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Permit CITY OF T I G A R D ELECTRICAL PERMIT PERMIT #: ELC2001 -00230 ll DEVE r SERVICES (503) 639 -4171 DATE ISSUED: 05/04/2001 rd 2 PARCEL: 2S 109AB -RR011 SITE ADDRESS: 13000 SW WILMINGTON LN SUBDIVISION: RAVEN RIDGE ZONING: R -7 BLOCK: LOT : 011 JURISDICTION: URB Project Description: Installation of private street light. Service vault located on SW corner of property line of this address and NW corner of 14190 SW 131 PI. 5363 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: 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: RAVEN RIDGE SUBDIVISION LLC R J ROUSE ELECTRIC INC P.O. BOX 5930 19450 SW CIPOLE ROAD SALEM, OR 97304 SUITE 107 TUALATIN, OR 97062 Phone: Phone: • Reg #: Dt2- SUP 661S ELE 34 -359C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT CTR 05/04/2001 $86.95 2720010000( Elect'I Final 5PCT CTR 05/04/2001 $6.96 2720010000( Total $93.91 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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699 or 1 -800- 332 -2344. Permit Signature: c Qnieitig Issued By: = / • /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: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPT. LEC'N: #IA il �...�,./ 4j I/.♦ DATE: (e LICENSE NO: bi 3 Call 639 -4175 by 7:00pm for an inspection the next business day FRg..1 : Fy J. Rouse Electric, Inc. FAX NO. : 5036120891 , / May. 03 2001 09: 00AM P2 Electrical Permit Application Datereceived : ‹lagn. Permit no. :L r -uyj/ - 00130 �.� l r,. X41 ∎iii City of Tigard Projcct/appl.no.: Expire date: CiryofTigord Address: 13125 SW Hall Blvd, Tigard OR 97223 Dale issued: By: Receiptno.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: TYPE Of PERMIT ,& 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement Iii New construction 0 Addition/alteration /replacement 0 Other: 0 Partial Job address: tS 13151' T ef,r) .('i Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: 1 / f /i I Block: I Subdivision: Ravel? kt'da e SuJ -I Il/1S i l? � ` Project name: ' . - ( G(- e. Description and location of work on premises: I -- i.e" ,• YIQ.e.J Estimated date of completion/inspection: ;. CONTRACTOR APPLICATION FEE SCIILUCILE Job no; 53 6, 3 Fee Max Description Qty. (ea.) Total no. insp Business name: .t L Address: K, S") 5, . ('� � ( _ 4 [0 dwelling ortnuiti fa a g mg satit. Includes at tsmtbrd garage. City: 7 h I State: OX 'ZIP: ' �Q ( L Service include* Phone: (ot.? I Fa :(a /2`0 /IE -mail: 1000 sq. ft. or less 4 CCB no.: gg I Elea. . lic. no: 3y-,3SyL' _ �� addidona1500 sq. ft or portion thereof 2 2 Limited energy, residential 2 City /metro lic. no.: OC)oO/ I / limi energy, nom- residential 2 � — 3 '(J Each manufactured home or modular dwelling Signature of supervising electrician (required) Date Service and/or feeder 2 Sup. elect name (p ' : f ' so -. r License no: , Services or feeders—installation, alteration or relooniotn / g PROPERTY OWNER 200 amps or less O D ga.30 2 Name (print): • - 201 amps to 400 amps 2 401 amps to 600 amps _ 2 Mailing address: 601 amps to 1000 rumps City: I State: ZIP: Over 1000 amps or volts Phone I Fax: E -mail: Reconnect 1 , Owner installation: The installation is being made on property I own Temporary services or feeders - insta 1 which is not intended for sale, lease, rent, or exchange according W 1latiog alteration. orrelocation: less 2 ORS 447, 455, 479. 670. 701. 201 amp w 400 amps 2 Owner's signature: Date: 401 to 600 am . 2 ./\ a ENGINEER Branch circuits- new. alteration, or extension per panel: N / Name: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit i (0,� ( ( 2 City: I State: • I ZIP: H. fee for branch circuits without purchase of service or feeder fee, first branch circuit 2 Phone: Fax: E -mail: Each additional branch circuit: PLAN REVIEW (Iit.ase check all that apply) Misc. (Service er feeder not included): ❑ Service over 225 amps-commercial ' O Health-cam facility Each pump or irrigation circle 2 0 Servieo over 320 amps -rating of 1 &2 0 Hazardous location Each sign or outline lighting _ 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, O System over 600 volts nominal more residential units in one structure alteration, or extension* _ 2 O Building over three stories C) Feeders, 400 amps or more •Description - t] Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above: ❑ Egress/lightingplan 0 Other. Per inspection I I I I Submit _ sets of plans with any of the above. Investigation fee , The above are not applicable to temporary construction service. Other . Not all j.m.dicaioos accept credit cards, please call jurisdiction for more iatannatioo. Notice: This permit application Permit fee $ ((.'r 6 7S 0 visa O MasterCard expires If a permit is not obtained Plan review (at _ %) $ /_ sewn cars numb= / / within 180 days after it has been State surcharge (8%) $ (& i e( Co Re accepted as complete. TOTAL $ 9� ' 1 Name of eardboldes as shown on credit card ardh er S / / Cold signsignature - Amount rr� //- 51 r � r C c t 4404615 (6■00/COM) . 4 C IO LiSli 1:Fn E l [ _D) PO 00072 PU Uuu /l r! 1 fK) ;: VT 0 015 If' �J 1 Ir 1 ' I. 11 290' 180 r . I 01837- "' � - - -- - !• • - -_ -.l.t -� 1 ` - - - - - -- wo - Il 00184/ / r PL 0003 a. F 1� t 365' IIII / ' , "II , O A0; SW WILMINGTON LN ;;II ® • pi m 1 III' © ' 11 A 115' m ------ - - - - -- •• , , ll. � a m 445 .�: D:t....... VT 00062 32 PD 00073 PD 00079 O, 50' � 50 1 4 ii - -11 ii - A ;, 1 19 18 i I I 4/0 TX N 31 p �1 it 411,„„ F 195 11 Z i 20 17 i ; 1 1 c: 6 I II N 1215' 1 5 9 i PO 00080 i FR J61375 -68 . n ~' 1 I 1i PRIVATE u N LI 1 , 1 T' BASE , II II I 1 H I Cr 1 U • I 1 � 11 3W 1 1 i m PD 00074 11 r 1 F - 1 PAD •2 - N 30 II I PO 00078 1 U) 1 to 1, I ' I 21 1 155' M ' INSTALL 29 11 in 95' it 1i �f I , 22 15 I0 PAD MT 50 B VT 00025 — d i �� PD 00081 N z '•, i r r i r 215' 235' L. C I 0 1 i t if SW ST 'JAMES DR ��� Al 4 13 1 45' i � ..// 1 0/ 23 TE 1 90' 1 � � %' PO 00082 LIGHT PD 00083 _ A' El: 60' 6 VT 00038 - + Cr r LJ 1 r- - O I PO 00077 24 � MARKER 0 l • v , 135' 7 WI w HO' ' • RIVATE LIGHT IItAL GRADE A i o 28 ,t I�TR BASE u k e „ aux PAD ¢3 1 - T 1,! I I — 17200V — — ?; �. F auT / 150 / ` f0 � c i • y DUCT 1 E. 16,800 KWH 26 MRAI MER 36 " MUM PVC CY 14 �vy� ,.. CIT' OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 5--- AM PM BLD Location / ,1 Ste — Suite MEC Contact Person £0! lrnipa 9 4e-- Ph (j/ Z & Cr ( 7 0 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC A0/- 2 3a Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof / ? P Misc: - t/ / Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line - Smoke Dampers Final PASS PART FAIL (LECTRI_ L Service c&i., __ Rough In UG /Slab Low Voltage Fire Ala F• PASS P T FAIL • SISFI Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach/Sidewalk �- 9 _ C / Other Date 6 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. o. Qrrr d4 !CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested ,5-3u AM PM BLD Location /3m, 5 4,i WI /M 1- /' L "1, Suite MEC Contact Person Ph &a- O/ U PLM Contractor Ph SWR BUILDING Tenant/Owner ELC a/-o 0 - 2 30 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: � -e //� ��J - - Final / PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL • Post Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL 1 eCTR(`ts Service Rough In UG /Slab Low Voltage Fir- : •rm • RT FAIL • Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Otheoach /Sidewalk Date � /� �D / Inspector E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.