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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00290 DEVELOPMENT SERVICES DATE ISSUED: 5/22/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 103 CC -00402 SITE ADDRESS: 13875 SW 121ST AVE ZONING: R -4.5 SUBDIVISION: LOT : JURISDICTION: TIG Project Description: Service for private lights. Job # 7756. 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: 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: STEPPING STONE HOMES, LLC NORTHSTAR ELECTRICAL CONTRACTORS 11735 SW KATHERINE ST 19450 SW CIPOLE RD SUITE 107 TIGARD, OR 97223 TUALATIN, OR 97062 Phone: 503 - 720 - 6445 Contact #: PRI 503 612 - 0840 FAX 503 - 612 -0891 FEES Description Date Amount Reg #: ELE 34 -359C [ELPRMT] ELC Permit 5/22/2006 $80.30 LIC 90454 [TAX] 8% State Surcharge 5/22/2006 $6.42 SUP 661S Total $86.72 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. Issued B y : -'� � , Permittee Signature: ,r 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. , , - Igi Electrical Permit A I lliThiT Ai 1 - 1 \ .. ri . FOR OFFICE USE ONLY City of Tigard Received!/ 13125 SW Hall Blvd., Tigard, OR 97223 natelB : J ✓+ © 1 �� ' . - c{ a Plan Review Phone: 503.639.417 a 3 t 1 Fax: 503.598.1960 MAY 2 2 20 P DateA3 ; Other Permit•. Inspection Line: 303.634.4175 II nave Ready/By: SWIM El see toga a tor Internet: www.ci,tigard.or,us r Notifiedfhtentod: Supplemental information '�VY fyy�r)mr � l y'.. ... J ��� y.i`�', -e' d l ' . 1"/ lfl� " 2 �9 ": w li ,... . fi ''P', A.. ' � •.: f:.:VG' '. �1 CA V [ A , tr , ..�' �` - ti+7C�7;�' �•��" '(I �'�'•• -u -.' `�i n ��-..rnrn�)T��Y� . r..: C ,.: � e ..f" , e . '-0'� u, ..e :' •. � � ` �. ,?i- I „'.��' 17 1 " .. : ... ; �::.; , rI .iC , l:4� ua t:>�.ct ..� . i , c `�� �t3 . Y .••c:. " ... av ew construction `�f ` " ' ' ` Plea check all that [� - ` '.,. north tart ionlrepineee apply! III Demolition ❑Other. ❑Service over 225 amps, comm'l ❑Hazardous location of +,• z asr. -.�, tr -• N,,, +, r•, ❑Service over 320 amps -ratin t�tiuildng over sq. . l . i f .,r, ,,��� ' 11' U • . iVii?r•, ei 5: ��.i: rating 1J 0 tr IU,000 5 ft., RF C , rat' 13 ta, t it ,_. . , •. ii ' s a ` + 4201, � , , d Z "'+ " li o 1 • and 2-family dwellings - . �: blttt, e,.r.,�l M{ I ,. ,c f'. .•, f<. Prs 4 or more new residential ❑ 1- and 2- family dwelling P ommercial/industrial 0 Accessory building OSystcm over 600 volts nominal units in one structure U$uilding over three stories ❑Feeders, 400 amps or more El Multi-family III Master builder 0 Other or , �{ r �'!U':' frt' '� r T DOccupant load over 99 persons ❑Manufactured structures u . " �ls ¢ '.17A r a Y"�l���� y j er« a, I`�;1 X51 t ; n ' 3 (yµ fib! +t+, i l , s `rl E s/li htin plan p .4 ,tr +.. m, " tltW '�'ti lxfflrFa.r. " rSx.In. L.�111w...e t:^ ••. • �9'r sE4. ,,.;: ,.. i °,.: i S S P RV ark . 5 % Job no.. Job site address, e. ❑Health -care facility ❑other: /( y' Submit Z sets of plans with arty of the above. City /State/ IP: i e r /r { 4 r , The above arc not applicable to temporary construction service, fit / gtipt .. k, fig t yi4', .. ., Suite/bldg. /apt. no.: Project name; 11 � (;/ •'rt,`'i',ii . l,+ ; • : lti .,. '4,. .:..� t. El?,T ; . ..... ' .. : . . .� D Qty. I Fat, Total .• Cross street/directions to job site: New residential single` or multi family dwelling unit. Includes attached garage. 1,000 sq. ft. or less I 145,15 4 Subdivision: Lot no.: Ea. add'1500 sq. ft. or portion 33.40 l Tax map /parcel no • • Limited energy, residential 75.00 2 Q., mi i � t h,{ tit/ ," d ,� ty� �y� +ltyt. a tq I ¢1 , r ! Limited energy, non- residential 75.00 2 t ,i RE • lil d .�1 il :�a i 1 , +u,),Jier aJ,u a 4 G iJ r r. { , b re f! ,rl@ , 1 F 1 �u�F'"t;�. ���,,t� Each manufactured or modular /► �./ dwelling, service and /or feeder 90.90 , 2 `� Services or feeders installation, alteration, and/ r location , J / �/ r[ T �. I �/ 200 amps or less / 80.30 ' / Pp r," { ra �, �g �'� t . i 7 �C: 1' ^+1'1 +� '>cy, , i`I : 'f i ,q�t�t i t - �t•i ,:. r" 2 ,i'da' 13.'e WB'3 •.... . ' , �� '. r�i�it�a' Y .' 1-j'''i•!'. .tr`4 4' *..5 .- 13 -'r ^ ", .: air 4 � a 2 0 1 amps to 400 amps 1 06.85 SS\- C �+ 401 :trips to 600 amps 160.60 Z Name: V"7 - -{� .� 4,Q) 5 \) aN .`.v , f ' 4 ' L 601 amps to 1,000 amps - 240.60 2 Address; I `'1,� �" S W \<.A.._.4.,�\ t..4_, .)-- Over 1,000 amps or volts 454.65 2 Reconnect only 66,85 2 City /State /ZIP: r � �� T emporary services o r feeders installation, alteration, and/or Phone: ( ) 7 c 9y51 Fax: ( ) relocation r - M 200 amps or less 1 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 12 Owner signature: Dare: Branch circuits - new, alteration, or extension, per panel l `dG + d, i a a.>I, _ '_._?lam¢ g?�y qq�h < l o y,,P i;l%j f `! 1` .; A, Fee for branch circuits with 'l' t �� "` rc Wm�+xatn�itmi�I{gE service or feeder fee, each Business name: 6.65 2 branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, Address: each branch circuit 46.85 2 . - Each add' branch circuit 6,65 2 • City /State /ZIP: Miscellaneous (service or feeder not included) Phone: Pump or irrigation circle 53.40 2 ( ) Pax: : ( ) Sign or outline lighting • 53.40 2 E -mail: � Signal circuit(s) Or limited, l!Y tvt a ';:'3ip ar + ,[ ?'gI: , '.;; ' '66 °d 1 0 � 024 i�f• fl 1 ° i: :i!! - . :' ;' %i,:`•'il i` "': ' ;is� b 'I;,M, energy panel, alteration, or Business name: extension. Describe: Page 2 2 NorthStar Electrical Contractors --- i bl w ll v i l i Bach additional over allowable in any of the above Address: 19450 SW Cipole Rd, #107 . fualatin, 01297062 - Per inspection 62,50 _ City /State/ZIP: (503) 612 -0840 Fax (503) 612 -0891 Investigation per hour (1 hr min) 62.50.. Phone: ( ) Lie #34 -359C CCB #90454 Metro #1911 Industrial plant per hour 73.75 ,: ,, >zmC CCB Lie.: Electrical Lic.: - Sup Lic.: 6/1.- Subtotal • Suprv. Electrician signature, required: - 14 ( Plan review (25% of permit fee) Print name State surcharge (8% of permit fcc) � - 1.- r TOTAL PERMIT FEE ' nYn Authorised signature; A . This permit application expires If a permit is not obi i f t. . wit in . 0 Print AttCtle' days alter it has been accepted as comp . e D are: •• Fec methodology set by Tri.County Building Industry Service Board - ". Number of inspections per permit allowed. iNl Nilding ',Permitl■ELC- Pernu[App.doe t2/03 440 -46 t SL(10/0 2/C O M/ W EH PO/TO 39Vd d171SHTJON TEEOZT9E0Z LS:60 9013Z/ZZ/50 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006-00290 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2212006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/12/2006 TIME: 7:03AM PAGE: 70 SITE ADDRESS: 13875 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BEELER SUBDIVISION DESCRIPTION: Seivice for private lights. Job # 7756. OWNER: STEPPING STONE HOMES, LLC, PHONE #: 503-720-6445 CONTRACTOR: NORTHSTAR ELECTRICAL CONTRACTORS PHONE #: 503-612-0840 Inspection Request Scheduled For: Date: 6/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 031493-01 503-612-0840 Corrections/Comments/Instructions: • • X PASS I I PARTIAL APPROVAL ri CANCEL pi NO ACCESS I FAIL LI CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: _____CliNk\a i\itt Lit Date: is—V2•"66 Phone #: (503) 718- 244, CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006-00290 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Eil22.12006 Phone: (503) 639-4171 inalt Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/23/2006 TIME: 7:03A1v1 PAGE: SITE ADDRESS: 13875 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BEELER SUBDIVISION DESCRIPTION: tIeivice for private lights. Job # 7756'. OWNER: STEPPING STONE HOMES, LLC, PHONE #: 50a. 720-6445 CONTRACTOR: NORTHSTAR ELECTRICAL CONTRACTORS PHONE #: 503-612-0840 Inspection Request Scheduled For: Date: 5/23/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 106 Underground/slab cover 030379-01 603-612-0840 Corrections/Comments/Instructions: ,,PASS El PARTIAL APPROVAL Fl CANCEL fl NO ACCESS pi FAIL I I CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED Inspector: &, (0 68 LJ Date: 5 1 23/04? Phone #: (503) 718- -zoo