Permit C ITY O TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00453
��..
DEVELOPMENT I' Tigard, 97223 DATE ISSUED: 8/15/2006
503 - 639 -4171
PARCEL: 2S 110BD -08700
SITE ADDRESS: 11685 SW NICOLI PL ZONING: R -4.5
SUBDIVISION: EDWARDS PART /MLP2000 -00010 LOT : 003 JURISDICTION: TIG
Project Description: (2) branch circuits for a/c install.
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: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 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:
JASON & SA HEGSTAD WHITE LIGHTNING ELECTRIC CO.
11685 SW NICOLI PL. 7524 SE 52ND
TIGARD, OR 97224 PORTLAND, OR 97206
Phone: 503 - 781 -4006 Contact #: PRI 503 - 772 -3009
FAX 503 - 777 -4008
FEES
Description Date Amount Reg #: ELE 37 - 817C
[TAX] 8% State Surcharge 8/15/2006 $4.28 LIC 153867
[ELPRMT] ELC Permit 8/15/2006 $53.50 SUP 44755
Total $57.78 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Speaalty Codes and all other applicable laws.
All workwill be 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 91 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rimes or direct questions to OUNC at
I - •
503 -6699 or 1 -800 -3 234 1 /� '
Issr3ed By U . i � (%. /LQ/J2 -r7 F' Permittee Signature - (
N
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: �S �7
LICENSE NO: '/4/7
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.
Aug 15 06 10:35a Todd Turpin 1- 503 - 772 -4008 p.2
... • a yr L 1 VlLilt/ f 5 I j 001
H l �� �%t� /C
IntIcW, Permit A , I'. COVED - , , , ' ; , 1
Ii% City of Tigard ,
1, C
i, 23125 SW Hall Blvd, Tigard, OR 97223 } �'��j penmc No.: �� C',�G L�l/i 3
Moo: 503.639.4171 Fax 503S98.I@ , 2006 Other Panic
-' , ;' ■[fZ>troseaian Li¢c 503639.4175 ff1��V `"' 1
I �t wwnh.dgsrd.or.gov a -
June
_�} ypF TICARD
1+ :a+ r . ' may? r _ .,:-..;a:,� a I T � � r :7.'�` �" :77777-,777; �_�'`.7:7: 7:7777"'"'"7-7-7.7
o New construction ❑ him/. oeradanhe}danement Yf : a Mass - stiae csi ihie ,
slyly pA See w/fraae clacked Water
❑ Demolition ®Qm osavie■arreedv4aoamprarraoae 17t 1 divaasduseasodes
s "yam 1 » v �r'-r c� �y , --.. ' de wallahs fan arum DMarinas sad 6ossyerds.
;,: r; s... j,�, r r_ : '•:.ntilk•t ';•;,, tr,. . moods 10,000 osfpe l30 7D14 or g
xxr .:,� s less to 4000 it Ca ssese
• T )- and2- biunilydwelling 11 Y Commercial/industrial t; Accessary banding or a�:out:v�,t
is Multi-family ❑ Master Wilder 0 nose for ell ahoriaemiimooc be ams.
�_ ,,�,, Other: ol+bepamp 171aatslleSDOOt7llCVA or
C>Y A` k -� ''� '� tai` �.c+►x+. -. . `- s ' i3� s : .j 0 _ ' n. lu�►eeF*oodYderivedsystem.
Job no.: lo address: � ,. ••. taoill: suer ®DR TMaor lwd or — w - ��
Alb sloe � - � - a
/ 4 0 ' 5 S C.A d P+ Osloarmmeseaidnsealgaits. oRaaaalandvebidegush:
CityiSta cr2 P: if 11/1 d QHesllb•we Rabe% o Supply wattage to moo ban / r7HaAedausloc� one 600 va$e needed.
�. nu.: 1 Project n c e � DSc - vice orfccdkr60O wax oramta.
Cthui 6tteQ/duCC600a to job sit "- - = - • -oh
ors eelpgs Y sec vtiai •
Newsesideatisl doer- ar s¢alte% ism* dwelling unit
%eludes attached garage.
Subdivision: 1 Lot ma.: 1,080 a4 6 ar less 145.15 4
Tax mapipated no,: Ea add? SOO s4. Q or pardon 33.40 t
3sM�s Limited ,rhuidwAiat
E - p. ; e. ' q- - cs .- E..ir•,�i _..� .1 tG4r' : � -- ; " ,. ( ( With above so. kJ 75.00 2
Lida agy, mahi -family 75.00 2
nuide tial (cdth above sq. fl.)
Services or realm iesto8rt es, alterative, ad/or relocation
�. 1':�� r,s� '"ti, :�i -- 7 -- � ;; t ... .-', - 20 amps o400 8030 2
> .: ... ,� � :' .. . „" �s s.2; 201 amps to 400 mops 106.85 2
Names 401 amps *600 amps 160.60 2
Address 601 ante to 1,000 amps 240.60 2
mot., �etale/Ztp: Over 1,000 amine/ vats 454.65 2
7•° Temperaryaervieea feeders analdtati¢q alt radon, aedlnr
relseadon
Phone: ( ) 1 fax: ( ) 200 amps a leas 6615 ` 1
Owner iastaiiatiesu This ih�ailadon is being made on property that I own which is not 201 gasps to 400 amps 100,30 1 2
intended far sale, trace, rent or =honor =cording to ORS 447, 449, 670, and 701. 401 amps to 599 henrys 1 133.75 2
Owner Sraackeira dla- aew,atteratlsa.or panel
A. Fee for Wands circuits with
,. '° 11- - `. ` v - ,75 -1: �;, t- ''r _ _x z i ' b
navc sa vity or fearer Ice,
Y 3rF?•t =i t la i:.; •S..3rrrr.�r �� � } � � : + .. • - v 6.ti5 2 Htlsimmerse e: raga brs>lebeirwit
0. Paw Sir branch circuits
Contact with tuna sari= croon C 46.85 116, 2
Address: Each add'l braadh circuit
A4iaertlgaeeos (gervite or Reeder not Waded) 5 � 2
CSIy/5tatdZR": Ends 108101116ctilred or modular
diem service and/or reedy 90.40 2
Phan= ( ) Fax:: ( ) Reconnect ashy 66.15 2
E-mail Pomp or irrigation circle 53.40 2
• =.X'b r�+a1L'�7' A r • ` - \: "T -do- -f = �
�/�rr .: �� G f �:�?St _ fi S m or ou0mc tiSftmp 53. 2
CIF. SAM energy l pond, allaab'
r. r., - , / 5 _ # .E G2_..., ono:n ton. Desaibc pa 2 . 2
Cty/Stsee/ZJP to . 4, `e 07 / / EMIR addlUbrat laspecsloo over aWwabar lr AIM • the above
Par impection 62_50
rime: ( 5/) -1 77Z FIDC 6 503 7 77 4 lavoodaadon per hour tv y who 62.50
CCa Liu: /53(16,7 1 Elcstaital Lie.:,g 7. a Suprti- Lie.: 4 755 1¢daarlat , at • - sow 7335
Suprv. F.kehiciatt signature, hoqucrd: 7 // t)(5 • / iG7 _ 74.`
—7-0157:), ,p Subtotal: ��r,
1 name Jc�6� t pats g- •S- * Sync n:;agtOMof
9taae9rrmarge(S7Ga�fpemitfeak 4,2N
Authorized signature: - TOTAL 1•EEmiT FEE: S7, 4. 7)?
The Print tone 1 Dade: 1!■ apsefwssa f7rptrpl.■ peewit Is aoe e`�Srred sdt>s va sae
&ors WWI see boss emprea as eemskse.
L'IBeII esnsess • Numb= ef imtestioasallwieds+crvrnrrol.
+•o•aelasts~441,V WIM
CITY OF TIGARD
BUILDING DIVISION
Alhi PERMIT #: EL t.7;200&004
D ATE 1-1,3
13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: Of 1612006
Phone: (503) 639-4171
''''' l''''•0..liA
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/1612007 TIME: 7:01Aivi PAGE: 81
SITE ADDRESS: 11685 SW NICOLI PL . CLASS OF WORK:
SUBDIVISION: EDWARDS PARTIMLP2000 LOT #: 003 TYPE OF USE:
PROJECT NAME: HEGSTAD
DESCRIPTION: (2) branch circtith.:: foe afc install.
OWNER: HEGSTAD, JASON & SAVANNAH PHONE #: 502,- 781-4006
CONTRACTOR: WHITE LIGHTNING ELECTRIC CO. PHONE #: 503-77'2-3009
Inspection Request Scheduled For: Date: 3/16/2007 Pour Time:
Code # Inspection Description Confirm # Contact # NMessage
199 Electrical final 044773-01 503-701-4006 Y
Corrections/Comments/Instructions:
1 1 PASS PARTIAL APPROVAL [7 CANCEL I] NO ACCESS
H FAIL El C ■ LL FOR INSPEC ION pi ADDITIO ' L FEES ASSESSED
AA.c6.1.4_ lip -
Inspector: •••• - 'vs 0 - Date: -- a ; P hone #: (503) 718-C+4
„ —.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL(..::"
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/15/2006
Phone: (503) 639-4171 A
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 772317007 TIME: 7:01AM PAGE: 7
SITE ADDRESS: 11685 SW NICOL! PL CLASS OF WORK:
SUBDIVISION: EDWARDS PARTIMLP2000-00010 LOT #: 003 TYPE OF USE: „.
PROJECT NAME: HEGSTAD
DESCRIPTION: (2) branch circuits for aic
OWNER: HEGSTAD, JASON & SAVANNAH PHONE #: 503-78'1-4006
CONTRACTOR: WHITE LIGHTNING ELECTRIC CO. PHONE #: 503-7713009
Inspection Request Scheduled For: Date: 7123/2007 Pour Time:
Code # Inspection Description Confirm # Contact # M es
199 Electrical final 043811-01 503-760-5940 Y
Corrections/Comments/Instructions:
ni\-1 Pc
(\o
N
C:2) Ella
El PASS 7 PARTIAL APPROVAL CANCEL i0 NO ACCESS
I CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: C-4 Date: 6 U Phone #: (503) 718- Z6-Vi