Permit . A 4; CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00238
T 4. DEVELOPMENT SERVICES DATE ISSUED: 5/3/2006
,�- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 - PARCEL: 1S135AB-03403
SITE ADDRESS: 09055 SW OAK ST ZONING: R-4.5
SUBDIVISION: ASHBROOK FARM LOT : 009 JURISDICTION: TIG
Project Description: Service change
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: 10 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:
GREG LYONS CORNERSTONE ELECTRIC LLC
9055 SW OAK ST PMB 453 12042 SE SUNNYSIDE RD
TIGARD, OR 97223 CLACKAMAS, OR 97015
Phone: Contact #: FAX 503- 775 -6006
PRI 503 - 775 -0880
FEES
Description Date Amount Reg #: ELE 26 - 1203C
[ELPRMT] ELC Permit 5/3/2006 $146.80 LIC 158917
[TAX] 8% State Surcharge 5/3/2006 $11.74 SUP 4199S
Total $158.54 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 t forth i OAR 95 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of the7tes or direct questions to OUNC at
503 -2 6699 or 1 -800 -3 -
j�
Issu By: 1. ' % /l iu �Q_4 Permittee Signature: _ ; i ;%
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:
CONTRACTO' INSTALLATION ONLY I/ I rjz SIGNATURE OF SUPR. ELEC'N: %✓ % .�V — id ( % �� . DATE: dill
LICENSE NO: - g , -
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.
May 03 06 09:41a Jack Brockway 5037756006 p.l
f1ectrical Permit A��t FOR orrl< I: 1 sax 0\1.1
City of Tigard Received
Date/B : f7 / mpg Pennii No.: ELC . _ ac�3 8
13125 SW Hall Blvd., Tigard, OR 97223 > n Review /� , -�
Phone: 503.639.4171 Fax: 503.598.1960 ::-`C
r 2006 ..'', 1'1' DaWBy: Other Permit
Inspection Line: 503.639.4175 v z' 2006 ,
_ Date Ready/By: kris I ® See Page 2 for
Internet:
www.ci.tigard.or.us Notified/Method:
Supplemental Information
ll tt' l i t n h.4�Fl } PLAN REVIEW
n
❑ New construction �Add�ttior�al�etattonTr�lacement Please check all that apply:
['Service over 225 amps, comm'1
❑Hazardous location
❑ Demolition ❑ Other:
CATEGORY OF CONSTRUCTION ['Service over 320 amps — rating ❑Buildng over 10,000 sq. R,
of 1- and 2- family dwellings 4 or more new residential
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
DBuilding over three stories ['Feeders, 400 amps or more
❑ Multi- family ❑ Master builder ❑ Other
JOB SITE INFORMATION AND LOCATION ❑ant load over 99 persons °Manufactured structures or
❑EgressEgress/lighting plan RV park
Job no.: I Job site address: 9055 SW Oak St ❑Hea$b -care facility DOther:
Submit 2 sets of plans with any of the above.
City /State/ZIP: Tigard, OR 97223 The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: I Project name: FEE* SCHEDULE
oecripaoa I Qty. 1 Fee. I Toul I ••
Cross street/directions to job site: New residential single- or multi - family dwelling snit
Includes attached garage.
1,000 sq. ft or less 145.15 4
Subdivision: I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK Limited energy, non - residential , 75.00 2
Each manufactured or modular
Service Change dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
_ 200 amps or less 1 80.30 $Q, ) 2
® PROPERTY OWNER I 0 TENANT 201 amps to 400 amps 106.85 2
Name: Greg Lyons 401 amps to 600 amps 160.60 2
_ 601 amps to 1,000 amps 240.60 2
Address: 9055 SW Oak St. Over 1,000 amps or volts _ 454.65 2
City /State/ZIP: Tigard, OR 97223 Reconnect only 66.85 2
Temporary services or feeders installation, alteration, and/or
Phone: ( ) I Fax: ( ) relocation
made on property 200 amps or less 66.85 1
Owner installation: This installation is being p perty 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
gnature: Date: Branch circuits— new, alteration, or extension, per panel
® APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with
Business name: CornerStone Electric, LLC branch circuit
Contact name: Jack Brockway B. Fee for branch circuits
without service or feeder fee,
46.85 2
Address: PMB 453 12042 SE Sunnyside Rd. first branch circuit
Each add9 branch circuit 6.65 _ 2
City/State/ZIP: Clackamas, OR 97015 Miscellaneous (service or feeder not included)
Phone: (503) 490 -9471 I Fax: : (503) 775 -6006 Pump or irrigation circle 53.40 2
E-mail: Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
Business name: CornerStone Electric, LLC extension. Describe: Page 2 2
Address: PMB 453 12042 SE Sunnyside Rd. Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Clackamas, OR 97015
Investigation per hour (1 hr min) 62.50
Phone: (503) 775 -0880 I Fax: (503) 775-6006 Industrial plant per hour 73.75
CCB Lic.: 158917 I Electrical Lic.: 26 -1203C I Suprv. Lic.: 4199S ELECTRICAL PERMIT FEES*
Subtotal �'j/d/60 p p
� /� -�r�'� o
Suprv. Electrician signature, required: Plan review (25% of permit fee) )
Print name: L_. LkaVl e 0 I Date: 5/2/06 State surcharge (8% of permit fee) j�. 7
Authorized signature:'
TOTAL PERMIT FEE /5 g . 6 4j
4-4.a_... � � This permit application expires if a permit is not obtained within 180
Print name: Q /�rol lllu )(, Date: 5/2/06 • Fcem ethodol after i Tn�oun Building Industry "l""" 8Y by tY ng ustry Service Board
• • Numbs of inspections per oermit allowed.
-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200G -00238
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3/2006
Phone: (503) 639 - 4171 I�
Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: 6/7 /2006 TIME: 7:06AM PAGE: 5
SITE ADDRESS: 09055 SW OAK ST CLASS OF WORK: •
SUBDIVISION: ASHBROOK FARM LOT #: 009 TYPE OF USE:
PROJECT NAME: LYONS
DESCRIPTION: Service change
OWNER: LYONS, GREG PHONE #:
CONTRACTOR: CORNERSTONE ELECTRIC LLC PHONE #: 503775 -00B0
Inspection Request Scheduled For: Date: 617/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 031286.01 503-799 -5186 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: (0 1 O Phone #: (503) 718, tl
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2006- 00238
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 513/2006
Phone: (503) 639 -4171 �uq
Inspection Requests (24 Hrs.): (503) 639 -4175 ...... , II_
INSPECTION WORKSHEET FOR DATE: 6/6/2006 TIME: 7:02AM PAGE: 3
SITE ADDRESS: 09055 SW OAK ST CLASS OF WORK:
SUBDIVISION: ASHBROOK FARM LOT #: 009 TYPE OF USE:
PROJECT NAME: LYONS
DESCRIPTION: Service change
OWNER: LYONS, GREG PHONE #:
CONTRACTOR: CORNERSTONE ELECTRIC LLC PHONE #: 503.775 - 0880
Inspection Request Scheduled For: Date: 6/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 031189 -01 503 - 799.5186 N
Corrections /Comments /Instructions:
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3 IfY di rAUu hto` II 1 jirtIP--,44 iwkr)
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
X FAIL KCA L FOR INSPECTION ❑ ADDITI NAL FE ES ASSESSED
Inspector: Date: .� Phone #: (503) 718- IN
CITY OF TIGARD
BUILDING DIVISION PERMIT #: FLt::2006•00230
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3i7006
Phone: (503) 639- 4171 i � l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/25/2006 TIME: /:03AM PAGE: 37
SITE ADDRESS: WWI SW OAK ST CLASS OF WORK:
SUBDIVISION: ASHE3ROOK FARM LOT #: 000 TYPE OF USE:
PROJECT NAME: LYONS
DESCRIPTION: Service change
OWNER: LYONS, GREG PHONE #:
CONTRACTOR: CORNERSTONE LI_E.GTRIC LLC PHONE #: 503- 175-069t)
Inspection Request Scheduled For: Date: 5/25/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 E.lectrivol rough-in 03060E-01 503-799-5186 N
Corrections /Comments / Instructions:
t.N !Jot Czi,t 'P2� �l"1
SW f 7(‘ 6C Lke\7 i N b 0 rW v
C -6r+L— w►� 4 csab .foN 1 10461_
o 6 t 16Ns
c❑ PASS _( PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N6B Date: 5-7/25/ 66 Phone #: (503) 718 214
l�
CITY OF TIGARD
BUILDING DIVISION. PERMIT #: ELC2006 -00238
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3/2006
Phone: (503) 639 -4171 a a , ft 4 1 �
Inspection Requests (24 Hrs.): (503) 639 -4175 • F' ..
INSPECTION WORKSHEET FOR DATE: 5/24/2006 TIME: 7:12AM PAGE: 70
SITE ADDRESS: 09056 SW OAK ST CLASS OF WORK:
SUBDIVISION: ASI FARM LOT #: 009 TYPE OF USE:
PROJECT NAME: LYONS
DESCRIPTION: Seivice change
OWNER: LYONS, GREG PHONE #:
CONTRACTOR: CORNERSTONE. ELECTRIC LLC PHONE #: 503 775 - 0000
Inspection Request Scheduled For: Date: 5/24 /2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1� Misc. inspection 030449-01 503 - 199.5186 'V
11 s 6 ..v C
Corrections /Comments /Instructions:
. ) �cN V;0LA7£o AS i i N Rs o-T GA' toy
t..�.`Yr.%L sAr� i 'i, (0% p,w;► -t)
Ct 1Wi)1.56 q P"eiNA To NE U' Rill, tC eLLaC I r (Al, .
ci G ./3.) tZhrlo Ceo.v ei-esivt.)1)) Qi-zo.a.g) - L 0
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CD P cZv, Z. ∎ Vc3 v 6k N)% bl\ \ y4,'` R-T.`1 i N (01'4 n/∎
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N(L N (A t Date: J i 21 ( Phone #: (503) 718- z49 l, •