Permit e
CITY . O F T�G/�F�D ELECTRICAL PERMIT
Iiig&"'":
COMMUNITY DEVELOPMENT Permit #: ELC2010 -00341
Date Issued: 07/07/2010
ji.dARtj 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S109DA18000
Jurisdiction: TIGARD
Site address: 15243 Summerview
Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 109
Project: Arlington Heights
Project Description: (1) branch circuit.
Owner: FEES
STONE BRIDGE HOMES NW, LLC Quantity Description Date Amount
16869 SW 65TH AVE., #505
LAKE OSWEGO, OR 97035 1 crt Branch Circuits 07/07/2010 $56.18
wo /Purchase Service or
PHONE: 503- 387 -7577 Feeder
1 ea 12% State Surcharge - 07/07/2010 $6.74
Electrical
Contractor:
LAUGHLIN ELECTRIC LLC
3 MONROE PARKWAY STE P PMB205
LAKE OSWEGO, OR 97035
PHONE: 503 -449 -7389
FAX: 503- 639 -0077
Type of Use:
Class of Work: Type of Const:
Occupancy Grp:
Total $62.92
Required Items and Reports (Conditions)
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State' of OR. Specialty Codes and all other applicable law. 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 the 180
days. ATTENTION: Oregon law' requires you to follow the 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 obtai. - cop' yof the r0 - s or direct questions to OUNC.by calling 503.246.6699 or 1.800.332.2344. C
!
Issued r - _ - Permittee Signature: `
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' Date:
LICENSE NO.
CaII 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.
n CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2010 -00341
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/07/2010
Parcel: 2S109DA18000
Jurisdiction: TIGARD
Site address: 15243 Summerview
Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 109
Project: Arlington Heights
Project Description: (1) branch circuit. 10/19/2010: Add (1) 200 amp service & reprint permit.
Owner: FEES
STONE BRIDGE HOMES NW, LLC Quantity Description Date Amount
16869 SW 65TH AVE., #505
LAKE OSWEGO, OR 97035 1 ea Services or Feeders - 200 10/19/2010 $100.70
amps or less
PHONE: 503 - 387 -7577 1 crt Branch Circuits w /Purchase 10/19/2010 $7.42
Service or Feeder
1 ea 12% State Surcharge - 10/19/2010 $12.97
Contractor: Electrical
LAUGHLIN ELECTRIC LLC
3 MONROE PARKWAY STE P PMB205
LAKE OSWEGO, OR 97035
PHONE: 503 -449 -7389
FAX: 503 -639 -0077
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $121.09
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180
days. ATTENTION: Oregon law requires you to follow the 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 a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. /
Issued By: t
Permittee Signature: '✓ � j e_��%V 0
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' Date:
LICENSE NO.
CaII 503.639.4176 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.
•
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4 S �t h � 4 Y+ V 0 10 Date/B Other Permit: ?!1'� . r r
�" ft ��1Y Phone: 503 639 4171 fax: 5037LTL9 2 � - .
` ,k, s ,1 I nspection Line: 503 639 4175 • Date Ready/By: See'Pa e 2 for
hr1 Page
3 , & aumt Internet:: www.tigprd or.gpv rl TI(� 3eiD NotaficNMcthod: � �
� M SuppentdInformation
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. TIPEIOF IWOBKUIUISION PLAN REVIEW __
J4 construction ❑ Additititl /alteration/rcplacemcnt Please all that apply (submit 1 sets f lane w /itptna checked below);
❑ Service or feeder 400 amps or more 0 Building over three stories:
(] Demolition 0 Other:
where the available fault current Marinas end 6o ds.
y
CATEGORY OF 'CONSTRUCTION exceeds 10,000
CATEC amps at 150 oohs or ❑ Floating buildings.,
1- and '2 - famil dwt ltin g ❑ Commercial /industrial less to ground, or exceeds 14,000 ClCommercial -use agricultural
❑ Accessory building =Ps for all other installations. buildings.
❑ Multi-family ❑ Master builder ca Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ °A ", "E " I -2' , "1 -3 ", ,
Job no.: Job site address: IOOHP or more. occupancy.
I a 2 wwraidk• Dr' ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: 7� � � ❑ H ealth c ar oacricnss. CI Supply lly voltage f r,morethan
nominal.
Suite/bl /apt no.: Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site:,
J.: 4rr. ' J Fee. . " l Totwl 1 .
5 Z y `5 New residential - single- or multi - family - dwelling unit.
wvy, er- V t ,evJ OC . Includes attached garage.
Subdivision: Lot no. 1 C / 1,000 so. R or less 168.54 4
/ Ea. add't 500. sq, ft or portion 33,92 1
Tait map/parcel no.: Limited energy, residential
67:84 2
DESCRIPTION OF WORK (with above sq..ft.)
! Limited'energy, multi- family
J { 1 ) C P 1/ Ac -s residential (with above sq..It) 67.84 ' 2
f ws t a i r f � .
Services or feedersiastatlation; atteriitlan, and/or "relocatleti
200 amps or' less - .. " ' 100.70 2:
J PROPERTY OWNER I ❑ TENANT 201 amps to 400; amps 13356 _ 2
� ��/ 401 amps to 600 amps 200.34 2 2
Name: t)(2,A klortselie° 14,...4_5 601 amps to I,o00 amps 301.64 2
Address: Over I,000;amps or volts 552.26 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax:.( ) 200 amps or Tess 59.36 1
- . 4 2
201 am to 400 amps 125: 0
Owner installation: This installation is being made on `property I own which is not
401 amps to 599 amps 168.
54 2
intended for sale, lease, rent, or. eitchange, according to ORS 447, 449, 670, and 701. _ „ -
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for bnurch circuits with
0 APPLICANT above service or feeder;fee
❑ CONTACT PERSON 7 2
e ach branch circuit '
Business name: L Lt 6 ervair 13, Fee for branch circuits without
ipi service or feeder fee; first
Contact name: branch circuit 56,1 Sf 1a 2
Each add'tbtanch circuit 7.42 _ 2
Address: MIscellaneous feeder not included)
.City/State/ZIP: Each manufactured or modular 67:84 2
dwelling, service and/or.feeder
•
Phone: ( ) Fax:: ( ) Reconnect only. 67:84 _ , 2
Pump or tmgation circle 67.84- 2
E-mail: Sign or outline lighting 67.84 2
CONTRACTOR. Signal- circuit(s) or limited -energy
l ) at�r 7e . GG� panel, alteration, or extension. Page 2, 2
Business -name:
° " Each additional.Iospection over allowable in any of the above
Address: A dditional inspection (1 hr mini 66.25/ hr
3 A9 e D�o.k . ,� S.l P 205 I ( )
investigation (1 hr min) 66.25/ hr
City/State/ZIP: , L fe .O OR Q7 035 I n d ust ri al plant ( 1 hr m 78.18 / hr .
Phone (543 )- 4,,. 2 0 Fax: ( 5'4 ) On? inspections for which no feeds
specifically listed ('h hr min) 90 hr
CCB Lic.: 14s763 I Electrical Lic.: 86 Suprv. Lic.: 6'o47.5 - ELECTRICAL PERMIT FEES
Subtotal: 'b.Ia
Suprv. Electrician signature, required` Plan review (25% of permit fee):
Print name: ,,,,, o f L.„,,,,51. y � i Date: 7 /g' / U Statesurcharge (12 %of permit fee):
Authorized signature: �F�¢, j `' 'TOTAL PERMIT FEE: Z
'+ j' Thls permit application expires if a permit Is not obtained within 180
days after it has been accepted as complete.
Print name: Date: 7 /s /) 0 • Number of inspections allowed per permit.
6 16,1/17 4— P , L c4-21-,kw
10/15/2010 12:44 5036826920 LIVELIGHT ENERGY PAGE 01/04
1�l11 r IVED /rtcao /0 -00.3
Electrical Permit A rmlicatil' r'OR 01 , 1.1(":1 7 . 1 till. ON1.1
City of Tigard OCT 15 2010 P`a"ht
r
13125 SW Hall Blvd, Tigard, OR 97223 Plan Review Otlur pemnir
Phone; 503.639,4171 Fax: 503.548 •IIGARD Uate/13
Inspection Line: 503.639,4175 Li YI Date Ready/By See Page 2 for
T 1 ` u Internet www tigard -or.gov BUILDING DIVISION Notified method: Suppleacxnral Iaformaaan
:OF:WO* ( ::. • G1CR>~ _
❑ Additiotl/altefatlon/re lament Please check all that apply (submit 3 sets of plane *Atoms chocked below):
❑ New construction P ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards- • . exceeds 10,000 amps at 150 volts or ❑ Floating buildings. . •• :GA f I • ' ' 6)F , CONSI • RVC ON . test to Wound, or exceeds 14,000 ❑ Commercial -use agticulnral
1 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ OtheI: ❑ Fire pump. ❑ installation of 75 K V A or
❑ Emergency system. larger separately derived system.
JOB; :5rte INFORMATION . i4.N)<1:LOCATION.. 13 Addition of new motor load of ❑ "A ", "E", "1 -2 ", "1-3 ",
100HP or more. �uP° •"
Job no.: Job site address: 15243 Summerview Dr. _ ❑ Six or more residential units. 0 • - 'noel v•hicj parks.
City/State/ZIP: Ti and OR 97223 CIHaalduarefacilitita. id • npply voltage for moret ily
ty Tigard ❑ Hazardous locations. olts na .
Suite/bldg. /apt. no.: Project name: Stone Bridge Lot 109 O Service or feeder 600 wraps • mere. 1 I die31 :L.
i
Cross street/directions to job site: • 11 E'-a�__ •
New residential single- or multi - family dwelling unit
includes attacked garage.
Subdivision: Lot 00.! 109 1,000 sq. tt or less 168.54 4
Ea. add'l 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential 75.00 2
:. : ' .6E560AION:•.0 W4l?IiC • .. e
(with v sq.
Limited energy, multi- family 75,00 2
Installation of solar photovoltaic system- residential (with above sq. R)
Services or feeders InstaAation and/or relocation
200 amps or less 1 100.70 100.70 2 • • • ,:::': • 170h°ERf WNER: 0 IE NANT 401 a to 1,000 amps zW,34 301.04 2
2
Name: r S'Ta� Q /J " � , L � -��
Address: ' , - 49t4.. , S i — S0 5 Over 1,000 amps or volts 4.- 552.26 2
' Temporary Services or feeders installation, alteration, and/or .
City/State/ZIP: ° AZ- 67S et> E • ''`703 relocation
Phone: 641 3) 3b7- 9 $ 7 7 Fax: ( ) 200 amps OT Ie s I 59. 1
201 amps m 400 amps 125. 2
Owner installation: This installation is being made on property that 1 own which is not - 401 amps to 599 amps 168.54 _ • 2
intended for sale, lease, Cent, or exchange, according to ORS 447, 449, 670, and 701 • Braneb circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
.. rf ,
• CONTACT • PERSON. a or feeder above earn ee 7.42
( : .,.' ° • a;,,. II � each branch citoktit 2
Business name: LiveLight Energy, LLC B. Fee for branch circuits without
g �y service or feeder fee, first
56.18 2
Contact name: Jennifer Atkins
branch circuit
Each add'l branch circuit • 7,42 2
Address: 9325 SW Barber St. iviiisceuaneoaijservice or feeder not included)
—
— Each manufactured or modular 67.84 2
City /State/ZIP: Wilsonville, OR 97070 -9229 dwellinr�ce and/or feeder
Phone: ( ) 503.682.2168 I Fax: : ( ) R econnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail: jennifer(glivelightenergy.com Sign outline lighting 67.84 , 2
C limited-energy
ONTRACI Old' circuit(s) or ii
�.. _ - Signal circuit(s) � r . . el alteratio. or extension. P 2 2
Business name: Laughlin Electric, LLC Each additional iaspection over allowable is any of the abov
ddress: 3 Monroe Parkway #P205 Additional inspection (1 hr min) 66.25/ hr C i
City/State/ZIP: La ke Oswego, OR 97035 Investigation (I hr min) 66.25/ hr
tY Industrial plant (1 hr min) 78.18/I
Phone: ( ) 503.449.7389 Fax: ( ) Inspections for which to fee is 90.00/ to
specrfioaliyjljsted (%a lit min)
CCB Lic.: 165763 Electrical Lic.: Suprv. Lic.: ": " • ::.., :: • ; EL itiCA`f1 P.) lit :; ..*k.
Subtotal: 100.70
Suprv. Electrician signature, required: Plan review (25% ofpermit fee):
Print name: Pate: State surcharge (12% of permit fee): 12.08
TOTAL PERMIT FEE: 112.78
Authorized signature: This permit application expirei if a permit is not obtained within 1S0
days After it kas been accepted as complete.
Print name: • Date: - • Number of inspections allowed per permit.
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