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Permit `r , CITY OF TIGARD ELECTRICAL PERMIT CO MMUNITY DEVELOPMENT PERMIT #: ELC2007-00828 , : DATE ISSUED: 12/10/2007 ,TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S109DA SITE ADDRESS: SW NO ADDRESS ZONING: R - 1 SUBDIVISION: ARLINGTON HEIGHTS NO. 3 LOT : JURISDICTION: TIG PROJECT: ARLINGTON HEIGHTS NO. 3 SUB. Project Description: Street lighting. 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: 3 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: MATRIX DEVELOPMENT CORP NORTHERN ELECTRICAL CONST. 12755 SW 69TH AVE. 39905 SE 37TH ST. SUITE 100 WASHOUGAL, WA 98671 PORTLAND, OR 97223 Phone: Contact #: PRI 360 335 - 8233 FAX 360- 835 -0989 FEES Description Date Amount Reg #: ELE C340 [TAX] 8% State Surcharge 12/10/200' $8.02 LIC 178673 [E1.,PRMT1 ELC Permit 12/10/200' $100.25 SUP 50205 Total $108.27 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: Permittee Signature: 0").1 ‘ —cf. O 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. DEC FRI 04:33 PM NORTHERN ELEC CONTR F X N0, 360 835 0989 P. 01 Electrical Permit A licat' h(►R (*Fitt: i:: I! SI , : ONLY �� y Permit No.'. C 0Q del y City of. Tigard ' � ,. �y D terl y/ t o% B� �` _ . y a • 13125 SW Nall Blvd., Tigard, OR 97223 rt : ° y B evieµ f Other Permit: :. :.' III Phone; 503.639,4171 Fax: 50 .. 960 `F i l . ., ;,_. ' . Inspection Line: 5036394175 + ' Daro/f3v Jana Sxe Page 2 for ection Lne: ,. r t f ,tto Ready/Ay: t' I (;,� l:t 1 P I- ( `�jotified/Svlethod. Supplemental Information Internet; wvvw.tiBurd -or.¢m �EC ® �p — . TYPE, OF'WORK -,- ,`.�',.— •• • ,. t • • ....:PLAN'REvIEW t• � Please check all that apply (submit 3 sets of plans w/itents checked below): ® New construction 0 Addition /altcralion /re , , � �� ® \� ❑ Servica or feeder 400 amps or more Q Building over three stories. ❑ Demolition ❑ Other: — where the available fault current El Marinas and boatyards. exceeds 10,000 amps at 150 volts or ❑ Floating buildings CATEGORY OF CONSTRUCTION less to ground, w' exceeds 14,000 ID Commercial -use agricultural [) 1- and 2- family dwelling 111 Commercial /industrial ❑ Accessory buil amps for all other installations ❑ Emergency systnnl. >; ➢ Y y ❑ Instal buildings. on of 75 KVA or 1:1 ® O her: O Fire pump, Multi - family ❑Master builder l ar er separately d erived system, .. . ' .,,1OB SITE' INFORMATION NAND LOCATION ❑ Addition of new motor load of ❑ "A "E ", "I.2 ". deem 100HP or more occupancy. Job no.; 704 Joh site address; 12475 SW Beef Bend Rd. ❑ Six or more residential units. ❑ Recreational vehicle parks. Q Health-care faciiitins. Q Supply voltage for mo than City/State/ZIP: 1P Tigard, OR 97223 0 Hazardous locations. 600 volts nominal. ice or feeder 600 amps or more. Suite/bldg./apt. no.: Project name: Arlington Heights 111 ❑ S erv .,.... FEE :SCHEDULE Cross street/directions to job site: Marrs non 4 Pet. Total " . New residential single- or multi - family dwelling unit. Includes attached garage. , Subdivision: Lot. no.: 1 sq ft, or less 145.15 4 -. Ca, add'I 500 sq, fl- or portion 33,40 1 Tax map /parcel no.: limited energy, residential 75.00 2 ': lON RK o r WO D )rS CIL IPT:::� ^ (with ab sq. ' :. ' °� '' :' , � Limited energy, multi- family 75.00 2 Street Lighting service residential (with above sq. 9 Services or feeders installation, al tion, and /or relocation —., 200 amps or less 1 � 80.30 80.30 2 .'i •.,pROPF'KTY'.OWNER ... 106,85 2 ;'. ©; ' 'I'� iv AN T , ' ' , ; :. ' ' '. 201 amps to amps , 600 amps 160.60 2 amps Name: Matrix Development Corp. /Overland Development L.L. 601 amps to 1,000 amps 240.60 2 Address: 12755 SW 69 Ave. Suite 0100 Over 1,000 amps or 454.65 2 Tem„ porary services ur feeders 'nstallatiun, alteration, and/or City /State /ZIP: Tigard, OR 97223 relocation Phone: ( ) Fax: ( ) 200 amps or loss 66.85 1 _ 201 amps to 400 amps 10030 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 circuits— new, alteration, or extension, per panel Owner signature: — A Fen for branch i Date: circuits v 19 95 •$ AP © T ERSO servic or feeder t fee, a 6 2 a ' COTVTA '.'P N:;,' ... '.: circuit 65 above Q'' Pl ICANT,:; each branch Business name: B. Fee for branch circuits - without service or feeder fee, 46 85 Contact name: _ first brunch circuit — Each add'I brunch circuit 6.65 2 Address: Miscellaneous service or feeder not included City/State/ZIP: Each manufactured or modular 90.90 2 y dwelling, service and /or feeder Phone: ( ) Fax; ; ( ) _ Reconnect only 6685 2 E -mail: Pump or irrigation circle 53.40 - 2 :: ' 53.40 - Si CONTRACTOR. ..' : i'�' ' ;, . ; ,. ;; '.:. O TRACTOR. ` ,. . • circuit(s) `tine lighting Sig gn it(s) or limited - Business name: Northern Electrical Construction, Inc. energy panel, alteration, or extension. Describe: Page 2 2 Address: 39905 SE 37' St. . City /State /ZIP; Washougal, WA 98671 Each additi inspection over allowable in anvv o�above Per inspection 62.50 Phone: (360) 335 - 8233 Pax; (360) 835.0989 ..\. Investigation per hour (1 hr min) 62.50 -'- CCB I,jc.: 178673 •,} t Electrical Lie.: plant per hour 73.75 : C340 . \' t Suprv. Lie.: 5020S ELECTRICAL PERMIT - FEES :. - , Suprv, Electrician signature, required: . . _ Subtotal: 100.25 Plan review (25%ofpermit foe): 0 Print name; Randy Taskcr Date; 12/7/2007 — State surcharge (8% of pcnnit fee): _ 8,02 — ____ — Authorized signature: 4 , i , L Lam/ TOTAL PERMIT FEE; 108.27 T his permit application expires if a permit is not obtained within 180 Print name: Stacie 1 askcr Date: 12/7/2007 days after it has been accepted Ili complete. • Number of inspections allowed per permit I:\ nulldinglpermin \El- c- PerroitArp.dor 05/27/06 440 - 4615'1 /05 /conalwca r • - CITY OF TIGARD _A BUILDING DIVISION PERMIT #: FLC2007-00828 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/10/2007 - Phone: (503) 639-4171 /44 #TdV Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/24/2007 TIME: 7:00AM PAGE: 48 SITE ADDRESS: SW NO ADDRESS CLASS OF WORK: SUBDIVISION: ARLINGTON HEIGHTS NO. 3 LOT #: TYPE OF USE: PROJECT NAME: ARLINGTON HEIGHTS NO. 3 SUB. DESCRIPTION: Street lighting. OWNER: MATRIX DEVELOPMENT CORP, PHONE #: CONTRACTOR: NORTHERN ELECTRICAL CONST. Si ( , ...V PHONE #: 360-335-8233 Inspection Request Scheduled For: Date: 12/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # \Message 199 Electiical final 062047-01 360.518-5699 \ Y Corrections/Comments/Intructions: ■ k PAS PARTIAL APPROVAL E CANCEL Ej NO ACCESS fl FAIL 0 CALL FOR INSPECTION Elf ADDITIONAL FEES ASSESSED - . Inspector: G"'"1 t 6 -11C Date: % 1 (n Phone #: (503) 718- 4117_____ CITY OF TIGARD . • BUILDING DIVISION PERMIT #: ELC2007- 00828 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/1012007 Phone: (503) 639 -4171 alit Inspection Requests (24 Hrs.): (503) 639 -4175 J INSPECTION WORKSHEET FOR DATE: 12/19/2007 TIME: 7 :00AM PAGE: 24 SITE ADDRESS: SW NO ADDRESS CLASS OF WORK: SUBDIVISION: ARLINGTON HEIGHTS NO. 3 LOT #: TYPE OF USE: PROJECT NAME: ARLINGTON HEIGHTS NO. 3 SUB. DESCRIPTION: Street lighting. OWNER: MATRIX DEVELOPMENT CORP, PHONE #: I CONTRACTOR: NORTHERN ELECTRICAL CONST. =1 PHONE #: 360.335 -1233 I Inspection Request Scheduled For: Date: , Pour Tinie: Code # • Inspection Description Conf rim # Contact # Message 105 Underground /slab cav :r 061840-01 -01 60 518 -5699 ' Y Corrections /Comments /Instructions:. -x' � ' . 1 ,,,.„,(\ - 191kgrlivt4t$ Rdb ,.- & 12 z - itivcA fA) , "`"A..i)\.!.Y6 . 1 • n A`' - P A SS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I F n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C'''''.0 a!'k*, L Date: 12--1 q'or Phone #: (503) 718 4