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Permit sir `'CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 -00827 COMMUNITY DEVELOPMENT DATE ISSUED: 12/7/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S133CA-00200 SITE ADDRESS: 11035 SW 135TH AVE ZONING: R -25 SUBDIVISION: VILLAGE AT SUMMER CREEK LOT : JURISDICTION: TIG PROJECT: VILLAGE AT SUMMER CREEK Project Description: Electrical service for private street lights. 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: 3 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: SUMMER CREEK CROSSING LLC LIGHTWORKS ELECTRIC CO 500 EAST BROADWAY 20915 SW 105TH AVE STE A SUITE 400 • TUALATIN, OR 97062 VANCOUVER, WA 98660 Phone: Contact #: PRI 503- 691 -2959 FAX 503 - 691 -2918 FEES Description Date Amount Reg #: ELE 34 -673C [ELPRMT] ELC Permit 12/7/2007 $100.25 LIC 158595 [TAXj 8% State Surcharge 12/7/2007 $8.02 SUP 3044S Total $108.27 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 a orth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct quetions to OUNC at 503.246.6 9 or 1.80 3 Issued y: . & 7 / Permittee Signature: 411111th" a' � • / • / " ;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. P 11111. - 12/06/2007 18:02 5036912918 0 M - /a9 LIGHTWORKS ELECTRIC PAGE 02/03 Electrical Permit A, 11,01.. . f R P FOIL OFFICE USE ONLY City of Tigard !: .ev ; ' PcrmitNo.� , 13125 SW Hall BlvdTiard, OR 97223n E C 0 ? X 111.) ( C Phone: 5036394171 Fx: 503599160 ' " fl f �l'�;I ;` ('" Datc/B Other Permit: Inspection Line: 503.639,4175 clay O - t IGAn® ,. o f i - - Interact: www,C1. tigarH,nr ue 9 r]ntr l ZcndyBy. 7 0 See Page z for I' ,�t�9G°OIVISq x M Notiticti/Mcthod: ^w ( c ' p Supplemental information �,n �V I � °I� 'firr rlll I{ 0 yri S E If '. �a lA n, +�"�1 A r it'f 1 4' d�'. I �ru � r , v� � , ¢S',10.� I e1' i� A� �, "p g 1 °rt �. t ��4 �(..; J {r i } "S1 t �'19�A 7 n ! �{ � r } WOW ,y � + ';.s 114 e i f h',1V ?i dw�l'L��;1 ` 1 5 0' 'IW� S>3t +f; �� 41 4r 'J✓l i tcUih�l'i k tl N !ttif41;; : u7 �I!tl1015I Ii 1 1 � y r1 + I 4 • ,. I I gI�� I A l a i l � ? 1E r' F •�i] I i �p b a f r k New construction t.. r. I� 'Iii J~I :S' t t � ! n r s :� , . Addition /alteration /replacement ?lean check all that apply: g Demolition [� Other ❑Service over 225 amps, comm'1 ❑Hazardous location r '�ysf 1 '�i y i��' } j ) a �' d ), ,��� `l �� rtr l Tr ff1 ", ;�"� SS `` sb r / ��aTr }r a 6t I t � } I ,Ji i r 4 ❑Service, over 320 amps - rating ❑IIuildn over 10,000 s ft., ` 'Y 9y"�yii #1,'(:SL �i2hi i t f:ll' P5�tir. 6y s�Y "d> a i li a 1 r ' iii' afl K'i 1f '1 It ! 1�4 '4 I ' 1 g �l iR .,, 0; ' Accessory �,� �,,� , 1 , , of 1- and 2- family dwellings 4 or more new residential Ci 1- ',n6 2-family c�1 ri I1ing E Commercial/industrial Cl Accessory building 17 System over 600 volts nominal units in one structure `'�C" - i�i'lti- farrtily 0 Master builder .'1 Other: �, , . ❑Fluilding over three stories ©PeorJers, 400 amps or more r , z yt' l � i 417,7 i J`i , J Ate ,, itRI. , q , N'rl'3 41 f .fi rit i ., !� ( W 4 ¢ tq I Occupant load over 99 persons I..INTa7tufacttlt'ed structures or " � 'l �r t ��I ti 'r�". h, Ugh , yy ��', aI1� i; k1 � �, , ,, J �,� 1. n ,rq ?~he, to s " i .0m �{� +�ifG�, W D&gress/1iAhrinp. plan RV. park Job no.: Job site address: ` c 1-2) [� ❑Flcalth - cart facility ❑Other: ��^ '� �J Submit 2 sets of plans with any of the above. City /State /ZIP; " " _\ \ • Q On The above are not applicable to temporary construction service. I _ 1 Suite/bl y . N 1 y , 1811 1 �... .. d /a t. no.: , Pro t ` Project name: I ` i} k { f? }I �,� ij x '.6 1 " g' P ) V 2,... e_..„ 3oMlYl,Q� t, 1 � , �il i { � I. l bl�s , r,,t:4 ''!•''. ` r �f Descrlprinn J Qty. I Fee. Tatgl *" Cross street/directiorts to job site: C ��., , + - - � ) t' � `� New residential singly or multi -family dwelling unit, =� includes attached garage. 1,000 sq. it. or loss ' 145.15 ' A� Su \�'°���C, Al) v(Y•vis- r Lot no.: 6a, aa61 500 sq, A. or pardon 33,40 1 Tax JSIapipaxccl no.: Limited energy, residential 75.00 _ _ 2 l7r I ,r « �r, Limited ,non- residential 75.00 2 ?I {l l ,� t A' Vovry C` i,. +r 7 i 41 >T� Y�,u m;' 'i 1 7 i 1 1 t r ! ' • 7 tlir�r,i x�ll r ;� 'Ib + .��i r� " r i�� ,t"+ ly ml I 1 I y fig' �t ti1 1 '� 'ilsrk _ 1���rin • ', i Iki1iJ�rltu�i I r� `f�I�G,a�kl` Each manufactured rn' modular - dwellin , service and /or feeder _ 90.90 2 C \� r Services or feeders Installation, alteration, and /or relocation 200 amps or less / 80.30 . so 2 o "�,�,g ti b it fi 1yy c i,i o ; {sl' i 1 n „ t a 201 ^ a s to 400 a ,'' AIMMILdi 11 ',t i � I t i 1' 0 1111 1 ' , I J 16'!l s t , o ( Y I f 13 amps to 600 0 raps 106 2 1 I " * 401 amp amps 160.60 2 Name: _ uM Mf eEt/ C P-o55/ Co 44 4- 601 amps to 1,000 amps 240.60 2 Address: T -D 7 � y t _ 1 Over 1,000 amps or volts 454,65 2 City /State /ZIP: 4-►JC�, vl?2 Reconnect only 66.85 2 �� Temporary services or feeders installation, alteration, and /or Phone: ( ) Fax: ( ) relocation - - 200 amps or loss 66.85 1 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: Branch circuits - new, niterntion, or extension, per panel t hxy ll,,, I r ,v t i yz n f. i. 'Form. ,a'aow i . 1 i � , 1u f 1 1 t , :, � ' ` l; fi i A M isI N1 i `� �i ,l ,' , t 1' A. Fee fo t n arie h c wi Business name: service or fcc fe each l "J O( r, �, C C branch circuit 6.05 0 ; 15 2 _ B. Fee for branch circuits Contact name: without servic or feeder fcc, Address: 2f 5, _ Q 5 • \ ,, each branch circuit 46,E5 2 - a 1 Each add'/ branch circuit 6,65 2 City /State /ZIP: J r \. } . 1Vii,sceilancous (service or feeder not included) phone ( 1, 2_9 _ ; pump or irrigation circle � 53.40 2 - ' "'j ._____3_,6 _9 - 1. Sign or outline lighting at 53.40 2 . E-mail: of , x'""` \V^ ` `,5 - - 1 . .- L. C C.,4% '1 Signal circuit(s) or limited it '�7Yp t S • Tit ' 1'41 " "'i9 vor v , n y , ,I „z 01 1 11/11 � �f `i� 1 .( 11 f�� ryy �` l ?6 1�, { ur y M ` � 12}PRI ` � �' rti6 "i G emrBY panel, alteration, '' 6 ' �„ � , ,7,ru ��?�. r 1.11 err yi cxtcttsion Describe: Page 2 2 be: Pag /Business name: Ll , ' T f� \ , c __ P Address: ����`JJ t � Each additional inspection over allowable in an of the above licp'i ‘,5 \C SUt A p ..-. y City /Stoic /ZIP; 11 r� per inspection - 62,5p . • I, ` I ci o� [ - Invcs ligation per hour (t hr min) 62.50 III Industrial plant per hour 73.75 of permit CCB Lie.: EIN i „° 1, i f ' l r�r, ) .), , , ... C Electrical I ic. r i '' '���.�. I r it ill , i �,� Il,; i,�, I ; i,' t, JI 159 ? •l fl .c Suprv.Lie, :.3 c.(4S i ll, % 4 i ,, : ' s . 5u it fo f fee) ) 1 ' ?. $uprv, Electrician signature, re (25% ic e r ,1� a / / / � �� Plan review (25 1 1 State surcharge (8% of permit fee) � Print name: �tL.,..J� A e _ Date: �q 1 TOTAL PERMIT FEE /C)9 . Z71 Authorized signati. ' '" ___ _____ el This permit application expires If a parmft is not obtained within i lea Print name:��� - � �.n J days after ft het been accepted as complete ` 't f p.w, (5„Ics21. Date: (2. U,� 1 (1 * Fcc mcdmderlogy sat by Tri- County tiuildin5Industry Service Board 1 1 ** Number of inspaction. -, per permit allowed. is lBolldngkl'ormiL' LC- fennitApp•doc 11/03 440.16I5T( 10/OVcOM/WIIII CITY OF TIGARD ':i . • A ' 1 BUILDING DIVISION ilk , ' • PERMIT #: ELC2007. 00827 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 121712007 Phone: (503) 639-4171 .Avoloptili j Inspection Requests (24 Hrs.): (503) 639-4175 ,,,,,,,•• = ma 4. INSPECTION WORKSHEET FOR DATE: 4/1/2008 TIME: 7:01AM PAGE: 42 SITE ADDRESS: 11035 SW 135TH AVE CLASS OF WORK: SUBDIVISION: VILLAGE AT SUMMER CREEK LOT #: TYPE OF USE: PROJECT NAME: VILLAGE AT SUMMER CREEK DESCRIPTION: Electrical seivice for private street lights. OWNER: SUMMER CREEK CROSSING LLC, PHONE #: CONTRACTOR: LIGHTWORKS ELECTRIC CO PHONE #: 50:3-691-2918 Inspection Request Scheduled For: Date: 4/1/2000 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical seivice RE q, 067624-01 503-691-2959 N Corrections /Comments/ Instructions: --, A../ ..,, 41 PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS 0 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: C,' 06 Date: 4' 1 61 Phone #: (503) 718- 2-110' CITY OF TIGARD . .,, BUILDING DIVISION PERMIT #: ELC2007.00827 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/7/2007 Phone: (503) 639 -4171 0 Im �ylHgl l 1 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/1 TIME: 7 :01AM PAGE: 42 SITE ADDRESS: 11035 SW 135TH AVE CLASS OF WORK: SUBDIVISION: VILLAGE AT SUMMER CREEK LOT #: TYPE OF USE: PROJECT NAME: VILLAGE AT SUMMER CREEK DESCRIPTION: Electrical ti:ervice for private street lights. OWNER: SUMMER CREEK CROSSING LLC, PHONE #: CONTRACTOR: LIGHTWORKS ELECTRIC CO PHONE #: 503- 691 -29 %9 1 Inspection Request Scheduled For: Date: 2/19/2008 Pour Time: Code # Inspection Description Conf •• : Contact # Message 115 Electrical service f' 157 -Q1 503.691 -2959 N Corrections /Comments /Instructions: o 7 +yaT N vvc L L o Iry sue. L EAST (?)% s10 ( WV, 1%x.3 C�) _ PASS — PARTIAL APPROVAL ❑ CANCEL Ill NO ACCESS XF AIL ACALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G---, 0 (1 L-6 Date: 1=1 c l' v v Phone #: (503) 718- 1-ti%' CITY OF TIGARD - - BUrLDING DIVISION PERMIT #: ELC200•.00827 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/7/2007 Phone: (503) 639-4171 1441 P11 0 iI# Inspection Requests (24 Hrs.): (503) 639-4175 Almi■ 111., INSPECTION WORKSHEET FOR DATE: 2/14/2008 TIME: 7:01AIVI PAGE: 27 SITE ADDRESS: 11035 SW 135TH AVE CLASS OF WORK: SUBDIVISION: VILLAGE AT SUMMER CREEK LOT #: TYPE OF USE: PROJECT NAME: VILLAGE AT SUMMER CREEK DESCRIPTION: Electrical service for private street lights, OWNER: SUMMER CREEK CROSSING LLC, PHONE #: CONTRACTOR: LIGHTWORKS ELECTRIC CO PHONE #: W3-691-2%9 Inspection Request Scheduled For: Date: 2/14/2008 Pour Time: Code # Inspection Description --- Confi?rn. Contact # Message 115 Electrical service 06,4995.01 503.691-2959 Corrections/Comments/Instructions: 51 4 (110 €0 S IO n PASS El PARTIAL APPROVAL CEL fl NO ACCESS n FAIL fl CALL FOR INSPECTION 10 •NAL FEES ASSESSED Inspector: 0(Se LE Date: , * -11 1„' 61) Phone #: (503) 718- Viti1/4) . . . . �- CITY OF ^ ��nn w n�`m TIGARD ^ -` �� ,, ���KU ��K��� DIVISION � ' - ~�~°.~~~°,,�~° ~�.°"~,"~~"~ . PERMIT #: ELQ2007-OO827 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 13y7/2007 Phone: (503) 639-4171 elotdi :. Inspection Requests (24 Hrs.): (50] ) 639'4175 °�A , � INSPECTION WORKSHEET FOR DATE: 1/11/2O08 TIME: 7:01AM PAGE: 50 SITE ADDRESS: iiDJ5EW13GTHAVE CLASS OF WORK: SUBDIVISION: VILLAGE AT SUMMER CREEK LOT #: TYPE OF USE: PROJECT NAME: VILLAGE AT SUMMER CREEK DESCRIPTION: Electrical service for private privade street lights. OWNER: SUMMER CREEK CROSS LLC, PHONE #: CONTRACTOR: L| GMTWORKS ELECTRIC CO PHONE #: 503 Inspection Request Scheduled For: Date: j/11/20O8 Pour Time: Code # • Inspection Contact # Message 105 UndmQmund/sl@6umam 503-691-2969 N Corrections/Comments/Instructions: V PASS __ RART|ALAPPROVAL 0CANCEL NO ACCESS . 0 FAIL 0 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: C. m\66 ' ~— � N11 01