Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00550
COMMUNITY DEVELOPMENT DATE ISSUED: 9/30/2008
T1GAR 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S125DB - 03200
SITE ADDRESS: 09342 SW 74TH AVE ZONING: R -4.5
SUBDIVISION: BOULEVARD HEIGHTS LOT : 015 JURISDICTION: TIG
PROJECT: DENNY
Project Description: Changing panel in existing garage. Job No. 8071
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: SIGNAUPANEL:
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: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 6 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:
TOM & MAUREEN DENNY LIGHTHOUSE ELECTRIC LLC
9340 SW 74TH AVE 27750 SW 95TH AVE # 109
TIGARD, OR 97223 WILSONVILLE, OR 97070
Phone: 503 - 544 -4733 Contact #: PRI 503- 582 -9600
FAX 503 -582 -8484
FEES
Description Date Amount Reg #: ELE 3 -562C
IELPRMT] ELC Permit 9/30/2008 $86.75 LIC 154897
[TAX] 12% State 9/30/2008 $10.41 SUP 3051S
Total $97.16 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 f. - - than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those ru s are set for in OA 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 1.800.33' -
Issued
•
��� ELI � � Permittee Signature i. /AVM.
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:
ONTRACTOR 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.
Metrical Permit - Application FOR OFFICE USE ONLY
City of 1 I ,Ard -JC , ., r _- m i, _`I Re n c ic / 8 y : C & og
Permit No,: �l�C O`��O �QQ 5-5-- V
13125 SW Hail Blvd., Tigard, OR 97223 Plan Reviews
' C % Phone: 503,639,4171 Fax: 503.598.1960 Darc /By: Other Permit:
It: •
Inspection Line: 503.639.4175 Date Ready /By: ! ® See Pnl:c 2 far
lntcmct vvww Ugnr<i or Rov
TtGARD Not; fcdIM thod; - - / ICr Supplcmentnllnfarmatlon
x
,,f,1"," i P" � ! r tP i �. 1' � l r A } 0,I r , � t '' 1 1 Jt �� ' � " , .. -
, � ��>i� Ot;���;cr4��'; r'; �,.. ��.lv l�>�ut
❑ New construction ® Addition /alter:4.o)i' teplae''ement Please check all that npply (submit Z, self, M plans wv /items checked below):
0 Service or fccder 400 amps or more ❑ Building over three stories.
❑ Domolit:i0n ❑ Other: where Are nvailnblc fault current ❑ Marinas and boatyards,
t,t
' ,,` ''
ti ` ° 1 ' r n ; t CX FG ti1iY � 1v�5TR�JC>iIl10
' exceeds 10.000 au at 150 volts or ❑ Planting buildings, ; N ;_
'
less to ground, or exceeds 14, 000 ❑Commercial -use agrieullttral
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ;naps Ibr all ollier installations. buildings.
❑ Multi family ❑ Master builder ❑ Other: 0 Firc pump, ❑ installation of 75 KVA or
r + .!. 1, ' i, 4;1 ` , r `i- ,t 1i'I' ` Sti'dI ilrA'�,lltN, ANTY 1ibe N ❑ Additi 01 new system. larger separately derived sysrom.
I , I � ' Tn _ i ''„ '' ' 0 Addition of motor load of ❑ "A". ., 3 ,• ,
Job no.: 8071 Job site address: 9342 SW 74 AVENUE 10011P or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
_
City/State/ZIP: TIGARD OREGON El Heabh -cart beanies. ❑ Supply volingo for more than
y (_I l•Inaarclous locations, 600 volts nominal,
Suite /bldg. /apt. no.: Project name: e 0 TJy 0 Scrvico or feeder 000 amps or more.
1 > CFtt.#0,, J ..',
Cross street /directions to job site: r • , - J_Qty. 1 ' Fee. Total
- New residential single or multi - family dwelling unit.
includes attached garage.
Subdivision: Lot. no. 1,000 sq. R. or less 115.15 4
Ea, add'! 500 sq, ft. or portion 3140 1 -
Tax map /parcel no
Limitcd cncrgy, residential 75.00 2
y..{ p� q. }{ y�
.. � Il 1 1� '' 1 t 41 ' } ,r i D 110 ;li \VO` RIti, r : (with nbovr sq, 0.)
Limited energy, multi - family 75.00 2
CHANGING;. PANEL IN OLD GARAGE resident cr8v )iii above sq. R.)
Services or feeders installation, alteration, ant/or relocation
200 amps or less 80.30 2
"r +'rr �;A, l r I , fittlF�r FOW.511* r : , `E: iTLNANN"K I. 201 amps to 400 amps 106.85 2
Name: TOM & MAUREEN DENNY 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 9340 SW 74 AVE Ovcr 1,000 amps or volts I 454.65 2
City /State /ZTP: TiGARD, OR 97223 Temporary services or feeders installation. alteration, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps or Icss 66.85 I
1 Owner installation: This installation is being made on property that T own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447. 449, 670. and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new, alteration, or extension cr panel
Owner signature: . Date: - A. Fee for branch circuits with
t ` 1 1 a Aff ,TiC�►N . '1 T',) SON feeder fee,
q i + ' i'C�ti,, , above service or feed ee
9d.,1>❑ L e ,. 6.65 2
each branch circuit
13USiness name: 8, Fcc for branch circuits
Contact name: without service or feeder Fee, 1 46.85 46.85 2
f first branch circuit _
Address: Each add'l branch circuit 6 j 6,65 39.90 2
Miscellaneous (service or fccder not included)
City/State/ZIP: Each manufactured or modular 90,90 2
dwelling, service and /or feeder
Phone: ( ) l Fax:: ( ) Reconnect only 66.85 2
E - mail: Pump or irrigation circle 53.40 2
at; : ° f' 1r'I :i rt,r, ,Cilis:1`lhw1.C'9G;('11t' Sign or outline lighting 53.40 2
Business name: LIGHTHOUSE ELECTRIC LLC Signal energy pan p a n lt(5) or limited-
el, alteration, or
Address; 27750 SW 95 AVE, SUITE 109 extension. Describe: Page 2 2
City/State/ZIP: WILSONViLLE, OREGON 97070 Each additional Inspection over allowable in any of the above
Per inspection 62.
Phone: (503) 582.9600 Fax: (503) 542.84$4 50
Invest igation per hour (I hr min) 62.50
CCB Lic.: 154897 Electrical Lic.: 3 -562C Suprv. Lic.: 3051S Industrial plant per hour 73,75
. .;, ; .,, , ELECTRICAL T'ER>1I1,T rtr __ -r_ , '? - 1
Suprv. Electrician signature, required: Subtotal; 86.75
Print name: RANDY T - ITT,i, Date: 9.30.08 Plan review (25% of permit fee)!
Stale surcharge (12 of permit fee): 10.41
Authorized signature t � L TOTAL PERMIT FEE 97.16
7 This permit application expires if a permit Is not obtained within 180
Print name: y Date: days after It has been accepted as complete.
' " Number of inspections allowed per permit,
L1 Building \PMmitAE.C- P emit App,dnc 05)23 I06 440- 1615T(I I/ONCUM /wgii
CITY OFTIGARD
BUILDING DIVISION
PERMIT #:E 0065
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 l t
Inspection Requests (24 Hrs.): (503) 639 -4175 ��
INSPECTION WORKSHEET FOR DATE: - 1 121 I Q , TIME: PAGE:
SITE ADDRESS: , b Q � C W A � � I b CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: (11'0 Q* Pour Time:
Code # Inspection Description Confirm # Contact # Message
��1a► FirNL
Corrections /Comments /Instructions:
c‘ i\.)
PASS I l PARTIAL APPROVAL n CANCEL n NO ACCESS
1 1 FAIL I 1 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: GT (v QWj Date: IVO(' Phone #: (503) 718-
CITY OF TIGARD
EiUltDING DIVISION
A PERMIT #: FLC200t3-00f1
D ATE 6
13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 9/300008
Phone: (503) 639-4171 .1,11(111‘
Inspection Requests (24 Hrs.): (503) 639-4175 .,„, - --
INSPECTION WORKSHEET FOR DATE: • 1/22/2009 TIME: 7:00AM PAGE: -
. SITE ADDRESS: 09342 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: BOULEVARD HEIGHTS LOT #: 015 TYPE OF USE:
PROJECT NAME: DENNY
DESCRIPTION: Changing panel in existing image. Job No. 8071
OWNER: DENNY, TOM & MAUREEN PHONE #: 603-EA4-4733
CONTRACTOR: LIGHTHOUSE ELECTRIC; LLC PHONE #: 503-6.82-9600
Inspection Request Scheduled For: Date: 1/22/2009 , Pour Time:
Code # Inspection Description Confii Contact # Message
199 Electrical final '079922-01 503-582-9600 N
Corrections/Comments/Instructions:
\-)
\ \
N
A ,
\Siv'
..,
0 PASS 0 PARTIAL APPROVAL 0 CANCEL El NO ACCESS
I i . rl CALL FOR INSPECTION II] ADDITIONAL FEES ASSESSED
Inspector: G" N 68 l.- Date: i ' S'I'l Phone #: (503) 718- 1.4qc,
CITY OF TIGARD •
J3UII±DING DIVISION PERMIT #:
ELC2008-0050
•
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
9/30/2008
Phone: (503) 639-4171
• Inspection Requests (24 Hrs.): (503) 639-4175 tko
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10/14/2008 7;00AM 32
SITE ADDRESS: CLASS OF WORK:
09342 SW 74TH AVE
SUBDIVISION: OULEVARD HEIGHTS LOT #: TYPE OF USE:
B 015
PROJECT NAME:
DENNY
DESCRIPTION: Changing panel in existing garage. Job No. 8071
OWNER: PHONE #:
DENNY, TOM & MAUREEN 603-544-4733
CONTRACTOR:
LIGHTHOUSE ELECTR PHONE #:
LLC 503-582-9600
•
Inspection Request Scheduled For: Date: Pour Time:
10/14r2008
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 076640-01 503-682-9600
Corrections/Comments/Instructions:
P r 4 o il-C-EGS 'TO I 5 U., &
0 PASS PARTIAL APPROVAL 0 CANCEL El NO ACCESS
FAIL ALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector:
Date: PI t Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: • ELC2008-00550
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 91300009
Phone: (503) 639-4171 Avoippot 1#.
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE 10/2W2008 TIME: 7:00AIVI PAGE: 12
SITE ADDRESS: 09342 SW 74TH AVE CLASS OF WORK:
SUBDIVISION: BOULEVARD HEIGHTS LOT #: 015 TYPE OF USE:
PROJECT NAME: DENNY
DESCRIPTION: Changing panel in existing garage. Job No. 8071
OWNER DENNY, TOM & MAUREEN PHONE #: 60544033
CONTRACTOR: LIGHTHOUSE ELECTRIC LLC PHONE #: 503-582-9600
Inspection Request Scheduled For: Date 10129/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
K /
199 Electrical final 07' 32&O 503.5M-4733 Y
Corrections/Comments/ Instructions:
1 --B RKi3
c) T Re.4 ID csDICI? 0.) v_o .),5 6) ifIN - I N1 1 ai4i icq
Ng' , 206* tv ..
_
PASS ri PARTIAL APPROVAL 0 CANCEL NO ACCESS
FAIL
CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: • t106i Date: V612 ot Phone #: (503) 718- 1,1%