In any of the above inspection
1 d j Per 62.50
City/State/ZIP: I/(f L` ° 4 F l ,9 investigation per hour (t ire min) 62.50
Phone: c I) SI — Fax: ( .I .an C-1 I .- J / j j l i ]� Industrial plant per hour 73.75
CCB Lie : i Vl lL' Ele al Lie_: Su 1 ! � , f � �l ""�kL Ieal E111'° . " d'ni �.% an a h t'l -., ':. _. :. % ', r: <F
ptv. Lic [ subtotal
Suprv. Electrician signature, required: Plan review (25% of permit fee) ,
47 -, o „±"..........-,
Print name: J Date: ) ,31:)1 � - State surcharge (S% of permi fe e) ,. , 1
4. el R i
TOTAL PERMIT PEI r
Authorized signature: r 'Ills permit application expires ti a permit is not obtained within 1813
Print name: — days after It has bean accepted as complete
Date: • " Fee nrethodology set byTri- County Sul {ding Industry Service Board
- Number of Itup per p ermi t a llowed.
I:\ BuildingU 'ormiiel3LC- pertilt$Ayp.doc 12/03 440 I3rt10/02ICOM/WQL
CITY OF TIGARD
BUILDING DIVISION - PERMIT #:ELR,1s)
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
A Ipuyliigl6����'� �
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6 -\ � -Q 4 TIME: PAGE:
SITE ADDRESS: o 660 C L>J c ! A V • CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: `\
OWNER: S CA\00 -- PHONE #:
CONTRACTOR: caktas% cA,'"C' • PHONE #:
Inspection Request Scheduled For: Date: 06 Pour Time:
Code # Inspection Description Confirm # Contact # Message
\C\ °\ t1.2. CC . C 0 AL, o� F i l,"
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I I FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: 1 t.® Date: Ob Phone #: (503) 718 - 'Ly%
CITY OF TIGARD ` ?ts
BUILDING DIVISION PERMIT #: ELR2005•011261
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8131/2005
Phone: (503) 639 -4171 � i(jrn � +l
Inspection Requests (24 Hrs.): (503) 639 -4175 s (1
INSPECTION WORKSHEET FOR DATE: 5/3112006 TIME: 7:07AM PAGE: 46
SITE ADDRESS: 11650 SW 87T1'1 AVE CLASS OF WORK:
SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 037 TYPE OF USE:
PROJECT NAME: IWALITY MIDDLE SCHOOL
DESCRIPTION: (1) signal circuit.
OWNER: WACO SCHOOL DDST 23J, PHONE #:
CONTRACTOR: CHERRY CITY ELECTRIC PHONE #: 360.571 -4411
Inspection Request Scheduled For: Date: 5/31/2005 Pour Time:
Code # Inspection Description Confirm # Contact # • Message
'135 Low voltage 030797 -01 360-607 -5142 N
Corrections /Comments /Instructions:
a iiak ) CAa)Dv►``"S ND EX ,N wiCU
pow xi � �
1 S zw.SN R.:111 U i NtA' T% f• LWS 11/4 Et CibN�I I (r I1\}
\I NCO °O S Lw cA3 1 5N 95JOF (5)
J0 \It
CS-1 G :OM)
� ► ( Z ` � , 3 8 . E 5
I PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION I _ ADDITIONAL FEES ASSESSED
�1pcQ lt-01
Inspector Iv vrJ Date: �1� Phone #: (503) 718- Z, b •