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Permit CITY OF TIGARD ELECTRICAL PERMIT it PERMIT #: ELC2008 -00095 COMMUNITY DEVELOPMENT DATE ISSUED: 2/21/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 109A D -08600 SITE ADDRESS: 12765 SW BUGLE CT ZONING: R -7 SUBDIVISION: ELK HORN RIDGE ESTATES LOT : 030 JURISDICTION: TIG PROJECT: RANKIN Project Description: Repair service for private street lighting. RESIDENTIAL UNIT TEMP SRVCIFEEDERS 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: JANET RANKIN NORTHSTAR ELECTRICAL CONTRACTORS 12765 SW BUGLE CT 19450 SW CIPOLE RD SUITE 107 TIGARD, OR 97223 TUALATIN, OR 97062 Phone: Contact #: PRI 503 - 612 -0840 FAX 503 -612 -0891 FEES Description Date Amount Reg #: ELE 34 -359C [ELPRMTI ELC Permit 2/21/2008 $80.30 LIC 90454 [TAX] 12% State Surchar 2/21/2008 $9.64 SUP 661S Total $89.94 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: Algr 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. t .cus 1 s. a >r_ tic , : , li - ._ . , Oily 4� Tigard q. 1. . , r r , r , ,I t f ,, \ t 1 ' 13125 SW tf iil Blvd„ Tigard; OR 97223 ' • : �� �/ Pennit.MI, L i plums; 503.639.4171 Pax: 403.998,1960 GC�CXI�— lnspactidm Linn; 03,094175 2 !• �: Mar Pamir: Intttmct; www,tigard- or.gov or -a � � 1 � erErtwn� r" 5�e8a 1 for or `t s ■nom al irar>,,,no® Now construction �- t 2 ? . .:. JpJt AIN e u :.,. , Addition Bit t ; pop /r �itf rr ant 3 ; . Please chock ell thin app y au. m 1 . acts • pleas w /imrnr checked below); U Demolition Y, Other: .s.= �X 1 �� - ` 1 s' c-; J( i - ❑ Service at feeder 400 amps or moTC D Building aver throe Nudes. „ 4 sea the evall4bla Milt Gwent in Marinas and boatyards. ' CATEGORY OP C4 'SUCTION . : execute 1000 carpe at ( So yr its at ❑ Float►ntp buildings. 1- d - fbmii,y dwelling Commercial/industrial For Aedxttaory building leas to emceed, or meads 1400 0 Commercial -use agricultural i - i'amil all Mho' igWal)wllona. buildings. Multi (_] Master builder 0 Other. ❑Pirr 0 hittniWI0„ 0175 KvA or d t317 L 4>l1tMATIbPf wet ow .. Q Emagoncy system, larger sepa rately derived system. © Additim *New motor foul or In "A ". "PI ", "1,2 ". "14 ", Job no.: Job site address: Y rL nool9Per °emp toy. 0 Six or mnave rosidertnnl weirs, l:1 Recreational whivlo parks. C /S Z - GI>iuhh.omo f'citirie.s, 0 Supply valiga for more than 1244. CI Retadoan lvtattieni, 600 volts torninel. Suite /bldg, /apt. no.: Project name: /Q.. / Sasenflot or reader 600 amps or meta, Cross etreet/direetionn tn site: i1 '' ,l) josr ..�.� i l''1 g 6. 17:161 veer ! 02-2 r ■ New ddi attached Angie gars or mu _miry dwelling unit. rJaeal ■eane garage. Subdivision: Lot no.- 1.000 sq, R, or less 145 , 15 4 TUX map/parcel no.: ""' 13 . add'I 50(71 sq, R. or pc on 39.40 p -• .. Lttnited energy, tealciential ' rilVAr:UIPTrON OP WORK • with a tT. 76.00 2 .. 141/1„ o ‘g / / ', m tc annr multi-famlly 7s,00 2 � tesldeetial with above et. 8.) / ' I ' 1 V Cr d . pi /A/17— Benito or ylrs tali non, efuuatla , and/or .. . d. Cl PROPERTY OWNER 200 imps or lees _ ...Y 50.30 / % x 0 warm . 201 m aps t o 406 amps 105.85 t! 2 Name: L . / ,' l ' 41)1 ova to 600 amps 160,60 2 AdQresa: L /�{ bt31 amps to 1 a" 240.60 2 I b 5 I &""G / VA./ _ ova 1,000 amps or volts 454.65 , 2 City /Sto.t:o /ZI1: 1 &71 LD I'/0_ „ -i rt catio asrvlaa4 nr feeders lueatlttttata, ■Itasaltlun, and/or Phone: ( ) Fax: ( ) 200 amps or less ., 66.85 1 Owner leaf thstions Thin installation Is being nlado on property dint 1 own which is not 201 amps to 400 amps 100.30 7 intended for sale, lease. font, or exchange, according to ORS 447, 449.670 and 701, 401 amps to 999 tamps 133.79 2 . A Owner signature; ..... _ Date: Broach &retake — new, attention, on, or exttnsio rrjiitae1 0 3'PLICANT A. Pee ftrr�rnmtih nGnufta with Q: CONTACT PERsor4 above service or feeder Rte, 6.65 2 each branch circuit _ Business name: B. Fee for branch eireulbA without gamier or feeder fee, Contact name: 46,63 2 first branch circuit Address: / / Each add'I branch circuit 6.65 2 • or hider n ti . laded City /State /711: t : PI maw. gyred or modular III 90.90 11.11 2 Phone: ( ) Fact: ; ( ) — ! _�' r ihvnitin service and/or lixdcr . , Roaotutect only 66.85 Mill 2 Small: i Pum , or on . , . ion circle 53.40 MEI 2 Business n -- CO 1 I . Siam or outline ilghtInf 040 _ 2 erne: Signal cirt:uit(s) or limited- """ Nnrtli8tm Electrical Contractors any pool, alteration, or Address; 19450 SW Cipolr: Rd, 4107 catenalon. neorlbe: Page 2 2 CiiylStiatelZ.I1: Tualatin, Olt 97062 -- _..� (503) 612 - 0540 Fax (503) 612 - 0591 ■t1 rddidoul inspection over allmrsbk In an of tltet�l Phone: ( ) Lie 434 - 359C CC13 i100454 Metro 51911 — , Par inspection 62.50 Ilweall,a4en per hour (1 hr min) 63,50 • CCI3 Lie.. Electrical tic.: Suprv, Lie.: industrial plant per hbvr 73.75 . . . ELECT111CA1`, PERMIT ' ' ' Suprv. Electrician signature, required: r/ / Pion review (25%ofParent fee): Print name. ta m: D fJ s tate euroharpa (1216 or permit ibe); ' C47 Authorized signature; /3L PERMIT F66: 0 ri i , b ate:Z °' V / p eirmkappalrattnn urpf'roa ifs pernskZl Sat �S Print name: . dare lifter k N■I been �aeephd as entlt Number aierneottani allowed pa permit. I 13■I1dltVermNm/gLC NermhAppdoc 05/23/66 bD /Nr3t(11/O9COIYi g Id ',kill? :2O 800E TE 'gad : '0N Xdd : WOeld --- CITY OF TIGARD 1, BUILDING DIVISION . - - PERMIT #: ELC2008-00095 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/21/2008 Phone: (503) 639-4171 , Atiliti it\ Inspection Requests (24 Hrs.): (503) 639-4175 T INSPECTION WORKSHEET FOR DATE: 3/21/2008 TIME: 7:01A1Vi . PAGE: 20 , SITE ADDRESS: 12765 SW BUGLE CT CLASS OF WORK: , SUBDIVISION: ELK HORN RIDGE ESTATES LOT #: 030 TYPE OF USE: PROJECT NAME: RANKIN ( DESCRIPTION: Repair servic:efor private street ligtrting. OWNER: RANKIN, JANET PHONE #: 503-206-6721 CONTRACTOR: NORTHSTAR ELECTRICAL CONTRACTORS PHONE #: 503-612-0840 Inspection Request Scheduled For: Date: 3/2112008 Pour Time: Code # Inspection Description Confirm # Contact # Message •159 Electrical final 067133-01 503-612-0840 N Corrections/Comments/Instructions: - ( 'ASS 7 PARTIAL APPROVAL 7 CANCEL 7 NO ACCESS I I FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: d4 Date 2 /- e Phone #: (503) 718- •