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Permit
CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00075 �.'� DEVELOPMENT SERVICES DATE ISSUED: 1/31/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S110CB -00100 SITE ADDRESS: SW NO ADDRESS ZONING: R -7 SUBDIVISION: LOT : JURISDICTION: TIG Project Description: Service for private street lights, see attached map. 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: 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: WRIGHT, RICHARD R AND NORTHSTAR ELECTRICAL CONTRACTORS DIANE M 19450 SW CIPOLE RD SUITE 107 15350 SW BULL MOUNTAIN RD TUALATIN, OR 97062 TIGARD, OR 97223 Phone: Contact #: PRI 503 -612 -0840 FAX 503 - 612 -0891 FEES Description Date Amount Reg #: LIC 90454 [ELPRMT] ELC Permit 1/31/2006 $80.30 ELE 34 -359C [TAX] 8% State Surcharge 1/31/2006 $6.42 SUP 661 S Total $86.72 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: f © � Permittee Signature: 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. ,01/ 30/ 2006 13:16 2036120891 NORTHSTAR PAGE 02/03 . .. Electrical . . Electrical Permit ' ..1 1 ication Received a,. , .._ S Approval t N City of Tigard 0, 7: ' EIV 'i'71) Date/B :/ g A ._ . ..... permit No.. . , ..10 -‘,/ I planning Sign . , ...,..., -ig . . . Date/By: Permio.: 13125 SW Hall Blvd. f; , i., -Jr . .--,' Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: • Phone: 503-639-41 Fax: 503-591 0 / 1 16 1i 0 3 , Post-Review Land Use , 44,0400 Date/By: case No,: Internet: vv IV. el g Contact Jun i -/','. ei See Page 2 for — 24-hour Inspection Request: 503-erty5OF --• -."". .., Name/Method: -401 rT Sunnlemental Information. DIATISIO DIN ' • BUIT `,:);,'.1:;15 g;;;;:7:',1 ' .::' . l'....:::. .:; ;,.: :.PLAN.BEVIEW (Pe*s iiiiiiii .":.r ET Service over 225 amps- D Health-care facility "- W /reacement Other: m construction ri Demolition — Has Addi commercial 0 zardou location tion/alterationpl ri El Service over 320 amps-rating of 0 Building over 10,000 square feet, MCAT dOkii 'Misfit • *RigAim'''''''''' • • • • 1 & 2 family dwellings four or more residential units in III 1, & 2-Family dwelling • ". ommercialfindustrial 0 System over 600 volts nominal one structure 0 Building over three stories ID Feeders, 400 amps or more • Accessory Building IN Multi-Family 0 Occupant load over 99 persons El Manufactured structures or RV park 7 Master Builder Ei Other: El Egress/lighting plan 0 Other: , .::::::::,.:i.% Ocous E; . - 61,"'''UtitiNiiiitIO:' 'X' •-tdrt;'!!:ZEP:;:1:.'!;:','.i' Submit sets of plans with any of the above. Job site address: i v (hi? The above are not applicable to temporary construction service. i e i ... 51 .,,, .,;.„ „ .,,,,,(Itg,4W.,•juk Suite #: Bld. /.. it.#: f Number of inspections per permit allowed Project Name: 71/ Description [ Qty Fee (ea.) Total ffire „„„WeatTLV-Aras -. New residential-single or multi-family per Cross street/Directions to jo , site: dwelling unit. Includes attached garage. ' Service included: 1000 sq, ft. or less 145.15 4 Each additional 500 sq. ft. or portion thereof 3.40 1 Subdivision: 7 Lot #: Limited energy, residential 75.00 2 Limited erierga, non residential 75.00 2 Tax ma e/ parcel #: a.ch manufactured home or modular dwelling ',•:'''''.i,4e . 0 '.', rvo.: r.OEM t • 1 !:',...:''li;:' s andi eder 90.90 2 Services or feeders - installation, SO Pik.'" I A/ -. . alteration or relocation: ( _200 amps or less 80.30 . 2 , 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 :.- 2 attitorMyty,wowNiNtrAFE, prk ' .,, 601 am .... ..,_n000 amps 24o.00 - 2 Over 1000 autos or volts 454.65 Name: Reconnect only 66.85 2 — -- Address: Temporary services or feeders - installation, alteration, or relocation: City/State/Zip: 200 ainEs or less 66.85 I — 201 arn.s to 400 am. 100.30 2 Phone: Fax: . 4o1 to 600 amps 133.75 2 CONTACT POSO) Y ::1•:.., ... Branch circuits - - wants - new, alteration, or Name: extension per panel: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 6.65 2 City/State/Zip: a FCC for branch circuits without purchase of — service or feeder fee, first branch circuit 46.85 2 Phone: Fax: Each additional branch circuit 6.65 2 E-mail: Mise.(Service or feeder not included): y • ,.• Mi.3•777 Each pump or irrigation circle 53,40 2 • .. '''.5: ,,,, A:: ! .4 0.0 WRAC' ,4-' ".+Ille.. -01, E,ch Si; or outline hm Job No: Signal cirCuit(S) or a limited energy panel, Business ' xi NorthStar Electrical Contractors alteration, or extension Page 2 2 19450 SW Cipole Rd, #107 - Description: Address:. Tualatin, OR 97062 • ., (503) 612 Fax (503) 612 • Each additional ins 1 ection over the allowable in an of the above: City/State/, Lie #34 CCB #90454 Metro 41911 - - Fr ins. tion • r hour min. 1 hour 62.50 , Investigation fee: Phone: CCB Lic. #: I Lic. #: , z . . - • .. 5 . •04:*,:::::- . :*;,:t::;;:'::if:!,10i!:41eCtiii,i11 1 01117 -r iettiii/$0' ":''•i;e ' Supervising electrician , $ . signature required: . l ,, ____ Plan Review (25% of Permit Fcc $ _ .• r Print Nam- . laie • _. . k w; A Lie. #: _ . State Surcharge Oviicif permit Fee) 0 4 _ TOTAL PERIVTIT FEE .1 • - Authorized Notice: This permit application expires If a permit is not o 4' e • Ns/ in Signature: Date: 180 days after it has been accepted as complete. - *Fee methodology set by Tr-County Building Industry Service Hoard- . . (Please print name) i:1.0sts\Perrnit Forms\ElePermitApP.d0c 01/03 CITY OF TIGARD i BUILDING DIVISION t PERMIT #: L.LC2006 0007 i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31/2006 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 71/912005 TI ME: 7 : 00 AM PAGE: DSO SITE ADDRESS: SW NO ADDRESS CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES SUB. DESCRIPTION: Seance for private street lights, see attached map. OWNER: WRIGHT, RICHARD R AND, PHONE #: CONTRACTOR: • NORTHSTAR ELECTRICAL CONTRACTORS PHONE #: 503-612.-0840 . Inspection Request Scheduled For: Date: 7119/2005 Pour Time: Inspection Description C�e nfir Contact # Message 9 Electrical final 033 01 503-612-0840 N Corrections/Comments/Instructions: N N N . 7...''''''''''. \ \ . \ MPASS ❑ PARTIAL APPROVAL I I CANCEL n NO ACCESS ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: i OJ Dew Date: .1 l r 91 0 6 Phone #: (503) 718- z44 1 0 c . . CITY OF TIGARD BUILDING DIVISION , PERMIT #: DX2006•00075 13125 SW Hall Blvd., Tigard, OR 97223 .,. DATE ISSUED: 1/31/2006 Phone: (503) 639-4171 kotiinioloi it , ,... L Inspection Requests (24 Hrs.): (503) 639-4175 ., —. INSPECTION WORKSHEET FOR DATE: 5/2/2006 TIME: 7:01Aivi PAGE: 65 SITE ADDRESS: SW NO ADDRESS CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: MOUNTAIN VIEW ESTATES SUB. DESCRIPTION: Service for private street lights, see attached map. OWNER: WRIGHT, RICHARD R AND, PHONE #: CONTRACTOR: NORTHSTAR ELECTRICAL CONTRACTORS PHONE #: 503-6110840 Inspection Request Scheduled For: Date: 5/2/2006 Pour Time: . Code # Inspection Description Confirm # Contact # Message 105 Underground/slab cover 029071-01 503-612-0940 N ?Acci lbsL.. Corrections/Concents/Instruction : • • • C, . 0 0 •14 6E . 1 I PASS •Ic PARTIAL APPROVAL I I CANCEL n NO ACCESS I FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: CriVt N N?:$ U Date: 51 Phone #: (503) 718- 2.,L010