Permit CITY OF TIGARD ELECTRICAL PERMIT
• PERMIT #: ELC2007 -00582
COMMUNITY DEVELOPMENT
DATE ISSUED: 8/21/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 109AB -14700
SITE ADDRESS: 13369 SW OUZEL LN ZONING: R -7
SUBDIVISION: ALPINE VIEW LOT : 028 JURISDICTION: TIG
PROJECT: TRANSWEST HOUSING DEVELOPMENT
Project Description: Temporary power.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 1 PUMP /I.2RIGATION:
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: 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:
TRANSWEST HOUSING DEVELOPMENT LIGHTHOUSE ELECTRIC LLC
5410 SW MCADAM SUITE 270 27750 SW 95TH AVE # 109
PORTLAND, OR 97239 WILSONVILLE, OR 97070
Phone: Contact #: PRI 503 - 582 -9600
FAX 503- 582 -8484
FEES
Description Date Amount Reg #: ELE 3 -562C
[ELPRMT] ELC Permit 8/21/2007 $66.85 LIC 154897
[TAX] 8% State Surcharge 8/21 /2007 $5.35 SUP 3051S
Total $72.20 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.
L
Issued By: /J /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.
•
..08/20/2007 09:47 5035828484 PAGE 02/04
• ,
Electrical Permit Application., e o FOR OFFICE 1.Itir. ONLY
City of Tigard �tV Received p
Date/B 0 : Z U LA Permit No.: C _• • .6o5gz
13125 SW Hall Blvd., Tigard. OR 97223 1 Plan Review
2 , ' Phonc; 503.639.4171 Fax: 503.598.1%0h ` U 2 Date/B :
•r i c:; A a r) � Other Permit:
Inspection Line: 503.639.4175 FiD Date Ready /13y; 13 5cc Page 2 far
Internet: www.tigard- or.gov 10 1 Notified/Method: Supplemental Information
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�� sort L,. � ilh fi '•tNb;lull:4:,...,LtddL•li >IUv' gib, l��1�, rM• nn. , •,,,, , ,,•....r ( �� • ,,kNl «i,.l i l: hhtfYr1,(, e, rl,�ht,u ' la��a:m �br�rl :>l.,cn;� I �. 1,' �ll '1�.,!.,rf•hr'�111,1�u "F'3;.,LL ,•. .,,x.�.,rn,e,d,.•,� :rl 1 '•'l' ' ° "•':,�;,;:�.;
15 New construction Please cheek all that ripply (submit 2 sets of marts w /items checked below):
0
❑ Scrvicc or feeder 400 amps or morn ❑ Building over three stories.
❑ Demolition ❑Other:
where the available fallll current ❑ Marinas and boatyards.
>�iil'1;i;iii � i'f iit'Ij ii1!lif=: "1i i'' ?'' % !' "i l? + : ! i;r i`•' ; Wr, !' 1a`•: I' • ";:1;i ".�;i +''l''• " +' t'�i`• ;" ,.:: buildings.
it'j .i %::1.:iNt$i fiO ::i;:.i?ii:idi ,:,• "L,.' d;�n.,. a.x•,t,, �orb•nal,•a; ,,', '' -1,- , Wl'� ; i : C''4;liif, 1 t ' ;% - 1 ; l amps Commercial-use g 1 turn
l r I l>t l e � , " >� ( I, ,, exceeds 10,000 am a at 150 volts or ❑ Floating l ess to ground, M exceeds 14,000 ❑ agricultural
�[j 1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installation. buildings.
❑ Multi family ❑ Master builder ❑ Other; ❑ Fire pump. ❑ Installation of 75 KVA or
•,. r f :: i(• l':: ; p, • 1 i . .. i , • I •, l , 5 �,�}i�.l},iy!+o,p:yn trq i1,,, ,, , .�, ❑ Emaritonoy system,
"111 larger separately derived system.
(`:iGi`:: i',' icl ;rtli p it.' 111� i.1tt , t ! , � i t i11H!�; i ai!11J � if ' 1 0, ii'XTIM `!< y't :0, N�t'I
d,.d:ry „ I,,,,`t,lm.r,I„ . , .,,,+11, \ ,,. re , . , ,.. , , u • ... V% , rr;.;, ur:c ;,,y; '1 1; 7 , ,,r l ,Arnrams v,n•• ;:IIwL,i rd:P6 v -, „ 0 ,.1 +2+1.i;1,! :{1711�Trlj ❑Addition of new motor load of ❑ "A ". "E •, at -2••, - I -3'•.
Job no,: Job site eddreSS: t 6_49 c1 ` /� 100HP more. occupancy.
�.� / �� J X1.1 0 �5e I [G [Give__ ❑ Six or more residential unite. ❑ Recreational vehicle parks.
City /State/ZiP: - Ti fy ❑❑ Health -cam t eatio e ❑ Supply voltage for more thnn
`` Hazardous locations, Finn volts nominal.
J �
Suite/bldg. /apt. no.: I Project name: ❑ service or feeder 600 amps or mero.
r;, I I r I r I 3 t i1: „ I,i R':•'' li:!� .
Cross strCCt/dirc !t; ' I , l ilk( 11 l In•lf4 it�ggif 1 }10: ; ijP C s ',r. J ; i it 'j4 �„ � :
ctions to job site: + , 1,i ,+ , ` ,,.1Fa .i;i', �'k :I� , +
J � Description �• Otv. I Pee .: � !'J:?' ;i: Total 1 •,i
- ,
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: La 1,000 sq. ft. or less 145.15 4
Ba. add'/ 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
rni " fd f,, i, vb ;!.1!1l:i',: ik y ,u },,,�y}� 1,� ,,�yy� ,,,.}:;ygrya•ayA if (U' ,. 75.00 2
+. ,: !:i,i, 4,; ;! , . i ,1l.i. ,.w 2 +;,i ,;,1w ..,• .rYCyy�� t 1,,1.T , „ i Pt:1 Yl iiir ll' „9111 11
�, , "9 ' ?;" + ' ` : t } � i }" ��17,1�PC:UE ^1��VAiILYA he= M , � I ! {♦. { Itill:6�iiS{It (with abOVe aq, ft.)
' ] Sr' gE1a! a} "4i!. it h f 4d 1,9 h .' y 1 ,! , . •„1 , r 1 tIP h'6 d I
`1 J ( residential (with Limited energy, multi-family , shove sq, R.) 75'00 2
TT Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
,' ltilili�:1 •ri; }i��t�yi� , � ;}y ",� yy �, µ � • } . :,l, ii, +k �Il�it1 "V d' . �'. .t,li,!' ?24G 1 '1 !s'
1'i ;, Il xf, > titi „} i ki . Its „at �; i ,,1 •; {I )y I t ' f ,t ' + 1 ; {I t s`i t'#f i!1a;,jgysJt 4ll l r) 201 amps to 400 amps 106,85 2
y o.,;,'tivn i .�lr"�', ' -,,._a ,..,^ he•. ?- u„ .t,,..,ANItil .' '1,'trl. lalr�,.l wl curl ll:,k! 4„lit }... e.1'91.,I'Y
Name: - Ta x ve.SL 1 l4 1 M 1)Ntt Oem-t. 401 amps to 600 amps - !60,60 2
601 amps to 1,000 amps 240.60 2
Address: 9 'ti s t A al S4 -z Over 1,000 amps or volts 454.65 2
City/State /ZiP: PD . i r . 9 23 C7t Temporary services or feeders installation, alteration, and /or
1 relocation
Phonc: ( ) I Fax: ( ) 200 amps or less 66.85 ta Vi ,gJ I
Owner installation: This installation is bcing made on property 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. 401 amps to 599 amps 13335 2
Branch circuits - new, alteration, or extension, r panel
• Owner SI$Ita[t1re: �`• pµt y r.t� � Date. A. Pee for branch circuits with
� iitife litrc r ` ;I ,�I r : ifr' +• ' : N s n N ' i1 : I iirl'h it
,. i M:,:, 1. 1141 i: , , •, ,, . , ∎;e n.
ds 'I1 , l id ,i above service or £ceder fcc,
n,•••,.,d riid•,nf� 1 .,_.,,,t.,,_,.- r „••,r,.�••rJ• , .,`irw�rit.�,,y ,.,. N',: +4>j ,, 1. ,i,,:mi.afi6.i:,, ,, 1,.n „�a +,'11kt,h16 i 6,65 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee,
Contact name: first branch circuit 46,85 2
Address: Each add'I branch circuit 6,65 2
Miscellaneous (service or feeder not Included)
City /State/ZIP: Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phonc: ( ) I Fax: ; ( ) Reconnect only 66.85 2
E Pump or irrigation circle 53.40 2
i ;; '.Cy'si.: "•1iti: " itSitielitgi 4ti:;;?+i` ib;1 ;; ::ti ?i!:I fli :.Uti lii ii i: !iu . " gii •Mt lf;
; ; , l r
5i' t dill i1• ;�
'•,,,,, oo.;,,,oi::!iU,r +,�nt,.lr"i n. 1; :l ;o1/1, _:rs•i1O . . .....•,, ,i „ , .., 4O • µ : f,i l ,; f ! i -S`. ,,I • Sign Or outline lighting 53.40 2
. 1,�: I,i� � •vt I:r'tii :t �,:r,•'•ti :i OS;:ia ca
Business name: LiGHTJ3OUSE ELECTRIC LLC Signal sir uit(s) or limited -
energy panel, alteration, or
Address: 27750 SW 95 AVE, SUITE 109 extension. Describe: Page 2 2
City /State/ZIP: WILSONVILLE, OREGON 97070 Each additional ins anon over allowable in any of the ahovc
For inspection 62.50
Phone: (503) 582.9600 I Fax: (503) 582.8484 Investigation per hour (I hr min) 62.50
CCB I,ic.: 154897 Electri' - 'c,: 3 -562X • Suprv. Lie.: 3051A Industrial plant per hour 73.75
:I- 2 r r i;l't I' i lul, i , y��1�yyy�� 1 1 •_v, ,
.��i11 ! e i�i3 • !•; l ii4 ., �,r4',�II:i. ��L` "`?T+a�ifi.' !J i4 i! °Fa„ �wd;;,ri �,
Suprv. Electrician signature. requir)� . - i � ' 85,
low , _ _ Ai, Sublets/; t�3@�
Print name: RANDY HILL De _ ' Plan review (25% of permit fee): 5
1. 3
State surcharge (8% of permit fee):
Authorized signature: TOTAL. PERMIT FEE: 7 D f� �r
Print name: Date: This permit application expires if it permit is not obtained within 180
days ofer it has been accepted as complete.
Number of inspections allowed per permit,
I: SuilOhla \'ermitAELC- PmmltApp.dna o3/23M4 410- 46I5T(II /OS/COM/wEB
CITY OF TIGARD
A ,,.
BUILDING DIVISION PERMIT #: ELC200I- 00582
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/11/2007 TIME: 7:00AM PAGE: 1
SITE ADDRESS: 13369 SW OUZEL LN CLASS OF WORK:
SUBDIVISION: ALPINE VIEW LOT #: 020 TYPE OF USE:
PROJECT NAME: TRANSWEST HOUSING DEVELOPMENT
DESCRIPTION: Temporary power.
OWNER: TRANSWEST HOUSING DEVELOPMENT, PHONE #:
CONTRACTOR: LIGHTHOUSE ELECTRIC LLC PHONE #: 603 - 9600
Inspection Request Scheduled For: Date: 9/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
em• • - L electrical service 055501 -01 503- 741 -6415 N
M q r SAL.
orrections /Comments /Ins uctions:
A 1aP !/ /D
Oecl
1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (7,0'' /� f�fJ-./i Date: qi�� Phone #: (503) 718-
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ELC2007 -00582
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/28/2007 TIME: 7:00AM PAGE: 4
SITE ADDRESS: 13369 SW OUZEL LN CLASS OF WORK:
SUBDIVISION: ALPINE VIEW LOT #: 028 TYPE OF USE:
PROJECT NAME: TRANSWEST HOUSING DEVELOPMENT
DESCRIPTION: Temporary power.
OWNER: TRANSWEST HOUSING DEVELOPMENT, PHONE #:
CONTRACTOR: LIGHTHOUSE ELECTRIC LLC PHONE #: 503 - 582 -9600
Inspection Request Scheduled For: Date: 8/28/2007 Pour Time:
Code # Inspection Description Con # Contact # Message
110 Temporary electrical service 054757.0 503-741 -6415 ' Y
Corrections /Comments /Instructions: ,� ^
c
- b Kiva CT Rots ic4`Co v,omSO FoL.
Ss , N 67 •1 . qkZ - 2.6
�L l.T�v t56�"� t`1 l L�2 mi n1Dv C�II. m u sT
't rkoW� tt. b r y-
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
F AIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I 1 4• Date: o \11Cfl Phone #: (503) 718- IA-Ft
CITY OF TIGARD, . - r
BUILDING DIVISION PERMIT #: ELC2007 -00582
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2007
Phone: (503) 639 -4171 ivirt
Inspection Requests (24 Hrs.): (503) 639 -4175 " I
• INSPECTION WORKSHEET FOR DATE: 8/24/2007 TIME: 7:00AM PAGE: 46
SITE ADDRESS: 13369 SW OUZEL LN CLASS OF WORK:
SUBDIVISION: ALPINE VIEW LOT #: 028 TYPE OF USE:
PROJECT NAME: TRANSWEST HOUSING DEVELOPMENT
DESCRIPTION: Temporary power.
OWNER: TRANSWEST HOUSING DEVELOPMENT, PHONE #:
CONTRACTOR: LIGHTHOUSE ELECTRIC LLC PHONE #: 503- 582 -9600
Inspection Request Scheduled For: Date: 8/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
110 Temporary electrical service 054605 -01 503-582-9600 N
Corrections /Comments /Instructions:
CO Nov IP cLcsAt*.N c.L (vottYLY,ING - 1 NI F 2a *it (i
P4a1.) c L_ 3 1� cLr —scL.• i■CZ-I A I izi ► 26 _
p Qit r (tip 3 FE G -cam \J Rd ob 3
■ Nib cr Nrc 25
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
Ni kt FAIL 'CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: c — • N L.0 Date: t i_ 01 Phone #: (503) 718- /2-14100