Permit K ,n CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2007 -00711
COMMUNITYDEVELOPMENT
DATE ISSUED: 10/18/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S12600
SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD V05 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG
PROJECT: LUCY
Project Description: Electrical TI
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: X
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:
WASHINGTON SQ LLC TREK ELECTRIC LLC
9585 SW WASHINGTON SQ. RD. 2980 SE TUMBLESTONE DR
TIGARD, OR 97223 HILLSBORO, OR 97123
Phone: Contact #: PRI 503 - 430 -8984
FAX 866- 730 -5960
FEES
Description Date Amount Reg #: ELE 5 -60C
IFLPRMT] ELC Permit 10/18/200' $173 40 LIC 160427
FAX] 8% State Surcharge 10/18/200' $13.87 SUP 2468S
Total $187.27 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Muniapal Code, State of OR Specialty Codes and all other applicable laws
All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is
suspen• • • or mo - Ian 180 days ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center
Thos= rules are set fort' in • 952- 001 -0010 through OAR 952 -001 -0100. You may obtain copse se rules or direct questions to OUNC at
503. -46 6699 or 1.800.3 ' • 2 • •
Issu • By: •- /_4 l�� � / Permittee Sig • ..ture: �f _ OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: = — DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
IPPINE 6/2007 16: 45 18667305960 TREK ELECTRIC LLC PAGE 01/02
•
Electric i Permit ,Application . i ci it C 1l f l l r: I Sr . 1;:\ 1.1
City of Tigard . ,. .., R /U / 0 Permit No : Face i1.0d ? d0 7//
- ,, •y 13125 SW Hall Blvd,, 7 'iF�c� rc ' . F1VEL 1 zCeriew
' I. ", Phone: 503.639_4171. Fax] `t '' 4. y Other permit:
7 "i f \ f t.1 Iaspu.tiuo Vie' 903.639.4175 0 r T 1 ` Ready/Ely: . - e age 2 for
Internet: www.tigard,or.gov 1, 1 U' /j OD
- �,1 ;N. "� -c '+ v^ a �Pl ,Y'fY' p'r �" '''''.1',.4.‘ a 4, 1 K
Se �:0* 1C: 4-irr �, t I'"4 r� ) ; 1i r;�r r 4rY• <4 7 t ' •A li e ;7.:1 , .,1�, i
4 l� i v�aS,r�^'tT�rt � �; , ; : r(^^ y ',$ L ?cr1. , : ,. .,C 9 .,u�.i'f�w,d�viario,�iw
❑ New construction N Addtti = ' 1 ` s 11 : :1t. of I.l i 1,1 C` 4.1 t • ,:- check all that apply (submit Z seta of pl ®s wfboms checked below):
E Service or fouler 400 amps or more ❑nailing; over three stories
Q Demolition ❑ Other: where the available fault comsat 0 holaoridas and boatyards
e l .w w ^p , s c r ,
h m,, .. rM VGa rr'1,;: ; j ' r , `W k.f. made 10.000 mpg ere ISO volts or Fl buildings,
' '�'1' „tY r• `:,F'; . :� i. V, ��p,�'�` �. �7! x �.. r Tf "i�• �;Y " p�� r � 1 .1� '! ,!- 1 l j�l. PY El Floating 8$.
2 ` r t ' V, , f y - l 55d, 161'n r �k�bl Yeti tii.: a $ , ; l'' i d 1 less to good, or exceed4 14,000 ❑ Comrnerd 1 - use egiimtural
❑ 1- and 2-family dwelling ® Commercial/industrial ❑ Accessoey building amps for as other sir sr Ririe rt- buildbsgs
O Multifamily ❑ Master builder ❑ Other: • Fire pump. 0 Installation of 75 KVA or
ip7"s' 0 t ,r4 5 • +' ti Sa e m ^ � FSrT. f 3 4s31 t n.1 tm- r l ' - ( wa y u�v , , -, - r• y hl , ,,. : .1 • F-o encY SYscem m
. larger separately derived system
'r - - '; r % 7 ' t ' . : • . i t oz §ilaiM��iva 4.4.:: " ' , 1r ^ r' ,-: cr ; t I� . S ".71, ' rt ` � '4'r • Addition of new motor load of 0 -A'. "E". "1 -2 ", 93 ".
Job ao -: Job site address - 9499>SW Washington Square Road lObll m 11O QOCYP'°
• Six err more residential theorems. ❑ Recreational vehicle parks
City /State/ZIP: Tigard, OR 97223 2" ■ health -er re :ncitities. Q Supply voltage for more than
• liazerdous locations. 600 volts nominal.
Suite/b)dg./apt no.:114 \/05 Project name: Lucy's Actirewear n Service or feeder 600 amps or mor re� e + .. r ��
IE T i ) f,' >` `rx':riir�:°FL'u'y >�' iC iY�A.ISZC
Cross street/directions to job site Washington Square Description 9. Fee` real •
- New residential duple- or multifamily dwelling auk.
includes attached garage.
Subdivision: Lot no.: 1,000 sq. Q. or less 145.15 4
Ea add') 500 sc. R or portion 33.40 1
Tax map/parcel no
Limited energy,
s[s ore �ivszan' ,r'y>G7 M F 75.00 2
• f ,r';4 Al' e 1 'tn r ' 4 .' 1 i , ilc S 9 , '(i s � - r r r .: 3"i. i t x i wRh a1Ma4 ,
Wilted energy, 75.00 2
Tenant Improvement
( )
"° Serviced or feeders installatio . alteration, and/or relocation
� 200 amps ohrtem I 80.50 80.30 2
,A k::,-;:., s 4 ; it 1 91 iI s . x l :11 t,, v t) ' y , r. 'i ?'p <ry . 3 (� i y > ''4 ' is cl F •v t . 201 amps to 400 amps _ 106.85 U
N ye: 401 amps to 600 amps 160.60
-- _ ._...._. -_ 601• amps to 1,000 amps 240160
Address: Over 1000 , ,, s or volts 454.65
City /State/ZIP, Temporary services or feeders Installation, alteration, and/or
relocation
Phone: ( ) i Pax: ( ) 200 amps or less 66.85 I
Owner installation: This irtstaUation is being made on property that I own which is not 201 amps to 400 amps 10030 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 1 133.75 1 2
Owner signature: Date:
Branch circuits - new, alteration, or extension, r panel
_ A, Fee for branch circuits with
' Isl 'Fi ,rF �1 r )`li ^ k; P o°` " ' t'' .�s w , ` 7, n' ' above service or feeder fee, 1 4 93.10
it'FSuta� . n f , '� . N (i , ttP +i i r ;.nrv0�a�:. As,, 41, . ; `.: ,' X' 6.65 2
each branch circuit
Business name: Trek Electric I.I.C. B. Fee branch circuits
, without service or feeder ice, x6.85 2
Contact name: Dana Amami first branch circuit uit
Address: 2980 SE Tumbkestooe Dr Each add'! branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Ilillabor OR 97123 Each'manufactumd or modular
dwellin:_ service and/or feeder 2
Phone: (503) 4304984 Pax:: (866) 730 -5960 Reoonmect only III 66.85 �
E- mail: trekeleetri ! comeast.n i; i'�4 tit et ^3r, ,•„�,l ,,r � Pump or irrigation circle 53.40
E r ;. :': n'.. , 7 . : •1:> y %51E ' INi sic') Or outline li 53.40 MENU
Signal pane al er or lo, limited-
Business name: Trek Electric LLC.
energy panel, alteration, or
Address: 2980 SE Tuniblestone Dr. extension. Describe: Page 2 2
City/State/ZIP: Hillsboro, OR 97123 Each additional inspection over allowable in any of the above
Per ins . >w'on 62.50
Phone: (503) 4304984 Fax: (866) 730 -596 luvecti trot hour (I b�mm 62.50
I per ( ) -El
CCB 1,1 1 � 9 4 E lectrical Li . ' ., ' , 0 6 t ' la du s tnialplantperb o ur _ - 73 --
c - 60427 ( c. - p p . uprv- }��µ *
Suprv. Electrician signature, required: /� Subtotal: 173.40
t r --- LI►
Print mime: Melvin L. Jackson A Date: 16/16/07 Plan review r25 %ofpesmitfe®):
/
State surcharge (8% of permit ' fee): 13.87
Autllori zed signatu // re: dli TOTAL PERMIT FEE: 187.27
Print tuuxle: Melvin L. Jacksotx Date: IO/} ti/07
This pERmit apphc°tiou =pints if a permit is ant obtained alibis, 181)
days after is )tan been ereepted an complete.
' Number of inspections allowed per permit
l fluff uy)PamiluLGXemie,A.pp.doe 03123!06 440- 46151(11NSAr.,,OAUWEB
CITY OF TIGARD
BUILDING DIVISION ' . PERMIT #: ELC2007 -00711
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2007
Phone: (503) 639 -4171 tea'
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 31/1/2008 TIME: 7:00AM PAGE: 51
SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD V06 • CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LUCY
DESCRIPTION: Electrical Ti /0130/2007 ADD data/tele, audio/stereo. 1111912007 ADD 12 circuits.
OWNER: WASHINGTON SQ. LLC, PHONE #:
CONTRACTOR: TREK ELECTRIC LLC PHONE #: 503 - 43GIn
Inspection Request Scheduled For: Date: 3/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 066446- 01 503-357-7079 N
Corrections /Comments /Instruc ions:
S 1
a --0-ft 1.1b
C•A.. `.
ike I g. c -Lia<1 � T>, CAL Vc a �C
5 J b(Lz {(� 3 (� • ZI X10 CrAP G Rt ii 4, Yek t j .
Y(;;o \iota p — Spa citcEtt. (67cW) Iwt) p L.
•0 Pw A Nom,!
,/ PA ❑ PARTIAL APPROVAL 11 CANCEL ❑ NO ACCESS
- L FA L ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ( bb Date: 3- 41 - t Phone #: (503) 718- 1)11
E
,
CITY OF TIGARD ,,
BUILDING DIVISION __ .. PERMIT #: ELC2007. 007 11
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2007
Phone: (503) 639-4171 . � , , � A,
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: 11/15/2007 TIME: 7:01AM PAGE: 36
SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD V05 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LUCY
DESCRIPTION: Electrical TI 10130/2007 ADD data/tele, audio /stereo.
OWNER: WASHINGTON SO. LLC, PHONE #:
CONTRACTOR: TREK ELECTRIC LLC S� PHONE #: 5034130 -0901
Inspection Request Scheduled For: Date: 11/15/2007 Pour Time:
Code # Inspection Description C firm # Contact # Message
199 Electrical final 059707 -0 503 -961 -5266 Y
Corrections /Comments/ Instructions:
f1
Q1 Pael I Oa' S T ctik.N J c6Aa c)4 Te$ 6 veet
tikci NI ik 1 ei itv&E (sj . .P■a7 - II I d 42.% (g)
ct Qxbuttbog i't `1 sx i` Vir fPJ '
I:r 61,zaQ _ be Vkt
f A Altai (AL 1 ,t.Q.4 ' 9 F Ft 1 2 PtDi+,4A
1Ak 6g,--AA csx Lc .
0 o t S s v von' iA octu ANA A
-----............,
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
A FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G" --- VVoiB L Date: til 0 i Phone #: (503) 718-#./Rito
CITY OF TIGARD
BUILDING DIVISION . PERMIT #: ELC2007.00711
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/19/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 :_'!! I..
INSPECTION WORKSHEET FOR DATE: 11/6/2007 TIME: 7 :0 AM PAGE: 63
SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD V05 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LUCY
DESCRIPTION: Electrical TI 10/30/2007 ADD data/tele, audio /stereo.
OWNER: WASHINGTON SO. LLC, PHONE #:
CONTRACTOR: TREK ELECTRIC LI,C S C-1:311- PHONE #: 50,
Inspection Request Scheduled For: Date: 11/6/2007 Pour Time:
. Code # Inspection Description 2nfirm # Contact # Message
130 Ceiling cover 059059-01 503-961-5266 \ Y
Corrections /Comments /Instructions: r
PA
k. )% 1 CSS NI ZA, C lh 4) Md. W Al 0
4 6F 1 a - WI TR ,
. --- 9bite& - P2o v► 4ii .
W y Q 6 `Q y ('621. 6. e Wt C -
I
No o o l-A' i is 6 F06400 T i€ 1 Li ni
1 - 6Z-tic& likLL •
❑ PASS 'PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CY"r NitS6 Date: 1161 Phone #: (503) 718 - IA 1 r
CITY OF TIGARD
BUILDING DIVISION ` PERMIT #: ELC2007 -00711
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/20;17
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 "`IL
INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7:00AM PAGE: to 1
SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD VOJ CLASS OF WORK:
SUBDIVISION: WASHINGTON S(T)ARE LOT #: TYPE OF USE:
PROJECT NAME: LUCY
DESCRIPTION: Electrical TI 10/30/2007 ADD data/tele, audio/stereo.
OWNER: WASHINGTON SQ. LLC, PHONE #:
CONTRACTOR: TREK ELECTRIC LLC PHONE #: 5Q3- 430.-0934
Inspection Request Scheduled For: Date: 10/3112Q07 Pour Time:
Code # Inspection Description Corm -• , Contact # Message
130 Ceiling cover 050706 -01 »03- 362 -52G6 Y
Corrections /Comments /Instructions:
Pr\
u N M k pparive0,
ALL Aicib cv % E x tQfh7 1
PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ► `ED Date: 1Oj 11 01 Phone #: (503) 718 - 7-N' %
_ .
CITY OF TIGARD
BUILDING DIVISION #:( CO('J7.O;1711
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '10/ D/2007 •
Phone: (503) 639 -4171 � n 1
Inspection Requests (24 Hrs.): (503) 639 -4175 !J "'fay
INSPECTION WORKSHEET FOR DATE: 10/25/200 TIME: 7:01AIg PAGE: 41
SITE ADDRESS: 09302 SW WASHINGTON SQUARE RD V05 CLASS OF WORK: •
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: L UCY
DESCRIPTION: Electrical TI
OWNER: WASHINGTON SQ. I-(.C, PHONE #:
CONTRACTOR: TREK ELECTRIC LLC PHONE #: 503.430-8984
Inspection Request Scheduled For: Date: 10/25/2007 Pour Time:
Code # Inspection Description C Contact # Message
125 Wall cover 058324 -01 503- 961 -5266 N
Corrections /Comments /Instructions:
o pa...o.t Griz....)„,0 ce.„. f _
i 1\
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6" N bis L j Date: t O"1( 01 Phone #: (503) 718- k)