Permit CITY OF TIGARD- ELECTRICAL PERMIT
PERMIT #: ELC2007 -00845
° . COMMUNITY DEVELOPMENT
DATE ISSUED: 12/17/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 1048 B -09800
SITE ADDRESS: 14119 SW WALNUT CREEK WY ZONING: R -25
SUBDIVISION: WALNUT CREEK LOT : 015 JURISDICTION: TIG
PROJECT: WALNUT CREEK
Project Description: Entry. Service, connect entry lighting and irrigation controls.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: 1
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: 1 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 TODDS LIGHTING & ELECTRICAL
9`00 SW HAINES RD PLAZA 2, 19579 SW KARI ANN CT.
SUITE 200 OREGON CITY, OR 97045
TIGARD, OR 97223
Phone: 503 - 620 -8080 Contact #: PRI 503 - 913 -2144
FAX 503 - 742 -1900
FEES
Description Date Amount Reg #: ELE 3 -510C
IELPRMTJ ELC Permit 12/17/200' $86.95 LIC 146666
TAX] 8% State Surcharge 12/17/200' $6 96 , SUP 4434S
Total $93.91 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 throu h 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: •
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 13,2007 08:02A _, 5037921900 page 2
Electrical Permit
R e G ` ' G - . - y v reIR'br l: l' :I)\1.1
L
City of Tigard Ram
Yta1 I a>, Penn( E/-C._ 7-9°
13125 SW I loll ftivd, Tigard, OR 97223 Utl, j 3+ 20 I . /+ Man Kevicw
Phone: 503 639.4171 Fax 503 598.1960 1 t' y ; � r}�n Other t'emut•
''
Inspection Line 503.639.4175 ; !,I,` , 11'., Really/11r 1 i ® See Page 2 far
Internet: www ci,tigard.ur.us CI] y U 11' -e NuoinearMethixt / Supplemental Information
/ R��Y4 OJVISION PLAN REVIEW
1:12 (New construction ❑ Addition /alteration/mplacement .... Please check all that apply,
❑ Demolition iiki il.t tie ' y /r i fj ❑tierviceover225 amps,cnmm'l El Hazardous location
�Uther; f f st ❑gy vlec over 320 amps - rating ❑Aulldtig uver 10,000 sq. 0.,
CATEGORY OF CONSTRUCTION of I. 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
DI Multi fstinil ❑Master builder ❑ Other ❑Building over three stories ❑Fecxlers, 400 amps or more
JOB SITE INFORMATION AND LOCATION ['Occupant load ova' 99 pertuns ❑ utactared structures or
❑Egress/lightmgplaa park
El facility ❑Other .
Job no.: Job site address: tV // I $:W. lt� rt(,nuf es eK
.._.... Submit 2 sets of plans with any of the above
City /Stale./ZIP: T P1( /7�3 The above are not applicable to temporary construction service.
Suite/hld / t Project name: r L FEE* SCHEDULE
g no -: / via i h 4t 1 ` 6 e-4. 1 h-1' Description 1 Qtr I nee. I rum I ..
Cross street/directions to job site: 0. cis c * j New residential single or multi - family dwelling unit.
/. , N l )J A t'" - Gf ( Includes attached garage.
IN C c4. to). y 1,000 sit n or less 145.15 4
Subdivision. W K` Kc..i•• Cr ee k Lot no.: /f Ea. add'I 500 sq. R or portion 33 40 1
Limited energy, residential 75,00 2
Tax mop /pltrex l no.:
Limited energy. non-residential 7500 2
DE■CRWTION OF WORK Each manufactured or modular
LL dwelling, service and/or feeder 90.90 2 424 e1C — �� f t °� 7 rr Servlces or feeders installation, alteration, and/or relocation
2 00 am or less 80.30 .30 2
, li(` 9h f y >� .1c r i7441',,, 6i+ .t. fro (/�3' I'� _ f .� _ . ,. -._ '� • - --
u0PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
4U1 amps to 600 amps 160.60 2
Name: .._.
�r Rb, 4 p,_ !?L— of � f 601 amps to 1,000 amps 240.60 2
Address: 6 '00 4 1.000 amps or volts 454 65 2
'Rd Rocunne l only 66 85 2
City /Slutkl7.IP: aarj
1 / t y 0 i q 7 Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( fi ?) 6'2_0 _ g O s [ Fax: ( ) 200 amps
200 amps or loss 66 85 I
Owner installation: This installation is being 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 600 amps 133.75 2
Owner signature: Date: Brooch circuits - new, alteration, or extension, per panel
0 APPLICANT [ ®42ONTACT PERSON A. Fee for branch circuits with
service or feeder fec, each
Business name: branch Circuit 6 65 6' e 65 2
Contact name: B. Fcc for branch circuits
e04 12 _ — without service or feeder fee,
Address:
first branch circuit 46.85 2
__.. . Each add'I branch Circuit 6.65 2
City /State /ZIP: Mlteeilanenus (Semite or feeder not included)
Phone: ( ) Fax:: ( Pump or irrigation circle 53 40 2
Sign or outline lighting 53 40 2
E -mail; Signal circuits) or limited.
CONTRACTOR energy panel, alteration, or
Business name; extmislun f)eseribe Paget 2
�� d S GI ii l a c k ae-C cc• 1 LL C.
a Each additional inspection over allowable io any of the above
Address:
/9s7 7 s /�� �
-, , ttyl e 1 Per inspection 62 50
City /State/LIP: ere, 0 Pi 6d oR: 5 2z) 1/s Invcstigalion per hour (i hr mm) 62 SU
Phone ( 56) /_ zjif r Fax: ($'07 ) 7 - /QQ o Industrial plant per hour 73 75
ELECTRICAL PERMIT FEES*
('CB Lie.; /y•666 1 Electrical Lie.: _1-.570 C J Suprv. Lie.: *N-5' Subtotal , T5'
Suprv. lilectrician signature, regaircd: /e /• Plan rcview(25°/oofpernut fee)
� State surcharge (8% of permit fee) 6 g6
l a
Print name: 0V e. 4 SC Late: f2.4/3/0 7
" TOIAL PERMIT FEE 11,51
Authnnietl signature: (` t I This permit applicatma expires if • penult it not obtained within ISO
(( days alter it has been accepted as complete
Print name: t / i Date: t t �r • I ee methodology sal by I n -Camay llwld,ng Indiutry Service board
11 • • Number of inspections poi permit allowed.
, \n5,I,Lugmcru.ne \Flt•- Ppm,iApp due 12/0) 440 -00151(10'025 i1M/W•71
i
CITY OF TIGARD
BUILDING DIVISION PERMIT #: I 7 �e'4.�
C20
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12J 1712007
Phone: (503) 639 -4171 AVilll ��..C,23�1'�OtUI5
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/28/2008 TIME: 7 :02AIVI PAGE: 17
SITE ADDRESS: 1 9 5W WALNUT CREEK WY CLASS OF WORK:
SUBDIVISION: WAL` T CREEK LOT #: 015 TYPE OF USE:
PROJECT NAME: WALNU 'REEK
DESCRIPTION: Entry. Servic:. connect entry lighting and irrigation controls.
OWNER: MATRIX DEVELOP T. PHONE #: 503 -62f} 8080
CONTRACTOR: TODDS LIGHTING & EL - 'TRICAL. — r Oa D PHONE #: 503-913-2144
Inspection Request Scheduled For: Date: 4/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 068936 -01 503 - 913 -2144 Y
Corrections /Com ents /Instructions: . I
6 V....0 . -`A L.. 3 c
c spIKAH)
sp. ENLt_A 6Qasis FiLt- VV ' k f I( M ? Otte& cosic414 .
e') \--.:‘ Sl .-1 0 !. A IA A Nbl.. Oly ova 'Cr 61(z s ? CS c5'A os
G , ErL.M►Ni1 I a - SoLl ■ L: . i Q. * "/Cl. ha 6' ` :7:� 1 k )
t .411 . o.0 , (tom. p al mu 5'' Lavvvil L
N m, 1's5'. 5' ` ^N ■ R,rt. ,
/ �__.r APPROVAL ❑ CANCEL El ACCESS
PAS r_��- '--`
FAIL ❑ CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
Inspector: �"f W)0 Date: L ai Phone #: (503) 718- 1,11%
CITY OF TIGARD
BUILDING DIVISION PERMIT #:EVVLOOMOta
13125 SW Hall Blvd:, Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 w Rivet I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: I 2 it t TIME: PAGE:
SITE ADDRESS: ILO S W V4114 ■5 C.,rt �. W CLASS OF WORK:
SUBDIVISION: L T #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 411 4 D Pour Time:
Code # Inspection Description Confirm # Contact # Message
\
Corrections /Comments /Instructions:
•
•
/❑ P PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
El FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
N V
Inspector: C Date: Z Phone #: (503) 718- lib
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007.00 845
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/' 17/2007
Phone: (503) 639 -4171 map'
Inspection Requests (24 Hrs.): (503) 639 -4175 °` L.
INSPECTION WORKSHEET FOR DATE: 4/16/2008 TIME: 7:00AM PAGE: 50
SITE ADDRESS: 14119 SW WALNUT CREEK WY CLASS OF WORK:
SUBDIVISION: WALNUT CREEK LOT #: 01?:; TYPE OF USE:
PROJECT NAME: WALNUT CREEK
DESCRIPTION: Entry. Service, connect entry lighting and irrigation controls.
OWNER: MATRIX DEVELOPMENT, PHONE #: 503.620.8080
CONTRACTOR: TODDS LIGHTING & ELECTRICAL. PHONE #: 503 913 -2144
Inspection Request Scheduled For: Date: 4/16/2008 Pour Time:
Code # Inspection Description - onfirm=# Contact # Message
199 Electrical final 068411 -01 503-913-2144 N
Corrections /Comments /Instructions:
1 b 61c NW ∎Y∎Vn 1 %
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL
ACALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N Date: LI 141 Phone #: (503) 718- 2 4
_ „.
CITY OF TIGARD , , .
BUILDING DIVISION '
PERMIT #: EI_C2A0J.00t3�fr
A
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/17/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 IL..
INSPECTION WORKSHEET FOR DATE: 12/20/2007 TIME: 7:01AM PAGE: 63
SITE ADDRESS: 14119 SW WALNUT CREEK WY CLASS OF WORK:
SUBDIVISION: WALNUT CREEK LOT #: 015 TYPE OF USE:
PROJECT NAME: WALNUT CREEK
DESCRIPTION: Entry. Service, connect entry lighting and irrigation controls.
OWNER: MATRIX DEVELOPMENT, PHONE #: 503. 620 -8080
CONTRACTOR. TODC)S LIGHTING 8, ELECTRICAL PHONE #: 603.913 - 2144
Inspection Request Scheduled For: Date: 12)20/2007 Pour Time:
Code # Inspection Description nfirm Contact # Message
115 Electrical seovice 06187 &01 503.913.2144 N
Corrections /Comments / Instructions:
I 1
SERlicVl apPRdweo t5N 9-16-0'1
l'a NZA
EL•0606\OR)44(0900
Ig , ftb illi &:--- . -4Vatt::_
/' PASS ❑ PARTIAL APPROVAL L ❑ NO ACCESS
❑ CALL FOR INSPECTION III ' I 1 ONAL FEES ASSESSED
Inspector: C-Y 0 te Le Date: 124 4)1 Phone #: (503) 718 - 2