Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00059
COMMUNITY DEVELOPMENT DATE ISSUED: 1/25/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135DD-03603
SITE ADDRESS: 11425 SW LOMITA AVE ZONING: R -4.5
SUBDIVISION: LOMITA TERRACE LOT : 002 JURISDICTION: TIG
Project Description: Replace service entrance cable on the meter side of the house. Job # TM.
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/ FOR: 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:
JIM COSHOW LIGHTHOUSE ELECTRIC LLC
10232 NW ALPHENGLOW 27501 SW 95TH AVE # 960
WILSONVILLE, OR 97070
Phone: 503 - 314 - 8884 Contact #: PRI 503 - 582 -9600
FAX 503- 582 -8484
FEES
Description Date Amount Reg #: ELE 3 -257C
[ELPRMT] ELC Permit 1/25/2007 $80.30 LIC 154897
[TAX] 8% State Surcharge 1/25/2007 $6.42 SUP 3051S
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: _-27/ J 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.
@1/24/2@7 17:@ 5035828484 PAGE 02/02
...
_ .
Electrical Permit Application . ,-. FOR' OFFICE USE ONLY
City of Tigard F/ FrRI. :E = i .. ,,, permil isin 0
Er • -.‘,0.6.59
-4
. . ,,,258w Hall Blvd., Tigard, OR 992 :1-%
1111 Plan Review
Other Permit:
I : Phone: 503.639,1171 Fax: 503.598.1960 Drite/fiy;
TI inspection Line: 503.639.4175 :JAN 2 4 200 Notifiedfivlethed 7 Dale Ready/By: Juris: ....- 0 See Prim! 2 for GARD i . •
nternet; wwvvtigurd-orgov : .1 Supplemental Information
, . ..
. ...... ... , , . • . . ,
tri t 6 .. : ;'::'A:: :a!;;!•Ki .,'. .,•:..., . ...
• • ...... , • . , • •• ••• • , .,,,„-, - • ••-• ., . • - • --- - , i ,..i ' . •'. -''' ' ' . . ' . ". " Please check all that apply (submit 2 seta of plans vditema checked Wow):
0 New construction Ei Add itioMitaityWtec rol fr
D Service or feeder 400 amps or more 0 Building over thiCe stories.
E Demolition 0 Other: t - RI vvhcrc the available fault current E] Marina ; I h A
1111t. uortiyar,.,s.
‘'. : •••••• : ' • : l. ittcayiiii,;!i(itiiitidAtkijakhtIRN exceeds 10,000 amps al 150 volts or El F foal ing buildings,
less to ground, or exceeds 14,000 12 Lnrrintercis11-tisc agricultural
El 1 - and 2-family dwelling OCommercial/industria.1 0 Accessory building amps for rill other installations. buildings.
CI Multi-family El Master builder 0 Other: 0 Fire pump. DInsmilalion of 7S K VA clr
... 0 Eillaitatity sySlein, larger separately derived system.
• • .. . ' •
ceti
Job no.: TM Job site address: 11425 SW LOMITA AVE I 001 or mom. o pancy.
12 Six or more residential units. ID Recreational vehicle parks.
..
D Flealth.eare Ricilitics. 1:1 Supply voltage lig more than
City/State/ZIP: TIGARD, OREGON
ID Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.; Project name: JIM COSHOW EIService o r feeder 600 amps or more.
'
$01ii,:gaig
:11 k.''' '" "" — - " To"
Cross street/directions to job site: "' 1,;. I F... i, j '—
— New residential single- or multi-family dwelling unit.
Includes attached garage.
1,000 sq. II. or less 145,15
Subdivision: Lot no.: 4
Ea, add'l 500 sq. ft. or portion 33,40 1
....._
Tax map/parcel no
1.imited energy, residential
5,
7. • ...:..::.•..,:.:.:;;:i _ jwirli n 7 00 7
bove so. a.
REPLACE SERVICE ENTRANCE CABLE ON THE METER SIDE OF THE Li 75,00 2
residential (with above sq, 0.)
HOUSE —
Services or feeders installation, alteration, and/or relocation
200 amps or less _ I 80,30 80,30 2
..... :. • ''' i. TM: lijkliiiittet*6,04:6*iyg::;3;•R:;":: 201 amps to 4 00 amps I 06,85 2
— ---
160.60 2
Name: JIM COSHOW —,...
601 amps to 1,000 amps 240.60 2
Address: 10232 NW ALPHENGLOW Over 1,000 amps or volts 454,05 2
City/State/ZIP: PORTLAND, OREGON
Temporary services or feeders installation, alteration, and/or
relocation
I
Phone: (5030314.8884 ' 314.8884 Fax: ( ) 200 amps or less 66.85
201 amps to 400 amps 100.30 2
Owner installation: This installation is being made on property that 1 own which is not
401 amps to 599 amps 133.75 2
intended for sale, !case, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits — new, alteration, or ejt panel
Owner signature: Date: ,.....,_ A. Fcc for branch circuits with
1 Z1 .U:,,".;PIEZEP,P,20.0t0140.1,;:t01051*:M:Kf: above service or Feeder fee, • 0,65 2
each branch circuit —
Business name: B. Fee for branch circuits
— -- without service or feeder fee,
46,85
Contact name: first branch circuit 2
Address: __.
Each add'I branch circuit 6.65 2
Miscelliinevice or feeder not ineiuded)
City/State/ZIP: Each manufacumed or modular
90.90 2
....—
dwelling, service and/or feeder _
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
Pump or irrigation circle 53.
E-mail: 40 2
Sign or outline lighting 53,40 2
, ...--------, .. ,,,:..!.!!i j ..i.ix.i..? l''' :‘.,..!
Signal circuit(a) or limited-
—
Business name: LIGHTHOUSE ELECTRIC LLC energy panel, alteration, or ..
Address: 27501 SW 95 AVE , SUITE 960 extension. Describe, Page 2 2
City/State/ZIP: WILSONVILLE, OREGON 97070 Each additional inspection over allowable in any am, above
Per inspection 62.50
Phone: (503) 582.9600 Fax: (503) 582.8484 , Investigation per hour ( I hr min) , 62,50
Ind
CCI3 Lie.: 154897 Electrical Lie.: 3,562C Suprv. Lie.: 30515 ustrial plant per hour 73.75
--.:
rs';'!.:0,:'::.;',.."';.:. ;:PIERIMIT '17.14:S.: :.... • . '
Suprv. Electrician signature. required; Subtotal: 80.30
Print name: RANDY HILL Date: 1.24.07
S Plan review (25% of permit fee): _
State surcharge (8% of permit fee); 6.42
— 86.72
Authorized signature: - roTAL PERMIT FEE:
Thk, permit applleatio;'expiren if ii permit is riat nhtuinet1 within ISO
Print name: RANI3Y RILL Date: 1.24.07 days after it has been neecpted as complete.
• Number of inspections allowed per permit.
1:\14iiiirtin9el'ermli00.C-ocrinhApp.i1O0 05/2:I/06 140.40 1ST( I 1 /09C.OM/WER
CITY OF TIGARD
BUILDING DIVISION ' . ,.
' 44 , PERMIT #: ELC2007-00059
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1125/2007
Phone: (503) 639-4171 .42/1,, tiiiti
Inspection Requests (24 Hrs.): (503) 639-4175 ........„0- ---.
INSPECTION WORKSHEET FOR DATE: 2/21/2007 TIME: 7.00AM PAGE: 23
SITE ADDRESS: 11425 SW LOMITA AVE CLASS OF WORK:
SUBDIVISION: LOMITA TERRACE LOT #: 002 TYPE OF USE:
PROJECT NAME: COSHOW
DESCRIPTION: Replace service entrance cable on the meter side of the house. Job # TM.
OWNER: COSHOW, JIM PHONE #: 503-314-8084
CONTRACTOR: LIGHTHOUSE ELECTRIC LLC PHONE #: 503
Inspection Request Scheduled For: Date: 2/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 043663-01 503-582-9600 1\1
Corrections/Comments/Instructions:
•
I PASS n PARTIAL APPROVAL n CANCEL .
" NO ACCESS
FAIL
ALL R INSPECTION n ADDITIONAL FEES ASSESSED
/ 2/?//0/ ,R VVo
Inspector: ' Date: Phone #: (503) 718-
. ,
CITY OF TIGARD
BUILDING DIVISION ' PERMIT #: ELC2007- 00069
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1!75/2007
Phone: (503) 639 -4171 114 ( r�
Inspection Requests (24 Hrs.): (503) 639 -4175 ' °= IL
INSPECTION WORKSHEET FOR DATE: 7J27/2007 TIME: 7 :01AIVI PAGE: 77
SITE ADDRESS: 11425 SW LOMITA AVE CLASS OF WORK:
SUBDIVISION: LOMITA T ERRACE LOT #: 002 TYPE OF USE:
PROJECT NAME: COSHOt
DESCRIPTION: Replace service entrance cable on the meter side of the house. Job # TIM
OWNER: COSHOW, JIM PHONE #: 503. 314 -t8884
CONTRACTOR: LIGHTHOUSE ELECTRIC LLC PHONE #: 503-562-9600
Inspection Request Scheduled For: Date: 2127/7007 Pour Time:
Code # Inspection Description Con it - Contact # Message
115 Electrical service 043922 -01 503 -582 -9500 V
Corrections /Comments /Instructions:
R■etVi Edr
f PASS PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ' DDITIONAL FEES ASSESSED
Inspector: ( )QJ Le Date: = ' 0-7 Phone #: (503) 718- 1-44)
CITY OF TIGARD
BUILDING DIVISION • ' 0 PERMIT #: ELC2007 -00059
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1125/2007
Phone: (503) 639 -4171 / ow
Inspection Requests (24 Hrs.): (503) 639 -4175 �i " ��
INSPECTION WORKSHEET FOR DATE: 2/28/2007 TIME: 7 :02AM PAGE: 49
SITE ADDRESS: 11425 SW LOMITA AVE CLASS OF WORK:
SUBDIVISION: LOMITA TERRACE LOT #: 002 TYPE OF USE:
PROJECT NAME: COSHOW
DESCRIPTION: Replace service entrance cable on the meter side of the house. Job #TM.
OWNER: COSHOW, JIM PHONE #: 503.3
CONTRACTOR: LIGHTHOUSE ELECTRIC LLC PHONE #: 503-582-9600
Inspection Request Scheduled For: Date: 2123/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
�.
115 . I17
Electrical swtviC:Ca r� 044071-01 603-5132-9600 'Y �
Corrections /Comments /Instructions: yl _
A ) 1 fi 47 7 4
(9
0
PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS
n FAIL I I ALL FOR INSPECTION ADDITIONAL FEES ASSESSED . 4 Inspector: Date: / phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION s‘ PERMIT #: ELC2007 -00059
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2=;12007
Phone: (503) 639- 4171 ve (�
Inspection Requests (24 Hrs.): (503) 639 -4175 � L.
INSPECTION WORKSHEET FOR DATE: 2/28/2007 TIME: 7:02AM PAGE: 48
SITE ADDRESS: 13425 SW LOMITA AVE CLASS OF WORK:
SUBDIVISION: LOMITA TERRACE LOT #: 002 TYPE OF USE:
PROJECT NAME: COSHOW
DESCRIPTION: Re.place service entrance cable on the meter side of the house. Job # TM.
OWNER: COSHOW, JIM PHONE #: 503 - 3.4 - 8834
CONTRACTOR: LIGHTHOUSE ELECTRIC t.LG PHONE #: 503.502 -9600
Inspection Request Scheduled For: Date: 2128/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
195 Misc. inspection 044071-02 503 -582 -9600 V
Corrections /Comments/ Instructions:
•
&PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION U ADDITIONAL FEES ASSESSED
Inspector: Date: I- 1 0 Phone #: (503) 718-
/