Permit T • CI TY O F TIGARD D ELECTRICAL PERMIT
CITY V PERMIT #: ELC2006 -00673
COMMUNITY DEVELOPMENT DATE ISSUED: 11/27/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 103 DC -01100
SITE ADDRESS: 11075 SW GAARDE ST A ZONING: R -3.5
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: (2) first branch circuits for parking lot 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: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 2 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:
FIRST BAPTIST CHURCH OF TIGARD LIGHTWORKS ELECTRIC CO
11075 SW GAARDE 19290 SW CONZELMANN RD
TIGARD, OR 97223 SHERWOOD, OR 97140
•
Phone: 503 - 639 - 3913 Contact #: PRI 503 - 625 - 1953
FAX 503 - 625 - 2890
FEES
Description Date Amount Reg #: ELE 34 -673C
[ELPRMT] ELC Permit 11/27/2001 $93.70 LIC 158595
[TAX] 8% State Surcharge 11/27/200( $7.49 SUP 3044S
Total $101.19 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 17800 332. �' ._ Issue By: k � � Permittee Signature a 1 , '`-
- 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:
CQNTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: c ______)?d ....-1-.17 /// -- ffti- ---��. 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.
11/27/2006 11:17 5036252890 LIGHTWORKS ELECTRIC PAGE 02/03
} FdR OFFICE USE ONLY .Electrical Permit ARE tV C�
Date / ; x Permit No,; rt? / z r� fj - 00 /
City of Tigard nateiv : f
13125 SW Hall Blvd„ Tigard, OR 9722 tf - t' Pinn Review pater Permit:
Phone: 503,639.4171 Fax: 503.59 Cl 2 1 2006 � ,� � � �( rt patclB ;
G. Date Itet y/Sy lu i ' Vi SIN: 'Page 2 for
Inspection trot: 503,639.4175 LITY OF TIG +RD --- '�" Notiftc _ Supplemental Information
Internet: tivtvW.ci.tigArd,Orus
rx �p >p m i •�e I r i,pv I c 1' R ' i I � ;prw I • . ,� 1 Q �1�7,I� t .
4rTr �' ' �aSJ��� iF I I � NI P � d r,� �. �t1 _ li• ?� •
u °' r111„Ea ' � + � Atd�d'' m It�Lf 3 4141, ,r i aiV . �� ill Eppl� ,�l��asJgharapply I l ' ;!.- .
New construction _
P:� Fldditiot )/aleeration /replaccmczll: le c ll t
❑Service over 225 amps, com:n'l ❑I^Iazardous location
I_ I Demolition 0 Other: ❑Service over 320 amps - rating ❑Bulldog over 1.0,000 sq. ft.,
r t /E i X I ' Tst<. (k. I f� l ,'! r t, lr g 2 ', ' �l t1 al y F , , :w 1At 7 1 t I 1 1i;1 ' i , , 1zo . $ lt1 of 1- and 2- family dwellings 4 or more new residential
i �' ' Il ' ° ❑System over 600 volts nominal units in one structure
El 1- and 2- family dwelling E Commercial /industrial ❑ Accessory building
❑Building over three stories [ 400 amps or more
0 Multi- family 0 Master builder 0 Other: ❑occupant load over 99 persons °Manufactured structures or
��..,� ��} {i t ,� -�y 16r� , 7��, '' 1rr fi rig is i 5 5i ��N �;�yY' ti'�E� j�T log" l Iy f f I i� { "� RV. park
1 r�� liCt' `; 5� ifW1i �, f�,pt g, 2p�a� i. i m�t3'l� "t,M ° �9 Ig,.,$ • ill 1� 1� r ,„ ,PffiriJS��e.: E ess/lighting p
1,s. zw .sl a tl i<. r tl' I , I .
/ ❑Health -care facility Other:
Job no.: Job site address: D 75 [ Q a l�l�e 5 Submit ,2 sets of plane with any of the above.
i �� Th above arc not applicable to temporary construction service.
City/State/ZIP: / �.Y //L- (�k '7Z y
I 1V1- { i r� n I �.'.'� '� 4' td YS i. z �trj�',t :,. : ` -'
Suite/bldg./apt. no.: Pro Project name: a
/ / �'_ � ,� �ld� I� t , !°
/ J /. -��! F1 r � = 1-�= - � DasEt'IUllnn Q {y, IIea. Tocnl
Cross street /directions to job site: qG/(, / G �j / , GiA New residential single - or multi- family dwelling unit,
Includes attached garage. 1,000 sq, ft, or less I 145,15 , 4
1 Ea. :WI sq, fl. or portion 33.40 1
Subdivision: I Lot no.: _ 75 ao 2
Limited energy, residcneial
Tax trap /parcel zto.: Limited energy, non - residential 75.00 2
Yr Y, ry �, y�v R,f, �{� r( r r ID.�,,]L'rr , vn:� 'l�l, ' I t! ^ {" t�l ' q F'��,',' .,,� �. ���,�� yySS������ _ ..._.-
i i�t�Ya "59 1t` 9� �11'!l 11 I iL ors a I D +3 EETRIi� 1 i 1T 1ENIeHR" ref, Each manufneLured or modular
dwellln , service and /or feeder 90.90 2
„� �� C-0 �� �-'` Services or feeders installation, alteration, and /or relocation
200 amps or less 80 _ 2
r, wumnrrl rr :t ro n, „ 1 "' r,'r ` ' ` +' qi ' 1� � . 201 amp to 400 amps 106.85 2
•
, t l t,' o nn�i10.1' At1.:' go ��y`rs - .%c. i ,11fit�� ,t koi:�t l di w {il .i 401 amps w 600 amps 106.60_ 2
Name: 601 amps to 1,000 amps 240,60 2
V ' M
Over 1,000 amps or volts 454.65 2
Address:
- --- Reconnect only • • 66.85 2
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 I 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 OR 447, 449, 670, and 701 401; amps to too amps 133,75 2
• Owner signature: Date: Branch circuits - new alteration, or extension, per panel
t'ii a r lu {l „m i 1r,llt 1 t raL s - '0 0 - 0 ' � j, � Fil ,�, A. F CC for branch circuits with
}l t i a r. "l k �i � 1 ' i t i lfl' � i .� I I Sl ngg ? � " 8 ft1 1 3to1•,�, 1�� ; service or feeder fee, each G,65 2
Business name: f, D, ,�- e/, _ /(, e, y vwa r 2,y branch circuit
B. Pee for branch circuits
Contact name: K) fC p/ ef � without service or feeder fee, 46,85 Vii,.. ,70 2
each branch circuit
Address: / / 'Q J ' Ii b . A /2..0a G- Each add'l branch circuit 6,65 2
City /State /ZIP: . , cod r 67 / D Miscellaneous (service or feeder not included) -
Pump or irrigation circle 53.40 2
Phone: ( 0 , 5 5-3 Fax: : (503 & 2 5 26 90 Sign or outline lighting 53.40 2
)3 mail: t ,i ,. s,� ? mo t^ , 'rat .�5' ,� ./ ` /'7 , c i 7 ��a tit Signal circuit(s)orlimi limited-
2 1.` f_ 1 `6O W 4hi"'1tt ia�1'1a�a�>�. .� i'ii it }�llrs'W;i li:li3 €ilsil�E , oj�tl;:�' cncrgYp
t
/ f r
extension. Describe Page 2 2
�L
BUSinoss name: j J �n �-h1(, � 12 0 L.
Address: 412,_ , ` Pi/ /�-- =- . / Each additional inspection over allowit.ble in any of the above
Per inspection G ?.SO
City/State/ZIP: / ,jie„),o a 0 /e__, q-7 q_ D _ Investigation per hour (1 hr min) 62.50
Industrial plant per hour 73.75
Phone: (50 C 2_5 /j > Fax: (51 _ 2-5 Z I L' to PT '-. ` ,;,t> a 1i ' ra I't tv,v hii; ,�t:
t ., E
} a . his 1,�:''; r.
CCB Lie.: /6 Electrical Lic.: , S, 2 11-- 3uprv. Lie.: Zb .(tS Subtotal q 3, 70
Suprv. Electrician signature, required- M �� Plan review (25% of permit fee)„ -19-'
Print name: {� State surcharge (8% of permit fee) 1. 4-/ /
1`0 / 01! Date: / / -Z) —( TOTAL PERMIT ME
/0/
Authorized signature: . 4 C This permit applies flan expires If a permit is not obtained within 180
days after it has been accepted ai complete
Print name: ri - ` , Date: / / - ,7— - Foe methodology set by Tri- County Building Industry Service Hoard
-• Number of inspections par permit allowed,
i;t u' ildins \P!tivii4St.C- PermitApp.doc 12/05 440- 4515T(IoIovcOM /W135
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006- 00673
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 11/27/20016
Phone: (503) 639 -4171 volt
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/26/2007 TIME: 7 :Q0AM PAGE: 25
SITE ADDRESS: 11075 SW GAARDE ST A CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: FIRST BAPTIST CHURCH OF TIGARD
DESCRIPTION: (2) first branch circuits for parking lot lighting.
OWNER: FIRST BAPTIST CHURCH OF TIGARD, PHONE #: 503 - 6393913
CONTRACTOR: LIGHIWORKS ELECTRIC CO ■\ f PHONE #: 503 -625 -1953
Inspection Request Scheduled For: Date: 1/2612007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 042577 -01 503 - 625.1953 Y
Corrections /Comments/ Instructions:
. L A PASS PARTIAL APPROVAL n CANCEL NO ACCESS
CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: GIN N . Date: ( " d Phone #: (503) 718- 2
`
/ CITY ������0��������
' ��n m n OF n o���mnn�*
I - BUILDING DIVISION . PERMIT #: EL[2006-0067
13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 11/27V2006
Phone: (503) 639-4171
Inspection Roque�u(24Hmj:(503)83O'4175 ~ Ja� *11.
INSPECTION WORKSHEET FOR DATE: 1/15/2007 TIME: 7:09AM PAGE: 6
SITE ADDRESS: 11076BVV0AARQE ST A CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: FIRST BAPTIST CHURCH OF TIGARD
DESCRIPTION: (2) first branch circuits for parking lot lighting.
OWNER: FIRST BAPTIST CHURCH OF TIGARD, PHONE #: 503-609-3913
CONTRACTOR: L|SHTVVORKS ELECTRIC CO _ 0x*G. _, PHONE #: 503-625-1953
Inspection Re uest Scheduled For: Date: 1/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 042177-01 503-625'1953 Y
Corrections/Comments/Instructions:
`
PASS PARTIAL APPROVAL CANCE — 0 NO ACCESS
n FAIL [ | CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED
—�\ ���' A ��c � �' \ \ 1
Inspector � r � (c.54-.0
D��a� o ~ \ \\ / Phune#� (5O3> 718' ' Date: � \ ~/ � #: ` '
CITY OF TIGARD
.....
BUILDING DIVISION . PERMIT #: ELC2006-00673
13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 11/27/2006
Phone: (503) 639-4171 "whidti I act\
Inspection Requests (24 Hrs.): (503) 639-4175 ,„1.11- 11.
INSPECTION WORKSHEET FOR DATE: 1/8/2007 TIME: 7:00AM PAGE: 14
SITE ADDRESS: 11075 SW GAARDE ST A CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: FIRST BAPTIST CHURCH OF TIGARD
DESCRIPTION: (2) first branch circuits for parking lot lighting.
OWNER: FIRST BAPTIST CHURCH OF TIGARD, PHONE #: 503-639-3913
CONTRACTOR: LIGHTWORKS ELECTRIC CO - PHONE #: 503-625-1953
Inspection Request Scheduled For: Date: 1/872007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
195 Misc. inspection 041896-01 503-625-1953 N . ..•
11 7 iNkij /
Corrections/Comments/Instructions: .5
7 22%
-.a itiMill • riv..., 'X.5 &Ik telA,11; .,.._,ie Ar AIM_
. .' wrinler wi
.1( '' 1 .
/
Q W . - ■ , S I R - 6 - c i t s m . ) ' a V o g o \P cob) 1 1 005 ANA)
---- ratc10 0 a m .s{4,a, 1- i . . fv P
16 Js. iNO V, e. - 3 -
.. cfst,iier W 511 s A tA
k-pizAff E 64v) i re,isre.d11.,
PASS n PARTIAL APPROVAL CANCEL El NO ACCESS
X FAIL CALL FOR INSPECTION l ADDITIONAL FEES ASSESSED
Inspector: r ' a 1_ Date: \ 2 q) Phone #: (503) 718-Alo .
•
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2006.00673
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1112712006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/22/2006 TIME: 7:00AM PAGE: 31
SITE ADDRESS: 11076 SW GAARDE ST A CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: FIRST BAPTIST CHURCH OF TIGARD
DESCRIPTION: (2) first branch circuits for parking lot lighting.
OWNER: FIRST BAPTIST CHURCH OF TIGARD, PHONE #: 503,639.3913
CONTRACTOR: LI GI ELECTRIC CO PHONE #: 503-625-1953
Inspection Request Scheduled For: Date: 12/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
116 Electrical service 041453-01 503-625-1953
Corrections/Comments/Instructions:
\-\ V,SOW VY3 ' 3 19 n 3ii
RI' 300 Q,NoL..- u 1/471(1. 10Tre1/41.1.-E k)‘) 21514)
clod- o6E. - IN WEI' Loc- NN‘S.
c) NLL 6L A c_t)N Nri - clIfsis N6 he
- 7ag--vvv\ o0 604-L. eiTAM'e0 Fs4--
\-f-A. \-c.: or\V . Psa I 0 ,3
"A • • fl PARTIAL APPROVAL I CANCEL I I NO ACCESS
0 FAIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: 4 $ Date: t)b Phone #: (503) 718- V*
•, „
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00673
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/27/2006 .
Phone: (503) 639 -4171 / Inspection Requests (24 Hrs.): (503) 639 -4175 W IL.
INSPECTION WORKSHEET FOR DATE: 11/29/2006 TIME: 7 :04Ap+ PAGE: 36
SITE ADDRESS: 11075 SW GAARDE ST A CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: FIRST BAPTIST CHURCH OF TIGARD
DESCRIPTION: (2) first branch circuits for parking lot lighting.
OWNER: FIRST BAPTIST CHURCH OF TIGARD, PHONE #: 503 - 639 -3913
CONTRACTOR: LIGHTWORKS ELECTRIC CO PHONE #: 503- 625.1853
Inspection Request Scheduled For: Date: 11/29/2006 Pour Time:
Code # Inspection Description *-) Con firm # Contact # Message
105 Undergraund/slab cover 0 40380 -0'1 503 - 625 -1953 ¥
_.-----........„)
Corrections /Comments /Instructions:
I I PASS a PARTIAL APPROVAL I I CANCEL I I NO ACCESS
Il FAIL El CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: of 68t Date: 2 Phone #: (503) 718- 2.'t J L,.
' CITY OF TIGARD
BUILDING DIVISION „,,k1 PERMIT #: ELC2006- 00673
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/27/2006
Phone: (503) 639 -4171 itm�i i�y �� Inspection Requests (24 Hrs.): (503) 639 -4175 ' __L
INSPECTION WORKSHEET PAGE:
ECTIO EET FOR DATE: 11/28/2006 TIME: 7 :03A�i1 35
SITE ADDRESS: 11075 SW GAARDE ST A CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: FIRST BAPTIST CHURCH OF TIGARD
DESCRIPTION: ( first branch circuits for parking lot lighting.
OWNER: FIRST BAPTIST CHURCH OF TIGARD, PHONE #: 503 -639. 3013
CONTRACTOR: LIGHT1WORKS ELECTRIC CO PHONE #: 503-626-.1953
Inspection Request Scheduled For: Date: 11/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 Underground /slab cover 040310 -01 5503- 625-1953 V
Corrections /Comments /Instructions: 'I ° r>1 w
C3— 36l. 9 3q3
• ,
0 eik.t5 18" oniw crvm AQty - ALL
coofs\)% I w pLArama, kqA7t1N . Ik 4 31bk& --
N o
PRv\�>• 2-`s" y■ni N c va(L, pkR3
c-t) i A) I s IA P e.a ' I b Cz;I V W A s 3 i 6
I PASS ❑ PARTIAL APPROVAL n CANCEL I I NO ACCESS
FAIL 15<CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • V 6(e ) Lt Date: 11 06 Phone #: (503) 718- ALL_