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Permit ,� CITY OF TIGARD ELECTRICAL PERMIT 1- ! : COMMUNITY DEVELOPMENT Permit #: ELC2011 -00610 Tigard OR 97223 503 718 2439 13125 SW Hall Blvd., Ti Date Issued: 11/02/2011 TIGARD R L7 9 Parcel: 2S109DA19400 Jurisdiction: Site address: Project: Arlington Heights No. 3 Subdivision: ARLINGTON HEIGHTS NO 3 Lot: 120 Project Description: Electrical reconnect only for street lighting on private street, Greenridge Place �j� ' , Owner: ARLINGTON HEIGHTS NO.3 P� U- Is \ CO 01-1/L-- HOMEOWNERS ASSOCIATION /61--11__, '� 00000 t 1 J _ PHONE. I .moo W1) -0 FEES , 6 11 , -�- Quantity Description Date Amount _ '� l 1 ea Reconnect Only 11/02/2011 $67 84 p er' „ f 1 ea 12% State Surcharge 11/02/2011 $8 14 lb l�_Q Electrical Total $75 98 Required Items and Reports (Conditions) This permit is iss -. ubject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done i - ccordance wi approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days i TENTION Oregon =w - qui es •u to ' follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-0',1-0010 t rough OAR 952-0;1-009; ay obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344 J O Is ued By: k t? c Permittee Signature: k .erg// or 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' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. Electrical Permit Application__ , FOR • p� y O'i t SIB ONLY :: CEIVED • �� le /- City of Tigard Date/E3 1 1 .-� Permit No : itC� /l(pw INF 13125 SW Hall Blvd., Tigard, OR 97223 2 Plan Review Phone 503.718.2439 Fax: 503.598.I9�)V 0 G 2011 Date/By: Other Permit: T I GARD Inspection Line 503.639.4175 Date Ready/By: tuns ® See Page 2 for Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method Supplemental Information TYPE O131'41 t[i G DNISIUIN ' PLAN REVIEW , ® New construction ❑ Addition/alteration / replacement Please check all that apply (submit 2 sets of plans whtems checked below) ❑ Service or feeder 400 amps or more ❑ Building over three stones ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. • CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other mstallations buildings ❑ Multi - family ❑ Master builder ❑ Other: S7mr- /44/175 ❑ Fire pump ❑ Installation of 75 KVA or ❑ Emergency system larger separately derived system JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 - ", Job no.: Job site address: ' ' H bb i2- S `. t OOHP or more occupancy. 2 _ ❑ Six or more residential units ❑ Recreational vehicle parks - C ity /State /ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than 7 O ti c4' ❑ Hazardous locations. 600 volts nominal Suite /bldg. /apt. no.: I Project name: xiszi Ju6'7 ,qf/re s ❑ Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: '� �` t , CJ 1 Description I Qty I F ee Total I • New residential single- or multi- family dwelling unit. .59 �� i i-F7A #jrC,E__ Pi A? Includes attached garage. Subdivision: �� /�/G mg f l "7'S Lot no.: 1,000 sq. ft or less 168 54 4 , Ea. add'I 500 sq. ft or portion 33.92 1 x Tax map /parcel no.: U 91:s- I q'(f40 Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft ) ' Limited energy, multi- family 75.00 2 AftiRcrian /marl) a t 11?efAi srpry }- o' ps c residential (with above sq. ft.) / Services or feeders installation, alteration, and /or relocation EAre,24 tz 200 amps or less 100 70 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200 34 2 Name: A6Z' /A /67t', /- 1F )i 0 A. G/O 601 amps to 1,000 amps 301.04 2 Address: MovAi TA /if Cc/rlilUM/ry /PAA/A Po Over 1,000 amps or volts 55226 2 d' /793 3 A/Ai, 66 CtZere/ .: lwr. Ste£ Temporary ervices or feeders installation, alteration, and /or City/State /ZIP: Ai. relocation Phone: (z—Ol) Fax: (� ) /� 's 200 amps or less 59 36 1 330`", td7 " r3 & / ©-2![ 2 9 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168 54 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: Date: ` /_,7 - // A Fee for branch circuits with IK APPLICANT I [, CONTACT PERSON above service or feeder fee, 7 42 2 each branch circuit Business name: A 0 f 77I Of�/) 7A Aey C rs iy/ W� fry/ A EI /d f'0 & (7 B. s Fee service branch circuits without service or feeder fee, first 56.18 2 Contact name branch circuit ��'� �� s 7 iv . Each add branch circuit 7.42 2 Address: i7P" . 3 Ai. tc) , '1,/reriPe -&, ffXa)+ ` 57-V, i Miscellaneous (service or feeder not included) - Ci /State /ZIP: r Each manufactured or modular �" vee7 / ®tf , 9'76,00 -, dwelling, service and/or feeder 67.84 2 Phone: Fax:: Reconnect only 67.84 ,g� 2 ('��) g3.0._ � S / / �yJ ( ) Pump or tmgation circle 67.84 2 E - mail: sr a_ .[' /!ld ik toii 4.1AIC !_J°`'''&11%1 ,--r- / ,(7.00L y ir-OL Sign or outline lighting 6784 2 CONTRACTOR Signal circuit(s) or limited- energy Business name: panel, alteration, or extension. Page 2 2 NO 1...(E__ . Each additional inspection over allowable in any of the abov Address: Additional inspection (1 hr mm) 66.25/ hr City /State /ZIP: Investigation (1 hr min) 66.25/ hr Industrial plant (1 hr min) 78.18/ hr Phone ( ) I Fax: ( ) Inspections for which no fee is 90.00 / hr specifically listed (Vs hr mm) - CCB Lic.: Electrical Lic.: Suprv. Lic.: ELECTRICAL PERMIT FEES •. Suprv. Electrician signature, required: o Subtotal: (le 7• &f/ Plan review (25% of permit fee): Print name: Date: State surcharge (12% of permit fee): C. /9 �� ,. TOTAL PERMIT FEE: ?ed ct 8 Authorized signature: x' iC,,.,y /�� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: "vita_ X,f Date: /).Z it * Number of mspections allowed per permit I \BwldingiPenmts\ELC PennnApp 07 /titlt 440- 4615T(ill05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY:. Fee for each commercial $75.00 system (SEE OAR 918 309 - 0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical El Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling Other 6 112F£7-- A_./6 Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I \Bmlding\Pennits\ELC- PenmtApp doc 07/01/10 \ \ S I • AMENDED BY DOC NO 2010-026646 'PECQPaFD AS DOCUMD4J Na a a/ n e n n 3 y ; 0792 J E I ( ARCING TON HEIGHTS NO 1 ` V 30 1 51 ARLINGTON HEIGHTS NO. 3 G b \ \ 49 J _ _ e MygRr<� - / /...' 40 IN THE SE 7/4 OF SECTION 9 AND THE SW 1/4 OF TR 0� / SECTION 10, 7 1 S, R / W„ W AI , `SUMM /T R/OGE" , µ N h _ I arm_ _ r \ \ / C277" OF 00.4120, WASHINGTON COUNTY, OREGON N Q 54109'15 "E I 4s 1 N I ^ \ \ \mi 47 ,.871, 1007 CIM7 MBR061 I �N 7 1 1 1 1N845706E \ �-- 4 SET PER ME PLAT META 1457A' TA' WE TS '2' sB I LEGEND NOTES • 571192 09'E" 177,), 51 U % --- r ETEEEP B+`na�ir D 07 DOG NO' DENOTES DOCUMENT NUMBER 1 171E BASIS BEARINGS AND BO /OAT, RESOLUTION IJ ;PACTS b • THROUGH • G' AND RACY '0' ARC - 705 57' I I I ' WEDS DATA PER RECORD a SUgYEY 19,890,, EXCEPT FOP SUB„ECT 10 A PUBLIC 5107711 SERER AND SU074(9 14 I 5J ( 1 1 1 / $B144 - , CR' OENOIE5 CWNTY ROAD E I MC MOST WESTERLY Sd/M LINE NP9CN HIXOS ME WAl24 ORANADE CASfMEN7 OtER DOW OWIWE Y I MOVUMENTA 7104 OF INE NORM 801M'OARY LAW: CF INE I I I 1 I 69.97 42 1 '73ELLA 1457A AS NOVU 507'75'79 E � LOr 6 • [1))S O• (NKNOMN pPIdN F AT EACH ENO OF 11 I J; 8 2; 74 X X' ' AND ARE - - - _ _ L _ 73.53' w0 LINE METE SAID mow/ANTS MARKED WM A 4/B.ECr Ct TO f0 A STORM l; wM SEWER, SURFACE WATER, SR SUMMIT - TRACT CI DRAINAGE AND DE EASEMENT OYEp 1NE/p YELLOW PLASI CAP SCRIBED ' SUMMERS PLS 1041 WERE ENTIRETY ro TINE OTT aTY 07 CF BOARD RW00 719000'OO'E -- NOR ON SORIir NUMBER 19388 A5 NEC( AS ME PLAT BTST I INITIAL FOUND SIB I1C 6 RO O cre OF BELL NSTA' AND ARE SUBSTANTIATED BY NE 15 /C £4 MR 74(8 C' ARE SUBJECT TO A 180 00 ' POINT �£LLOW O PUBLIC S '2' 1 SEWER EASEMENT '0' RE TILER NOR TRE - - ® 2' C NO ON PLASOG NCCAP ' NSOPIBED • SO4/1740441 SO4/1740441 NEST LINE AL50 WELDS lL05 N d51ANCE TD EN7rR£1Y yN� SE GOPHER TRACT b; "ARLINGTON "ARLINGTON 21 GIpV 736, ]J' J7 W NEK.1rs NO 1' 16 TRACTS D' TIRPWGN H' ARE SUB.ECI ro A WALL - Vy� \ • LOT /0 e 2 WS 5580/1)004 IS S BOARD ro ME COV00LW5 O* 76 I AANENCf EASEMENT !O 171E ARLINGTON cr NF /GNBS I j J - _ �• 100 J 06, V CITY a 71GR0 CASE FILE NUMBER (5587 NO ENTAPC MNERS A55OCTA DON DYER AND AC'RO55 I I - _ - _ O b ^ _ - 115 5UB0/N.4W /S SUBJECT TO ME COLENAN/S 17 NEFF 914E1 Bf NO DIRECT 4,070? t£N/OSE TRACr ^� DOCY/ E N T NUMBER RECORDED ACCESS 04 FROM ANY !RACY IN MI5 SUBONSYCW, 5p CTIOVS AS A$L_. N 112 WA.SNNCIO4 ONTO SW BEEF KENO ROAD UNLESS AUDIOSYIEO BY JO %• 4 p COUNTY GEED RECOP S ME GOVERNING BOOT 14,414N0 .UR/SdCB W O4 OF SAID 1 L_ _ _ _ _ N LOT 11 4 TRACT b' IS SUBJECT TO A PMVAlf ACCESS AND 80.10 I 1 I - - _ ® I tAt, y U 54 EASEMENT FOP /FIE BENEFIT LY LOTS 118 MROUON re TRACTS b; E; %'• AND D' ARE A/B.ECI 10 A 19 WI E ME wD TRACT SHALL BE OWNED AN4 48$ ASSOCIATION BY PUBLIC PEOCSTR/AN AND BICYCLE ACCESS EASEMENT ARLINGTON. WIGHT'S NA N NA 0.11EOWNERS ASSOCIATION DYER WEIR ENTIRETY, ` A !RAC! b• .SBB • 1624 E d 3 TRACT ' I5 558.E67 TO A PR/VA IF ACCESS AND 19 7446/S N J' ; 7; AND TRACT S 7/ 7Y ' AND • V UOL /TY EASEMENT FOR WE BENEFIT or- 100 81 MRO/01 SHALL BE OWNED AND MAINTAINED BY WE ARLNOTON 1 0 1 ae 1 ®g 29' 83 SAID TRACT SMALL St TINNED AND MAINTAINED BY WE Hf //d ITS NO J HCWEONNE45 ASSOCIATION I . 441NCRYO 140O1rs 5( J NO NOMEONNERS ASSCKYA DON 10 TRACT 7 • SN1[[ BE OWNED AND MAINTAINED BY 1 I r - -3 -' R AC! X• I 1 E 6 171 V MT SE 6 TRACT EM IS 001 A PRIMA IF ACCESS AND WE DECLARANT, ITS SUOysSOPS or ASSIGNS T7 EASEMENT FOP 04 ME TO Cr LOTS 6J AND 72 I I - k \# 4 : i J TRACT '' AND LOI 7J MROUO / 7Q 5A/0 TRACT OGLL 9f ORNED 1T M£ 10' MICE' ACCESS EASEMENT DYER /NF NONM ANTI MA /N TANEO BY ME ARLINGTON 1406116 Na J POP TIOy Cr TRACT T' AS S /S FOP ll/f BENfPY7 QS N MOMfONNfRS ASSOCIA]KW I 16 - _ 9B- 51801 Cr Of LAND OFSCRAPECRIBE D N OOCUMfNT ND F ' - _ MACr " \ ura /�' (4 EH M r W ME ' E n� V 7 00 0 EASEMENTS Sa Mt EASEMfS DESO4 /Bf0 /H oaa/MENt No 13 62 AND LOT 54, SA TRACT SHALL BE 0MNE0 ANTI 81004153 AND N DOa /MEN! 710 440 0227 ON TRACT ' MA/ OVCOMNERS ASSOaATI IOW AVOWS N0. J 1 ARE FOP ME BENEFIT G" Mf TRACT Lr LAND N I DESC IBED DOCUMENT NO 94- 057807 I 14 N d TRA 7701515 N; % 8 MIS SUBOINSO4 IS SUB�.EC7 TO AN Q00 FORT WOE £ ?J LOT w /S armor ro AN ACCESS EASEMENT ENT O PU UTISTY EASEMENT ALONG ME 1017ACf Lr ALL MF NO 004(07 PORTION THEREOF 109 714E BENEFIT d< A, LOTS ANp TRACTS ABUTTING pUBL /C S/REE/S CXCEP! LOT 95 AS SNOMN AND SAW EASEMENT ,SHALL BE i R C' AND ',/; NA/NTANED eY ME OMNCRS O' LOTS 94 AND 9S I N 9 WE FRONTAGE OF LOTS 62 64 AND 65 ABUTTING 24 ME PUBLIC URL/!Y, 409E .4710 .4710 DRAINAGE e �• b b; !FACT AND ALONG ME FRONTAGE Cr TOTS ll AND EASFMfN/s Df5CRI8(IO N DOG NO S 98147884 , Y 72 ABUTTING TRACT AS DEPICTED, AND ALONG ME 99 -017977 AND 99- 013478 LI£ MITNIN WE DEDICATED FRCW TAGE A LOrs 7J 1TIR0I/GA' 16 AND [OT )8 RICE OF WAY OF SW BEEF DENO ROAD AND ARE NOT LX t ABUTTING TRACT C! E' ANTI ALONG L0? HA 119, 110 ANC I I 1? : '�O 1 - - _ y , / .¢' TRACT 7A' P7 eLTC 4/ TRACT A 5783.8M7 M A 400 23 TRACT "O' /5 SUB.ECJ 10 A PR/VA7E ACCESS AND UIW N ^ A , ` O,q,, B FOOT WOE PUBLIC U1IClIY EASEMENT JY EASEMENT FOR ME 81115271 Cr LOTS 84 AND 1 1 10. ME FRONTAGE OF LOTS 57 MRDI/O/ 61 ABUTTNG 90 SAID TRACT SHALL BE OWNED AND MAINTAINED MAINTAINED BY I ( _ ® / TRACT C; AND ALONG /T¢ FRONTAGE O' LOT5 71 ME ARLNCION N610 NO J HCMEOMNERS / - 3 }. 7NR000N 77 487170 W, 710 TRACT AND ALONG IRE ASSOOATION / SB WILLOW pew' T -- -` ¢ y FROM fA LY 09 LOT l TS waxer 9 , AND LO 8waxer 85 LANE , ® R ;7 M1i Oi A BUT I N UTTUTY T 2"' 444 SLIB.ECT 70 AN 830 COOT RIDE 16 204 7'• 9 /75 BE TINNED AND MAINTAINED BY 114E LFOYANANT; rs SUCCESSORS OR A54OVS / - r ,q. A 1724,C7 1 9(aARANT ITS SSSOPS 04 ASSSONS SAID / N X• \ O !r. WE FRONTAGE OF [ors 57 TIWCUGN 61 4@57158 I / 1 N ? 713 716 117 U H MAGI "G; AND ALONG 27./E FRONTAGE OF LOTS 7J TRACT '0' IS SUB.LGI TO AN EM / 7 /9 1?0 7J 0 R !RAC! '0' FRONTAGE �OT 79. AND 1075 e1 63 TURNAROUND £ASCMEN7 01177 01177 /iS f1) f� ABUTTING MAC! E' AS DEPICTED AND KONG TIME G I 2 CQV 4 r c N ' FRONTAGE OF TRACT :N' AND LOTS 118 AND TIP 1 N00'44 49 E 's wrONa �� A81/171100 TRACT '0' ARE Sue.ECJ 11.1 A 506 7007 NICE I TR B OT' %� `� 6 42224328 N NB9 47 25'9 1 444.20' , 7189'47 25 'W 9s W � PUB[ /C PEDESTRIAN ACCESS EASEMENT `� 1,.:4„...„:7-4,..-::'',. \ ` 760 83 0 9 79 F I I 21 14701 -'11$4'' 11 TRACT X' SHALL BE OWNED AND MAINTAINED Sr ME 1 1 6 \ 1 JB I . I 70 �/ 23 r -1 n 85 1 M po CITY OF HOARD I g1Q \ i I 6EL NSTA` 1 ZS L G( � ,A � , � p 3 0 \ \ L — ^"-�� / 22 J I 71 N / WET 1. NO TES BOUNDARY, COOPdNA ]F BS BEARING BASS N ARRA71YE AND I REGISTERED 1 P 4 'OY99 y BII DA MCI / ) I /1 5NCFT 2. 1075 77 -B; 89-107 AND 1 -110 !FACTS b7 X; Y' 6 AND LAND SURVEYOR O'. PROFESSIONAL 1 1 ',59 (5 D' - ^- LWS I 7 / ' TRACT / 1 vOPOCNS OF TRACTS E; 7. `J' AND X" SWEET LOTS 59 - 7 6,61 -8410) -115 TRAM 1 ' " 4 �GS� ilp - < / / �"i 7• � 1 r & b' X'! G; \ �Y}Sf 1 ) I /r \ / / 1 / SHEET -/ 90471CNS OF ACTS 1"'" r :/• AND IV" Y „ y �],� �[ / p I. 70M 55 -58 LOT 111, 14ACt 74; PO4BON OF TRACTS '0' AND l' ,a�,, \ 6e\. 73 I . NO / /' 4 45'39" N LNEET 5.. CURIE TABLE OETANS D' AND E' OREGO CC -11 -118 f�1 \ \ I M- 05/807 O / A / R=.858 00' SNCfT Q• 0£1485 %1; '81M' AND X• JULY IS. 1982 J I N.641787 1Q5 \ \ / SHE£! 5544fYOP5 CERTIFICA DFLYARA TE DOW; ACWNOMEEOGfNENI, YAYSCN I I ` ROBERT S QUIST 8 721 • � \ \ /� / / L -280 94' FFWAN! AND APPROVALS REMAINING CORNER NOVUNENTATIOV (N]ERNA 72 FEET S E 0YWNER SECTION 9, T 2 S. \ \ \ / A 2405 / R 7 W 1414I \ �,� / /5445924'9 CH =55472'73 "W SCALE 1 100 RENEWS 12 /]1 /Bi f0 7/49 83/ / J -I�1• 415600 N d3W \ "7 \TR \ / / 279 69' 2-taLS 2574 998 INSCRIBED 'OPP GC SSST BODY 7, PAGES 61 -81 \ \ \ / / / 1 3.10 ' 0 90 01 0 0 G. ANDESIGN GROUP, L L C 7 -ll LS TS)q ISM CON71POL PONI' \ `� / NAB SW HARBOR SO1/4704 5, 4041LAN0. 0420077 57234/ 0 1' 2 (503) 228 -0408 SHEET 1 OF 7