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Permit A OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -10049 DEVELOPMENT SERVICES DATE ISSUED: 3/15/2006 ' I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S133CA-GWTRA SITE ADDRESS: NO ADDRESS TRACT "A" ZONING: R - 25 SUBDIVISION: GABRIEL WOODS LOT : TRA JURISDICTION: TIG Project Description: SERVICE FOR 2 PRIVATE 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: 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: WINDFALL CONST AND DESIGN NORTHSTAR ELECTRICAL CONTRACTORS 23281 SW BOSKY DELL LN 19450 SW CIPOLE RD SUITE 107 WEST LINN, OR 97068 TUALATIN, OR 97062 Phone: 503 - 638 - 5068 Contact #: PRI 503 - 612 -0840 FAX 503 - 612 -0891 FEES Description Date Amount Reg #: ELE 34 -359C [TAX] 8% State Surcharge 4/4/2006 $6.42 LIC 90454 [ELPRMT] ELC Permit 4/4/2006 $80.30 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 By: Permittee Signature: L 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. 10/2006 17:47 2036120891 NORTHSTAR PAGE 01/03 �lectri al Ter • • --A I 1 lication FOR OFI10E USE ONLY Received � / Electrical / /`y7�{ /� J - t Datc/D ' i7 o f. • 1 Fermi io . . -. OA --- /t / J • . City of Tigard '. 1 (/' U _ I Plantang .r ov Sign Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 MAR 10 2006 Daffy. Permit No.: Phone: 503- 639 -4171 Fax: 503 -598 -1960 Post- Review Land Use 9 ' /G "' :Hii I ' Date/By: Case No.: Internet: WWW.ci- tigazd.o sg OF Ti j , r' .f �f c o n ta ct Juri 24 -hour Inspection Retyr5g� =' ` = --' see Pages 2 for �T1, . Nammi Tjc Supplemental information. g`I .+III/ jl i, I.1 Ld13L+.G S lY 1111'�I 1112 0 I'.�:g pp��� �yr� i ii i a : I • ' 1:.. i 2 • 4 &' ' I q (I�jg l no , It )� "�'j I. 1��� 9>. � 7�.IiiAfit�iti�� �191E1 � 1 bi�� ; ; r �'' 1,Ii'• ,. i� ,ti•: �Q�.�;..f �,f��7.i�G"lY�����. � 1 ii" ew construction II Demolition ❑ Service over 225 amps- ❑ Health -Care facility ' Addition/alteration/replacement ❑Other: commercial 1:1 Hazardous location ,,y� `� ❑ Service over 320 amps - rating of ❑ Building over 10,000 square feet, ''•�; .:i �' ' it ll;!lU;P .i l l`;; .="m -° l►��. r 'h;g R :e I rJa i t ill' ...: family i g residential units in r "lq ,t I � l : 1 & dwellings il�n s four or more II I & 2- Family dwelling ' I P ! Otnmercial/Industrial ❑ System over 600 volts nominal one structure 111 Accessory Building Multi-Family Ruilding over three stories El Feeders, 400 amps or more El Occupant load over 99 persons ❑ Manufactured structures or RV park Q Master Builder (1 Other: ❑ Egressflighting plan ❑ Other: _ - • • flint � 1 u, l t► � ' " �� b.'k9'�t �, tiS,��i;l�'li>�. ,i �irly MEN. Submit sets of plans with any of the above. ;'ilti1. 11.911 k u: RI� ..454dL �y The above are not a • licable to tem • orar construction service. Job site address: ■.'1_,, . D :u! �� :� ► gum i Il TILT:* a.:'l" 1111 i t � ,i t a�lur dl a'�; bf '' rR 1 �, t,� ; I:.. ■ Suite #t: • Bid • . (Apt. It: . . . . Number of bas • ectlous • er • 'milt allowed Project Name: Descri don Qty =CM Total 11 Cross street/Directions to job site: i New residential- single or inulti- fatnlly per dwelling unit. Includes attached garage. $ J , C 0 � r L(3 RO ( f Al 3 ervice inded: tN - I r� W `J N (/� 1000 3•. ft. o ica6 146.1$ IIIII r Each additional 500 sq. ft. or portion thereof 33.40 Subdivision: Lot #: Limited energy, residential 75.00 Limited energy, non residential 75.00 't ax m p a e / s alrcel #: Each manufactured home or modular dwelling • fl y Ali `� 3iB ' lit' ' VII'. I i f /i na6 s Ii"' 11 r ft k9 ,� ', 4 1 '"'1.1 --, I 31 '+ i ; i service and/or feeder 90,90 I. .9 11� }L 91 ',SSw 39. rn R , woo"' 'AS... 1 . I;{{II. \u,ItHIN arm.'∎. it hi. � 1' •', 1 11 1 11 I en= Services or feeders - Installation, / I alteration or relocation: /, �Vf IRON r 200 am . s or less 80.30 j / L ,� 201 ata.s to 400 • ■ is 106.85 i 111 { / LY 401 am .s to 600 am. 160.60 � V;i P� pk 7:7;171NR Ifs MjSi .51 ng :16' "I am.8to 1000 am.: 240.60 © Over ]000 amrm. or volts M 454.65 -8 Mime: r , .�!1! . Reconnect on1 IM 66 -85 - Address: Temporary services or feeders - installation, alteration, or relocation: City /State/Zip: 200 amps or less 66.85 Phone: Fax: 201 amps to 400 amps 100 -30 {, : ti : :0 ' i al {tr11m I 9 °�'�w 4 401 to 600 armors 133.75 Iii u 4 '9.� lag r l 1 IMV/ '& i.iJ �l I ��= � ,�,� i� iw f <, ; : OfllN Branch circuits - new, alteration, or Name: extension per panel: Address: A Fee for branch circuits with purchase of service or feeder f ee, each branch circuit 6.65 Ci /State /Zip: B. Fee for branch circuits without purchase of - - °' -- service or feeder fee first branch circuit 46.85 Phone: Fax: Each additional branch circuit 6.65 - sl . Mlsc.(Service or feeder not baclu4ed): r illrill ; ?9 °'t "1' t i I t 91 �9 1 °+i I i I! I r Each • • ca tn. :non circle . 53.40 _© W��� t? �r:fllfm ((ll,mIIIIill:9�1411Ih >ri.,' if.,m,• 1! mll�tf�a!„��,aI1 ll3l iIl 9,IENf�IllliE�� :1I I iIIII 1 -- I Ea s 1 or outli li_htin 53.40 EI Job No: _ ' Signal circuit(s) or a limited energy panel, Miliffil II Business N Northstar Electrical Contractors i' alteration or extension 19450 SW Cipole Rd, #107 } I Description: . A ddress: Tualatin, OR 97062 Cit /Sta /, (503) 612 -0840 Fax (503) 612 -0891 ' Each additional inspection over the allowable in any of the above: Lie #34 -359C CCB #190454 Metro #191) Per ins, - etion i - r hour min. 1 hour 62.50 Phone: 7- / " Oe Li.* lR -O 1 investigation fee: CC/3 Lie_ #: Lic. #: Other: nnl ,l z II x llli illillii�. li.'ff s N il�,�: �.,�I.l liti, 31�I1pd�', ==`24 =='==hill (t114,4!,'9lllill 11,ilIIIiN'?l Supervising electrician Subtotal P11 ,rte signature required: „ . e ' .0 ' Plan Review (25% of Pertitit Fee) Print Nam . � L - , ,,,;fir- A Lic. #: _ 1' S State surchar: c 8% of Permit Tice i• imp / TOTAL PERMIT FEE $ � Authorized (bb S Notice: This permit application expires if a permit is not obtain d "•`- Signature: Date:_ 180 days after it. has been accepted as complete. *Fee methodology set by Trl- County Building Industry Service Board. (Please print name) i:\psts\Permit Porms\EIcPerrnitApp.doc 01/03 • CITY OF TIGARD ,� £1 C BUILDING DIVISION PERMIT #: ,20(,- - (CO L -IF 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 /40hi140fl +l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 6-r,00,6_4_,<}—i CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 'j — a D c Pour Time: Code # Inspection Descrip ion Confirm # Contact # -Message Corrections /Comments /Instructions: • ►■ PASS n PARTIAL APPROVAL ❑ CANCEL •❑ NO ACCESS FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Criat N66 Utz Le Date: 3 21(d) ) Phone #: (503) 718- 2.4/410o CITY OF TIGARD -� BUILDING DIVISION PERMIT #:2666 — /60 l l 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 - / (0 4 ° Pour Time: Code # Inspection Description Confirm # Contact # Message J p v &/a_- D 8' 40 it Correa' is /Instructions:I 04E (Akrea- • PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS I FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ® �v teL Date: 3 k (3 Phone #: (503) 718- 2 `