Permit z', A^ CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: 00239
Ali i DEVELOPMENT SERVICES DATE ISSUED: 4/6/2005 2
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S109DA SR2_TRK
SITE ADDRESS: SW NO ADDRESS TRACT "K" ZONING: R - 7
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT : OOK JURISDICTION: TIG
Project Description: Pathway lighting.
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:
DON MORISSETTE COMMUNITIES LLC NORTHSTAR ELECTRICAL CONTRACTORS
4230 GALEWOOD ST. STE. 100 19450 SW CIPOLE RD SUITE 107
LAKE OSWEGO, OR 97035 TUALATIN, OR 97062
Phone: 50.3- 387 -7538 Phone: 503 -612 -0840
FEES Reg #: LIC 90454
ELE 34 -359C
Description Date Amount SUP 661S
[ELPRMT] ELC Permit 4/6/2005 $80.30
[TAX] 8% State Surcharge 4/6/2005 $6.42 REQUIRED ITEMS AND REPORTS
Total $86.72
•
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 - 246 -6699 or1- A•4 -33 2344. p) � r
Issued By: / c�� ,� �.z Permittee Signature: o— T � ���
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
eCi�I'gCa� • Per i, lei r ,..5:, , 1 ,!.' .. .. _ --a . n - FOR OFFICE USE ONLY
Received�l /� Electrical r//JJ p y±
17atelB / �( � � () Permit No,-,4 7C-- 0 � — °°l/j9
City of Tigard APR U Planning A•pro al Sign
2005 I�ate/15y: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 Dater y: Permit No.:
Phone: 503 - 639 - 4171 Fax: ga - e . RD Post- Review Land Use
*to. Date/By:
Cast No.:
Internet: www.ci.tigard- or.uuiILDING DI
VISIO y
■ U,. 6. Contact J ris„ E3 See Page 2 for
24 - hour Inspection Request: 503 639 " "
Natne /Method; /4 Supplemental Information.
•
.. •' • " : ,'" ' 'TYPEhOF : 1,YORIC.' `:.:;? . .. . PLAN REVIEW '(Please . ; thit'$ • ck illPPi ) '
lIqlew construction ❑ Demolition ! ❑ Service over 225 amps ❑ Health -care facility
commercial 0 Hazardous location
• Addition/alteration/reslacement O. Other: • • ❑ Service over 320 amps -rating of 0 Building over 10,000 square feet,
CAT.EGORY:;OF CONSTRUCTION ` *. :' ; . ; ;::.. . , 1 & 2 family dwellings four or more residential units in
1 & 2- Family dwelling 2ommercial/Industrial ❑ system over 600 volts nominal one structure
[( Building over three stories 0 Feeders, 400 amps or more
Accessory Building ❑ Mtlti- Family ]Occupant load over 99 persons Q Manufactured structures or RV park
• Master Build ri Other: ❑ Egress/lighting plan ❑ Other :,
•• i „ ., - •� i ti; ,.
. , . Submit sets of plans with any of the above.
' hid .OB ITE'INFO • xYQ alit .O'0:91YCON
- The above are not Applicable to temporary construction service.
Job site address: , ; *, • F ,r�• .
Suite #: B • /A •t. #: Number of inspections per permit allowed
Pro'ect Name: 1 Ale /) .0 ■ Description `Qty pee (ea-) Total
Cross strt;e erections to job site: New residential-single or multi - family per
dwelling unit. Includes attached garage.
3 4 a'/ /"' h F Service included:
"'✓✓✓ �� `� 1000 sq. ft. or Ices 145.15 4
s- p
✓Ai-W L /y /Cj, c/� Each addittostal 500 ft- or portion therepf 33.40 3
Subdivision: ` / f Lot #: t Limited energy, residential 75.00 2
TM,.._ Limited energy, non residential 75,00 2
Tax map/ • arcel #: Each manufactured home or modular dwelling
v .. ",.: 1 }- } q .; ,,, :, , service and/or feeder -
?�u ;; ., . -i�� • ;�75�', .
'?, �I' �� '���Nt�Op'VX�ORK�� ;.t1•,.:. <�� ;.�.:t,�. _ 2
' ,� Services or feeders - Installation,
alteration or relocation:
200 amps or less / 80.30 yi 2
• , • 477/ a - 201 amps to 400 amps 106.85 2
l 401 amps w 600 amps 160.60 2
r t ,'„ 601 amp
P,RUIE'sX t r,. , ;sl: :i < „'° ;!;CE11T1`ix 'a1; +r ssl:rt1J' ..., s to 1000 amps 240.60 2
Over 1000 amps or volts 454.65 2
Namc: "Reconnect only 66.85 2
Address: Temporary services or feeders - installation,
- alteration, or relocation:
City /State /Zip: 200 amps or less 66.85 1
Fax: 201 amps to 400 amps 100.30 2
Phone: .� u Ito 600 amps 133 -75 2
.
:'D APFL�CANT��1i�:'” a ? ,' , � , •'• ;:!: ;!� 4n . G01�LTACTiiI}��RSO :. ;.:
Branch circuits - new, alteration, or
Name: extension per panel:
Address:
— " A. Fee for branch circuits with purchase of
service or feeder tAe, each branch circuit 6,65 2
City /State /Zip: 5. Fee for branch circuits without purchase of
service or feeder fee, first branch circuit 46.85 • 2
Phone: Fax: Each additional branch circuit 6.65 2
E - Misc.(Service or feeder not included); •
^l' .:::1' .: • ktli;it? . A -`CIO •'Alii r '`' Each pump or irrigation circle 53.40 2
°' " >a1<,. Each sign or outline lighting _ 53,40 2
—
Job No NorthStar tlectrical Contractors Signal circuits) or a limited energy panel,
Bilsinet 19450 SW Cipole Rd, #107 alteration, or extension Page 2 _ 2
Tualatin, OR 97062 Description:
Addres ( 612 -0840 Fax (503) 612 -0891
city �st Lie #34 -359C CCB #90454 Metro #1911 Each additional inspection over the allowable in any of the above:
1 -/ -to (v s f /q Per ins pectio pe
n r hour (min. I how) I 62.50
Phone: Investigation fee:
. CCB Lie. #: IC. Other:
Supervising electrician ,; s #:� EIecttiical'Fem- btotal $ .'� . s1
signature required: . Plan Review (25% of Permit Pee) $ .
m(j E, p � State Surcr c S% of Permit Fee
Print Nam Lic #: c _ _ State ( Fee) $ •
/ 0 - - ' 0 "1 TOTAL PERMIT FEE $
Authorized Notice: This permit application expires ifa permit is n,tt ained'wi in
Signature: Date: 180 days after it.has been accepted as complete.
'Fee methodology set by Tri- County Building Industry Service Board.
- (Please print name)
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CITY OF TIGARD
BUILDING DIVISION .. PERMIT #: ELC2005.00239
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/612005
Phone: (503) 639 -4171 �"ir'�9P����Iq� @1�'I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/8/2005 TIME: 7 :10AM PAGE: 74
SITE ADDRESS: SW NO ADDRESS TRACT "K" CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT #: 00K TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE
DESCRIPTION: Pathway lighting.
OWNER: DON MORISSETTE COMMUNITIES LLC, PHONE #: 60.3 -387 -7538
CONTRACTOR: NORTHSTAR ELECTRICAL CONTRACTORS PHONE #: 503- 612 -0840
Inspection Request Scheduled For: Date: 4/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message 1 /
199 Electrical final 004113 -01 503 -612 -0840 N
Corrections/Comments/Instructions:
L ��L StAe V /C- /) AP/2 -& 1/44 A.f /z
•
P ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 604 Date: Phone #: (503) 718-