Permit ,-t
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CITY OF TIGARD ELECTRICAL PERMIT
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. ° PERMIT #: ELC2008 -00557
, r' ., COMMUNITY DEVELOPMENT DATE ISSUED: 10/1 /2008
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TIGAR 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 110BC - 09800
SITE ADDRESS: 14550 SW 120TH PL ZONING: R -
SUBDIVISION: WALL PARTITION2 /MLP2003 - 00001 LOT : 002 JURISDICTION: TIG
PROJECT: PEPPER
Project Description: (1) service and (2) branch circuits for solar array.
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: 2 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:
TIMOTHY PEPPER 3D ELECTRICAL SERVICES INC
14550 SW 120TH PL PO BOX 173
TIGARD, OR 97224 OREGON CITY, OR 97045
Phone: Contact #: PRI 503 - 657 -9173
FAX 503 - 655 -7140
FEES
Description Date Amount Reg #: ELE 3 -460C
[ELPRMT] ELC Permit 10/1/2008 $93.60 LIC 135234
[TAX] 12% State Surchar 10/1/2008 $11.23 SUP 3793S
Total $104.83 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 obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: �� Permittee Signature: �— �1� �–T �Uti
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.
SEP 30 2008(TUE) 12 :59 30 Electric (FAX)5036557140 P. 002/002
Electrical + l , ;fin
L' lectrical Permit Applica o11 R E C E / , [� + t ti ' S 1' 0112 t0{ I'it 1 a'I �S � ,,} ,, v`b
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a �, � ;' City of Tigard ` • iri Permit No.: F�k_D --r r ) 557
' {''- 'a 131 25 SW Hall Blvd., Tigard, OR 97223 Plan Review
- Phone: 503.639.4171 Fax: 503,598.1960 C� /) D Other Permit:
MI Li] \ Rltti Inspection Line: 503.639.4175 Gam/ C L' i; + Jude: , Date Ready/By; 63 See Page 2 for
her Internet: www.tigard- or.gov Notified/Method; "ri Supplemental Information
am, ' era - -
TYPE OF W■i r1aA1 PLAN REVIEW '
•
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0 New construction Addition/alteratr. ti%repia'cenTeiiC 1 �I'810AI Fleas: check all that apply (submit a acts of plans wfltema chocked below );
❑ Demolition Other: where Serviae or feeder 400 amps or more ❑ Building over three stories,
where the available fault current ❑ Marine and boatyards.
• CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
seas to ground, or exceeds 14,000 ❑ Commercial -uae agricultural
1- and 2- family dwelling ❑ Colnmercial/industrial ❑ Accessory building amps for all other installations, buildings.
C Mulli- family ❑ Master builder ❑ Other: , ❑Fire pump. D lnstallntion of 75 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1-2 ", "I -3 ",
Job no.: A3q LI 5 1 Job site address: Li. . sup ' P1 100HP or more, occupancy.
❑ Six or more residential units. 0 Recreational vehicle parks.
_ L zit.!_ 1
City / State/ZIP: 1 G� q 7 ) U / 11/ ❑ Health -care facilities. ❑ Supply voltage for more than
Y 1 1 ° ❑ Hazardous locations. 600 volts nominal
Suite/bldg. /apt, no.: Project name: o ct), ,/ ❑ Service or feeder 600 amps or more.
pct ),
FEE SCHEDULE
Cross street/directions to job site: novrlption
Qty. I F. 1 Tofal 1 •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq, ft, or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75,00 2
DESCRIPTION OF WORK _ (with above sq. ft.)
L r Limited energy, multi - family 75.00 2
}A"Ot,XX 5,��1 A ray residential (with above sq. ft.)
I Services or feeders Installation,alteration, and /or relocation
200 amps or less 80.30 .3 2
)PROPKRTY OWNER ❑ TENANT _ 201 amps to 400 amps 106.85 2
Name: ��'- /r'a'in , , i2e e ,,,- , 401 amps to 600 amps 160.60 2
/ r / G� 601 gimps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454,65 2
City / State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less ' 6 6.85 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 1 00.30 2
..
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branc circuits - new, alteration ar exten sion, per p
Owner signature: Date:
A. Fee for branch circuits with
LI APPLICANT 0 CONTACT PERSON above service or feeder fee 6.65 1
t I each branch circuit �.
Business name: Ise S yG 5 i 1 4 G B, Fee for branch circuits
Contact name: ■ without service or feeder fee, 46,85 2
1 1),3_T 1 ["* 1 "� first branch circuit _
Address: �¢ l f /73 Bach add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State/ZIP: a tGii c," y s ,A t a7 Each manufactured or modular 90.90 2
Phone: (53)( — ci 17 3 Fax: / : •x (563) 6 5 S - fir 1d Reeortnent eo oe and/or feeder ,
y 66.85 2
E -mail: pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: 3D Electrical Services, Inc. Signal circuit(s) or limited
w energy panel, alteration, or
Address: P.O. Box 173 extension. Describe: Page 2 2
City /State/ZIP: Oregon City, OR 97045 Each additional Inspection over allowable in any of the above
Per inspection 1 62.50
Phone: (503) 657 -9173 Fax: (503) 655 - 7140
Inveatigation per hour (I hr nvn) i 62.50
CCB Lic.: 135234 Electrical Lie.: 3 -460C Suprv. Lic.: Ser93 S Industrial plant per hour I 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: * % - Subtotal: �' 5. (p 0
Print name: rg� Date: . 30 --nA Plan review (25% of permit fee): ortf
'47 ■ \1�4s A `'v State surcharge (12% of permit fee);
if • 2-
Authorized signature: %w �� �,-- TOTAL PERMIT FEE: ic 3 �
t �jrL� This perndt application expires If a permit is not obtained raithln 180
Print name: Date: days after It has been accepted ae complete.
° Number of inspections allowed per permit.
1: 1I1uilding \Pennitr\ELC- PurmitApp.duc 01/23 /0d 440.44 6' tii/OS /C0 4/WEEi
•
B Y..OF TIGARD
NDING DIVISION PERMIT #: EI-C.)0084)(V7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1o11f oon
Phone: (503) 639 -4171 'd' ? .
A-
Inspection Requests (24 Hrs.): (503) 639 -4175 Ir'11
INSPECTION WORKSHEET FOR DATE: 1/27J2009 TIME: 7:00AM PAGE: 3
SITE ADDRESS: 1450 SW 120TH PL CLASS OF WORK:
SUBDIVISION: WALL PARTITION2JMLP2003 -00001 LOT #: 002 TYPE OF USE:
PROJECT NAME: PEPPER
DESCRIPTION: (1) service and (2) branch circuits for solar array.
OWNER: PEPPER, TIMOTHY PHONE #:
CONTRACTOR: 3D ELECTRICAL SERVICES INC PHONE #: 50a-657-9173
Inspection Request Scheduled For: Date: 1122/2009 Pour Time:
Code # Inspection Description . Confirm # \ Contact # Message 1
199 Electrical final 7 079931 - 01 1 971 N
Corrections/Comments/Instructions: , ,, 1
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C ,4 PAS ❑ PARTIAL APPROVAL 111 n NO ACCESS
FATL ❑CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
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Inspector: C/Th QNJ be) ds Date: 1 • 14"4 Phone #: (503) 718- IN
. .
li OF TIGARD • '
DING DIVISION
PERMIT #: • FLC2008-00%7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1000t1
Phone: (503) 639-4171 "re
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 100/2009 TIME: 7:00AM PAGE: 4
SITE ADDRESS: '14660 SW 120TH Pl. CLASS OF WORK:
SUBDIVISION: WALL PARTITION2/MLP2003 LOT #: 002 TYPE OF USE:
PROJECT NAME: PEPPER
DESCRIPTION: (1) and (2) branch circuit$:: for sour array.
OWNER: PEPPER, TIMOTHY PHONE #:
CONTRACTOR: 3D ELECTRICAL SERVICES INC PHONE #: 503..69_9173
Inspection Request Scheduled For: Date: 1/20/2009 Pour Time:
Code # Inspection Description onfirm # ... # Message
'199 Eiectrical final 0/9B1-01 1 114447 144 1-606- 8636 N
On _
Corrections/Comments/Instructions:
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PASS D PARTIAL APPROVAL CANCEL Ei NO Ab4ESS
Ei FAIL 0 CALL FOR INSPECTION AD FEES ASSESSED
Inspector: G i 1\,) 6 (..„‘ Date: 1 - W 1 Phone #: (503) 718- ILK
' -
Clia, Of TIGARD
Billuk*NchivisioN PERMIT #: FLC2008-00557
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1/2001:
Phone: (503) 639-4171 A
.4,
Inspection Requests (24 Hrs.): (503) 639-4175 ,/, , , , P --.
INSPECTION WORKSHEET FOR DATE: •//2Q09 TIME: 7:OOAM PAGE: 30
SITE ADDRESS: 14560 SW 120TH PL CLASS OF WORK:
SUBDIVISION: WAIL PARTITION2IML.P2003 LOT #: 002 TYPE OF USE:
PROJECT NAME: PEPPER
DESCRIPTION: (1) t-;EtrViCe and (2) branch circuits for solar array,
OWNER: PEPPER, TIMOTHY PHONE #:
CONTRACTOR: 3D ELECTRICAL SERVICES INC PHONE #: 603-657-9173
Inspection Request Scheduled For: Date: 1/6/2009 Pour Time:
Code # Inspection Description (Cal # Contact # Message
199 Electrical final 079388-01 503•657-9173 N
Corrections/Comments/Instructions:
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The electrical installation defects noted .
on this report shall be corrected and
an inspection request made within 20
A calendar dam per OAR u18-271-0030
1 N 6 rE C7T ) ti\ y 1,1..
El PASS 111 PARTIAL APPROVAL 0 CANCEL El NO ACCESS
FAIL 'CALL FOR INSPECTION Ei ADDITIONAL FEES ASSESSED
Inspector: G-- N (Sei t...e Date: 1 4 ' 1 Phone #: (503) 718- 9.-11141:5